Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Oct 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

$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

Smith, Leslie

Office Address (Street, Box, or Route)

1905 Harney Street, Suite 224

Permanent Residence (Street, Box, or Route)

City

Omaha

State

Zip

68102

City

State

Zip

Office Phone

(402) 800-1240

Home Phone

(662) 832-7441

Email Address

LeslieS@omlb.org

PRINCIPAL {49-1480(2)}

Name

Omaha Municipal Land Bank

Office Phone

(402) 800-1240

Office Address (Street, Box, or Route)

1905 Harney Street, Suite 224

Official to Whom Lobbyist is Accountable

Sharlon Rodgers

City

Omaha

State

Zip

68102

Nature of Business {49-1480(3)}

Land Bank

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

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

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

Names and addresses of principal's officers:

Sharlon Rodgers
1905 Harney Street, Suite 224
Omaha, NE 68102

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.

Smith, Leslie

Lobbyist Name

Oct 22, 2024

Date