FORM
A-R
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Dec 11, 2023

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

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)}

514 N. First Street 

Same 

Seward 

NE 

68434-1806 

 

NE 

 

(402) 643-6576 

 

dl20310@windstream.net 

PRINCIPAL {49-1480(2)}

(402) 423-4297 

PO Box 57041 

Nick Lenzen 

Lincoln 

NE 

68505 

EDUCATION 

AMOUNTS GIVEN
0.00  Per Month  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Laws, legislation, and regulations affecting and/or potentially affecting exempt home education.  
Description of industry, trade, profession, or interests and groups represented by the principal:
Freedom for home educators in Nebraska 
Names and addresses of principal's officers:

Nick Lenzen - 2610 Winchester S, Lincoln, NE 68512-1656
Jeff Bennet - 2408 S 18th St, Lincoln, NE 68502-3721
Robin Gould - 1655 Harwood St, Lincoln, NE 68502-2721

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.

David L. Lostroh

Lobbyist Name

Dec 11, 2023

Date