Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 23, 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

Meurrens, Bradley

Office Address (Street, Box, or Route)

134 S. 13th Street, Suite 600

Permanent Residence (Street, Box, or Route)

1025 N. 63 St., Apt. E-23

City

Lincoln

State

Zip

68508

City

Lincoln

State

Zip

68505

Office Phone

(402) 474-3183

Home Phone

(402) 850-4200

Email Address

brad@drne.org

PRINCIPAL {49-1480(2)}

Name

Disability Rights Nebraska

Office Phone

(402) 474-3183

Office Address (Street, Box, or Route)

134 S. 13th Street, Suite 600

Official to Whom Lobbyist is Accountable

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

City

Lincoln

State

Zip

68508

Nature of Business {49-1480(3)}

Disability Advocacy

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
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: {49-1480(8)}

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

Meurrens, Bradley

Lobbyist Name

Dec 23, 2019

Date