FORM
A-R
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Dec 20, 2023

(This report is required to be filed on or before December 31 of each calendar year.)
49-1480.01(3)

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)}

2804 S 87th Avenue 

 

Omaha 

NE 

68124 

 

NE 

 

(402) 397-1898 

 

nikki@kgr-ne.com 

PRINCIPAL {49-1480(2)}

(402) 341-7560 

2222 Cuming Street 

Curt Simon 

Omaha 

NE 

68102 

TRANSPORTATION 

AMOUNTS GIVEN
1,750.00  Per Month  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} All items related to client issues including but not limited to public transportation, taxes, fuel  
Description of industry, trade, profession, or interests and groups represented by the principal:
Transportation 
Names and addresses of principal's officers:

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.

Kelley Governmental Relations LLC

Lobbyist Name

Dec 20, 2023

Date