Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 28, 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

Nelson, Richard

Office Address (Street, Box, or Route)

535 N 8th ave

Permanent Residence (Street, Box, or Route)

442 S G St.

City

Broken Bow

State

Zip

68822

City

Broken Bow

State

Zip

68823

Office Phone

(308) 870-3377

Home Phone

Email Address

rnelson855@gmail.com

PRINCIPAL {49-1480(2)}

Name

Nebraska Rural Electric Association

Office Phone

(402) 475-4988

Office Address (Street, Box, or Route)

1244 K Street, PO Box 82048

Official to Whom Lobbyist is Accountable

Board President

City

Lincoln

State

Zip

68501

Nature of Business {49-1480(3)}

Statewide Association

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
2,362.00 Per Month

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

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

Names and addresses of principal's officers:

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.

Richard Nelson

Lobbyist Name

Dec 28, 2023

Date