Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 18, 2018

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

(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

Bocour, Nicola

Office Address (Street, Box, or Route)

700 13th Street, NW, Suite 600

Permanent Residence (Street, Box, or Route)

City

Washington

State

Zip

20005

City

State

Zip

Office Phone

(973) 715-9385

Home Phone

Email Address

nbocour@giffords.org

PRINCIPAL {49-1480(2)}

Name

Giffords

Office Phone

(202) 654-6376

Office Address (Street, Box, or Route)

700 13th Street, NW, Suite 600

Official to Whom Lobbyist is Accountable

Alison Damaskos

City

Washington

State

Zip

20005

Nature of Business {49-1480(3)}

Firearms safety

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

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

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

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)}

N/A

I certify that all information presented in this form is accurate to the best of my knowledge.

Bocour, Nicola

Lobbyist Name

Dec 18, 2018

Date