FORM
A-R
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Dec 27, 2023

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

Amended Registration
Lobbyist Registration Fee:
{49-1480.01}

(If you are a salaried employee of your principal, you are a compensated lobbyist.)
(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)}

530 S. 13th Street, Suite 110 

 

Lincoln 

NE 

68508 

 

NE 

 

(402) 434-3399 

 

amber@muellerrobak.com 

PRINCIPAL {49-1480(2)}

(402) 354-6767 

825 S. 169th Street 

Jeff Prochazka 

Omaha 

NE 

68118 

HEALTH  

AMOUNTS GIVEN
52,500.00  Per Year  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} All matters affecting business, including taxes, economic development, and nonprofit and health related matters, etc.  
Description of industry, trade, profession, or interests and groups represented by the principal:
Health and hospitals  
Names and addresses of principal's officers:

John Fraser, 24608 Jones Circle, Waterloo, NE 68069
Adam Yale, 104 S 90th St, Omaha, NE 68114
16225 California St, Omaha, NE 68118

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:

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

Mueller Robak LLC

Lobbyist Name

Dec 27, 2023

Date