FORM
A
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Mar 27, 2024
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)}

17w635 Butterfield Road, Suite 145, 

Brian Wallace 

Oakbrook Terrace 

IL 

60181 

self-service laundry 

AMOUNTS GIVEN
7,500.00  Per Year  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} self-service laundry  
Description of industry, trade, profession, or interests and groups represented by the principal:
self-service laundry 
Names and addresses of principal's officers:

Brian Wallace 17w635 Butterfield Road, Suite 145, Oakbrook Terrace, IL
60181.

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.

Walter H. Radcliffe

Lobbyist Name

Mar 27, 2024

Date