Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Feb 26, 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

Thornton, Melanie

Office Address (Street, Box, or Route)

8200 Dodge Street

Permanent Residence (Street, Box, or Route)

18312 Cheyenne Rd

City

Omaha

State

Zip

68114

City

Omaha

State

Zip

68136

Office Phone

(402) 955-4139

Home Phone

(402) 957-6418

Email Address

melthornton@childrensnebraska.org

PRINCIPAL {49-1480(2)}

Name

Children's Nebraska

Office Phone

(402) 955-4139

Office Address (Street, Box, or Route)

8200 Dodge Street

Official to Whom Lobbyist is Accountable

Megan Connelly

City

Omaha

State

Zip

68114

Nature of Business {49-1480(3)}

Healthcare

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
4,700.00 Per Quarter

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Any and all matters of importance to Children's Nebraska

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

Names and addresses of principal's officers:

Chanda Chacon, 8200 Dodge Street, Omaha, NE 68114

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.

Melanie Thornton

Lobbyist Name

Feb 26, 2024

Date