FORM
A-R
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Dec 5, 2023

(This report is required to be filed on or before December 31 of each calendar year.)
49-1480.01(3)

Amended Registration
Lobbyist Registration Fee:
{49-1480.01}

(If you are a salaried employee of your principal, you are a compensated lobbyist.)
(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)}

7914 W Dodge Road #254 

12037 N 40th  

Omaha 

NE 

68114 

Omaha 

NE 

68112 

(402) 819-9906 

(214) 608-8819 

ashlei@ibeblackgirl.org 

PRINCIPAL {49-1480(2)}

(402) 819-9906 

7914 W Dodge Road #254 

 

Omaha 

NE 

68114 

Nonprofit  

AMOUNTS GIVEN
10.00  Percentage of salary  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Reproductive justice  
Description of industry, trade, profession, or interests and groups represented by the principal:
Nonprofit  
Names and addresses of principal's officers:

Ashlei Spivey

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:

N/A

I certify that all information presented in this form is accurate to the best of my knowledge.

ashleispivey

Lobbyist Name

Dec 5, 2023

Date