FORM
A-R
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Dec 28, 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)}

625 S. 14th Street, Suite 100 

1701 South 33rd 

Lincoln 

NE 

68508 

Lincoln 

NE 

68506 

(402) 476-7272 

(402) 488-0609 

WRadcliffe@RGBLOBBY.com 

PRINCIPAL {49-1480(2)}

8700 West Bryn Mawr, Suite 1200S 

Kelly Campbell 

Chicago 

IL 

60631-3512 

INSURANCE  

AMOUNTS GIVEN
45,000.00  Per Year  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Any and all matters of legislation, directly or indirectly relating to insurance industry.  
Description of industry, trade, profession, or interests and groups represented by the principal:
Insurance Industrty 
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.

whradcliffe

Lobbyist Name

Dec 28, 2023

Date