Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 22, 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

Christensen, Alicia

Office Address (Street, Box, or Route)

812 South 24th Street

Permanent Residence (Street, Box, or Route)

2810 South 72nd Street, #19

City

Omaha

State

Zip

68108

City

Lincoln

State

Zip

68506

Office Phone

(402) 345-8047, Ext. 213

Home Phone

(402) 440-5572

Email Address

achristensen@togetheromaha.org

PRINCIPAL {49-1480(2)}

Name

Together Inc. of Metropolitan Omaha

Office Phone

(402) 345-8047

Office Address (Street, Box, or Route)

812 S 24th St

Official to Whom Lobbyist is Accountable

Mike Hornacek

City

Omaha

State

Zip

68108

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)} housing, food security, economic security

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

Names and addresses of principal's officers:

Mike Hornacek
Together
812 S 24th Street
Omaha, NE 68108

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.

Alicia Christensen

Lobbyist Name

Dec 22, 2022

Date