Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Feb 7, 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

Adkins, Todd

Office Address (Street, Box, or Route)

801 Kingsmill Pkwy

Permanent Residence (Street, Box, or Route)

Same

City

Columbus

State

Zip

43123

City

State

Zip

Office Phone

(614) 888-4868

Home Phone

Email Address

tadkins@sportsmensalliance.org

PRINCIPAL {49-1480(2)}

Name

U.S. Sportsmen's Alliance

Office Phone

(614) 888-4868

Office Address (Street, Box, or Route)

801 Kingsmill Parkway

Official to Whom Lobbyist is Accountable

City

Columbus

State

Zip

43229

Nature of Business {49-1480(3)}

Nonprofit to support hunting, fishing, etc.

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

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Hunting, Firearms, Wildlife Management

Description of industry, trade, profession, or interests and groups represented by the principal:
Sportmen's Alliance

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)}

None

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

Todd Adkins

Lobbyist Name

Feb 7, 2024

Date