FORM
A-R
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Dec 23, 2024

(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)}

635 S. 14th St. Suite #305 

7241 Lilee Lane 

Lincoln 

NE 

68508 

Lincoln 

NE 

68516 

(402) 423-5533 

(402) 440-2311 

rich@nebgrocery.com 

PRINCIPAL {49-1480(2)}

(402) 423-5533 

635 S. 14th St. Suite #305 

Kathy Siefken 

Lincoln 

NE 

68516-3301 

Grocery 

AMOUNTS GIVEN
750.00  Per Quarter  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} All matters pertaining to business  
Description of industry, trade, profession, or interests and groups represented by the principal:
Grocery Industry  
Names and addresses of principal's officers:

5935 South 56th Street, Suite B
Lincoln, NE 68516

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

Richard Otto

Lobbyist Name

Dec 23, 2024

Date