FORM
A-R
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Dec 20, 2019

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

Amended Registration
Lobbyist Registration Fee:
{49-1480.01}

(If you are a salaried employee of your principal, you are a compensated lobbyist.)

PLEASE FILL IN ALL BLANKS

LOBBYIST {49-1480(1)}

PO Box 80299 

 

Lincoln 

NE 

68501 

 

 

 

(308) 631-2165 

 

ansleym@nefb.org 

PRINCIPAL {49-1480(2)}

(402) 421-4400 

5225 S 16th St 

 

Lincoln 

NE 

68512 

Agriculture 

AMOUNTS GIVEN
39,000.00  Per Year  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Agriculture, Natural Resources, Tax & Transportations issues  
Description of industry, trade, profession, or interests and groups represented by the principal:
 
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:

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

Mick, Ansley

Lobbyist Name

Dec 20, 2019

Date