FORM
A-R
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NEBRASKA LEGISLATURE
RENEWAL OF REGISTRATION AS A LOBBYIST
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Send form to:
Clerk of the Legislature
Room 2014, State Capitol
PO Box 94604
Lincoln, NE 68504-4604
Phone: (402) 471-2608
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For calendar year
2011
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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
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Lobbyist Name:
Austin, Jordan
Phone: 703-267-1250
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Address:
11250 Waples Mill Road /
Fairfax,
VA
22030
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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)}
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AMOUNTS GIVEN or to be given to lobbyist as compensation or
reimbusement of lobbying: {49-1480(3)}. Please state the basis
for your compensation.
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