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MEMBER'S PUBLIC DISCLOSURE STATEMENT

Pursuant to Conflicts of Interest Act, Chapter C-23, RSA 2000 As at April 1, 2013 (including material amendment changes to November 29, 2013)

NAME OF MEMBER: CONSTITUENCY:

Hon. Sandra Jansen 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 SANDRA JANSEN FORM 1: MEMBER (Sandra Jansen)

INCOME (includes income received in 2013)


Source Province of Alberta Nature of Income MLA Indemnity and Allowance

ASSETS
Real Property Bank, Trust Company or Other Financial Institution Registered Savings Plans Principal Residence: Calgary Secondary Residence: Edmonton N/A -Sun Life Financial: MFS MB Canadian Equity Growth Fund -Royal Bank: mutual funds: Canadian Dividend, Select Balanced, Select Conservative 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 N/A N/A N/A MLA Group Plan N/A N/A N/A N/A

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

FINANCIAL INTERESTS
N/A

As at April 1, 2013, including material amendment changes to November 29, 2013

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PUBLIC DISCLOSURE STATEMENT FOR SANDRA JANSEN FORM 3: MEMBERS MINOR CHILDREN (No. of Minor Children: 1 )

INCOME (includes income received in 2013)


Source N/A Nature of Income

ASSETS
Real Property Bank, Trust Company or Other Financial Institution Registered Education 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 Royal Bank N/A N/A N/A N/A N/A N/A

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

FINANCIAL INTERESTS
N/A

As at April 1, 2013, including material amendment changes to November 29, 2013

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