Pedersen 2012.pdf

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    MEMBER'S PUBLIC DISCLOSURE STATEMENT

    Pursuant to Conflicts of Interest Act,Chapter C-23, RSA 2000

    As at May 1, 2012(including material amendment changes to November 30, 2012)

    NAME OF MEMBER: Blake Pedersen

    CONSTITUENCY: Medicine HatNot

    Applicable Applicable

    Form 1 Statement of Member XForm 2 Statement of Member's Spouse/

    Adult Interdependent Partner XForm 3 Statement of Member's Minor Children XForm 4 Statement of Private Corporations X

    NOTE:

    Under Section 14 of the Conflicts of Interest Act, Chapter C-23, RSA 2000:

    A public disclosure statement shall identify

    (a) the assets, liabilities, financial interests, and sources of income,(b) the fees, gifts, or benefits approved for retention under section 7(2)(b), and(c) any travel accepted under section 7.1,

    as disclosed in a Member's private disclosure statement but shall not state the amount or value of those items.

    Excluded from a public disclosure statement are the following:

    (a) assets, liabilities, or interests having a value of less than $10,000;(b) a source of income of less than $5,000 per year;(c) information identifying a home or recreational property occupied by the Member or one of the Member's family;(d) personal property that the Member, the Members spouse or adult interdependent partner or one of the Members

    family uses primarily for transportation, household, educational, recreational, social or esthetic purposes;

    (e) unpaid taxes, except property taxes under theMunicipal Government Actand taxes under the School Act; and(f) support obligations.Prepared by the Office of the Ethics Commissioner

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    PUBLIC DISCLOSURE STATEMENT FOR BLAKE PEDERSEN

    As at May 1, 2012, including material amendment changes to November 30, 2012 Page 2

    FORM 1: MEMBER (Blake Pedersen)

    INCOME (includes income received in 2012)

    Source Nature of Income

    Province of Alberta MLA Indemnity

    Local Advantage Ltd. Salary

    ASSETS

    Real Property Residence: Medicine HatRecreational Property: Luxus Vacation Properties

    Bank, Trust Company or Other Financial

    Institution

    N/A

    Registered Savings Plans CIBC Wood Gundy: Cash; Fixed Income:

    Connacher Oil and Gas, Progress EnergyResources Corporation;Equities: ChartwellSeniors Housing Real Estate Investment TrustUnits, Canadian Natural Resources, Inter PipelineFund, H&R Real Estate Investment Trust Units,Keyera Corporation, Marret Investment GradeBond Fund Unit, Progressive Waste SolutionsLtd., Suncor Energy Inc., Telus Corporation,Transalta Corporation, Viterra Inc.,MutualFunds: Cundill Recovery Fund, Fidelity SpecialSituations Fund

    Canada Savings Bonds and InvestmentsGuaranteed by Government

    N/A

    Mutual Funds N/A

    Guaranteed Investment Certificates and

    Similar Instruments

    N/A

    Annuities and Life Insurance Policies MLA Group Plan

    Pension Rights N/A

    Other Assets N/A

    Gifts and Personal Benefits N/A

    Travel on Non-commercial Aircraft N/A

    LIABILITIES

    Mortgages N/A

    Loans or Lines of Credit N/A

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    PUBLIC DISCLOSURE STATEMENT FOR BLAKE PEDERSEN

    As at May 1, 2012, including material amendment changes to November 30, 2012 Page 3

    Guarantees N/A

    Other N/A

    FINANCIAL INTERESTS

    N/A

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    PUBLIC DISCLOSURE STATEMENT FOR BLAKE PEDERSEN

    As at May 1, 2012, including material amendment changes to November 30, 2012 Page 4

    FORM 2: MEMBERS SPOUSE/ADULT INTERDEPENDENT PARTNER (Angela Ann Kolody)

    INCOME (includes income received in 2012)

    Source Nature of Income

    Royal LePage Realty Commission

    ASSETS

    Real Property Residence: Medicine HatRecreational Property: Luxus Vacation Properties

    Bank, Trust Company or Other Financial

    Institution

    ATB Financial

    Registered Savings Plans CIBC Wood Gundy: Fixed Income: ConnacherOil and Gas, H&R Real Estate Investment Trust,

    Angle Energy Inc;Equities: BCE Inc., HorizonsGartman ETF, Marret Investment Grade BondFund Units;Mutual Fund: Mackenzie SentinelCorporation Bond Fund

    Canada Savings Bonds and Investments

    Guaranteed by Government

    N/A

    Mutual Funds Sentry Diversified Total Return Fund

    Guaranteed Investment Certificates and

    Similar Instruments

    N/A

    Annuities and Life Insurance Policies N/A

    Pension Rights N/A

    Other Assets N/A

    LIABILITIES

    Mortgages N/A

    Loans or Lines of Credit N/A

    Guarantees N/A

    Other N/A

    FINANCIAL INTERESTS

    N/A

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    PUBLIC DISCLOSURE STATEMENT FOR BLAKE PEDERSEN

    As at May 1, 2012, including material amendment changes to November 30, 2012 Page 5

    FORM 4: PRIVATE CORPORATIONS

    (Local Advantage Ltd.; Unrealistic Expectations Ltd.; and A. Kolody Holdings Ltd.)

    INCOME (includes income received in 2012)

    Source Nature of Income

    N/A

    ASSETS

    Real Property Unrealistic Expectations Ltd.: EdmontonCondo

    Bank, Trust Company or Other Financial

    Institution

    Local Advantage Ltd.: ATB Financial

    Unrealistic Expectations Ltd.: Royal bank

    A. Kolody Holdings Ltd.: ATB Financial

    Canada Savings Bonds and InvestmentsGuaranteed by Government

    N/A

    Mutual Funds Unrealistic Expectations Ltd.: HUB Capital Inc.:

    Mackenzie Cundill Recovery Fund and UniversalCanadian Resource Fund

    Guaranteed Investment Certificates and

    Similar Instruments

    N/A

    Annuities and Life Insurance Policies N/A

    Other Assets Local Advantage Ltd.: Vehicles and Equipment

    LIABILITIES

    Mortgages N/A

    Loans or Lines of Credit N/A

    Guarantees N/A

    Other N/A

    FINANCIAL INTERESTS

    N/A