Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Jan 10, 2025

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

Anderson, William

Office Address (Street, Box, or Route)

1000 Winchester St., Ste. 301

Permanent Residence (Street, Box, or Route)

City

Fredericksburg

State

Zip

22401

City

State

Zip

Office Phone

(540) 834-4600

Home Phone

Email Address

wanderson@studentsforlife.org

PRINCIPAL {49-1480(2)}

Name

Students for Life Action

Office Phone

(540) 834-4600

Office Address (Street, Box, or Route)

1000 Winchester Street, Suite 301

Official to Whom Lobbyist is Accountable

Chanel Jacobs

City

Fredericksburg

State

Zip

22401

Nature of Business {49-1480(3)}

pro-life 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.
24.04 Per Hour

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} pro-life advocacy legislation

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

Names and addresses of principal's officers:

Chanel Jacobs
1000 Winchester St., Ste. 301
Fredericksburg, VA 22401

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.

William Anderson

Lobbyist Name

Jan 10, 2025

Date