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MEMBER'S PUBLIC DISCLOSURE STATEMENT

Pursuant to Conflicts of Interest Act, Chapter C-23, RSA 2000 As at April 1, 2011 (including material amendment changes to October 31, 2011)

NAME OF MEMBER: CONSTITUENCY:

Lindsay Blackett Calgary-North West 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 LINDSAY BLACKETT FORM 1: MEMBER (Lindsay Blackett)

INCOME (includes income received in 2010)


Source Province of Alberta Nature of Income MLA Indemnity and Expenses; Ministerial salary; Committee work

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 Principal Residence: N/A TD Canada Trust (GIC Plus) Standard Life N/A N/A N/A MLA Group Plan; State Farm N/A N/A -Tourism Calgary: 2 tickets to Canadas Sports Hall of Fame Induction dinner; 2 tickets to Heritage Classic hockey game -Calgary Chamber of Commerce: Chamber of Commerce luncheon; 2 tickets to Chamber of Commerce Salute to Excellence dinner -Hockey Canada: 2 tickets to Hockey Canada Gala; 4 tickets to For the Love of Country & for the Love of Hockey: Canada Celebrates its National Heroes fundraiser Calgary Stampede: 1 ticket to Evening at Ranahans; 4 tickets to Chuckwagon Races Travel on Non-commercial Aircraft N/A Calgary

LIABILITIES
Mortgages Loans or Lines of Credit Res Mor Trust Company N/A
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As at April 1, 2011, including material amendment changes to October 31, 2011

PUBLIC DISCLOSURE STATEMENT FOR LINDSAY BLACKETT Guarantees Other N/A N/A

FINANCIAL INTERESTS
N/A

As at April 1, 2011, including material amendment changes to October 31, 2011

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PUBLIC DISCLOSURE STATEMENT FOR LINDSAY BLACKETT FORM 2: MEMBERS SPOUSE/ADULT INTERDEPENDENT PARTNER (Jennifer Blackett)

INCOME (includes income received in 2010)


Source Self-employed Nature of Income Bookkeeping

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: Calgary N/A N/A N/A N/A N/A State Farm Insurance N/A N/A

LIABILITIES
Mortgages Loans or Lines of Credit Guarantees Other Res Mor Trust Company N/A N/A N/A

FINANCIAL INTERESTS
N/A

As at April 1, 2011, including material amendment changes to October 31, 2011

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PUBLIC DISCLOSURE STATEMENT FOR LINDSAY BLACKETT

FORM 3: MEMBERS MINOR CHILDREN (No. of Minor Children: 2)

INCOME (includes income received in 2010


) Source N/A Nature of 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 N/A N/A N/A N/A N/A N/A State Farm N/A N/A

LIABILITIES
Mortgages Loans or Lines of Credit N/A N/A

FINANCIAL INTERESTS
N/A

As at April 1, 2011, including material amendment changes to October 31, 2011

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