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)}

PO Box 29816 

2155 S. 108th St. 

Lincoln 

NE 

68529 

Omaha 

NE 

68144 

(402) 982-1572 

(785) 979-5947 

RachelLWV 

PRINCIPAL {49-1480(2)}

(402) 475-1411 

4600 Valley Road, Suite 306 

 

Lincoln 

NE 

68510 

Civic engagement  

AMOUNTS GIVEN
0.00  Per Month  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} LWVNE Priorities  
Description of industry, trade, profession, or interests and groups represented by the principal:
Civic engagement and good government 
Names and addresses of principal's officers:

LWVNE

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:

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

Rachel M. Gibson

Lobbyist Name

Dec 5, 2023

Date