Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Jan 23, 2025

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

$300.00

(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

Dodge, Wesley

Office Address (Street, Box, or Route)

11414 West Center Rd. Ste. 333

Permanent Residence (Street, Box, or Route)

17505 T Street

City

Omaha

State

Zip

68144

City

Omaha

State

Zip

68135

Office Phone

(402) 333-1604

Home Phone

(402) 896-2512

Email Address

NIPE1789@gmail.com

PRINCIPAL {49-1480(2)}

Name

Represent Us Omaha/Nebraska

Office Phone

(402) 333-1604

Office Address (Street, Box, or Route)

11414 West Center Rd. 333

Official to Whom Lobbyist is Accountable

Self

City

Omaha

State

Zip

68144

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.
0.00 Per Month

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Election and Better Government legislation

Description of industry, trade, profession, or interests and groups represented by the principal:
N/A

Names and addresses of principal's officers:

Wesley Dodge 11414 West Center Rd. 333, Omaha NE 68144

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.

Wesley Dodge

Lobbyist Name

Jan 23, 2025

Date