Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Apr 7, 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

Gibbs, Patrick

Office Address (Street, Box, or Route)

12587 Fair Lakes Circle, PMB 184

Permanent Residence (Street, Box, or Route)

12587 Fair Lakes Circle, PMB 184

City

Fairfax

State

Zip

22033

City

Fairfax

State

Zip

22033

Office Phone

(202) 849-9002

Home Phone

(202) 849-9002

Email Address

PGibbs.PrizePicks@vantagelegal.com

PRINCIPAL {49-1480(2)}

Name

SidePrize LLC d/b/a PrizePicks

Office Phone

(202) 849-9002

Office Address (Street, Box, or Route)

c/o 12587 Fair Lakes Circle, PMB 184

Official to Whom Lobbyist is Accountable

Jenny Kim

City

Fairfax

State

Zip

22033

Nature of Business {49-1480(3)}

Fantasy sports

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
2,000.00 Per Month

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

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

Names and addresses of principal's officers:

Jenny Kim
12587 Fair Lakes Circle, PMB 184
Fairfax, VA 22033

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.

Patrick Gibbs

Lobbyist Name

Apr 7, 2025

Date