FORM
A
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Jan 10, 2023
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)}

1920 O Street 

PO Box 193 

Auburn 

NE 

68305 

Auburn 

NE 

68305 

(402) 318-8815 

(402) 318-8815 

kkollasch@yahoo.com 

PRINCIPAL {49-1480(2)}

(402) 213-5600 

PO Box 27131 

 

Omaha 

NE 

68127 

Lobbying and Education  

AMOUNTS GIVEN
0.00  Per Month  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Ownership, Possession, Transportation, Use of, and other matters  
Description of industry, trade, profession, or interests and groups represented by the principal:
Firearms  
Names and addresses of principal's officers:

Patricia Harrold
7105 27th Ave. Plattsmouth NE 68048

Jon Anderson 2209 W Madison Ave, NE 68701

Nate Griffith, 2524 N 55th St. Omaha, NE 68104

Keith Kollasch 1920 O Street Auburn NE 68305

Aaron Wallin, 5831 S. 141st Plz Apt 4, Omaha, NE 68137

John Kuebler, 5413 Springview Cir, Papillion NE 68133

Joe Goebel 3376 County RD G, Tekamah NE 68061

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.

Keith M. Kollasch

Lobbyist Name

Jan 10, 2023

Date