FORM
A-R
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Dec 26, 2019

(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.)

PLEASE FILL IN ALL BLANKS

LOBBYIST {49-1480(1)}

530 S. 13th Street, Suite 110 

 

Lincoln 

NE 

68508 

 

NE 

 

(402) 434-3399 

 

amber@muellerrobak.com 

PRINCIPAL {49-1480(2)}

(402) 426-6808 

c/o John E. Samson District Judge 1555 Colfax Street 

Judge Russel Derr 

Blair 

NE 

68008 

Legal 

AMOUNTS GIVEN
15,000.00  Per Year  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} All matters affecting state district judges, including salary and retirement matters  
Description of industry, trade, profession, or interests and groups represented by the principal:
Association of state district judges  
Names and addresses of principal's officers:

To be supplied

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.

Mueller Robak

Lobbyist Name

Dec 26, 2019

Date