Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Jan 16, 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

Jackson, Robert

Office Address (Street, Box, or Route)

1777 North Kent Street

Permanent Residence (Street, Box, or Route)

722 North Oakland Street

City

Arlington

State

Zip

22209

City

Arlington

State

Zip

22209

Office Phone

(571) 349-0149

Home Phone

(702) 533-4804

Email Address

rjackson@namanow.org

PRINCIPAL {49-1480(2)}

Name

National Automatic Merchandising Association

Office Phone

(571) 349-0149

Office Address (Street, Box, or Route)

1777 North Kent Street

Official to Whom Lobbyist is Accountable

Matt Bisenius

City

Arlignton

State

Zip

22209

Nature of Business {49-1480(3)}

Trade Association

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
6,250.00 Per Session

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

Description of industry, trade, profession, or interests and groups represented by the principal:
Convenience Services Industry-Vending,MicroMarkets,OfficeCoffee

Names and addresses of principal's officers:

Carla Balakgie, 1777 North Kent Street, Suite 1010, Arlington, VA 22209; 571.349.0149

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.

Robert Owen Jackson

Lobbyist Name

Jan 16, 2024

Date