Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Jul 25, 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

$300.00

(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

Phillips, Colin

Office Address (Street, Box, or Route)

805 15th Street, NW, Suite 1120

Permanent Residence (Street, Box, or Route)

925 Brittany Dr

City

Washington

State

Zip

20005

City

Delaware

State

Zip

43015

Office Phone

(202) 371-9792

Home Phone

(614) 578-6024

Email Address

colin.phillips@wswa.org

PRINCIPAL {49-1480(2)}

Name

Wine & Spirits Wholesalers of America

Office Phone

(202) 371-9792

Office Address (Street, Box, or Route)

805 15th Street, NW, Suite 1120

Official to Whom Lobbyist is Accountable

Chelsea Crucitti

City

Washington

State

Zip

20005

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.
24,000.00 Per Year

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

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

Names and addresses of principal's officers:

Francis Creighton, 805 15th St NW #1120, 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.

Colin Phillips

Lobbyist Name

Jul 25, 2024

Date