Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Jan 22, 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

Vankat, Hannah

Office Address (Street, Box, or Route)

11919 P St. Suite A

Permanent Residence (Street, Box, or Route)

4661 William St

City

Omaha

State

Zip

68127

City

Omaha

State

Zip

68105

Office Phone

(402) 505-3993, Ext. 103

Home Phone

(402) 321-8104

Email Address

hannah@smartgensociety.org

PRINCIPAL {49-1480(2)}

Name

Smart Gen Society

Office Phone

(402) 505-3993

Office Address (Street, Box, or Route)

11919 P St. Suite A

Official to Whom Lobbyist is Accountable

Amie Konwinski

City

Omaha

State

Zip

68127

Nature of Business {49-1480(3)}

Non Profit 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.
1,299.00 Per Quarter

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Digital exploitation, digital impact, safety and privacy policies for technology.

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

Names and addresses of principal's officers:

Smart Gen Society
11919 P St. Suite A Omaha NE 68137

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.

Hannah Vankat

Lobbyist Name

Jan 22, 2024

Date