Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 14, 2018

(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

$200.00

(If you are a salaried employee of your principal, you are a compensated lobbyist.)

Not Compensated

$15.00

PLEASE FILL IN ALL BLANKS

LOBBYIST {49-1480(1)}

Name

Gilbert, Randall

Office Address (Street, Box, or Route)

3025 South Street

Permanent Residence (Street, Box, or Route)

3025 South Street

City

Lincoln

State

Zip

68502

City

Lincoln

State

Zip

68502

Office Phone

(402) 646-9025

Home Phone

(402) 646-9025

Email Address

randalljgilbert@gmail.com

PRINCIPAL {49-1480(2)}

Name

Gilbert, Randall

Office Phone

(402) 646-9025

Office Address (Street, Box, or Route)

3025 South Street

Official to Whom Lobbyist is Accountable

City

Lincoln

State

Zip

68502

Nature of Business {49-1480(3)}

Consulting

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)} Environment and conservation, social justice, economy

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

Names and addresses of principal's officers:

Randall Gilbert
3025 South Street
Lincoln, NE 68502

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.

Gilbert, Randall

Lobbyist Name

Dec 14, 2018

Date