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7/30/2019 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
7/30/2019 Pedersen 2012.pdf
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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
7/30/2019 Pedersen 2012.pdf
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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
7/30/2019 Pedersen 2012.pdf
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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
7/30/2019 Pedersen 2012.pdf
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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