FORM
A-R
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Dec 31, 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)}

2444 C Street 

1059 Plainview 

Lincoln 

NE 

68502 

Seward 

NE 

68434 

(402) 641-8471 

(402) 641-8471 

jkolterman@lincolnpremiumpoultry.com 

PRINCIPAL {49-1480(2)}

(402) 641-8471 

PO Box 406 

Walt Shafer 

Fremont 

NE 

68026 

Food Processing 

AMOUNTS GIVEN
1,000.00  Per Month  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Matters concerning Principal  
Description of industry, trade, profession, or interests and groups represented by the principal:
Food Processing 
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.

Kolterman, Jessica A.

Lobbyist Name

Dec 31, 2019

Date