Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 28, 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

(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

Grasz, Nate

Office Address (Street, Box, or Route)

1106 E Street

Permanent Residence (Street, Box, or Route)

431 N 44th St. Apt. #1431

City

Lincoln

State

Zip

68508

City

Lincoln

State

Zip

68503

Office Phone

(402) 477-3191

Home Phone

(402) 677-6825

Email Address

Nate@NebraskaFamilyAlliance.org

PRINCIPAL {49-1480(2)}

Name

Nebraska Family Alliance

Office Phone

(402) 477-3191

Office Address (Street, Box, or Route)

1106 E Street

Official to Whom Lobbyist is Accountable

City

Lincoln

State

Zip

68508

Nature of Business {49-1480(3)}

Family Policy Research

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
2,250.00 Per Quarter

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Issues pertaining to the family, Sanctity of life

Description of industry, trade, profession, or interests and groups represented by the principal:
educational organization committed to strengthening the family.

Names and addresses of principal's officers:

Jeff Downing
530 S 13th Lincoln, NE

Mike Mancuso
8309 S 42nd St Bellvue, NE

William Awodele
6711 N 102nd Ave. Omaja, NE

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.

Grasz, Nate

Lobbyist Name

Dec 28, 2018

Date