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MEMBER'S PUBLIC DISCLOSURE STATEMENT

Pursuant to Conflicts of Interest Act,


Chapter C-23, RSA 2000

As at April 1, 2010
(including material amendment changes to October 31, 2010)

NAME OF MEMBER: Jeffrey Johnson


CONSTITUENCY: Athabasca-Redwater
Not
Applicable Applicable

Form 1 Statement of Member X


Form 2 Statement of Member's Spouse/
Adult Interdependent Partner X
Form 3 Statement of Member's Minor Children X
Form 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 Member’s spouse or adult interdependent partner or one of the Member’s
family uses primarily for transportation, household, educational, recreational, social or esthetic purposes;
(e) unpaid taxes, except property taxes under the Municipal Government Act and taxes under the School Act; and
(f) support obligations.

Prepared by the Office of the Ethics Commissioner


PUBLIC DISCLOSURE STATEMENT FOR JEFFREY JOHNSON

FORM 1: MEMBER (Jeffrey Johnson)

INCOME (includes income received in 2009)


Source Nature of Income

Province of Alberta MLA Indemnity and Expenses; Parliamentary


Assistant, Committee work

ASSETS
Real Property Principal Residence: County of Athabasca
Secondary Residence: Edmonton
Recreational: Alberni Land District
Bank, Trust Company or Other Financial Scotia Bank
Institution
Scotia Bank (cash, mutual funds – Canam Index,
Registered Retirement Savings Plans
Partners Aggressive Growth Portfolio)
Manulife (mutual funds)
Canada Savings Bonds and Investments N/A
Guaranteed by Government

Mutual Funds N/A

Guaranteed Investment Certificates and N/A


Similar Instruments

Annuities and Life Insurance Policies MLA Group Plan


Lutheran Life Insurance; Faith Life Financial

Pension Rights N/A

Other Assets N/A

Gifts and Personal Benefits N/A


Travel on Non-commercial Aircraft Helicopter tour of oilsands facilities provided by
Canadian Association of Petroleum Producers

LIABILITIES
Mortgages Scotia Bank

Loans or Lines of Credit Scotia Bank

Guarantees N/A

Other Scotia Cold VISA

FINANCIAL INTERESTS
N/A

As at April 1, 2010, including material amendment changes to October 31, 2010 Page 2
PUBLIC DISCLOSURE STATEMENT FOR JEFFREY JOHNSON

FORM 2: MEMBER’S SPOUSE/ADULT INTERDEPENDENT PARTNER (Kimberly Johnson)

INCOME (includes income received in 2009)


Source Nature of Income
1356413 Alberta Ltd. Wages

ASSETS
Real Property Principal Residence: County of Athabasca
Secondary Residence: Edmonton
Recreational: Alberni Land District

Bank, Trust Company or Other Financial Scotia Bank


Institution

Registered Retirement Savings Plans Scotia Bank (mutual funds – Canadian Income,
Canadian Dividend, Canadian Small Cap,
Resource, Canam Index, Latin American, Partners
Moderate Growth Portfolio, US Index)
Manulife Financial (mutual funds – Brandes
International Equity)

Canada Savings Bonds and Investments N/A


Guaranteed by Government

Mutual Funds N/A

Guaranteed Investment Certificates and N/A


Similar Instruments

Annuities and Life Insurance Policies Lutheran Life Insurance, Faith Life Financial

Pension Rights N/A

Other Assets N/A

LIABILITIES
Mortgages Scotia Bank

Loans or Lines of Credit Scotia Bank

Guarantees N/A

Other N/A

FINANCIAL INTERESTS
N/A

As at April 1, 2010, including material amendment changes to October 31, 2010 Page 3
PUBLIC DISCLOSURE STATEMENT FOR JEFFREY JOHNSON

FORM 3: MEMBER’S MINOR CHILDREN (No. of Minor Children: 3)

INCOME (includes income received in 2009)


Source Nature of Income

N/A

ASSETS
N/A
Real Property

Bank, Trust Company or Other Financial N/A


Institution

Registered Retirement Savings Plans N/A

Canada Savings Bonds and Investments N/A


Guaranteed by Government

Mutual Funds N/A

Guaranteed Investment Certificates and N/A


Similar Instruments

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

FINANCIAL INTERESTS
N/A

As at April 1, 2010, including material amendment changes to October 31, 2010 Page 4
PUBLIC DISCLOSURE STATEMENT FOR JEFFREY JOHNSON

FORM 4: PRIVATE CORPORATIONS (1356413 Alberta Ltd.)

INCOME (includes income received in 2009)


Source Nature of Income

Other Rental income

ASSETS
Real Property Other: Lot 12, Block 1, Plan 1110 TR, Baptiste
Lake; Pemberton, B.C.; E ½ SW ¼ 19-66-22-W4

Bank, Trust Company or Other Financial Scotia Bank


Institution

Canada Savings Bonds and Investments N/A


Guaranteed by Government

Mutual Funds Scotia Canadian Dividend; Scotia Partners


Moderate Growth Portfolio; Brandes Interantional
Equity

Guaranteed Investment Certificates and N/A


Similar Instruments

Annuities and Life Insurance Policies 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

As at April 1, 2010, including material amendment changes to October 31, 2010 Page 5

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