Nebraska Legislature - Lobbyist Reporting Application

FORM
A

NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST

Mar 12, 2024

Clerk of the Legislature
Room 2014, State Capitol
PO Box 94604
Lincoln, NE 68509-4604
Phone: (402) 471-2608

For Calendar Year of:

Amended Registration

Lobbyist Registration Fee:
{49-1480.01}

Compensated

$200.00

(If you are a salaried employee of your principal, you are a compensated lobbyist.)

Not Compensated

$15.00

(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)}

Name

Kelley Plucker, LLC

Office Address (Street, Box, or Route)

2804 S 87th Avenue

Permanent Residence (Street, Box, or Route)

2804 S 87th Avenue

City

Omaha

State

Zip

68124

City

Omaha

State

Zip

68124

Office Phone

(402) 397-1898

Home Phone

Email Address

nikki@kelleyplucker.com

PRINCIPAL {49-1480(2)}

Name

D.A. Davidson & Co.

Office Phone

(303) 764-5743

Office Address (Street, Box, or Route)

1550 Market Street, Suite 300

Official to Whom Lobbyist is Accountable

Paul Grieger

City

Denver

State

Zip

80202

Nature of Business {49-1480(3)}

Investments

AMOUNTS GIVEN or to be given to lobbyist as compensation or reimbursement of lobbying: {49-1480(3)}. Please state the basis for your compensation.
10,000.00 Per Year

IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Any matter relating to principal

Description of industry, trade, profession, or interests and groups represented by the principal:

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: {49-1480(8)}

I certify that all information presented in this form is accurate to the best of my knowledge.

Kelley Plucker LLC

Lobbyist Name

Mar 12, 2024

Date