FORM A-R NEBRASKA LEGISLATURE                                                 RENEWAL OF REGISTRATION AS A LOBBYIST                                                 Send form to: Clerk of the Legislature Room 2014, State Capitol PO Box 94604 Lincoln, NE 68504-4604 Phone: (402) 471-2608 For calendar year     2011 Lobbyist Registration Fee: {49-1480.01(1)} Compensated   $200.00   X (if you are a salaried employee of your principal you are a compensated lobbyist.) Not Compensated   $ 15.00   Lobbyist Name: Campbell, Mary M.       Phone: 402-436-1815 Address:   P.O. Box 82899 / Lincoln, NE 68501 Principals to be renewed - if any information has changed from your original registration form, you must file an amended Form A or report any changes on your quarterly report, Form B {49-1483(2)} AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbusement of lobbying: {49-1480(3)}. Please state the basis for your compensation. Lincoln Public Schools $10,000 per quarter Name of Principal P.O. Box 82889 / Lincoln, NE 68501 Address (City, State, Zip Code)