Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Apr 1, 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

Koenen, Kristopher

Office Address (Street, Box, or Route)

411 S 13th

Permanent Residence (Street, Box, or Route)

6918 Richard PL

City

Lincoln

State

Zip

68508

City

Annandale

State

Zip

22003

Office Phone

(703) 579-7412

Home Phone

(703) 579-7412

Email Address

sgalobbying@afphq.org

PRINCIPAL {49-1480(2)}

Name

Americans for Prosperity

Office Phone

(703) 224-3200

Office Address (Street, Box, or Route)

1310 N Courthouse Road, Suite 700

Official to Whom Lobbyist is Accountable

City

Arlington

State

Zip

22201

Nature of Business {49-1480(3)}

Civic Engagement

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
120,000.00 Per Year

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

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

Names and addresses of principal's officers:

Emily Seidel
4201 Wilson Blvd
Arlington VA 22203

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)}

None

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

Kristopher Koenen

Lobbyist Name

Apr 1, 2024

Date