FORM
A
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Dec 23, 2019
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)}

134 S. 13th Street, Suite 600 

1025 N. 63 St., Apt. E-23 

Lincoln 

NE 

68508 

Lincoln 

NE 

68505 

(402) 474-3183 

(402) 850-4200 

brad@drne.org 

PRINCIPAL {49-1480(2)}

(402) 474-3183 

134 S. 13th Street, Suite 600 

Eric A. Evans, Ph.D. - Chief Executive  

Lincoln 

NE 

68508 

Disability Advocacy 

AMOUNTS GIVEN
417.19  Per Year  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Legislation affecting individuals with disabilities  
Description of industry, trade, profession, or interests and groups represented by the principal:
Disability Advocacy 
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 I am the Lobbyist listed above and that all information presented in this form is accurate to the best of my knowledge.