FORM
A
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Mar 12, 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)}

2804 S 87th Avenue 

2804 S 87th Avenue  

Omaha 

NE 

68124 

Omaha  

NE 

68124 

(402) 397-1898 

 

nikki@kelleyplucker.com 

PRINCIPAL {49-1480(2)}

(303) 764-5743 

1550 Market Street, Suite 300 

Paul Grieger  

Denver  

CO 

80202 

Investments 

AMOUNTS GIVEN
10,000.00  Per Year  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Any matter relating to 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

Mar 12, 2024

Date