Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Jan 2, 2024

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

Shortall, Jessica

Office Address (Street, Box, or Route)

1411 K Street N.W., Suite 900

Permanent Residence (Street, Box, or Route)

6417 Mendelssohn Ln

City

Washington

State

Zip

20005

City

Hopkins

State

Zip

55343

Office Phone

(202) 525-5717

Home Phone

(512) 297-8115

Email Address

jshortall@rstreet.org

PRINCIPAL {49-1480(2)}

Name

R Street Institute

Office Phone

(202) 525-5717

Office Address (Street, Box, or Route)

1411 K Street N.W., Suite 900

Official to Whom Lobbyist is Accountable

Mazen Saleh

City

Washington

State

Zip

20005

Nature of Business {49-1480(3)}

Think Tank

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

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} syringe services programs

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

Names and addresses of principal's officers:

Mazen Saleh, 1411 K Street N.W., Suite 900, Washington DC 20005

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.

Jessica Shortall

Lobbyist Name

Jan 2, 2024

Date