Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Oct 2, 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

Loncke, MacKenzie

Office Address (Street, Box, or Route)

211 N 14th St

Permanent Residence (Street, Box, or Route)

1116 Goodhue Blvd

City

Lincoln

State

Zip

68508

City

Lincoln

State

Zip

68502

Office Phone

(402) 488-1130

Home Phone

(402) 708-6634

Email Address

mackenzie@outnebraska.org

PRINCIPAL {49-1480(2)}

Name

Outlinc

Office Phone

(402) 488-1130

Office Address (Street, Box, or Route)

211 N 14th St

Official to Whom Lobbyist is Accountable

n/a

City

Lincoln

State

Zip

68508

Nature of Business {49-1480(3)}

LGBTQ education and advocacy

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)} Issues impacting LGBTQ community members

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

Names and addresses of principal's officers:

President: Kameron Neeman, 211 N 14th St, Lincoln NE 68508
Secretary: Kandra King, 211 N 14th St, Lincoln NE 68508
Treasurer: AT Miller, 211 N 14th St, Lincoln NE 68508

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)}

n/a

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

MacKenzie Loncke

Lobbyist Name

Oct 2, 2024

Date