FORM
A-R
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Dec 29, 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)}

3901 Normal Blvd., Ste 100 

16202 Gertrude Street 

Lincoln 

NE 

68506 

Omaha 

NE 

68136 

(402) 476-3852 

(402) 502-1106 

jseelhoff@assocoffice.net 

PRINCIPAL {49-1480(2)}

(402) 474-7716 

3901 Normal Blvd, Ste 100 

 

Lincoln 

NE 

68506 

Trade Association 

AMOUNTS GIVEN
400.00  Other  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Optometric  
Description of industry, trade, profession, or interests and groups represented by the principal:
Trade Association for Optometrists 
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.

Janet Seelhoff

Lobbyist Name

Dec 29, 2023

Date