FORM
A
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Feb 6, 2020
Amended Registration
Date Amended: Apr 27, 2020
Lobbyist Registration Fee:
{49-1480.01}

(If you are a salaried employee of your principal, you are a compensated lobbyist.)

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) 628-7838 

1001 Pennsylvania Avenue NW, Suite 710 

 

Washington  

DC 

20004 

Health Care  

AMOUNTS GIVEN
7,500.00  Per Month  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} all matters as directed by principal  
Description of industry, trade, profession, or interests and groups represented by the principal:
 
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

Apr 27, 2020

Date