FORM
A
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Jan 10, 2019
Amended Registration
Lobbyist Registration Fee:
{49-1480.01}

(If you are a salaried employee of your principal, you are a compensated lobbyist.)

PLEASE FILL IN ALL BLANKS

LOBBYIST {49-1480(1)}

1700 Farnam Street, Suite 1500 

 

Omaha 

NE 

68102 

 

 

 

(402) 636-8310 

 

dlevy@bairdholm.com 

PRINCIPAL {49-1480(2)}

(847) 402-2745 

2775 Sanders Road 

Robert Zeman 

Northbrook 

IL 

60062 

Insurance 

AMOUNTS GIVEN
28,000.00  Per Session  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Division legislation  
Description of industry, trade, profession, or interests and groups represented by the principal:
Insurance 
Names and addresses of principal's officers:

David Nadig, Sr VP & Deputy General Counsel, 2775 Sanders Rd., Northbrook, IL 60062
Gerald Zimmerman, Jr., Vice President, 2775 Sanders Rd., Northbrook, IL 60062

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:

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

Baird Holm LLP

Lobbyist Name

Jan 10, 2019

Date