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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: CONSTITUENCY:

Jacquie Fenske Fort-Saskatchewan - Vegreville Applicable Not Applicable

Form 1 Statement of Member Form 2 Statement of Member's Spouse/ Adult Interdependent Partner Form 3 Statement of Member's Minor Children Form 4 Statement of Private Corporations NOTE:
Under Section 14 of the Conflicts of Interest Act, Chapter C-23, RSA 2000: A public disclosure statement shall identify (a) (b) (c)

X X X X

the assets, liabilities, financial interests, and sources of income, the fees, gifts, or benefits approved for retention under section 7(2)(b), and 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) (b) (c) (d) (e) (f) assets, liabilities, or interests having a value of less than $10,000; a source of income of less than $5,000 per year; information identifying a home or recreational property occupied by the Member or one of the Member's family; 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; unpaid taxes, except property taxes under the Municipal Government Act and taxes under the School Act; and support obligations.

Prepared by the Office of the Ethics Commissioner

PUBLIC DISCLOSURE STATEMENT FOR JACQUIE FENSKE FORM 1: MEMBER (Jacquie Fenske)

INCOME (includes income received in 2012)


Source Province of Alberta Strathcona County 853854 Alberta Ltd. Nature of Income MLA Indemnity Salary Dividend Income

ASSETS
Real Property Bank, Trust Company or Other Financial Institution Registered Savings Plans Canada Savings Bonds and Investments Guaranteed by Government Mutual Funds Guaranteed Investment Certificates and Similar Instruments Annuities and Life Insurance Policies Pension Rights Other Assets Gifts and Personal Benefits Travel on Non-commercial Aircraft Residence: N/A N/A N/A N/A N/A MLA Group Plan N/A 853854 Alberta Ltd. - Shareholder loan N/A N/A Fort Saskatchewan

LIABILITIES
Mortgages Loans or Lines of Credit Guarantees Other Royal Bank; CIBC Royal Bank N/A CIBC VISA

FINANCIAL INTERESTS
Chicks N Chaps, 1015909 Alberta Ltd., 665863 Alberta Ltd., 483696 Alberta Ltd., 853854 Alberta Ltd.

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

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PUBLIC DISCLOSURE STATEMENT FOR JACQUIE FENSKE FORM 2: MEMBERS SPOUSE/ADULT INTERDEPENDENT PARTNER (Doug Fenske)

INCOME (includes income received in 2012)


Source Horse Racing Alberta Nature of Income Salary

ASSETS
Real Property Bank, Trust Company or Other Financial Institution Registered Savings Plans Canada Savings Bonds and Investments Guaranteed by Government Mutual Funds Guaranteed Investment Certificates and Similar Instruments Annuities and Life Insurance Policies Pension Rights Other Assets Residence: Fort Saskatchewan N/A Prism Financial: mutual funds N/A N/A N/A N/A N/A N/A

LIABILITIES
Mortgages Loans or Lines of Credit Guarantees Other Royal Bank; CIBC Royal Bank N/A N/A

FINANCIAL INTERESTS
N/A

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

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