-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, IkqmN2ZXOV/YcsYNSDKQMRJKBGv66FUqqgpjOXRhnzhHb/5S6HonKnq/HIOG59vS v7HmNqS2l2TB+yD86lymYg== 0001005477-04-003477.txt : 20040927 0001005477-04-003477.hdr.sgml : 20040927 20040927202134 ACCESSION NUMBER: 0001005477-04-003477 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040921 FILED AS OF DATE: 20040927 DATE AS OF CHANGE: 20040927 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MULHEISEN ANGIE CENTRAL INDEX KEY: 0001269812 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31924 FILM NUMBER: 041048128 MAIL ADDRESS: STREET 1: 3643 S 48TH STREET P O BOX 82535 CITY: LINCOLN STATE: NE ZIP: 68501-2535 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NELNET INC CENTRAL INDEX KEY: 0001258602 STANDARD INDUSTRIAL CLASSIFICATION: ASSET-BACKED SECURITIES [6189] IRS NUMBER: 840748903 STATE OF INCORPORATION: NE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 121 SOUTH 13TH ST STREET 2: STE 201 CITY: LINCONLN STATE: NE ZIP: 68508 MAIL ADDRESS: STREET 1: 121 SOUTH 13TH ST STREET 2: STE 201 CITY: LINCOLN STATE: NE ZIP: 68508 4 1 edgar123.xml FORM 4 X0202 4 2004-09-21 0 0001258602 NELNET INC NNI 0001269812 MULHEISEN ANGIE C/O FARMERS & MERCHANTS INVESTMENT, INC. 6801 SOUTH 27TH STREET LINCOLN NE 68512 0 0 1 0 Class A Common Stock 2004-09-21 4 P 0 4500 24.42 A 4500 I by Farmers & Merchants Investment, Inc. The reporting person disclaims beneficial ownership of these securities except to the extent of her pecuniary interest in the holder thereof, 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. Reporting person is also directly owns 1,053,916 shares of Class A Common Stock and is deemed to be the indirect beneficial owner of the following shares of Class A Common Stock: 11,068,604 shares held by Packers Service Group, Inc. ("Packers"); 795,521 shares held by the Angela L. Muhleisen Grantor Retained Annuity Trust ("GRAT"); 795,521 shares held by the Daniel D. Muhleisen GRAT; and 905,479 shares held by her spouse. The reporting person disclaims beneficial ownership of the securities held by Packers except to the extent of her pecuniary interest in the holder thereof, 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. The shares held by the Angela L. Muhleisen GRAT and the Daniel D. Muhleisen GRAT reflect the distribution of 54,479 shares from each of the trusts to the reporting person and her spouse, respectively, which shares such per sons now hold directly. /Edward P. Martinez, Attorney-in-Fact for Angie Muhleisen/ 2004-09-27 -----END PRIVACY-ENHANCED MESSAGE-----