FORM
A
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Jan 1, 2024
Amended Registration
Date Amended: Jan 9, 2024
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)}

716 N. 119th Street #116 

4024 Locust Street 

Wichita 

KS 

67235 

Lincoln 

NE 

68516 

(402) 219-1677 

(402) 219-1677 

melissa@duganconsult.com 

PRINCIPAL {49-1480(2)}

(207) 975-2838 

75 M Woodward Ave NO 80038 

Nick Adolphson 

Tallahassee 

Fl 

32313 

Public assistance 

AMOUNTS GIVEN
2,500.00  Per Month  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Issues identified by the client pertaining to public assistance.  
Description of industry, trade, profession, or interests and groups represented by the principal:
public assistance  
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.

Melissa Ficke

Lobbyist Name

Jan 9, 2024

Date