8/14/2019 XGR Pirsch SFI

1/4

\ } \ IINEBRASKA POSTMARK 7it0ACCOUNT ABILITY AND DATE 7 9 6 f , ) 6 l '~ f - 'DISCLOSURE COMMISSION STATEMENT MICROFILM , U A ) . A V11th Floor, State Capitol NUMBEROF r~ir t= /~.J. it.; ~'~'.C,P.O. Box 95086 (bpt;IQ(.,\lJ$e;:bNLLincoln, NE 68509 FINANCIAL ; ' i ' , i ,iY (1" [\'t. ,,:: t ;~h r.",';,:,,"-,i 'J(402) 471-2522 INTERESTS r : t ! 1 : :: 1 i ~ ' 1 tj: 40,' IIIBEFORE COMPLETINGREAD FILING REQUIREMENTS " ~ L T " \ 'NADC FORM C-1 e l E r iS S i

Candidates for designated offices and holders of designated offices and posit ions must file this statement. See Sections 1A and1B of the instructions. Candidates (including incumbents) subject to this filing requirement must file with the Commission and with the appropriateelection official (See Instructions).

Designated officeholders and holders of designated positions must fi le this statement with the Commission annually. Dollar values need not be report for any item, except Item 11. Persons who fails to file as required is subject to a civil penalty of up to $2,000.ITEM 1 IYOUR NAME, ADDRESS AND PHONE NUMBER

Name Pirsch Peter Allen Telephone No. 402-680-5085LAST FIRST MIDDLEAddress 2315 Nelson's Creek Drive Omaha NE 68116

STREETADDRESS OR RURAL ROUTE CITY STATE ZIP CODE

ITEM 2 I OCCASION FOR FILING (Check Appropriate Box)[J A candidate for elective office o Left office or position[ g / Annual officeholder's or state employee's report o Newly appointed to office or position

ITEM 3 I OFFICE HELD & TERM OF OFFICE (Incumbent elected/appointed officials and state employees. SeeIB of instructions)

List the off ice or position you currently hold which requires this filing. If you have left office, list the office you held.Office or Position: State Legislator. District #4 Term: 01/2007 - 12/2010

BEGINS ENDSName of City, County, District, or State Agency: Nebraska State Legislature

ITEM 4 IOFFICE SOUGHT (Candidates only. See 1A of instructions)List the office sought which requires this filing.Office: State Legislator. District #4

Name of City, County, District, or State Office: Nebraska State Legislature

ITEMS I PERIOD COVERED BY THIS STATEMENTThis statement must cover all financial interests for the entire "preceding calendar year" and not just as of year-end. If you haveleft office, this statement must cover all financial interests from the end of the calendar year for which you previously filed up to andincluding the date you left office.[ 8 J This statement covers the preceding calendar year January1 through December 31, 20080 Left office, this statement covers the period January 1, to

(DATEYOU LEFT OFFICEOR POSITION)

I Revised August 2007

8/14/2019 XGR Pirsch SFI

2/4

, A

ITEM 6 I SOURCES OF INCOME OF OVER $1,000Income includes money or any other form of recompense const itut inq income under the Internal Revenue Code. (See def init ions)Name and address of any source' (including an individual, business, List the nature of the source's business and the nature of the services youbody of government, pol it ical subdivision or body corporate) from rendered or the circumstances under which income was received. NOTE: Dowhom income of over $1,000 was received. list the amount of the income.1.) State of Nebraska, Clerk of the Legislature 1a.) State government, legislative salary

Room 2018, State Capitol Building, PO Box 94604Lincoln, NE 68509-4604

2.) Law Office of Peter A. Pirsch 2a.) Law office, legal services2315 Nelson's Creek DriveOmaha, NE 68116

3.) Wells Fargo Bank 3a.) Bank accounts, interest income1919 Douglas StreetOmaha, NE 68102

4.) 4a.)

'NOTE: IF INCOME RESULTED FROM EMPLOYMENT BY, OPERATION OF OR PARTICIPATION IN A PROPRIETORSHIP, PARTNERSHCORPORATION OR OTHER PERSON, LIST THE SAME AS THE SOURCE OF INCOME, BUT NOT THE PATRONS, CUSTOMERS, PATIENTS,CLIENTS THEREOF.ITEM 7 I BUSINESSES WITH WHICH YOU ARE ASSOCIATED (See definitions)Name and address of all businesses, organizations, or associations (profit and non-profit) with which you held a position of officer, director, limited liacompany member, partner, or stockholder and any entity in which you held a position of trustee. Such reporting is required based on the position heldon whether income was received. You need not report business associations which are otherwise l isted under Item 6.

Name and Address of Business or Organizat ion Nature of Association1.) Law Office of Peter A. Pirsch ta.) Proprietor

2315 Nelson's Creek DriveOmaha, NE 68116

2.) 2a.)

3.) 3a.).,

4.) 4a.)

5.) Sa.)

6.) 6a.)

7.) 7a).

8/14/2019 XGR Pirsch SFI

3/4

ITEM 8 I REAL PROPERTY OF THE FILER IN NEBRASKA (Real property valued at less than $1,000 and yourpersonal residence need not be reported.)List all real property in your name or in which you have a direct ownership interest. The description required must be sufficient to identhe location of the property. Exceptions: You need not report real estate owned by a business listed in Item 6 or 7, your persoresidence of real property valued at less than $1,000. Personal residence refers to your principal dwell ing-house and adjacent land usfor house-hold purposes, such as lawns and qardens.

Location of Property Nature of Property(Description or Address (such as: agricultural, commercial, industrial, residential-rental)

ITEM 9 I OTHER FINANCIAL INTERESTS AND PROPERTY HELD DURING THE PERIOD OF THIS STATEMENTWHICH EXCEEDED A FAIR MARKET VALUE OF $1,000 AT ANY TIME DURING THE REPORTING PERIOD(a) List the names and addresses of the institutions in which you had checking and savings accounts and certif icates of deposit.

Financial Institution AddressWells Fargo Bank 1919 Douglas Street, Omaha, NE 68102Centris Federal Credit Union 11718 "M" Circle. Omaha. NE 68137

(b) List the names of the issuers of all stocks, bonds, and government securities, not otherwise listed under Items 6 or 7.-

(c) Describe other property owned or held for the production of income not otherwise disclosed in Items 6, 7, 8 or 9(a)(b). Includeleaseholds and other interests in real estate, promissory notes and other obligat ions owed to you, benefic ial interests in trusts andestates, cash value life insurance, IRAs, deferred income and retirement plans. Exception: Do not include accounts receivable,inventory. fixtures and equipment owned or used by a business listed in Items 6 & 7 or household goods, personal automobiles andother tangible personal property unless such property was held primarily for sale or exchange.

City of Omaha, RetirementAccount

8/14/2019 XGR Pirsch SFI

4/4

ITEM 10 I CREDITORS TO WHOM $1,000 OR MORE WAS OWED OR GUARANTEED BY YOU OR A MEMBER OFYOUR IMMEDIATE FAMILY.Exception: Loans from a relative and land contracts which have been recorded with the County Clerk or Register of Deeds need not breported. Accounts payable, debts arising out of retail installment transactions or loans made by a financial institution in the ordinarycourse of business need not be reported.

Name Address

ITEM 1 1 1 SOURCES OF GIFTS OF A VALUE OF MORE THAN $100 RECEIVED EXCEPT GIFTS FROM RELATIVES.(See definitions)Name and address of Donor Occupation or nature of business of Value of Gift Description of Gift andDonor (See Key Below) Circumstances or Occasion f

GiftChoose Value:

Choose Value:Choose Value:Choose Value:Choose Value:Choose Value:Choose Value:

Choose Value:The monetary value of each gift shall be categorized based on the good faith estimate of the filer. For each reported gift insert in theValue column the letter which corresponds to the value category of the gift. The value categories are:A) $100.01 to $200; B) $200.01 to $500; C) $500.01 to $1,000; D) $1,000.01 or more.ITEM 12 I SIGNATURE OF FILER AND DATE.I hereby state that I have used all reasonable dil igence in the preparation of this Statement and that to the best of my knowledge it is trand complete.r~v.~ .

"0 ~I 'aW l(Signature of Filer) (02 e)