FORM
A-R
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Dec 30, 2024

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

Amended Registration
Date Amended: Dec 31, 2024
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)}

1233 Lincoln Mall, Suite 202 

 

Lincoln 

NE 

68508 

 

NE 

 

(402) 438-4960 

 

cheyen@peetzco.com 

PRINCIPAL {49-1480(2)}

(402) 472-2111 

3835 Holdrege Street 

Matt Blomstedt 

Lincoln 

NE 

68583-0745 

Education 

AMOUNTS GIVEN
7,500.00  Per Quarter  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Education  
Description of industry, trade, profession, or interests and groups represented by the principal:
 
Names and addresses of principal's officers:

Dr. Jeffrey P. Gold, Varner Hall, 3835 Holdrege Street, Lincoln, NE 68583

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:

Peetz & Company

Lobbyist Name

Dec 31, 2024

Date