Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 28, 2023

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

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

Feely, William

Office Address (Street, Box, or Route)

1610 N Street

Permanent Residence (Street, Box, or Route)

260 Jefferson St

City

Lincoln

State

Zip

68508

City

Aurora

State

Zip

68818

Office Phone

(402) 475-2122

Home Phone

(402) 694-6871

Email Address

negop.legislative@gmail.com

PRINCIPAL {49-1480(2)}

Name

Nebraska Republican Party

Office Phone

(402) 475-2122

Office Address (Street, Box, or Route)

1610 N Street

Official to Whom Lobbyist is Accountable

NEGOP Political Director

City

Lincoln

State

Zip

68508

Nature of Business {49-1480(3)}

Political

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

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Matters concerning the platform and agenda of the Nebraska Republican Party

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

Names and addresses of principal's officers:

Eric Underwood, Chairman, 9151 NW 112th, Malcolm, NE 68402
Pam Dingman, Vice Chair, 1763 Surfside, Lincoln, NE 68528
Mike Kennedy, Treasurer, 15809 Douglas Cir, Omaha, NE 68118
Heather Bentley, Secretary, 33356 Birch Road, Miller, NE 68858

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)}

None

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

William Feely

Lobbyist Name

Dec 28, 2023

Date