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)}

725 S 14th St 

 

Lincoln 

NE 

68508 

 

 

 

(402) 975-2195 

 

nancy@zulkoskiweber.com 

PRINCIPAL {49-1480(2)}

(402) 719-0105 

PO Box 102 

Debbie Von Seggern 

Ord 

NE 

68862-0102 

Health 

AMOUNTS GIVEN
2,100.00  Per Month  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Any and all matters of interest to Principal  
Description of industry, trade, profession, or interests and groups represented by the principal:
Health 
Names and addresses of principal's officers:

Debbie Von Seggern, President, PO Box 1858, Fremont, NE 68026
Dave Huey, 1st Vice President, PO Box 1858, Fremont, NE 68026
Karolyn McElroy, 2nd Vice President,PO Box 1858, Fremont, NE 68026
Brian Monaghan, Treasurer, PO Box 1858, Fremont, NE 68026
Pam Sybrant, Secretary, PO Box 1858, Fremont, NE 68026

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.

Zulkoski Weber LLC

Lobbyist Name

Dec 29, 2023

Date