Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Aug 23, 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

Ford, Marshawn

Office Address (Street, Box, or Route)

1941 south 42nd st suite 402f

Permanent Residence (Street, Box, or Route)

3514 north 72nd st

City

omaha

State

Zip

68105

City

omaha

State

Zip

68134

Office Phone

(402) 889-5803

Home Phone

(402) 670-2729

Email Address

marshawn4@gmail.com

PRINCIPAL {49-1480(2)}

Name

threeSisters

Office Phone

(402) 889-5803

Office Address (Street, Box, or Route)

1941 south 42nd st suite 402F

Official to Whom Lobbyist is Accountable

chanda parker

City

omaha

State

Zip

68105

Nature of Business {49-1480(3)}

human services

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 Hour

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

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

Names and addresses of principal's officers:

marshawn ford 3514 north 72nd st executive director
chanda parker 6324 north 31st ave Chief financial officer

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.

marshawn ford

Lobbyist Name

Aug 23, 2024

Date