FORM
A-R
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Dec 20, 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)}

1314 Douglas Street, Suite 1400 

 

Omaha 

NE 

68102-1944 

 

NE 

 

(402) 916-3200 

 

dfwurster@nationalindemnity.com 

PRINCIPAL {49-1480(2)}

(402) 916-3000 

1314 Douglas Street, Suite 1400 

President 

Omaha 

NE 

68102-1944 

INSURANCE 

AMOUNTS GIVEN
1.00  Per Year  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Legislation affecting the taxation of insurance companies.  
Description of industry, trade, profession, or interests and groups represented by the principal:
Insurance 
Names and addresses of principal's officers:

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.

Donald F. Wurster

Lobbyist Name

Dec 20, 2023

Date