Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 30, 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

Severino, Dylan

Office Address (Street, Box, or Route)

Permanent Residence (Street, Box, or Route)

5019 North 25th Street

City

Lincoln

State

Zip

68508

City

Lincoln

State

Zip

68521

Office Phone

(402) 476-8091

Home Phone

(760) 889-7043

Email Address

dylanseverino

PRINCIPAL {49-1480(2)}

Name

ACLU Nebraska

Office Phone

(402) 476-8091

Office Address (Street, Box, or Route)

134 S. 13th Street, #1010

Official to Whom Lobbyist is Accountable

Executive Director

City

Lincoln

State

Zip

68508

Nature of Business {49-1480(3)}

Civil rights and constitutional rights

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

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

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

Names and addresses of principal's officers:

Board Chair, Molly Brummond, 5840 S 88th St. Lincoln, NE 68526
Treasurer, Dr. Michael Beverly, 6611 N 155th Terrace Ave Plaza #5301 Omaha, NE 68116
Secretary, Rosey Higgs, 11414 Fredrick St. Omaha, NE 68144

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.

dylanseverino

Lobbyist Name

Dec 30, 2024

Date