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 

2804 S 87th Avenue  

Omaha 

NE 

68124 

Omaha  

NE 

68124 

(402) 397-1898 

 

nikki@kelleyplucker.com 

PRINCIPAL {49-1480(2)}

(202) 772-3516 

1275 Pennsylvania Avenue NW, Suite 700 

Erik Woehrmann 

Washington 

DC 

20004 

HEALTH  

AMOUNTS GIVEN
3,833.33  Per Month  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} healthcare; pharmacy benefit manager  
Description of industry, trade, profession, or interests and groups represented by the principal:
Pharmacy; PBM  
Names and addresses of principal's officers:

Mike Ayotte, Senior Director, State Government Affairs, 1275 Pennsylvania Avenue NW, Washington DC 20004

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 20, 2023

Date