Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 18, 2019

(This report is required to be filed on or before December 31 of each calendar year.)
49-1480.01(3)

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

Conrad, Danielle

Office Address (Street, Box, or Route)

134 S. 13th Street, #1010

Permanent Residence (Street, Box, or Route)

3818 Dudley Street

City

Lincoln

State

Zip

68508

City

Lincoln

State

Zip

68503

Office Phone

(402) 476-8091

Home Phone

(402) 432-3394

Email Address

dconrad@aclunebraska.org

PRINCIPAL {49-1480(2)}

Name

ACLU Nebraska

Office Phone

(402) 476-8091

Office Address (Street, Box, or Route)

134 S. 13th Street, #1010

Official to Whom Lobbyist is Accountable

Board of Directors

City

Lincoln

State

Zip

68508

Nature of Business {49-1480(3)}

Civil rights & constitutional rights

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

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Civil rights & constitutional rights of Nebraskans

Description of industry, trade, profession, or interests and groups represented by the principal:
Civil liberties, constitutional rights of Nebraskans

Names and addresses of principal's officers:

President: Gloria Romero-Downing, 2043 N. 55th St., Omaha, NE 68104
Secretary: Ashley Moffat, 15005 S. 24th St., Bellevue, NE 68123
Treasurer: Laurie Thomas Lee, 720 N. 81st St., Lincoln, NE 68505

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.

Conrad, Danielle

Lobbyist Name

Dec 18, 2019

Date