FORM
A
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Jan 3, 2019
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 Lincoln Mall, Suite 350 

6501 Vine Street Apt. 74 

Lincoln 

NE 

68508 

Lincoln 

NE 

68508 

(954) 319-9832 

(954) 319-9832 

john.cartier@civicnebraska.org 

PRINCIPAL {49-1480(2)}

(402) 904-5191 

1111 Lincoln Mall, Suite 350 

Amanda Barker 

Lincoln 

NE 

68508 

Salaried 

AMOUNTS GIVEN
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:

I certify that I am the Lobbyist listed above and that all information presented in this form is accurate to the best of my knowledge.