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)}

301 S. 13th Street, Suite 400 

 

Lincoln 

NE 

68508 

 

NE 

 

(402) 476-1188 

 

jkohout@kisselkohoutes.com 

PRINCIPAL {49-1480(2)}

(402) 405-1535 

15701 S 67 

Kristin Crawford 

Roca 

NE 

68430 

FOOD & LIQUOR 

AMOUNTS GIVEN
13,000.00  Per Quarter  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} All issues as directed by the client as relating to the beer industry  
Description of industry, trade, profession, or interests and groups represented by the principal:
Food & liquor 
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.

KisselES

Lobbyist Name

Dec 29, 2023

Date