Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 17, 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

Feichtinger, Erin

Office Address (Street, Box, or Route)

1111 N 13th St. Suite #106

Permanent Residence (Street, Box, or Route)

2719 N 49th Ave

City

Omaha

State

Zip

68102

City

Omaha

State

Zip

68104

Office Phone

(402) 827-9280

Home Phone

(402) 250-1070

Email Address

efeichtinger@omahawomensfund.org

PRINCIPAL {49-1480(2)}

Name

Women's Fund of Greater Omaha, Inc.

Office Phone

(402) 827-9280

Office Address (Street, Box, or Route)

1111 N 13th Street #106

Official to Whom Lobbyist is Accountable

Executive Director

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.
0.00 Percentage of salary

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Issues relating to women and girls

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

Names and addresses of principal's officers:

Jill Thomsen, 1111 N 13th St., Suite 106, Omaha, NE, 68102
Sarena Dacus, 1111 N 13th St., Suite 106, Omaha, NE, 68102

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.

Erin Feichtinger

Lobbyist Name

Dec 17, 2022

Date