Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 28, 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

Baird Holm LLP

Office Address (Street, Box, or Route)

1700 Farnam Street, Suite 1500

Permanent Residence (Street, Box, or Route)

City

Omaha

State

Zip

68102

City

State

Zip

Office Phone

(402) 636-8266

Home Phone

Email Address

nlewis@bairdholm.com

PRINCIPAL {49-1480(2)}

Name

Brickway Brewery & Distillery

Office Phone

(402) 636-8310

Office Address (Street, Box, or Route)

1116 Jackson Street

Official to Whom Lobbyist is Accountable

Zac Triemert

City

Omaha

State

Zip

68102

Nature of Business {49-1480(3)}

Liquor Sales

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

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} PROPOSED CHANGES TO NEBRASKA LIQUOR LAWS

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

Names and addresses of principal's officers:

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)}

Mr. Zac Triemert, 1116 Jackson Street, Omaha, NE 68102

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

Baird Holm LLP

Lobbyist Name

Dec 28, 2023

Date