FORM
A
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Jan 4, 2024
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)}

13001 Founders Square Drive Suite 202 

1540 Spaulding Rd. 

Orlando 

FL 

32828 

St. Johnsbury 

VT 

05819 

(231) 282-1167 

(859) 779-0181 

adukette@termlimits.com 

PRINCIPAL {49-1480(2)}

(231) 282-1167 

2955 Pineda Plaza Way Suite 226 

Scott Tillman 

Melbourne  

FL 

32940 

Issue Advocacy 

AMOUNTS GIVEN
4,000.00  Percentage of salary  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Article V resolution calling for term limits on Congress  
Description of industry, trade, profession, or interests and groups represented by the principal:
Public interest 
Names and addresses of principal's officers:

Nick Tomboulides, 5343 Radiance Court, Cocoa, FL 32926
Scott Tillman, 1408 Andrew SE, Kentwood, MI 49508

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:

NA

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

Aaron Dukette

Lobbyist Name

Jan 4, 2024

Date