Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Jan 10, 2024

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

Kolterman, Jessica A.

Office Address (Street, Box, or Route)

2444 C Street

Permanent Residence (Street, Box, or Route)

1059 Plainview

City

Lincoln

State

Zip

68502

City

Seward

State

Zip

68434

Office Phone

(402) 641-8471

Home Phone

(402) 641-8471

Email Address

jkolterman@lincolnpremiumpoultry.com

PRINCIPAL {49-1480(2)}

Name

Lincoln Premium Poultry

Office Phone

(402) 641-8471

Office Address (Street, Box, or Route)

1059 Plainview

Official to Whom Lobbyist is Accountable

City

Seward

State

Zip

68434

Nature of Business {49-1480(3)}

Food Processing

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
5,000.00 Per Quarter

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Food Processing

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

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)}

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

Jessica A Kolterman

Lobbyist Name

Jan 10, 2024

Date