FORM
A
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Dec 29, 2023
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)}

1233 Lincoln Mall, Suite 202 

 

Lincoln 

NE 

68508 

 

NE 

 

(402) 438-4960 

 

cheyen@peetzco.com 

PRINCIPAL {49-1480(2)}

(937) 479-9072 

PO Box 542021 

Tori Mahoney 

Omaha 

NE 

68154 

Financial 

AMOUNTS GIVEN
12,000.00  Per Quarter  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Any and all matters to client  
Description of industry, trade, profession, or interests and groups represented by the principal:
Financial 
Names and addresses of principal's officers:

Tori Mahoney, PO Box 542021, Omaha, NE 68154

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.

Peetz & Company

Lobbyist Name

Dec 29, 2023

Date