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) 228-1312 

115 S. 6th Street 

 

Beatrice 

NE 

68310 

Business 

AMOUNTS GIVEN
12,000.00  Per Year  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Business  
Description of industry, trade, profession, or interests and groups represented by the principal:
Business 
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