FORM
A-R
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Dec 26, 2023

(This report is required to be filed on or before December 31 of each calendar year.)
49-1480.01(3)

Amended Registration
Lobbyist Registration Fee:
{49-1480.01}

(If you are a salaried employee of your principal, you are a compensated lobbyist.)
(File a Form E for quarterly report exemption. You are not exempt from the Form D Activity Report.)

PLEASE FILL IN ALL BLANKS

LOBBYIST {49-1480(1)}

301 South 13th Street, Suite 402 

 

Lincoln 

NE 

68508 

 

 

 

(402) 261-5293 

 

tgay@catalystnebraska.com  

PRINCIPAL {49-1480(2)}

(402) 342-8232 

2201 Farnam Street 

Shawna Forsberg 

Omaha 

NE 

68102 

Nonprofit 

AMOUNTS GIVEN
7,500.00  Bi-Annually  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} workforce development, education  
Description of industry, trade, profession, or interests and groups represented by the principal:
Nonprofit 
Names and addresses of principal's officers:

Shawna Forsberg
President and CEO
United Way of the Midlands
2201 Farnam Street, Suite 200
Omaha, NE 68102


Matt Wallen
Senior Vice President, Community Impact and Analytics
United Way of the Midlands
402-522-7950

GIVE NAME and ADDRESS of any OFFICIAL in the Legislative or Executive Branch and of any members of any such official's staff or immediate family who is employed by you or by anyone acting on your behalf:

I certify that all information presented in this form is accurate to the best of my knowledge.

Catalyst Public Affairs, Inc.

Lobbyist Name

Dec 26, 2023

Date