FORM
A-R
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Dec 18, 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)}

605 S. 14th Street, Suite 200 

4141 Duxhall Drive 

Lincoln 

NE 

68508 

Lincoln 

NE 

68516 

(402) 475-7611 

(402) 304-9414 

jason.hayes@nsea.org 

PRINCIPAL {49-1480(2)}

(402) 475-7611 

605 S. 14th Street 

 

Lincoln 

NE 

68508 

EDUCATION 

AMOUNTS GIVEN
2,529.00  Per Month  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Issues affecting public education and public school employees  
Description of industry, trade, profession, or interests and groups represented by the principal:
Professional organization for Nebraska public school employees 
Names and addresses of principal's officers:

Jenni Benson, President, 605 S 14th Street, Lincoln NE 68508
Madaline Fennell, Executive Director, 605 S 14th Street, 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:

NONE

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

Jason W. Hayes

Lobbyist Name

Dec 18, 2023

Date