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)}

200 S. 21st Street, Suite 400 

5131 Country Hill Road 

Lincoln 

NE 

68510 

Lincoln 

NE 

68516 

(402) 475-8230 

(402) 730-4486 

mjohnsonwiles@keatinglaw.com 

PRINCIPAL {49-1480(2)}

(402) 219-3761 

5154 N. 90th St. 

Michael Chipman 

Omaha 

NE 

68134 

Union 

AMOUNTS GIVEN
3,750.00  Per Month  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Labor Relations, Correctional Institutions, Employment Law, Law Enforcement  
Description of industry, trade, profession, or interests and groups represented by the principal:
Protective Services Bargaining Unit 
Names and addresses of principal's officers:

Michael Chipman, President - 5154 N. 90th Street, Omaha, NE 68134
Jerry Brittain, Vice President - 5154 N. 90th Street, Omaha, NE 68134
Carla Jorgens, Secretary - 5154 N. 90th Street, Omaha, NE 68134
Candace Hanes, Treasurer - 5154 N. 90th Street, Omaha, NE 68134

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.

Milissa Johnson-Wiles

Lobbyist Name

Dec 20, 2023

Date