FORM
A-R
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Dec 18, 2018

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

Amended Registration
Lobbyist Registration Fee:
{49-1480.01}

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

PLEASE FILL IN ALL BLANKS

LOBBYIST {49-1480(1)}

1111 N 13th Street #106 

5702 T Street 

Omaha 

NE 

68102 

Omaha 

NE 

68117 

(402) 827-9280 

(402) 905-7819 

mzych@omahawomensfund.org 

PRINCIPAL {49-1480(2)}

(402) 827-9280 

1111 N 13th Street #106 

Board of Directors 

Omaha 

NE 

68102 

MISCELLANEOUS 

AMOUNTS GIVEN
0.00  Percentage of salary  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Any issues relating to women and girls  
Description of industry, trade, profession, or interests and groups represented by the principal:
Nonprofit 
Names and addresses of principal's officers:

Cheryl Duryea, President
7602 Pacific Street, Suite 300
Omaha, NE 68117

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:

Not applicable