FORM
A
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Jan 16, 2025
Amended Registration
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)}

 

800 Stonington Road 

Nick Muzin 

Silver Spring 

MD 

20902 

Skilled Healthcare Facilities 

AMOUNTS GIVEN
36,000.00  Per Session  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Skilled Healthcare Facilities  
Description of industry, trade, profession, or interests and groups represented by the principal:
Skilled Healthcare Facilities 
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:

Peetz & Company

Lobbyist Name

Jan 16, 2025

Date