Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 31, 2023

(This report is required to be filed on or before December 31 of each calendar year.)
49-1480.01(3)

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

Davis, Jeffrey N.

Office Address (Street, Box, or Route)

4515 Kansas Avenue

Permanent Residence (Street, Box, or Route)

5818 Pebble Creek Drive

City

Kansas City

State

Zip

66106

City

Jefferson City

State

Zip

65101

Office Phone

(913) 626-2545

Home Phone

(913) 626-2545

Email Address

Jeffrey.Davis@bnsf.com

PRINCIPAL {49-1480(2)}

Name

Burlington Northern Sante Fe (BNSF) Railway Company

Office Phone

(913) 626-2545

Office Address (Street, Box, or Route)

4515 Kansas Avenue

Official to Whom Lobbyist is Accountable

Amy McBeth, Regional AVP of Public Affai

City

Kansas City

State

Zip

66106

Nature of Business {49-1480(3)}

Railroad

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
5,000.00 Per Quarter

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Transportation issues affecting railroads, property rights, taxation,

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

Names and addresses of principal's officers:

Roger Nober
EVP of Law & Corporate Secretary
BNSF Railway
2500 Lou Menk Dr., AOB-2
Fort Worth, TX 76131

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.

JEFFREY N DAVIS

Lobbyist Name

Dec 31, 2023

Date