Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Feb 7, 2020

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

(File a Form E for quarterly report exemption. You are not exempt from the Form D Activity Report.)

PLEASE FILL IN ALL BLANKS

LOBBYIST {49-1480(1)}

Name

Kline, Audrey

Office Address (Street, Box, or Route)

PO Box 65752

Permanent Residence (Street, Box, or Route)

PO Box 65752

City

Washington

State

Zip

20035

City

Washington

State

Zip

20035

Office Phone

(202) 496-7426

Home Phone

(202) 496-7426

Email Address

michael.pfeifer@dentons.com

PRINCIPAL {49-1480(2)}

Name

National Vote at Home Institute

Office Phone

(202) 496-7426

Office Address (Street, Box, or Route)

PO Box 65752

Official to Whom Lobbyist is Accountable

Amber McReynolds

City

Washington

State

Zip

20035

Nature of Business {49-1480(3)}

charitable organization

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

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Vote at home reform

Description of industry, trade, profession, or interests and groups represented by the principal:
Vote at home education, research, and reform

Names and addresses of principal's officers:

Amber McReynolds - CEP - PO Box 65752, Washington, DC 20035
Brian Renfroe - Sec'y/Treasurer - PO Box 65752, Washington, DC 20035

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)}

N/A

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

Kline, Audrey

Lobbyist Name

Feb 7, 2020

Date