Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Apr 1, 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

Mallory, Jesse

Office Address (Street, Box, or Route)

789 Sherman Street, Suite 550

Permanent Residence (Street, Box, or Route)

City

Denver

State

Zip

80203

City

State

Zip

Office Phone

(720) 646-2155

Home Phone

Email Address

jmallory@afphq.org

PRINCIPAL {49-1480(2)}

Name

Americans for Prosperity

Office Phone

(703) 224-3200

Office Address (Street, Box, or Route)

1310 N Courthouse Road, Suite 700

Official to Whom Lobbyist is Accountable

City

Arlington

State

Zip

22201

Nature of Business {49-1480(3)}

Educational, engagement, lobbying

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

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Tax measures in the legislaure

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

Names and addresses of principal's officers:

Emily Seidel - 4201 Wilson Blvd, Arlington, VA 22201

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.

Jesse R Mallory

Lobbyist Name

Apr 1, 2024

Date