SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
MULHEISEN ANGIE

(Last) (First) (Middle)
C/O FARMERS & MERCHANTS INVESTMENT INC.
6801 SOUTH 27TH STREET

(Street)
LINCOLN NE 68512

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/10/2003
3. Issuer Name and Ticker or Trading Symbol
NELNET INC [ NNI ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Class A Common Stock 1,019,531 D
Class A Common Stock 88,864(1) D
Class A Common Stock 11,068,604 I By Packers Service Group, Inc.(2)
Class A Common Stock 850,000 I By Angela L. Mulheisen Grantor Retained Annuity Trust(3)
Class A Common Stock 850,000 I By Daniel D. Mulheisen (spouse) Grantor Retained Annuity Trust(3)
Class A Common Stock 851,000 I By Spouse
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. These shares are owned jointly by Ms. Mulheisen and her spouse.
2. The reporting person disclaims beneficial ownership of these securities except for her pecuniary interest in the holder therefor, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose.
3. Union Bank and Trust Company, which the person is director, president and cheif executive officer of and which she controls through Farmers & Merchants Investment Inc., of which the reporting person is a director and executive vice president and owns or controls 35.9% of the outstanding voting stock, is the Trustee of this grantor retained annuity trust.
/s/ Angela L. Mulheisen 12/10/2003
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.