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

Fraizer, Theodore D. (Tad)/Fraizer & Fraizer

Office Address (Street, Box, or Route)

233 S. 13th Street, Suite 1535

Permanent Residence (Street, Box, or Route)

3020 Kucera Drive

City

Lincoln

State

Zip

68508-2098

City

Lincoln

State

Zip

68502

Office Phone

(402) 476-2784

Home Phone

(402) 421-8997

Email Address

fraizerandfraizer@windstream.net

PRINCIPAL {49-1480(2)}

Name

Mutual of Omaha

Office Phone

(402) 342-7600

Office Address (Street, Box, or Route)

3300 Mutual of Omaha Plaza

Official to Whom Lobbyist is Accountable

Jim Nolan

City

Omaha

State

Zip

68175

Nature of Business {49-1480(3)}

INSURANCE & Financial Services

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
2,500.00 Per Month

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Health & life insurance and financial services regulation, and related general corporate business, legal or court matters

Description of industry, trade, profession, or interests and groups represented by the principal:
Health & Life Insurance and Financial Services

Names and addresses of principal's officers:

Mutual of Omaha Principal Officers as of December 14, 2018
President & CEO
James Blackledge
Executive Vice President
Stephen Abels, Rich Anderl, Scott Ault, Brad Buechler, Richard Hrabchak, Mike Lechtenberger, Stacy Scholtz, Vibhu Sharma
Senior Vice President
Sheryl Abegglen, Jason Coyle, Tracy DeWald, Scott Herchenbach, Michelle Lebens, Liz Mazzotta, Kathy Olson, Brian Poppe

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)}

NONE

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

Theodore D. Fraizer/Fraizer & Fraizer

Lobbyist Name

Dec 28, 2023

Date