Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 15, 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

Foust, Andrew

Office Address (Street, Box, or Route)

4625 Y Street

Permanent Residence (Street, Box, or Route)

8351 Emery LN

City

Lincoln

State

Zip

68503

City

Lincoln

State

Zip

68516

Office Phone

(402) 719-1976

Home Phone

(402) 719-1976

Email Address

nesmartdirector@gmail.com

PRINCIPAL {49-1480(2)}

Name

SMART-TD

Office Phone

(402) 719-1976

Office Address (Street, Box, or Route)

4625 Y Street

Official to Whom Lobbyist is Accountable

Nebraska Legislative Board

City

Lincoln

State

Zip

68503

Nature of Business {49-1480(3)}

Lobby

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
10,000.00 Per Quarter

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Railroad

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

Names and addresses of principal's officers:

Andrew Foust 4625 Yst Lincoln, NE 68503

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.

Andrew Foust

Lobbyist Name

Dec 15, 2023

Date