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:

Blake Pedersen Medicine Hat 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 BLAKE PEDERSEN FORM 1: MEMBER (Blake Pedersen)

INCOME (includes income received in 2012)

Source Province of Alberta Local Advantage Ltd. Nature of Income MLA Indemnity Salary

ASSETS
Real Property Bank, Trust Company or Other Financial Institution Registered Savings Plans Residence: Medicine Hat Recreational Property: Luxus Vacation Properties N/A CIBC Wood Gundy: Cash; Fixed Income: Connacher Oil and Gas, Progress Energy Resources Corporation; Equities: Chartwell Seniors Housing Real Estate Investment Trust Units, Canadian Natural Resources, Inter Pipeline Fund, H&R Real Estate Investment Trust Units, Keyera Corporation, Marret Investment Grade Bond Fund Unit, Progressive Waste Solutions Ltd., Suncor Energy Inc., Telus Corporation, Transalta Corporation, Viterra Inc., Mutual Funds: Cundill Recovery Fund, Fidelity Special Situations Fund N/A N/A N/A MLA Group Plan N/A N/A N/A N/A

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

PUBLIC DISCLOSURE STATEMENT FOR BLAKE PEDERSEN Guarantees Other 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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PUBLIC DISCLOSURE STATEMENT FOR BLAKE PEDERSEN FORM 2: MEMBERS SPOUSE/ADULT INTERDEPENDENT PARTNER (Angela Ann Kolody)

INCOME (includes income received in 2012)

Source Royal LePage Realty Nature of Income Commission

ASSETS
Real Property Bank, Trust Company or Other Financial Institution Registered Savings Plans Residence: Medicine Hat Recreational Property: Luxus Vacation Properties ATB Financial CIBC Wood Gundy: Fixed Income: Connacher Oil and Gas, H&R Real Estate Investment Trust, Angle Energy Inc; Equities: BCE Inc., Horizons Gartman ETF, Marret Investment Grade Bond Fund Units; Mutual Fund: Mackenzie Sentinel Corporation Bond Fund N/A Sentry Diversified Total Return Fund N/A N/A N/A N/A

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 N/A N/A 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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PUBLIC DISCLOSURE STATEMENT FOR BLAKE PEDERSEN FORM 4: PRIVATE CORPORATIONS (Local Advantage Ltd.; Unrealistic Expectations Ltd.; and A. Kolody Holdings Ltd.)

INCOME (includes income received in 2012)

Source N/A Nature of Income

ASSETS
Real Property Unrealistic Expectations Ltd.: Edmonton

Condo
Bank, Trust Company or Other Financial Institution Local Advantage Ltd.: ATB Financial Unrealistic Expectations Ltd.: Royal bank A. Kolody Holdings Ltd.: ATB Financial N/A Unrealistic Expectations Ltd.: HUB Capital Inc.: Mackenzie Cundill Recovery Fund and Universal Canadian Resource Fund N/A N/A Local Advantage Ltd.: Vehicles and Equipment

Canada Savings Bonds and Investments Guaranteed by Government Mutual Funds

Guaranteed Investment Certificates and Similar Instruments Annuities and Life Insurance Policies Other Assets

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