Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 27, 2023

Clerk of the Legislature
Room 2014, State Capitol
PO Box 94604
Lincoln, NE 68509-4604
Phone: (402) 471-2608

For Calendar Year of:

Amended Registration

Lobbyist Registration Fee:
{49-1480.01}

Compensated

$200.00

(If you are a salaried employee of your principal, you are a compensated lobbyist.)

Not Compensated

$15.00

(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)}

Name

Pederson, Kole

Office Address (Street, Box, or Route)

PO Box 80299

Permanent Residence (Street, Box, or Route)

City

Lincoln

State

Zip

68501

City

State

Zip

Office Phone

(402) 421-4447

Home Phone

Email Address

whittneyk@nefb.org

PRINCIPAL {49-1480(2)}

Name

Nebraska Farm Bureau Federation

Office Phone

(402) 421-4400

Office Address (Street, Box, or Route)

5225 S 16th St

Official to Whom Lobbyist is Accountable

City

Lincoln

State

Zip

68512

Nature of Business {49-1480(3)}

Agriculture

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
31,150.00 Per Year

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Agriculture, Natural Resources, Tax, and Transportation

Description of industry, trade, profession, or interests and groups represented by the principal:
Agriculture

Names and addresses of principal's officers:

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: {49-1480(8)}

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

Kole Pederson

Lobbyist Name

Dec 27, 2023

Date