FORM
A
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Apr 5, 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)}

(402) 471-2505 

1327 H Street, Suite 200 

Kristin Petersen 

Lincoln 

NE 

68508 

Education 

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

Gary Bieganski, Chair, 706 Bordeaux Rd., Chadron, NE 69337
Jess Zeiss, Vice Chair, 1620 Dodge St., #1104, Omaha, NE 68197

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:

NONE

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

Baird Holm LLP

Lobbyist Name

Apr 5, 2019

Date