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Statement of Financial Interests for 2017

CONTACT INFORMATION

Last Name: First Name and Middle initial:

Blais Natalie

Work Phone Number: Other Phone:

(617) 722-2425 Redacted

Work Email: Other Email:

Natalie.Blais@mahouse.gov Redacted

Primary Residence Address:

Redacted

Contact mailling address

Redacted

You indicated that you did have a spouse residing in your household during 2017.

You indicated that you did have dependent child(ren) residing in your household during 2017.

Candidacy and Public Service

1. If you are a candidate for public office, please indicate the public office you are seeking.

Office

Representative in General Court

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2. Identify the position you now hold, or have held, which requires you to file a Statement of Financial Interests and
provide the required information for that position. If you held more than one public position which requires you to
file, identify each position.

Agency Name Address Position Date Amount of Income

University of 181 President's Drive, Chief of 06/01/2015 - $60,001 to


Massachusetts Amherst, MA, 01002, US Staff 08/01/2017 100,000
Amherst (UMASS)

3. Other than the position(s) identified in Question 2, identify every public position you held, and every public
agency to which you provided services, at any time during 2017, whether compensated or not, and whether full- or
part-time.

Public Agency Public Agency Address Position Amount of Income Consultant / Services Provided
Name Contractor?

Municipal Sunderland School Trustee N/A N/A


Public Street,
Library Sunderland,
MA, 01375,
US

4. Identify every public position your spouse and/or any dependent child(ren) residing in your household held, and
every public agency to which your spouse and/or any dependent child(ren) residing in your household provided
services, at any time during 2017, whether compensated or not, and whether full- or part-time.

Filer reported none.

Private Employment and Leaves of Absence

5. Identify every Business for which you worked as an employee, manager, consultant, or independent contractor at
any time during 2017, whether compensated or not, and whether full- or part-time, and provide the required
information for each.

Business Name Self-employed Address Position Income

Franklin N/A 395 Main Street, PO Box Employee $20,001 to


County 898, Greenfield, MA, 40,000
Chamber of 01302, US
Commerce

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6. Identify any Business from which you were on a leave of absence at any time during 2017, and provide its address.

Filer reported none.

7. Identify every Business for which your spouse and/or any dependent child(ren) residing in your household worked
as an employee, manager, consultant, or independent contractor at any time during 2017, whether compensated or
not, and whether full- or part-time, and provide the required information for each.

Business Name Self-employed Address Position

Amherst College N/A 220 South Pleasant Street, Employee


Amherst, MA, 01002, US

Business Ownership and Transfers

8. Identify each Business of which you were, in whole or in part, an owner, partner, or proprietor, or in which you
owned more than 1% of any class of the outstanding stock or similar ownership interest, at any time during 2017,
and provide the required information for each.

Filer reported none.

9. Identify each Business of which your spouse and/or any dependent child(ren) residing in your household was, in
whole or in part, an owner, partner, or proprietor, or in which your spouse and/or any dependent child(ren) residing in
your household owned more than 1% of any class of the outstanding stock or similar ownership interest, at any time
during 2017, and provide the required information for each.

Filer reported none.

10. Identify any stock or similar ownership interest in a Business which you transferred to your spouse and/or any
dependent child(ren) residing in your household during 2017, and provide the required information for each.

Filer reported none.

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Service as an Officer, Director, or Trustee

11. Identify any Business in which you served as an officer, director, or trustee, at any time during 2017, whether
compensated or not, and whether full- or part-time, and provide the required information for each.

Business Name Address Position Income

395 Main Street, PO Box Director $20,001 to 40,000


Franklin County
898, Greenfield, MA,
Chamber of Commerce
01302, US

12. Identify any Business in which your spouse and/or any dependent child(ren) residing in your household served as
an officer, director, or trustee, at any time during 2017, whether compensated or not, and whether full- or part-time,
and provide the required information for each.

Filer reported none.

NOTE: If the Filer answered “YES” to a Question in the following section, one or more columns in the Table for that
Question may be blank in the following situations: If the Filer indicated that the name of the person and/or the trust was a
family member’s name or address, the Filer was not required to provide that name. If the Filer indicated that an address
was a family member’s address, the Filer was not required to provide that address.

Real Estate

13. Identify all Real Estate in Massachusetts which you owned directly or through a Business as of December 31, 2017,
and which had an assessed value greater than $1,000, and provide the required information for each Real Estate
holding.

Ownership Legend:
Filer = F
Spouse/Child(ren) = S/C
Trust = T

Property Address Owner Transferred? Transferor Name Transferor Address Assessed Value

Redacted F, S/C No $100,001 or


more

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14. Other than the Real Estate identified in Question 13, identify all Real Estate in Massachusetts which your spouse
and/or any dependent child(ren) residing in your household owned directly or through a Business as of December 31,
2017, and which had an assessed value greater than $1,000, and provide the required information for each Real Estate
holding.

Filer reported none.

15. Identify any Trust of which you were a beneficiary and which owned Real Estate in Massachusetts as of December
31, 2017, with an assessed value greater than $1,000, and provide the required information for each such Trust and Real
Estate holding.

Beneficiary Legend:
Filer = F
Spouse/Child(ren) = S/C
Trust = T

Filer reported none.

16. Other than the Real Estate identified in Question 15, identify any Trust of which your spouse and/or any dependent
child(ren) residing in your household was a beneficiary and which owned Real Estate in Massachusetts as of December
31, 2017, with an assessed value greater than $1,000, and provide the required information for each such Trust and Real
Estate holding.

Filer reported none.

17. Identify any Real Estate in Massachusetts with an assessed value greater than $1,000, that was transferred to
another person or entity by you, or by a Trust of which you were a beneficiary, at any time during 2017, and provide the
required information for each Real Estate holding.

Ownership Legend:
Filer = F
Spouse/Child(ren) = S/C
Trust = T

Filer reported none.

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18. Other than the Real Estate identified in Question 17, identify any Real Estate in Massachusetts with an assessed
value greater than $1,000, that was transferred to another person or entity by your spouse and/or any dependent
child(ren) residing in your household, or by a Trust of which your spouse and/or any dependent child(ren) residing in your
household was a beneficiary, at any time during 2017, and provide the required information for each piece of Real Estate
transferred.

Ownership Legend:
Filer = F
Spouse/Child(ren) = S/C
Trust = T

Filer reported none.

19. Identify any Real Estate in Massachusetts with an assessed value greater than $1,000, on which, as of December 31,
2017, you, or a Trust of which you were a beneficiary, had a lien, attachment, or mortgage receivable, and provide the
required information for each.

Ownership Legend:
Filer = F
Spouse/Child(ren) = S/C
Trust = T

Filer reported none.

20. Other than the Real Estate identified in Question 19, identify any Real Estate in Massachusetts with an assessed
value greater than $1,000, on which, as of December 31, 2017, your spouse and/or any dependent child(ren) residing in
your household, or a Trust of which your spouse and/or any dependent child(ren) residing in your household, had a lien,
attachment, or mortgage receivable, and provide the required information for each.

Ownership Legend:
Filer = F
Spouse/Child(ren) = S/C
Trust = T

Filer reported none.

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NOTE: If the Filer answered “YES” to a Question in the following section, one or more columns in the Table for that
Question may be blank in the following situations: If the Filer indicated that the name of the person and/or the trust was a
family member’s name or address, the Filer was not required to provide that name. If the Filer indicated that an address
was a family member’s address, the Filer was not required to provide that address.

Financial Investments

21. Identify every bond or other security issued by the Commonwealth of Massachusetts or its political subdivisions,
agencies, and authorities, which you owned directly or through a Business, as of December 31, 2017, and which had a
fair market value as of that date greater than $1,000, and provide the required information for each such investment.

Ownership Legend:
Filer = F
Spouse/Child(ren) = S/C
Trust = T

Filer reported none.

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22. Other than the bonds or other securities identified in Question 21, identify every bond or other security issued by the
Commonwealth of Massachusetts or its political subdivisions, agencies, and authorities, which your spouse and/or any
dependent child(ren) residing in your household owned directly or through a Business, as of December 31, 2017, and
which had a fair market value as of that date greater than $1,000, and provide the required information for each such
investment.

Boston Mass Ser A Bond


B/E/R Pre-Re

Mass St. 00 Bond


Consol LN

Mass State Water Bond


Res Av

Boston Mass Sewer Bond


& Water Ser A
B/E/R Pre-Re

Mass State Series Bond


C

Mass State for Bond


ISS - 2025

Mass State for Bond


ISS - 2026

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Mass State for Bond
ISS - 2027

23. Identify every bond or other security issued by the Commonwealth of Massachusetts or its political subdivisions,
agencies, and authorities, which was owned as of December 31, 2017, by a Trust of which you were a beneficiary,
whether directly or through a Business, and which had a fair market value as of that date greater than $1,000, and
provide the required information for each such investment.

Beneficiary Legend:
Filer = F
Spouse/Child(ren) = S/C
Trust = T

Filer reported none.

24. Identify every bond or other security issued by the Commonwealth of Massachusetts or its political subdivisions,
agencies, and authorities, which was owned as of December 31, 2017, by a Trust of which your spouse and/or any
dependent child(ren) residing in your household was a beneficiary, whether directly or through a Business, and which had
a fair market value as of that date greater than $1,000, and provide the required information for each such investment.

Filer reported none.

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25. Identify every Financial Investment that you owned directly or through a Business as of December 31, 2017, and
which had a fair market value as of that date greater than $1,000, and provide the required information for each.

Ownership Legend:
Filer = F
Spouse/Child(ren) = S/C
Trust = T

Name of Issuer Owner Description of Investment Principal Place of Business or State Address
of Incorporation

iShares KLD 400 F


Social Index
Fund(DSI)

Calvert Balanced F
Class Y(CBAYX)

Domini F
International
Social Equity
Fund Class A
Shares(DOMAX)

Neuberger Berman F
Socially
Responsive Fund
Inst Cl(NBSLX)

Parnassus Core F
Equity
Fund-Investor
Shares(PRBLX)

Calvert Social F
Investment Fund
Bond Ptf Class
Y(CSIYX)

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Qualified F
Investment Fund-
Institutional
Class(CRANX)

Domini Social F
Bond Fd(DSBFX)

Calvert Social F
Investment Fd
Bond Portfolio
Cl I(CBDIX)

BlackRock Global F
Alloc A(MDLOX)

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26. Other than the Financial Investments identified in Question 25, identify every Financial Investment that your spouse
and/or any dependent child(ren) residing in your household owned directly or through a Business as of December 31,
2017, and which had a fair market value as of that date greater than $1,000, and provide the required information for
each. For any Financial Investment not included on the drop-down list of publicly traded stock, you must provide the
issuer's principal place of business or state of incorporation as well as its address.

ADT Corporation
Common Stock(ADT)

Allergan plc
Ordinary
Shares(AGN)

AMC Networks Inc.


- Class A Common
Stock(AMCX)

Anadarko Petroleum
Corporation Common
Stock(APC)

Autodesk, Inc. -
Common Stock(ADSK)

Biogen Inc. -
Common Stock(BIIB)

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Broadcom
Corporation -
Class A Common
Stock(BRCM)

Citrix Systems,
Inc. - Common
Stock(CTXS)

Comcast
Corporation -
Class A Common
Stock(CMCSA)

Cree, Inc. -
Common Stock(CREE)

Discovery
Communications,
Inc. - Series A
Common
Stock(DISCA)

Dolby Laboratories
Common Stock(DLB)

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Fluor Corporation
Common Stock(FLR)

Freeport-McMoRan,
Inc. Common
Stock(FCX)

ImmunoGen, Inc. -
Common Stock(IMGN)

Ionis Common Stock CA 2855 Gazelle Court ,


Pharmaceuticals 92010, Carlsbad, CA,
inc 92010, US

L-3 Communications
Holdings, Inc.
Common Stock(LLL)

Liberty Media
Corporation -
Series A Common
Stock(LMCA)

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Liberty Media
Corporation -
Series C Common
Stock(LMCK)

Liberty
Interactive
Corporation -
Series A QVC Group
Common Stock(QVCA)

Liberty
Interactive
Corporation -
Series A Liberty
Ventures Common
Stock(LVNTA)

Liberty Broadband
Corporation -
Class A Common
Stock(LBRDA)

Liberty Broadband
Corporation -
Class C Common
Stock(LBRDK)

Medtronic plc.
Ordinary
Shares(MDT)

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National Oilwell
Varco, Inc. Common
Stock(NOV)

NOW Inc. Common


Stock(DNOW)

Nuance
Communications,
Inc. - Common
Stock(NUAN)

Nucor Corporation
Common Stock(NUE)

Pentair plc.
Ordinary
Share(PNR)

SanDisk
Corporation -
Common Stock(SNDK)

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Seagate
Technology. -
Common Stock(STX)

Starz - Series A
Common
Stock(STRZA)

TE Connectivity
Ltd. New
Switzerland
Registered
Shares(TEL)

Twitter, Inc.
Common Stock(TWTR)

Tyco International
plc (Ireland)
Ordinary
Share(TYC)

UnitedHealth Group
Incorporated
Common Stock (DE)
(UNH)

Amendment Page 17 of 35
Vertex
Pharmaceuticals
Incorporated -
Common Stock(VRTX)

Weatherford
International plc
(Ireland)(WFT)

Western Digital
Corporation -
Common Stock(WDC)

Deutsche
X-trackers MSCI
EAFE Hedged Equity
ETF(DBEF)

iShares Core MSCI


Emerging Markets
ETF(IEMG)

Vanguard Value ETF


- DNQ(VTV)

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Vanguard Small-Cap
Value ETF -
DNQ(VBR)

Vanguard Growth
ETF - DNQ(VUG)

Vanguard Mid-Cap
Growth ETF -
DNQ(VOT)

WisdomTree Japan
Hedged Equity
Fund(DXJ)

WisdomTree Europe
Hedged Equity
Fund(HEDJ)

iShares iBoxx $
Investment Grade
Corporate Bond
ETF(LQD)

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iShares 3-7 Year
Treasury Bond
ETF(IEI)

iShares iBoxx $
High Yield
Corporate Bond
ETF(HYG)

Market Vectors
High Yield
Municipal Index
ETF(HYD)

iShares MSCI USA


Minimum Volatility
ETF(USMV)

iShares Currency
Hedged MSCI EAFE
ETF(HEFA)

PowerShares FTSE
RAFI Emerging
Markets
Portfolio(PXH)

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Powershares FTSE
RAFI US 1000
Portfolio(PRF)

FT 5317: Dorsey
Wright Relative
Strength Dividend
Portfolio, Series
17(FGENIX)

Kinetics Mutual
Fds, Inc. The
Small Cap
Opportunities Fd
Instit Cl(KSCYX)

American
High-Income Tr,
Class F-2
Shs(AHIFX)

Credit Suisse High


Income Fund
Common(CSHIX)

DoubleLine Total
Return Bond Fund
Class I(DBLTX)

Amendment Page 21 of 35
Nuveen High Yield
Municipal Bd Fd
Class R(NHMRX)

PIMCO Investment
Grade Corporate
Fund P
Class(PBDPX)

TCW Total Return


Bond Fund Cl
I(TGLMX)

IVA Worldwide Fund


Class I(IVWIX)

PowerShares FTSE
RAFI Developed
Markets ex-U.S.
Portfolio(PXF)

PowerShares FTSE
RAFI Emerging
Markets
Portfolio(PXH)

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Powershares FTSE
RAFI US 1000
Portfolio(PRF)

PowerShares FTSE
RAFI US 1500
Small-Mid
Portfolio(PRFZ)

Vanguard REIT ETF


- DNQ(VNQ)

Calamos
Convertible Fund
Class A(CCVIX)

iShares Core
Growth Allocation
ETF(AOR)

BlackRock Global
Alloc A(MDLOX)

Amendment Page 23 of 35
FPA Funds Trust,
FPA Crescent
Portfolio
Institutional
Class(FPACX)

JPMorgan Income
Builder Fund -
A(JNBAX)

iShares Core
Growth Allocation
ETF(AOR)

BlackRock Global
Alloc A(MDLOX)

DFA Global
Allocation 60/40
Portfolio Inst
Cl(DGSIX)

Capital Income
Builder Cl A
Shs(CAIBX)

Amendment Page 24 of 35
DFA T.A. U.S. Core
Equity 2
Portfolio(DFTCX)

DFA T.A.World ex
U.S. Core Equity
Portfolio(DFTWX)

Guggenheim Total
Return Bond Fund-
Institutional
Class(GIBIX)

Nuveen Short
Duration High
Yield Municipal
Bond Fd Cl
I(NVHIX)

AQR Long-Short
Equity Fund Class
I(QLEIX)

AQR Managed
Futures Strategy
Fund Class
I(AQMIX)

Amendment Page 25 of 35
AQR Style Premia
Alternative Fund
Class I(QSPIX)

Catalyst/Millburn Mutual Fund NY 36 N New York Avenue,


Hedge Fund (MBXIX) Floor 3 , Huntington,
NY, 11743, US

ishares Gold
Trust(IAU)

Gotham Enhanced
Return Fund Inst
Cl(GENIX)

SPDR Select Sector


Fund - Consumer
Discretionary(XLY)

SPDR Select Sector


Fund - Energy
Select Sector(XLE)

Amendment Page 26 of 35
SPDR Select Sector
Fund -
Financial(XLF)

iShares MSCI
Eurozone ETF(EZU)

iShares MSCI China


ETF(MCHI)

iShares Core MSCI


Emerging Markets
ETF(IEMG)

Vanguard
Information Tech
ETF - DNQ(VGT)

Vanguard Materials
ETF - DNQ(VAW)

Amendment Page 27 of 35
iShares 1-3 Year
Treasury Bond
ETF(SHY)

DFA Global
Allocation 60/40
Portfolio Inst
Cl(DGSIX)

Capital Income
Builder Cl A
Shs(CAIBX)

DFA T.A. U.S. Core


Equity 2
Portfolio(DFTCX)

DFA T.A.World ex
U.S. Core Equity
Portfolio(DFTWX)

SPDR Gold
Trust(GLD)

Amendment Page 28 of 35
United States Bond Washington, DC 1500 Pennsylvania Ave
Treasury Bond 2046 NW, Washington, DC,
20220, US

Washington State Bond Washington 416 Sid Snyder Ave SW,


Series C Olympia, WA, 98504, US

State of Bond California 1315 10th St ,


California GO Sacramento, CA, 05814,
US

New York State GO Bond New York State St. and Washington
Ave, Albany, NY, 12224,
US

Maryland State GO Bond Maryland 100 State Circle,


Annapolis, MD, 21401, US

Dallas, TX Bond Texas 1100 Congress Ave,


Waterworks Austin, TX, 73301, US

Amendment Page 29 of 35
Oklahoma Water Bond Oklahoma 3800 N Classen Blvd,,
Resources Oklahoma City, OK,
73118, US

US Treasury Note Bond Washington, DC 1500 Pennsylvania Ave


2022 NW, Washington, DC,
20220, US

27. Identify every Financial Investment that was owned as of December 31, 2017, by a Trust of which you were a
beneficiary, and which had a fair market value as of that date greater than $1,000, and provide the required information
for each. For any Financial Investment not included on the drop-down list of publicly traded stock, you must provide the
issuer's principal place of business or state of incorporation as well as its address.

Beneficiary Legend:
Filer = F
Spouse/Child(ren) = S/C
Trust = T

Filer reported none.

28. Other than the Financial Investments identified in Question 27, identify every Financial Investment that was owned as
of December 31, 2017, by a Trust of which your spouse and/or any dependent child(ren) residing in your household was
a beneficiary, and which had a fair market value as of that date greater than $1,000, and provide the required information
for each. For any Financial Investment not included on the drop-down list of publicly traded stock, you must provide the
issuer's principal place of business or state of incorporation as well as its address.

Filer reported none.

Amendment Page 30 of 35
NOTE: If the Filer answered “YES” to a Question in the following section, one or more columns in the Table for that
Question may be blank in the following situations: If the Filer indicated that the name of the person and/or the trust was a
family member’s name or address, the Filer was not required to provide that name. If the Filer indicated that an address
was a family member’s address, the Filer was not required to provide that address.

Debts and Mortgages

29. Identify all mortgages, including home equity and reverse mortgage loans, on your Primary Residence, on which
more than $1,000 was owed as of December 31, 2017, where the creditor (person who loaned you the money) is NOT,
by blood or marriage, your parent, grandparent, great grandparent, child, grandchild, great grandchild, aunt, uncle,
sister, brother, niece, nephew, or the spouse of any such relative, and provide the required information for each.

Creditor Name Creditor Address Mortgage Term Interest Rate (%) Termination Year

Greenfield 63 Federal Street, 15 years 4 2025


Cooperative Greenfield, MA, 01301,
Bank US

30. Did you have a mortgage, including a home equity or reverse mortgage loan, on any property OTHER than your
Primary Residence, on which more than $1,000 was owed as of December 31, 2017, which you were obligated to pay
and where the creditor (person who loaned you the money) is NOT, by blood or marriage, your parent, grandparent,
great grandparent, child, grandchild, great grandchild, aunt, uncle, sister, brother, niece, nephew, or the spouse of any
such relative?

Obligor Legend:
Filer = F
Spouse/Child(ren) = S/C
Trust = T

Filer reported none.

31. Identify all mortgages, including home equity and reverse mortgage loans, OTHER than any mortgage on your
Primary Residence or any mortgage identified in response to Question 30, on which more than $1,000 was owed as of
December 31, 2017, and which your spouse and/or any dependent child(ren) residing in your household were obligated
to pay and where the creditor (person who loaned the money to your spouse and/or dependent child(ren) residing in your
household) is NOT, by blood or marriage, your parent, grandparent, great grandparent, child, grandchild, great
grandchild, aunt, uncle, sister, brother, niece, nephew, or the spouse of any such relative, and provide the required
information for each.

Filer reported none.

Amendment Page 31 of 35
32. Identify all non-mortgage debts of more than $1,000 that you owed as of December 31, 2017, IF the person to whom
you owed the debt is NOT, by blood or marriage, your parent, grandparent, great grandparent, child, grandchild, great
grandchild, aunt, uncle, sister, brother, niece, nephew, or the spouse of any such relative, and provide the required
information for each.

Filer reported none.

33. Identify all non-mortgage debts of more than $1,000 that your spouse and/or any dependent child(ren) residing in
your household owed as of December 31, 2017, IF the person to whom your spouse and/or any dependent child(ren)
residing in your household owed the debt is NOT, by blood or marriage, your parent, grandparent, great grandparent,
child, grandchild, great grandchild, aunt, uncle, sister, brother, niece, nephew, or the spouse of any such relative, and
provide the required information for each.

Filer reported none.

34. Identify non-mortgage debts of more than $1,000 which you owed and which were forgiven at any time during 2017,
EXCLUDING debts forgiven by a person who is, by blood or marriage, your parent, grandparent, great grandparent, child,
grandchild, great grandchild, aunt, uncle, sister, brother, niece, nephew, or the spouse of any such relative, and provide
the required information for each.

Filer reported none.

35. Identify non-mortgage debts of more than $1,000 that were owed by your spouse and/or any dependent child(ren)
residing in your household and were forgiven at any time during 2017, EXCLUDING debts forgiven by a person who is, by
blood or marriage, your parent, grandparent, great grandparent, child, grandchild, great grandchild, aunt, uncle, sister,
brother, niece, nephew, or the spouse of any such relative, and provide the required information for each.

Filer reported none.

Amendment Page 32 of 35
Reimbursments, Gifts, and Honoraria

36. Identify any Reimbursements for expenses in excess of $100 provided to you at any time during 2017 by any
legislative agent or executive agent (lobbyist).

Filer reported none.

36.a Identify any Reimbursements for expenses in excess of $100, other than those identified in response to Question
36, you received at any time during 2017 from any person having a direct interest in legislation, legislative action, or a
matter before a governmental body.

Filer reported none.

37. Identify any Reimbursements for expenses in excess of $100 provided to your spouse and/or any dependent
child(ren) residing in your household at any time during 2017 by any legislative agent or executive agent (lobbyist).

Filer reported none.

37.a Identify any Reimbursements for expenses in excess of $100, other than those identified in response to Question
37, provided to your spouse and/or dependent child(ren) residing in your household at any time during 2017 by any
person having a direct interest in legislation, legislative action, or a matter before a governmental body.

Filer reported none.

38. Identify any Gifts and/or Honoraria worth more than $100 provided to you at any time during 2017 by any person
having a direct interest in legislation, legislative action, or a matter before a governmental body.

Filer reported none.

Amendment Page 33 of 35
39. Identify any Gifts and/or Honoraria worth more than $100 provided to your spouse and/or any dependent child(ren)
residing in your household at any time during 2017 by any person having a direct interest in legislation, legislative action,
or a matter before a governmental body.

Filer reported none.

NOTE: If the Filer answered “YES” to a Question in the following section, one or more columns in the Table for that
Question may be blank in the following situations: If the Filer indicated that the name of the person and/or the trust was a
family member’s name or address, the Filer was not required to provide that name. If the Filer indicated that an address
was a family member’s address, the Filer was not required to provide that address.

Blind Trusts

40. Did you, your spouse and/or any dependent child(ren) residing in your household during 2017, own anything that you
have not reported on this Statement of Financial Interests because it was held in a Blind Trust during 2017?

Filer reported none.

Amendment Page 34 of 35
CERTIFICATION
I, Natalie Blais, certify under the pains and penalties of perjury that:

I made a diligent effort to obtain the required information concerning myself and my spouse and/or any dependent child(ren); and

The information provided on this form is true and complete, to the best of my knowledge.

Submitted: 07/24/2019

Did your spouse and/or any dependent child(ren) residing in your household decline to disclose information which is necessary to complete this

form fully and accurately?

The following are the specific Question(s) which I decline to answer in whole or in part because I assert that the information is privileged by law:

Please explain the basis of your claim of privilege:

IMPORTANT:

1. No DESIGNATED PUBLIC EMPLOYEE shall be allowed to continue in their duties or to receive compensation from public funds unless
they have filed a Statement of Financial Interests with the State Ethics Commission.

2. The State Ethics Commission does not accept a faxed or emailed copy of a Statement of Financial Interests for filing.

3. If you were required to amend your Statement of Financial Interests last year, we encourage you to carefully review your 2017
filing before submitting.

Amendment Page 35 of 35

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