Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Jan 17, 2024

Clerk of the Legislature
Room 2014, State Capitol
PO Box 94604
Lincoln, NE 68509-4604
Phone: (402) 471-2608

For Calendar Year of:

Amended Registration

Lobbyist Registration Fee:
{49-1480.01}

Compensated

$200.00

(If you are a salaried employee of your principal, you are a compensated lobbyist.)

Not Compensated

$15.00

(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)}

Name

Eickholt, Christopher/Spike

Office Address (Street, Box, or Route)

635 South 14th Street Suite #320

Permanent Residence (Street, Box, or Route)

City

Lincoln

State

Zip

68508

City

State

Zip

Office Phone

(402) 310-5663

Home Phone

Email Address

spike@eickholtlaw.com

PRINCIPAL {49-1480(2)}

Name

The Cannabis Factory LLC

Office Phone

Office Address (Street, Box, or Route)

1215 South 13th Street

Official to Whom Lobbyist is Accountable

Nelam Millatmal

City

Omaha

State

Zip

68108

Nature of Business {49-1480(3)}

Sales

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
2,000.00 Per Month

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Legislation relating to regulation or prohibition of CBD and hemp related products.

Description of industry, trade, profession, or interests and groups represented by the principal:
Sales

Names and addresses of principal's officers:

Nelam Millatmal 1215 South 13th Street Omaha Nebraska 68108
Luke Johnson 1215 South 13th Street Omaha, Nebraska 68108
Rose Merolla 1215 South 13th Street Omaha, Nebraska 68108

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: {49-1480(8)}

I certify that all information presented in this form is accurate to the best of my knowledge.

Christopher Spike Eickholt

Lobbyist Name

Jan 17, 2024

Date