Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 2, 2025

(This report is required to be filed on or before December 31 of each calendar year.)
49-1480.01(3)

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

Mollard, Elizabeth

Office Address (Street, Box, or Route)

4900 Bridle Lane

Permanent Residence (Street, Box, or Route)

4900 Bridle Lane

City

Lincoln

State

Zip

68516

City

Lincoln

State

Zip

68516

Office Phone

(402) 484-1210

Home Phone

(402) 484-1210

Email Address

libbymollard@gmail.com

PRINCIPAL {49-1480(2)}

Name

Nebraska Affiliate of the American College of Nurse-Midwives

Office Phone

(308) 830-1435

Office Address (Street, Box, or Route)

265 22 Road

Official to Whom Lobbyist is Accountable

City

Wilcox

State

Zip

68982

Nature of Business {49-1480(3)}

Healthcare non profit

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

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Midwifery advocacy, health care

I am lobbying on behalf of a Chinese military company and thereby acting as an agent of a foreign adversary of the United States. {49-1480 (1)(a)(vi)}

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

Names and addresses of principal's officers:

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.

Elizabeth Mollard

Lobbyist Name

Dec 2, 2025

Date