Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 29, 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

Eickholt, Christopher/Spike

Office Address (Street, Box, or Route)

635 South 14th Street Suite #320

Permanent Residence (Street, Box, or Route)

City

Lincoln

State

Zip

68508

City

State

Zip

Office Phone

(402) 310-5663

Home Phone

Email Address

spike@eickholtlaw.com

PRINCIPAL {49-1480(2)}

Name

Voices for Children in Nebraska

Office Phone

(402) 597-3100

Office Address (Street, Box, or Route)

319 S 17th St. Suite 212

Official to Whom Lobbyist is Accountable

Aubrey Mancuso/Executive Director

City

Omaha

State

Zip

68102

Nature of Business {49-1480(3)}

Advocacy organization.

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

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Legislation and issues relating to children and youth in the areas of health, child welfare, economic stability, and juvenile justice.

Description of industry, trade, profession, or interests and groups represented by the principal:
Advocacy organization for public policy issues impacting youth.

Names and addresses of principal's officers:

Aubrey Mancuso, Executive Director
7521 Main Street, Suite 103 Ralston, Nebraska 68127

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)}

N/A

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

Christopher Spike Eickholt

Lobbyist Name

Dec 29, 2023

Date