FORM
A-R
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Dec 2, 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 

2804 S 87th Avenue  

Omaha 

NE 

68124 

Omaha  

NE 

68124 

(402) 397-1898 

 

nikki@kelleyplucker.com 

PRINCIPAL {49-1480(2)}

(402) 444-6500 

4715 S 132nd Street 

ENSHA Governing Board 

Omaha 

NE 

68137 

HEALTH 

AMOUNTS GIVEN
2,221.66  Per Month  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Description of industry, trade, profession or interests and groups represented by the principal  
Description of industry, trade, profession, or interests and groups represented by the principal:
Health 
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 Plucker LLC

Lobbyist Name

Dec 2, 2023

Date