Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Jan 3, 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

Farias, Andrew

Office Address (Street, Box, or Route)

144 N 44th St, Suite A

Permanent Residence (Street, Box, or Route)

1900 K St, Apt. 422

City

Lincoln

State

Zip

68503

City

Lincoln

State

Zip

68510

Office Phone

(402) 477-3446

Home Phone

(832) 298-0211

Email Address

andrew@lincolnasiancenter.org

PRINCIPAL {49-1480(2)}

Name

Asian Community and Cultural Center

Office Phone

(402) 477-3446

Office Address (Street, Box, or Route)

144 N 44th St, Suite A

Official to Whom Lobbyist is Accountable

Sheila Dorsey Vinton

City

Lincoln

State

Zip

68503

Nature of Business {49-1480(3)}

Nonprofit

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

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

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

Names and addresses of principal's officers:

Sheila Dorsey Vinton, 144 N 44th St, Suite A, Lincoln, NE 68503

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.

Andrew Farias

Lobbyist Name

Jan 3, 2024

Date