Nebraska Legislature - Lobbyist Reporting Application

FORM
A-R

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Dec 19, 2022

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

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

$200.00

(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

Otto, Richard J.

Office Address (Street, Box, or Route)

5935 S. 56th Street, Suite B

Permanent Residence (Street, Box, or Route)

7241 Lilee Lane

City

Lincoln

State

Zip

68516-3301

City

Lincoln

State

Zip

68516

Office Phone

(402) 423-5533

Home Phone

(402) 440-2311

Email Address

rich@nebraskaretail.com

PRINCIPAL {49-1480(2)}

Name

Nebraska Grocery Industry Association

Office Phone

(402) 423-5533

Office Address (Street, Box, or Route)

5935 S. 56th Street, Suite B

Official to Whom Lobbyist is Accountable

Kathy Siefken

City

Lincoln

State

Zip

68516-3301

Nature of Business {49-1480(3)}

Grocery

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

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} All matters pertaining to business

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

Names and addresses of principal's officers:

5935 South 56th Street, Suite B
Lincoln, NE 68516

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)}

None

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

Richard Otto

Lobbyist Name

Dec 19, 2022

Date