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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: Leonard Mitzel Cypress-Medicine Hat Applicable X X Not Applicable

Form 1 Form 2 Form 3 Form 4 NOTE:

Forms Statement of Member Statement of Members Spouse or Adult Interdependent Partner Statement of Minor Children Statement of Private Corporations

X X

Under Section 14 of the Conflicts of Interest Act, Chapter C-23, RSA 2000: A public disclosure statement shall identify (a) (b) (c) 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 Leonard Mitzel FORM 1: MEMBER (Leonard Mitzel)

INCOME (includes income received in 2010)


Source Province of Alberta Farm Nature of Income MLA Indemnity and Expenses; Committee work Grain sales

ASSETS
Real Property Residence: Etzikom Secondary residence: Edmonton Farm Property: County of Forty Mile N/A TD Waterhouse (General Motors Acceptance, L.A. Grain Co., Pengrowth Energy) TD Canada Trust (mutual funds) N/A N/A TD Canada Trust MLA Group Plan; Knights of Columbus, Clarica Local Authorities Pension Plan N/A N/A N/A

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

LIABILITIES
Mortgages Loans or Lines of Credit Guarantees Other TD Canada Trust Community Savings; TD Canada Trust 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 Leonard Mitzel FORM 2: MEMBERS SPOUSE OR ADULT INTERDEPENDENT PARTNER (June ColeMitzel)

INCOME (includes income received in 2010)


Source TD Waterhouse Etzikom Museum Nature of Income RIF Honorarium

ASSETS
Real Property Residence: Etzikom; Secondary residence: Edmonton Farm Property: County of Forty Mile N/A TD Waterhouse N/A N/A TD Waterhouse N/A N/A N/A

Bank, Trust Company or Other Financial Institution Registered Savings Plans/RIFs 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

LIABILITIES
Mortgages Loans or Lines of Credit Guarantees Other TD Canada Trust 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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