Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Nov 28, 2022

(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

Caldwell, Dawn

Office Address (Street, Box, or Route)

1327 H Street, Ste. 103

Permanent Residence (Street, Box, or Route)

30660 Road T

City

Lincoln

State

Zip

68508

City

Edgar

State

Zip

68935

Office Phone

(402) 325-0045

Home Phone

(402) 984-3453

Email Address

dawnc@renewablefuelsne.org

PRINCIPAL {49-1480(2)}

Name

Renewable Fuels Nebraska

Office Phone

(402) 325-0045

Office Address (Street, Box, or Route)

1327 H Street, Ste. 103

Official to Whom Lobbyist is Accountable

Board President

City

Lincoln

State

Zip

68508

Nature of Business {49-1480(3)}

Renewable Fuels Policy & Advocacy Assn

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
1,937.50 Per Month

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Ethanol/Renewable Fuel related issues

Description of industry, trade, profession, or interests and groups represented by the principal:
Renewable Fuels

Names and addresses of principal's officers:

Anthony Leiding, Board President, 2020 N Bramblewood St., Wichita, KS 67206
Jon Cosby, Vice Pres, 13238 Aspen Rd, Adams, NE 68310
Chuck Woodside, Sec, PO Box 238, Minden, NE 68959
Chris Riley, Treasurer, 4666 Faries Parkway, Decatur, IL 62526

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.

DawnCaldwell

Lobbyist Name

Nov 28, 2022

Date