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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:

Hon. Stephen Khan St. Albert 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 FORM 1: MEMBER (Stephen Khan)

INCOME (includes income received in 2012)


Source Province of Alberta Investments Nature of Income MLA Indemnity; Ministerial Allowance Dividend and Interest Income

ASSETS
Real Property Bank, Trust Company or Other Financial Institution Registered Savings Plans Residence: St. Albert

TD Canada Trust -TD Canada Trust: High Interest Savings -Investors Group Funds: Dividend, Summa SRI, US Large Cap Value, FI Canadian Equity, Templeton International Equity, International Small Cap

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 Loan to 1504495 Alberta Ltd. N/A N/A

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

FINANCIAL INTERESTS
1504495 Alberta Ltd. and 7243 Investors LLC
As at May 1, 2012, including material amendment changes to November 30, 2012 Page 2

PUBLIC DISCLOSURE STATEMENT FOR FORM 2: MEMBERS SPOUSE/ADULT INTERDEPENDENT PARTNER

INCOME (includes income received in 2012)


Source Solace Medical Clinic Nature of Income Salary

ASSETS
Real Property Bank, Trust Company or Other Financial Institution Registered Savings Plans Residence: St. Albert TD Canada Trust Investors Group Funds: Dividend, Mackenzie Maxxum Dividend Growth, Summa SRI, FI Canadian Equity, US Large Cap Value, Templeton International Equity, International Small Cap N/A N/A 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

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

INCOME (includes income received in 2012)


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 Investors Group: Growth Portfolio and Dividend Funds 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 May 1, 2012, including material amendment changes to November 30, 2012

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