Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Jul 31, 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

$300.00

(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

Peetz & Company

Office Address (Street, Box, or Route)

1233 Lincoln Mall, Suite 202

Permanent Residence (Street, Box, or Route)

City

Lincoln

State

Zip

68508

City

State

Zip

Office Phone

(402) 438-4960

Home Phone

Email Address

cheyen@peetzco.com

PRINCIPAL {49-1480(2)}

Name

Nebraska Thoroughbred Breeders Association

Office Phone

(308) 380-6314

Office Address (Street, Box, or Route)

P.O. 2215

Official to Whom Lobbyist is Accountable

Kevin Hulse

City

Grand Island

State

Zip

68802

Nature of Business {49-1480(3)}

Agriculture

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
10,000.00 Other

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} All items of importance to the client.

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

Names and addresses of principal's officers:

Kevin Hulse

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.

Peetz & Company

Lobbyist Name

Jul 31, 2024

Date