Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 19, 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

PLEASE FILL IN ALL BLANKS

LOBBYIST {49-1480(1)}

Name

Fellers, Ansley

Office Address (Street, Box, or Route)

5935 S 56th St # B

Permanent Residence (Street, Box, or Route)

City

Lincoln

State

Zip

68516

City

State

Zip

Office Phone

(308) 631-2165

Home Phone

Email Address

afellers@nebgrocery.com

PRINCIPAL {49-1480(2)}

Name

Nebraska Grocery Industry Association

Office Phone

(402) 423-5533

Office Address (Street, Box, or Route)

5935 S. 56th Street, Suite B

Official to Whom Lobbyist is Accountable

DeLone Wilson, Chairman

City

Lincoln

State

Zip

68516-3301

Nature of Business {49-1480(3)}

Grocery

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
3,200.00 Per Quarter

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Issues pertaining to food and business.

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

Names and addresses of principal's officers:

Nebraska Grocery Industry Association
5935 South 56th Street, Suite B
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.

Ansley Fellers

Lobbyist Name

Dec 19, 2022

Date