Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 15, 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

Young, Hannah

Office Address (Street, Box, or Route)

1111 N 13th St. Suite 213

Permanent Residence (Street, Box, or Route)

617 S 31st St. Apt 201

City

Omaha

State

Zip

68102

City

Omaha

State

Zip

68105

Office Phone

(402) 557-5800

Home Phone

(417) 827-3065

Email Address

hannah@nonprofitam.org

PRINCIPAL {49-1480(2)}

Name

Nonprofit Association of the Midlands

Office Phone

(402) 557-5800

Office Address (Street, Box, or Route)

1111 N 13th St. Ste. 213

Official to Whom Lobbyist is Accountable

Anne Hindery

City

Omaha

State

Zip

68102

Nature of Business {49-1480(3)}

Nonprofit

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
3,000.00 Per Year

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Budget, taxes, and issues pertaining to the nonprofit sector

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

Names and addresses of principal's officers:

John Levy, Board President, 11205 Wright Circle, Suite 210 Omaha, NE 68144
Jeff Moran, Board Treasurer 11205 Wright Circle, Suite 210 Omaha, NE 68144
Emiliano Lerda, Board Secretary, 11205 Wright Circle, Suite 210 Omaha, NE 68144

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.

Hannah Young

Lobbyist Name

Dec 15, 2022

Date