Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Jan 3, 2019

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

Cartier, John

Office Address (Street, Box, or Route)

1111 Lincoln Mall, Suite 350

Permanent Residence (Street, Box, or Route)

6501 Vine Street Apt. 74

City

Lincoln

State

Zip

68508

City

Lincoln

State

Zip

68508

Office Phone

(954) 319-9832

Home Phone

(954) 319-9832

Email Address

john.cartier@civicnebraska.org

PRINCIPAL {49-1480(2)}

Name

Civic Nebraska

Office Phone

(402) 904-5191

Office Address (Street, Box, or Route)

1111 Lincoln Mall, Suite 350

Official to Whom Lobbyist is Accountable

Amanda Barker

City

Lincoln

State

Zip

68508

Nature of Business {49-1480(3)}

Salaried

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

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Election administration, Civic reform

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

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.

Cartier, John

Lobbyist Name

Jan 3, 2019

Date