Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Jan 30, 2024

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

Mouw, Lindsay

Office Address (Street, Box, or Route)

145 Main St PO Box 136

Permanent Residence (Street, Box, or Route)

4425 Barker Ave

City

Lyons

State

Zip

68038

City

Omaha

State

Zip

68105

Office Phone

(402) 687-2100

Home Phone

(712) 578-9180

Email Address

lindsaym@cfra.org

PRINCIPAL {49-1480(2)}

Name

Center for Rural Affairs

Office Phone

(402) 687-2100

Office Address (Street, Box, or Route)

145 Main Street

Official to Whom Lobbyist is Accountable

Brian Depew

City

Lyons

State

Zip

68038

Nature of Business {49-1480(3)}

Non-profit

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
4,000.00 Per Year

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} energy, renewable energy, transmission, rural

Description of industry, trade, profession, or interests and groups represented by the principal:
agriculture, health, energy, economic development

Names and addresses of principal's officers:

Dennis Demmel, 32625 Road 769, Ogallala, Nebraska 69153
Jay Hall, 705 North Seward Street, Red Cloud, Nebraska 68970

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.

Lindsay Mouw

Lobbyist Name

Jan 30, 2024

Date