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

Pitts, Kathleen

Office Address (Street, Box, or Route)

PO Box 83613

Permanent Residence (Street, Box, or Route)

7303 Pioneers Blvd, Apt 622

City

Lincoln

State

Zip

68501

City

Lincoln

State

Zip

68506

Office Phone

(402) 438-8853

Home Phone

(314) 346-1370

Email Address

kpitts@neappleseed.org

PRINCIPAL {49-1480(2)}

Name

Nebraska Appleseed

Office Phone

(402) 438-8853

Office Address (Street, Box, or Route)

PO Box 83613

Official to Whom Lobbyist is Accountable

Becky Gould

City

Lincoln

State

Zip

68501

Nature of Business {49-1480(3)}

LEGAL

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

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Healthcare, child welfare issues, immigration, anti-poverty, public benefits issues

Description of industry, trade, profession, or interests and groups represented by the principal:
Law firm/Advocacy organization

Names and addresses of principal's officers:

Steve Achelpohl
Gross & Welch
8104 Walnut Cir
Omaha, NE 68124

Megan Wright
Cline Williams
One Pacific Place
1125 S 103rd St., Ste 320
Omaha, NE 68124

Matt Johnson
123 N Happy Hollow Blvd
Omaha, NE 68132

Susan Gourley
4733 Firebrush Lane
Lincoln, NE 68516

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.

Kathleen Pitts

Lobbyist Name

Dec 15, 2022

Date