Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 20, 2019

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

PLEASE FILL IN ALL BLANKS

LOBBYIST {49-1480(1)}

Name

Malkov, Anya

Office Address (Street, Box, or Route)

601 New Jersey Avenue NW, Suite 900

Permanent Residence (Street, Box, or Route)

2625 3rd St NE, Apt 305

City

Washington

State

Zip

20001

City

Washington

State

Zip

20002

Office Phone

(202) 442-3128

Home Phone

(970) 217-7057

Email Address

anya.malkov@stateandfed.com

PRINCIPAL {49-1480(2)}

Name

Amazon.com Services, Inc.

Office Phone

(202) 442-2946

Office Address (Street, Box, or Route)

601 New Jersey Avenue, NW, Suite 900

Official to Whom Lobbyist is Accountable

Lisa Kohn

City

Washington

State

Zip

20001

Nature of Business {49-1480(3)}

Technology

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

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} All matters affecting Amazon.com Services, Inc.

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

Names and addresses of principal's officers:

Lisa Kohn
601 New Jersey Avenue NW
Suite 900
Washington,District of Columbia 20001

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.

Malkov, Anya

Lobbyist Name

Dec 20, 2019

Date