FORM
A
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Dec 30, 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)}

301 S 13th St, Suite 600 

1121 Driftwood Dr 

Lincoln 

NE 

68508 

Lincoln  

NE 

68510 

(402) 261-9671 

(970) 690-1110 

eeverett@firstfivenebraska.org 

PRINCIPAL {49-1480(2)}

(402) 261-9671 

301 S. 13th Street, Suite 600 

Jason Prokop 

Lincoln 

NE 

68508 

public charity 

AMOUNTS GIVEN
37.94  Per Hour  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} early childhood education  
Description of industry, trade, profession, or interests and groups represented by the principal:
nonprofit 
Names and addresses of principal's officers:

Mary Jo Pankoke, CEO
Nebraska Children and Families Foundation
215 Centennial Mall South
Suit 200
Lincoln, NE 68508

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:

none

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

Everett, Elizabeth

Lobbyist Name

Dec 30, 2019

Date