Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Nov 15, 2023

(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

Fox, Nicole

Office Address (Street, Box, or Route)

6910 Pacific Street, Suite 216

Permanent Residence (Street, Box, or Route)

City

Omaha

State

Zip

68106

City

State

Zip

Office Phone

(402) 452-3737

Home Phone

Email Address

nfox@platteinstitute.org

PRINCIPAL {49-1480(2)}

Name

Platte Institute for Economic Research

Office Phone

(402) 452-3737

Office Address (Street, Box, or Route)

6910 Pacific Street, Suite 216

Official to Whom Lobbyist is Accountable

Jim Vokal

City

Omaha

State

Zip

68106

Nature of Business {49-1480(3)}

Research Think Tank

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
4,000.00 Other

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} tax, regulation, licensing and spending

Description of industry, trade, profession, or interests and groups represented by the principal:
Research Think Tank

Names and addresses of principal's officers:

Jim Vokal, 6910 Pacific Street, Suite 216, Omaha, NE 68106

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.

Nicole Fox

Lobbyist Name

Nov 15, 2023

Date