Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Jan 4, 2023

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

Arneal, Lincoln

Office Address (Street, Box, or Route)

215 Centennial Mall South

Permanent Residence (Street, Box, or Route)

621 A St

City

Lincoln

State

Zip

68508

City

Lincoln

State

Zip

68502

Office Phone

(402) 440-3844

Home Phone

(402) 440-3844

Email Address

larneal@nebraskachildren.org

PRINCIPAL {49-1480(2)}

Name

Nebraska Children and Families Foundation

Office Phone

(402) 476-9401

Office Address (Street, Box, or Route)

215 Centennial Mall South, Suite 200

Official to Whom Lobbyist is Accountable

Jennifer Skala

City

Lincoln

State

Zip

68508

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.
5.00 Percentage of salary

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Child welfare, juvenile justice, community well-being

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

Names and addresses of principal's officers:

Mary Jo Pankoke, President and CEO, 215 Centennial Mall South, Suite 200; Lincoln, NE 68508
Jennifer Skala, Senior Vice President, 215 Centennial Mall South, Suite 200; Lincoln, NE 68508
Kevin Cloonan, Chief Financial Officer, 215 Centennial Mall South, Suite 200; Lincoln, NE 68508
Dr. Joshua Cramer, Senior Vice President, 215 Centennial Mall South, Suite 200; Lincoln, NE 68508
Bob Homan, Legal Counsel, 215 Centennial Mall South, Suite 200; Lincoln, NE 68508

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.

Lincoln Arneal

Lobbyist Name

Jan 4, 2023

Date