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British Statement of Disclosure

Columbia Financial Disclosure Act


You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
■ an elected local government official
■ an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government" includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party’s legal counsel.

What is a trustee? - s„ 5 (2)


In the following questions the term “trustee” does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure:


Ai^rr)^£lj^oh,6 6
;e box:

City: Province: Postal Code: AAT UZ


O provincial (ftrlocal government
Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:
creditor’s name(s) creditor’s address(es)

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.
your capacity name(s) of business(es)/organization(s)

oiTH of KrfMVflima
TMS-'lAjcr A)M)f\Z/n

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
® no O yes

If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

Af)
signature of person making disclosure
AMb PamJ
date

Where to send this completed disclosure form:


Local government officials:
...to your local chief election officer
• with your nomination papers, and

...to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1 st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
...to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
06/2014
BRITISH
Columbia
Statement of Disclosure
Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
• an elected local government official
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government” includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party’s legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term “trustee” does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure: BFAJrZJ-lFU 6uY


^ j 7
f IRM A IUT>lirst & middle'name(s)

Street, rural route, post office box:


AVB
City: hi kh’A\ (AC Province: Postal Code:

O provincial ''GUocal government


Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:

vUftJA fveK6V dvf\b


CAk)AX)lAAl hlATuRAV-ketovRCPC ATt>
TTAiTlr kWaFTi LTV

jTY a /.> mAMMMMSdiMIME


Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:
creditor’s name(s) creditor’s address(es)

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.

your capacity ______________________________________ name(s) of business(es)/organization(s)

Ohs vVe?- Mllri


oluUbR 6i/YpEr/!)y/U £-1/ toviuuAUli
o us u aR

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
thqn 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
^<10 Oyes

If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

signature of person making disclosure

Where to send this completed disclosure form:


Local government officials:
...to your local chief election officer
• with your nomination papers, and

... to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
...to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
06/2014
BRITISH Statement of Disclosure
Columbia Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
■ an elected local government official
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government” includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party’s legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term "trustee” does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure: Oo/vac-O G-o/ZP&a/


first & middle name(s)

Street, rural route, post office box:


2-2./F2. dA&JLZm. T/So/) £€
City: Province: Postal Code:
/iyAAS/b//u /)
O provincial @ local government
Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:

.. A sr £6 c o....r era......... ............ .....................


Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:
creditor’s name(s) creditor’s address(es)

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.

your capacity name(s) of business(es)/organization(s)

O (-J AJ £iT£6O0 t,T/l

Real Property - s. 3 (f)


List the legal description and address of ail land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
Q no O yes

If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
■ in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

signatureof person making disclosure

Where to send this completed disclosure form:


Local government officials:
...to your local chief election officer
• with your nomination papers, and

...to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1 st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
...to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
06/2014
BRITISH Statement of Disclosure
Columbia
Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
• an elected local government official
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government” includes municipalities, regional districts and the Islands Trust)

Who has access to the Information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party's legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term “trustee” does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure: A, Q. j\)


' 1 Inc
last name T'l L&T- first & middle name(s)

Street, rural route, post office box:

City:
Ni\NJA-TjaO Province: Postal Code: VAT SV\3
O provincial Q/focal government
Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:
creditor’s name(s) creditor’s address(es)

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.
your capacity name(s) of business(es)/organization(s)

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)
Lu f A 0 >s VrM_\ ^ , N'ewd-sV-V fAA\s\yc<. t J ...
.n•-u.DjAxLiwtr. /iLl/' ^
^ , / 1 ::—


2
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
thay?iO% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
(£/no O yes

If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

signaturejaf person making disclosure

Where to send this completed disclosure form:


Local government officials:
... fo your local chief election officer
• with your nomination papers, and

...to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
...to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position 3
06/2014
BRITISH
Columbia
Statement of Disclosure
Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
• an elected local government official
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government” Includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party’s legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term “trustee” does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure: /t'Aua// £ 3 Ru a// A


last name TTrst & middle name(s)

Street, rural route, post office box: 7? <2c> u/f\P~W cA/(T

City: A/ /Pi aA/V / /A o Province: ACT Postal Code: 1/9 S 4-£/


O provincial ® local government
Level of government that applies to you:
O school board/francophone education authority

It sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:

creditor’s name(s) creditor’s address(es)

0 &/ &/? JP)


........................ ...... ..................„ ,zn........................

— ... - —------------------- ----- —..- — —------- --------------


i / ^

Income ~ s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.
your capacity name(s) of business(es)/organization(s)

Real Property = s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)

2
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
® no O yes
If yes, please list the following information below & continue on a separate sheet as necessary:
■ the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

^ A CcsOQ/ <5,

signature of person making disclosure

Where to send this completed disclosure form:


Local government officials:
...to your local chief election officer
• with your nomination papers, and

...to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


■ with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members ’ Conflict of Interest Act

Designated Employees:
... to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1st and 15th of January of each year you are employed, and

06/2014
• by the 15th of the month after you leave your position 3
V

BRITISH Statement of Disclosure


Columbia Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
• an elected local government official
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* ("local government” includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party’s legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term “trustee” does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure: 1^^ first &


last r

Street, rural route, post office box:


- VY
City: a/ww? ^VQ-- Province: Postal Code:

O provincial O^local government


Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:

Alsintj
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:
creditor’s name(s) creditor’s address(es)

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.

your capacity name(s) of business(es)/organization(s)

i/^u. O/) / fijj'Y'-e. AW simj /e cU y\o ^ [JdzzU'


is -tf-........................... .... -------------------

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)

MJA..

2
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother^sister, mothenpr father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held byIPtrustee on your behalf, but not shares you hold by way of security.)
to O yes
If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

ft! ^ll
0^1/2
date l(f '
signature ofperson making disclosure

Where to send this completed disclosure form:


Local government officials:
...to your local chief election officer
• with your nomination papers, and

...to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1 st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
...to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1 st and 15th of January of each year you are employed, and
■ by the 15th of the month after you leave your position
06/2014
BRITISH Statement of Disclosure
Columbia Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
• an elected local government official
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
'(“local government”includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party’s legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term "trustee” does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
* has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure: Ur Grio ^ 77f


first & middle name(s)

Street, rural route, post office box

City: Province: Postal Code:


L) [3
O provincial ^local government
Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.
your capacity name(s) of business(es)/organization(s)

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)

i T h (oOL/ (O (C-£>I S-f,


LD
PUJ-SW/^C -------------------- y-----------------------
THT PftT TP PLIO
VxP^ZZ76 PoU RD
Corporate Assets - s. 5
Do yo(j individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
thapr 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
^ino Oyes

If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

Where to send this completed disclosure form:


Local government officials:
...to your local chief election officer
• with your nomination papers, and

...to the officer responsible for corporate administration


• between the 1 st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1 st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


■ with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members' Conflict of Interest Act

Designated Employees:
...to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
06/2014
BRITISH Statement of Disclosure
^ Columbia
Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
• an elected local government official
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government’’ includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act repmes you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party's legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term "trustee'1 does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure: (5 (ITS 1/


'ToSbPH
*______ ufst & middle name(s)

Street, rural route, post office box: lb(o Colbl A. S-T


City: PU(\aO Province: 0, C- Postal Code:
V =1 ITH L£|
O provincial local government
Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:

'Fl’P-S'T CobfsuT
QOAC Qo^TvJTO ►Aipn'CCLS Co£P.........
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:
creditor’s name(s) creditor’s address(es)

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.

your capacity name(s) of business(es)/organization(s)

(\tuNr'BP-

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
thapf-30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
®no Oyes

If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

L S
&/I/U
J>
signature of pb(sojfmaking disclosure date

Where to send this completed disclosure form:


Local government officials:
...to your local chief election officer
• with your nomination papers, and

...to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
... to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
06/2014
BRITISH Statement of Disclosure
Columbia
Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
• an elected local government official
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government” includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party's legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term “trustee” does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure:


last name j ^ first & middle name(s) J

Street, rural route, post office box: 2^ 36 1 Crcju/^f'


City: /l/rT/yiAj'/v^iD Province:
ec Postal Code:

O provincial ©“local government


Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:
creditor’s name(s) creditor’s address(es)

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.
your capacity name(s) of business(es)/organization(s)

L eve ( Tfso A//) to b

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
©fno Oyes

If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
■ in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

signature of person making disclosure______________________________ date___________________________________

Where to send this completed disclosure form:


Local government officials:
...to your local chief election officer
• with your nomination papers, and

...to the officer responsible for corporate administration


• between the 1 st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1 st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
...to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1 st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
06/2014
BRITISH
Columbia
Statement of Disclosure
Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
• an elected local government official
■ an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
’‘(“local government" includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party's legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term “trustee" does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure:


wn MEEP ■
Street, rural route, post office box: GILL^TIFS-T-
City:
-H Prirm Province: Postal Code:

O provincial M local government


Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:
creditor’s name(s) creditor’s address(es)

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
■ Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.

your capacity ___________________________________ name(s) of business(es)/organization(s)

MPoiww Vice

Real Property - s„ 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)

Co- 65 ST- WAlvAivm .

'
2
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
no O yes

If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

signature of person making disclosure date

Where to send this completed disclosure form:


Local government officials:
...to your local chief election officer
• with your nomination papers, and

...to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
... to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
06/2014
British Statement of Disclosure
Columbia
Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
• an elected local government official
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
’'(“local government” includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of ffre Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party’s legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term “trustee” does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure: {-/ONXS,


last name first & middle name(s)~

Street, rural route, post office box Si<B> M£vL\e£

City: Province: Postal Code:

O provincial ©-local government


Level of government that applies to you:
O school board/francophone education authority

if sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:

$£ /LTP______

^ PAciF/£ t/£A/rc7£t-5 LTD


Liabilifies - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:

creditor’s name(s) creditor’s address(es)

otdi f"i u/UfOAJ , 13^0 L44B,£uy +?p. fK/fttfA/WV

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
■ Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.

your capacity name(s) of business(es)/organization(s)

C.O Lt c (-? ory or

^Bcro R ^£(biD»Au vi$nZic f or wpfNQmiV


OloajBR l'Its /^yrtU

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.

legal description(s) address(es)

tor 8wP&h ButfiiSW


Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
O no ©''yes

If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

<0$ PfaflC \JSMTl//2e^


del?1*'

W(/Sic- [/foUe ,
tAz

{JntOrt

hfe ofpersolr-rhaking disclosure

Where to send this completed disclosure form:


Local government officials:
...to your local chief election officer
• with your nomination papers, and

...to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
...to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1 st and 15th of January of each year you are employed, and

06/2014
• by the 15th of the month after you leave your position 3
I,

BRITISH
Columbia
Statement of Disclosure
Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
• an elected local government official
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* ("local government” includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party’s legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term "trustee” does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure:


fdoA/A-FiO H&fUi&AFf Jfe&isV/b&Q
ffrsf & middle name(s)

Street, rural route, post office box:


loi - Clio
Ci*V: I A/ANA//*£>___ _ Province: Postal Code:
&-C, i/9Y 047.
O provincial local government
Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:

creditor’s name(s) creditor’s address(es)

S'tZCD’T/

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.
your capacity name(s) of business(es)/organization(s)

/-Ju /Z/Zsb/2/3 eosvJc/ATyAs/f- Ar/>

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)

2
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
Ono $5 yes

If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

/-/crJ&fcA'M A TP Pom tPs/l/i/WWJ *TJ f


aymm/t y? &
/V? £SSZ&TXd-fC StP V/P/Z SfaP

ASO PA/i T' oA-

A/ro & Tz-rArA S7A/AkPA

__________________________________^____________________________________________________________________________

signature of person making disclosure date

Where to send this completed disclosure form:


Local government officials:
... to your local chief election officer
• with your nomination papers, and

... to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/Francophone Education Authority directors:


... to the secretary treasurer or chief executive officer of the authority
‘ with your nomination papers, and
• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
... to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
06/2014
Don Hubbard financial discourse 2018

Corporate Shares

ATLAS ENGINEERED PRODUCTS LTD A.E.P.

ISHARES CANADIAN CORPOATE BOND INDEX EFT

ISHARES CORE CANADIAN SHORTTERM CORPORATE MAPLE BOND INDX ETF

BANK OF MONTREAL NON CUM4.0% YR RATE

INTACT FINACIALCORP 3.332%NON CUMRT

ENBRIDGE INC

ROYAL DUTCH SHELL PLC SPONSORED ADR REPSTG SHS

TRANSCANADACORP

DOWDUPONT INC COMMON STOCK

CANADIAN NATIONAL RAILWAY

CANADIAN PACIFIC RAILWAY

WALGREEN BOOTSALLIANCE INC COM

WALMART INC COMMON STOCK

BAYER AKTIENGESELLSCHAFT ADR

COCA COLA COMPANY

JOHNSON & JOHNSON

NESTLE SA-SPONSORED ADR REPSTG REGD ORD (SF10 PAR)

PROCTER & GAMBLE

UNILEVER PLC SPONSORED ADR

BANK OF MONTREAL

BANK OF NOVA SCOTIA

CANADIAN IMPERIAL BANK OF COMMERCE

ROYAL BANK OF CANADA

TORONTO-DOMINION BANK

APPLE INC

ALPHABET INC CLASS C CAPITAL STOCK

AMAZON. COM. INC


BCE INC COM NEW

TELUS CORPORATION

WALT DISNEY CO.

EMERA INC

FORTIS INC

ISHARES CANADIAN CORPORATE BOND INDEX ETF

WALGREEN BOOTS ALLIANCE INC COM

EMERA INC
BRITISH Statement of Disclosure
Columbia
Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
• an elected local government official
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government” includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party’s legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term “trustee" does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure:


.To(?S>R k4, fikc /vyjagrir,
Street, rural route, post office box: \2o TiuE: srfzrer
City: /OP\M fVtfAo Province: Postal Code: we 263
O provincial (Dd-fical government
Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:

,U£ 3'iH<e &C~ ltd


— ....................- --------------
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:
creditor’s name(s) creditor’s address(es)

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.

your capacity name(s) of business(es)/organization(s)

Qcs.me-sr" C/Xe. j vr^-Oa'Ac.S<sr\

<3c^ Ltoj

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)

LT^'Secd, PLM 3m/

2
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
Ono p$(yes

If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

Sci CClrVio

signature of person making disclosure

Where to send this completed disclosure form:


Local government officials:
...to your local chief election officer
• with your nomination papers, and

...to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


... to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1 st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
...to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1 st and 15th of January of each year you are employed, and
■ by the 15th of the month after you leave your position
06/2014
BRITISH Statement of Disclosure
Columbia Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
■ an elected local government official
■ an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government” includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party’s legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term “trustee” does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure: isKdkiname V\>V -tf first^LllQknlfOif \

Street, rural route, post office box: c\c \ t oc__________ _______ __ _______________ ...

City: Province:
Ac. Postal Code:
VLT RT)
O provincial ^Jocal government
Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:
creditor’s name(s) creditor’s address(es)

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.
your capacity name(s) of business(es)/organization(s)

vn v\tv \LeSrr ~ 3^

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
(Jyrio O yes
If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

Where to send this completed disclosure form:


Local government officials:
...to your local chief election officer
• with your nomination papers, and

...to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1 st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
...to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
06/2014
BRITISH Statement of Disclosure
Columbia
Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
■ an elected local government official
■ an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government” includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party’s legal counsel.

What is a trustee? ~ s. 5 (2)


In the following questions the term “trustee” does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure:


Ko^nbiiiC^ f iL first & middle name(j

Street, rural route, post office box:


SixJJi S7
City:
tO (Zf \divric? Province:
£>6- Postal Code:
^ /Z €5 W jL
O provincial ©local government
Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:
creditor’s name(s) creditor’s address(es)

-M-
fat

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.
your capacity name(s) of business(es)/organization(s)

fillA (nl Ur l/l/^ l/S

------------ ^--------------------------------- / 7(V</net. A /d>d.

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
0no oyes

If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

date

Where to send this completed disclosure form:


Local government officials:
...to your local chief election officer
• with your nomination papers, and

... to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
...to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1 st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
06/2014
BRITISH Statement of Disclosure
Columbia
Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
• an elected local government official
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government” includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party's legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term “trustee” does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
■ holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure:


(E^\ last name
{'ZinJ-Kl
y /Vl oivUcA
/ v I first & middle name(s)

Street, rural route, post office box:

City: Province: 9.P Postal Code:


I/1T
O provincial ©'local government
Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:
creditor’s name(s) creditor’s address(es)

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province,
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.
your capacity name(s) of business(es)/organization(s)

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
■ Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
tham36% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
©'no Oyes

If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

Where to send this completed disclosure form:


Local government officials:
...to your local chief election officer
• with your nomination papers, and

... to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


... to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1 st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
...to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
06/2014
Financial Disclosure-stocks Owned 2018 Election.txt
Gary Korpan owned Stocks & ETF's 13/09/2018
AEGON NV ADR
AGNICO EAGLE MINES
AIMIA INC
BAUSCH HEALTH
CGX ENERGY
CALLIDUS CAPITAL
CAMECO CORP
CEAPRO INC
COEUR MINING
DELPHI ENERGY
DENISON MINES
DIVERSIFIED RLTY
DREAM HARD ASSET ALT TRUST
ENBRIDGE INC
ENERGY FUELS
FLOW CAPITAL
KALYTERA THERAPEUTICS
MEMEX INC
NUTRIEN LTD
OSISKO GOLD ROYALTIES
PEREGRINE DIAMONDS
QUARTERHILL INC
SANDSTORM GOLD
SHAW COMMS
SNIPP INTERACTIVE
SPROTT INC
TAMARACK VALLEY ENERGY
TECSYS INC
TEN PEAKS COFFEE
TORC OIL
TRICAN WELL SERVICE
TRICON CAPITAL
TRINIDAD DRILLING
URANIUM PARTICIPATION
VERIS GOLD
WSTN ASSET
WESTERN FOREST PRODUCTS

ARC RESOURCES
ALPHA PRO
HAVILAH MINING
HECLA MINING
HELIUS MED TECHNOLOGIES
IKKUMA RESOURCES
INTEL CORP
IVANHOE MINES
ORBITE TECHNOLOGIES
PFIZER INC
QUARTERHILL INC
SHERRITT INTERNATIONAL
SOURCE ENERGY
THOMSON REUTERS
URANIUM PARTICIPATION
VERMILION ENERGY
YAMANA GOLD
ENDO INTERNATIONAL
PALADIN ENERGY

ATHABASCA OIL
BREAKING DATA
COEUR MINING
EUROCONTROL TECHNICS
Page 1
FinancialDisclosure-stocks owned 2018 Election.txt
IBC ADVANCED ALLOYS
IKKUMA RESOURCES
IVANHOE MINES
LIBERTY GOLD
NEVSUN RESOURCES
NORTHERN GRAPHITE
PETROWEST CORPORATION
PIVOT TECHNOLOGY
POUNCE TECHNOLOGIES
TRICAN WELL SERVICE
URTHECAST CORP
Exchange Traded Funds (etfs)
BMO NASDAQ 100 EQ HEDGED
ISHARES CDN SECT DIV IDX

Page 2
British Statement of Disclosure
Columbia Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
• an elected local government official
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government” includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party's legal counsel.

What is a trustee? ~ s. 5 (2)


In the following questions the term "trustee” does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure £ JO


first & middle name(s)

Street, rural route, post office box 2/20 Art ^ ‘■JT-

City: Province: Postal Code: t/

O provincial # local government


Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:

//ys "0 QL At A ~ FI<3 of / T/i?S


Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:
creditor’s name(s) creditor’s address(es)
t.O'l* & **'/< S/? £Q as4**/ ‘ O c e rvi mt/ * e fH *-
nm/ii c A. &(}/T - i/Asrs c<*

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
■ Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.

your capacity name(s) of business(es)/organization(s)

rvw? //S S •’#**■'*


side6 a*'*? £.&'* k>aa-v, Turns
PA Utl VK /unnu&t. /c, / Tva.'*'

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)
p/o o-i.n- too - <0T4 Soc r/t* 4 r -3^9 *> m V A/?.
TbU/A/SMiAV jOtSTAsS'/JdM'lr 6-A. tf/f . Sk 6' . .
A/C ff/f. a/r- ra.fr 'STddlM o/T7a 61 n9 - $o X 1£ /rS / !// £, 7£>si 9^ , s&c'.
ese/p/AtHtf Lo ts'f/tZk,
<oT / m/iitit/iiJr™?'o\ Mi’fjflts *6’*- /S5" A#J r. /t’+'A/l/M.
<ir S', S</€Tt/A//
~A*'*l**t2 A/xr/Otrl

2
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
(^no O yes
If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

signature of person making disclosure date

Where to send this completed disclosure form:


Local government officials:
...to your local chief election officer
• with your nomination papers, and

...to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members' Conflict of Interest Act

Designated Employees:
...to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
06/2014
BRITISH Statement of Disclosure
Columbia
Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
■ an elected local government official
■ an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government" includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of fhe Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party's legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term "trustee” does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure: Loos last name first & middle name(s)

Street, rural route, post office box: jSD M

City: VOcXa \ r/v-0 Province: ^— Postal Code:


\m \c&
O provincial p9Uocal government
Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:

~ "'bcuAs g'v ^ ooe,r\e ^ Ls1?AT-\M^AFoA \ Q C-V? ) - (j-^7 yro ^

~ ^osVorx 2o}^ ~ 2o aV A A A s Tunc- fx-AG ^

Got) ' KtwcVA o\\l s


Td-fl - V\0~ CcO*- CoVcl,
o ' ,
140”T. V) ^>rv\Gc\ c o n \\o\<A Acs Gu .wSr»r\
|A ^ Vu Af O 5 ,;5 Go\ ^ VAT - G',a\c\ -IrcuV-OA Tt> ' < (Nrcu\V

T- GGvds Cor T "Slcu - S\\r Uf U-OLT


a; ...x-— ........--
V S l — \) \C-Vof 4 S9 v °^r ^ 5r\‘5-‘iTrVv<5
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:

creditor’s name(s) creditor’s address(es)

T \! C mx
l-ec.S'L

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.
your capacity name(s) of business(es)/organization(s)

Vx!ts\-e.m $Ae u'c<^or >k q


' o

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)

'VbcAV'1 S\.;e<A ^ (Vkvnov.vxtj

cA 1 ‘i f)lccK S ?lcv\ (//PI^SZ icVio1 L;uO thsW’icHz. AAcr-s Aotj \Oo-r>et


—— ■ “

2
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
j£mo O yes
If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

2o i 8
signature of person making disclosure date

Where to send this completed disclosure form:


Local government officials:
...to your local chief election officer
• with your nomination papers, and

...to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
... to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
06/2014
BRITISH Statement of Disclosure
Columbia
Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
• an elected local government official
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* ("local government” includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party’s legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term "trustee" does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure:


/VT Pt TmprJ ^ cr'/V/3- I
last name first & middle name(s)

Street, rural route, post office box:

City: a/A a/ft/,7)0 Province: Postal Code: \lq£ VW


O provincial local government
Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets yoi hold in trust for another person:
creditor’s name(s) creditor’s address(es)

J/A
.. x. ^

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.
your capacity name(s) of business(es)/organization(s)
W PrdAt Grt5tY\ e-A/ r \
--------------------------------------- ------ 1----------------------------- *----------- —

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)

2
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
^n° Oyes

If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

'ZfATUkUsdsu 'TYVlt io
^igftafure of person making dip^losure date

Where to send this completed disclosure form:


Local government officials:
... to your local chief election officer
• with your nomination papers, and

... to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1 st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
...to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
06/2014
BRITISH Statement of Disclosure
Columbia
Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
• an elected local government official
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government” includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party’s legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term “trustee" does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure: (VN PvA WVS>


* last name
C..‘ 5 \V
first & middle name(s) ____ _

Street, rural route, post office box: 8i cALc l


City: fSnr~> vp- V Province: Postal Code:

O provincial €Hr5cal government


Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:

t A-A-*-* ^ &\) c ____

lh> ^ .. c5Tp
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:
creditor’s name(s) creditor’s address(es)

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
■ Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.
your capacity name(s) of business(es)/organization(s)

o. a- /vo eJ £~U)P
/X-/0 fs.VL ^rOiMG- Got ^07 -s
ID \ QjEUeYl'i?—

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)

Lcf\ (GfcAO 3t b 'i' w& fi y<?'A s


L&V (®j ViS5^c| lit ft-) (teod

Lq Y ( O } S&UL-J G 1S S j 2-0 j »fydd d\i ^


Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
O no O yes
If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

signature of person making disclosure date

Where to send this completed disclosure form:


Local government officials:
... to your local chief election officer
• with your nomination papers, and

...to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
... to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
06/2014
BRITISH
Columbia
Statement of Disclosure
Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
• an elected local government official
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government" includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requites you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party’s legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term “trustee" does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure: (A A? T>0 d/ArL€> (3 ( LL)


mst & middle name(s) y ^

Street, rural route, post office box: // 8~b?<r'7


/^/^s^Gi'roO
City: Province: 3c. Postal Code: i/9F AFS
O provincial Olocal government
Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:
creditor’s name(s) creditor’s address(es)

Income s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.
your capacity name(s) of business(es)/organization(s)
£fy\PL£'i&

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.

legal description(s) address(es)


Corporate Assets ~ s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
O no O yes
If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

signapjteaTperson making disclosure

Where to send this completed disclosure form:


Local government officials:
...to your local chief election officer
• with your nomination papers, and

...to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
...to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
06/2014
BRITISH Statement of Disclosure
Columbia
Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
• an elected local government official
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government” includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party’s legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term “trustee" does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure


~257f/2CF/ "J^/a7a7'
last name Jirst & middle name(s)

Street, rural route, post office box:


30 ay)/2
City: aOo> Province: Postal Code:

O provincial ©iocal government


Level of government that applies to you:
O school board/francophone education authority

U sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:
creditor’s name(s) creditor’s address(es)

Income -= s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.

your capacity name(s) of business(es)/organization(s)

/e&ctrrn t/r

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)

L___________________________ ____________ 1_____ _________________________________

2
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
(Brno O yes
If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

o/ -6 r 20/$
signaturefof person making disclosure date /

Where to send this completed disclosure form:


Local government officials:
...to your local chief election officer
• with your nomination papers, and

...to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
...to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
06/2014
BRITISH Statement of Disclosure
Columbia
Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
■ a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
• an elected local government official
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government” includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party's legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term “trustee” does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure: /^cTr'0Sc£~r*ft s/Oft*/


first & middle name(s)

Street, rural route, post office box: V- 2-^/7 r'/Z /TL?.


City: t//frt^\ o Province: 3^ Postal Code: 3? 7
O provincial ©iocal government
Level of government that applies to you:
O school board/francophone education authority

if sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:
creditor’s name(s)____________________________________ creditor’s address(es)

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.
your capacity name(s) of business(es)/organization(s)
/Z<) f/1c- ^ ‘Zt'csP/F# p
<!S-Csr>'e flrf c- STc-c

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)

2
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
® no O yes
If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

------------------ _____

signature of person making disclosure date

Where to send this completed disclosure form:


Local government officials:
...to your local chief election officer
• with your nomination papers, and

...to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1 st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
... to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1 st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
06/2014
British Statement of Disclosure
Columbia
Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
• an elected local government official
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government” includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party’s legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term “trustee" does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure:


CH last name Co & middle name(s)

Street, rural route, post office box


S775~ h&FZ/FS
0l)(A-UcAA7
City: Province: ■<2wC . Postal Code:
CAT
O provincial 0 local government
Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:

creditor’s name(s) creditor’s address(es)

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.
your capacity name(s) of business(es)/organization(s)

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.

legal description(s) address(es)

2
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
0 no O yes
If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

^ —----------- ..... , /T
signature of person making disclosure date

Where to send this completed disclosure form:


Local government officials:
...to your local chief election officer
• with your nomination papers, and

...to the officer responsible for corporate administration


• between the 1 st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
... to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position 3
06/2014
British Statement of Disdosure
Columbia Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
■ a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
• an elected local government official
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government’’ includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party’s legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term “trustee” does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure:

Street, rural route, post office box:

Province: Postal Code:

O provincial ® local government


Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:
creditor’s name(s) creditor’s address(es)

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.

your capacity name(s) of business(es)/organization(s) '

Ownev' Maci^-ena i'£ C&n%vdhir)£\

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)

2
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
$> no O yes

If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

fljAAsUgt
signature of person making disclosure date (J

Where to send this completed disclosure form:


Local government officials:
...to your local chief election officer
• with your nomination papers, and

...to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/Francophone Education Authority directors:


... to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
... to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
06/2014
BRITISH Statement of Disclosure
Columbia
Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
■ an elected local government official
■ an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government” includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party's legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term “trustee” does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure: ' f\ T 'F ( UJtfT L iUTHTnU


f/rsf & middle name(s)

Street, rural route, post office box: 3o - S 1 I

City )0 A fT A t (v\0 Province: 6c Postal Code: i rs r/


O provincial SJ local government
Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:
creditor’s name(s) creditor’s address(es)

rJj.Iff
---------------- ------------------------------------------------------------

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.
your capacity name(s) of business(es)/organization(s)

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
O no O yes
T
If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

7 7 1

signature of person making disclosure date

Where to send this completed disclosure form:


Local government officials:
...to your local chief election officer
• with your nomination papers, and

...to the officer responsible for corporate administration


• between the 1 st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
...to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position 3
06/2014
BRITISH Statement of Disclosure
Columbia Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
• an elected local government official
■ an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government’’ includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party’s legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term “trustee" does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure:


firef & middle name(s)

Street, rural route, post office box:

City: Province: €(T Postal Code: VIS HATX


O provincial ($ local government
Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:
creditor’s name(s) creditor’s address(es)

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.
your capacity name(s) of business(es)/organization(s)

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)
Corporate Assets - s. 5
a
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
^no Oyes

If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

signature of person making disclosure date 1

Where to send this completed disclosure form:


Local government officials:
...to your local chief election officer
• with your nomination papers, and

... to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


... to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


■ with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
... to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
06/2014
BRITISH Statement of Disclosure
Columbia
Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
■ an elected local government official
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government’’ includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party's legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term "trustee” does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure:

Street, rural route, post office box:


6 -

City: Province: Postal Code: U(fS J/) 7

O provincial (tHtJcal government


Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:
creditor’s name(s) creditor’s address(es)

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.

Sc £\oo / (c/£?/') sc\ /1/aaja //% -z /iryy

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than SO^of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
(Dyes

If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

...to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1 st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
... to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
06/2014
BRITISH
Columbia
Statement of Disclosure
Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
• an elected local government official
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government” includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party’s legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term “trustee" does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure: SOO\ \ ' (a„ RlCVAA,mDeQL*GLAS

Street, rural route, post office box: 3 ^4 5k S^NSONl Vx£V\)

City: NATJATHO Province: (4^ PostalCode:

O provincial ^ local government


Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:

i' 30'l SC UxvAeA........... ................. ............................................


Rrcv\A^D Scott GaTC^PRTS.£5 StaiTUO

— ■ — ■ —------ —---- -------------- 1


Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:

creditor’s name(s) creditor’s address(es)

K//A

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.
your capacity name(s) of business(es)/organization(s)

C-V^eX Gcecu.V*\j?y O^cev- )Pres\A^Ar iisoUoiP Sc lh


CWi^A O^Rc.f .r,, f\V RtcWxcd CcoVY A.'cAprprvSe.S LVd

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.

legal description(s) address(es)


Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
O no if> yes

If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

......................................................
^signature of person making disclosure date

Where to send this completed disclosure form:


Local government officials:
...to your local chief election officer
• with your nomination papers, and

...to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
... to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1st and 15th of January of each year you are employed, and

06/2014
• by the 15th of the month after you leave your position 3
BRITISH Statement of Disclosure
Columbia
Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
• an elected local government official
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government” includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of f/?e Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party's legal counsel.

What is a trustee? - s„ 5 (2)


In the following questions the term "trustee" does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
* has an agreement entitling him or her to acquire an interest in land for your benefit

DAW P Kd&t&'T
Person making disclosure: 5//vt first & middfe name(s)

Street, rural route, post office box: ZO^ /V\cc/TiA-k Y D K(i/E

City ASAA/A-ZAAO Province: Be Postal Code: \/9 7 [|/7

O provincial ©''local government


Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:
creditor’s name(s) creditor’s address(es)

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.
your capacity name(s) of business(es)/organization(s)

frooTKAftZY. CO/V)
d UU A/ F R

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)

LOT /Sj Skc- TlPfr( tT \/\/£Ll:Ia/ ^ 30 ^ AAc£/fUL ii V O/Z11/£.


OtSTtf/cJ, ?LAhl io'bci'l NA/V/TIaaO i/<?7 / v7
PIO ooi
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
O yes
If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
■ in general terms, the type of business the corporation and its subsidiaries normally conduct
■ a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

/O ZtO/tf
signature of person making disclosure date

Where to send this completed disclosure form:


Local government officials:
...to your local chief election officer
• with your nomination papers, and

...to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
...to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1 st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
06/2014
BRITISH Statement of Disclosure
Columbia
Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
• an elected local government official
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government" includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party’s legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term “trustee" does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
* holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure: l r v\


ast name
fsj GJiiO
first & middle name(s)

Street, rural route, post office box:

City: LJ PtfO AnM- C> Province: 6^ Postal Code: v/q T£T{


O provincial @ local government
Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:

pOOQ
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:

creditor’s name(s) creditor’s address(es)

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.

your capacity name(s) of business(es)/organization(s)

iQci-i P^OScocs
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . \- - - - - - - - - - - - - - -feWii
- - - - - -- -- - CtA)
- - - - ■—,'V-
- - - - fie
-- - - - M
- - -P- - 1-PeCiscer\
- - - - - - - - —|

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)

*0 o o <2-

2
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
©no Oyes

If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

_/yl_________

signature of persoh making disclosure date

Where to send this completed disclosure form:


Local government officials:
...to your local chief election officer
• with your nomination papers, and

...to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1 st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
...to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
06/2014
BRITISH Statement of Disclosure
Columbia
Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
• an elected local government official
■ an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government” includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party's legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term "trustee” does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure: S M ( tstLe /h /f/§ (^shLiXaM^ ^^ ^


Street, rural route, post office box: F

City: A/AnIA/M^ Province: Postal Code: \f<Cj^ j


O provincial g^local government
Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:

6 Lclc erft/ IgfJ


U

(G LoJ Ma)l t \JjLCCAOu Swc *

.... “~ ..... (7 "


Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:
creditor’s name(s) creditor’s address(es)

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.

your capacity name(s) of business(es)/organization(s)

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)

2
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
(g) no O yes
If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

H <3-£>l S'
signature of person making disclosure date '

Where to send this completed disclosure form:


Local government officials:
...to your local chief election officer
• with your nomination papers, and

... to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
■ between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
... to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
06/2014
BRITISH Statement of Disclosure
Columbia
Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
■ an elected local government official
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government” includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of f/re Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party’s legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term “trustee” does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure:

Street, rural route, post office box: 2


■ -^ P'CjFL.

City: Province: 0 • C- Postal Code:

O provincial uSCIocal government


Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:
creditor’s name(s) ________________________ creditor’s address(es)

C - sf— • 13> •

C jO <^5 [ (jo ( fy ((/'ZcJclt' lU*il<rr\


v-J---------- i

/kk Xj<~LY
V / rr / /

is, r\^Lp n-r~? poy &cr sskH ■


— * J 1 /
1 I --------------------------------------------------------------—.......—------------------------------------------------ -------------

S3S uo lAA CS-.k'b QJ<

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.
your capacity name(s) of business(es)/organization(s)

nS*.?i N&KCi ^ jp,

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
O no O yes
If yes, please list the following information below & continue on a separate sheet as necessary:
■ the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

signature'of personfrriaking disclosure date ^

Where to send this completed disclosure form:


Local government officials:
...to your local chief election officer
- with your nomination papers, and

...to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


■ with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
... to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
06/2014
db British Statement of Disclosure
w COLUMBIA ______ Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education
authority
an ejected locad gevennimerat ®fioial
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor iin Gauwail
*f.toea/ government" includes municipalities, regional districts and the islands Trust)

Form and Fact Sheets:


This form, Statement of Disclosure, can be found on the B.C. Government Web site: www.gov.bc.ca [type ‘Statement of Disclosure' in
the search ibari|. The form -can be printed and completed by hand, or iit can toe completed at your computer then printed. Ilf you do
complete the form at your computer, you will mot toe able to save iit so please ensure you have printed the completed form before exiting
the program. There are also important fact sheets on the Financial Disclosure Act to accompany this form on the Web site:
• Fact Sheet for those accepting nomination as a municipal official [type ‘AG04003-a’ in the search bar]
• Fact Sheet for those accepting nomination as member of the Legislative Assembly in B.C. i[type 'AG04003-b' :in the search tat

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed toy nominees or imuPieipal officials are available for public Inspection during normal business hours. Statements filed toy
designated employees are inert routinely available for public inspection. If you have questions about this form, please contact your
solicitor or your political party’s legal counsel.

What is a trustee? - $. s (Z)


Urn the following iquestions the term "‘trustee" does not imean school trustee or Islands Trust trustee. (Under the Financial Disclosure Ad a
trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada)
to pay income tax on income received on the share or land interest
- has an agreement entitling him or her to acquire an interest iin land for your benefit
l!
Storrie Kevin Bruce
Person making disclosure: last name first & middle name(s)

... . #77-15 Buttertubs Drive


Street, rural route, post office box:

Nanaimo B.C. „ ,„ V9R3X8


City: Province: _______________ <, Postal Code;

Level of government that applies to you: provincial local government


school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets S. -s. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:

None to report
Liabilities -s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
tenrowed for housshOld or personal lliwing expanses, or any assets you told in fast for another jperson:
creditor’s name(s) creditor's address(es)

CBV Finacial Services 4664 Lougheed Hwy., Burnaby. B.C. V5C 5T6

Eos Financial 1100-325 Milner Ave.,Toronto, Ont. M1B 5N1

FMEP (see attachment) Box 5100, Victoria, B.C. VSR 6N3

Income -s. 3 (b-d)


List each of the businesses and organizations from «Moh you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
* iLocal foverrament officials, sdhoCl board officials, francophone education authority directors and designated erritployees imust Hist
only income sources within the regional district that includes the municipality, focal trust area or school district for Which the
official is elected or nominated, or where the employee holds the designated position
your capacity name(s) of bimness(es)/organization(s)

Pensions (CPP, OAS, GIR) Gov/t of Canada

Safer Province of B.C.

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an Interest or have an
agreement which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province
• Local government officials, school board officials, francophone education authority directors and designated employees 'must 'list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which
the official is elected or nominated, or where the employee holds the designated position
legal description(s) address(es)

None to report
Corporate Assets -s.s
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than .30% «!f votes for (gleetag fitineetons? ((fooliude shares held 'by a Hmutstee on your behalf, butt mat shares you Undid by may Of seourity.')
gj no O yes

//yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
* m gerasral terms, the type of business the ©orporafiora and life subsidiaries marmally ©saraduot
* a description and address of Hand iin which the corporation,, jits subsidiaries or a trustee acting for the corporation, own an Merest,
or have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable In 90 days
<* a Hist ©f any other corporations iin which the corporation, iincluding life subsidiaries or trustees acting for them, holds one or more
Shares,
f J!
!! i

i |

--------------------------:> ,/

an / /
_______A ’ ^ _ )
signature ofperson making disclosure date

Where to send this completed disclosure form:


4 Local government officials:
... to your local chief election officer
• with your nomination papers, and
... to the officer responsible for corporate administration
• between the 1st and 1:5th of January of each year you hold office, and
• by the 15th of foe rnnonfo after you Heave office
♦ School board trustees/ Francophone Education Authority directors:
... to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office
4 Nominees for provincial office:
• With your nomination papers, f elected you Will be advised of further disclosure requirements under the
Members' Conflict of Interest Act.
4 Designated Employees:
... to the appropriate disclosure clerk (local government officer responsible for corporate
administration, secretary treasurer, or Clerk of the Legislative Assembly)
• by foe 15th of the month you become a designated employee, and
• between the 1st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
#AG04003
01/2004
August 4, 2018

Re: FMEP.

To whom it may concern:


FMEP is listed as a creditor on my financial disclosure
forms for the municipal election. This applies to an adjustment that was made,
erroneously to my child support payments approximately 10 years ago.

Subsequent to that a Supreme Court Justice issued an order of non-collection on


my behalf. Unfortunately FMEP has not removed this from my credit record, so
am therefore reporting it on my disclosure forms.

All payments required have been made by me and my status with them is up to
date. I am not a dead beat dad. Far from it.

Thank you,

Kevin B. Storrie
British Statement of Disclosure
Columbia Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
• an elected local government official
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* ("local government" includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party's legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term “trustee” does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure: A ita w A- v v fit B> i iv p (Ti/ rjz/rft rj)


last name first 3 middle name(s)

Street, rural route, post office box: ACU ^ ‘ArjA L, PtfuDKj % j£-£>aVP

City: K> hk)iQ 1 Mq Province: Postal Code:

O provincial ® local government


Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:
creditor’s name(s) creditor’s address(es)

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
■ Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated Dosition.
your capacity name(s) of business(es)/organization(s)
' I

......

/
/ ------------------------ z*-------------------------------------------------------------------

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal descriptions) address(es)

2
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
© no O yes
If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

signature of person making disclosure

Where to send this completed disclosure form:


Local government officials:
...to your local chief election officer
• with your nomination papers, and

...to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


... to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1 st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
...to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
06/2014
British Statement of Disclosure
Columbia Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
• an elected local government official
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government’’ includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party’s legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term "trustee” does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure: / //ft / / /”— first & middle name(s)

Street, rural route, post office box:


5j/
City Province: Postal Code:
AS/y/t'/?
O provincial f2hlocal government
Level of government that applies to you:
O school board/francophone education authority

if sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:
creditor’s name(s) creditor’s address(es)

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
■ Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.
your capacity name(s) of business(es)/organization(s)

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
*no O yes
If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

Where to send this completed disclosure form:


Local government officials:
...to your local chief election officer
• with your nomination papers, and

...to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1 st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
...to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1 st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
06/2014
British Statement of Disclosure
Columbia Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
• an elected local government official
• an elected school trustee, or a director of a francophone education authority
■ an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government” includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party's legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term “trustee" does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure: t vyotvfg,. (ftki


first & middle name(s)

Street, rural route, post office box: S>c-cAloS


City: M Cvy-VCL V^vo Province: Postal Code:

O provincial r!8Uocal government


Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:

\ AW cT-^oj'W LA— Lottos. \rk t A tx w


Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:
creditor’s name(s) creditor’s address(es) .

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
■ Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position,

your capacity name(s) of business(es)/organization(s)

r e~\ \ f st A ScjLotiA "\l?.c5^Lkojr ' f~ peavS'^'-N

Cjo t C c>\ o-n. \ S

». rs vj C q v \ oC^ & -r
....... .. ............... J ....—..■

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)

-------------------------- —.... ............--------------------------------------------

- - • " -------

------ ------ ^
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
)^ no Oyes

If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

y -2-0
signature of person making disclosure date I

Where to send this completed disclosure form:


Local government officials:
... to your local chief election officer
• with your nomination papers, and

...to the officer responsible for corporate administration


• between the 1 st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1 st and 15th of January of each year you hold office, and
■ by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
... to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
06/2014
British Statement of Disclosure
Columbia Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
• an elected local government official
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government" includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party's legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term “trustee” does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure: ' y^ ^J(X^rtSL£ <2L

Street, rural route, post office box:

4
g.d.
City: Province: Postal Code:
Jpr-4itd
O provincial ® local government
Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:

O o /-n / l
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:
creditor’s name(s) creditor’s address(es)

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.

your capacity name(s) of business(es)/organization(s)

/. f' r /~ .

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)

2
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
f) no O yes

If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

'signature'of person making disfclosi

Where to send this completed disclosure form:


Local government officials:
... to your local chief election officer
• with your nomination papers, and

... to the officer responsible for corporate administration


• between the 1 st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/Francophone Education Authority directors:


... to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
...to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
06/2014
JIM & MARIANNE TURLEY - AUGUST 2018

Current Allocation
MIC Pref. Shares
REIT
15% 4%
15%

Bonds
1%

Cash & Equivalents


18%

(Core - CDN) Dev. IP


8% 13%

Bonds 1%
Cash & Equivalents 18%
Dev. IP 13%
Equities (Core - CDN) 8%
Equities (Core - INTL) 6%
GICs 20%
MIC 15%
Pref. Shares 4%
REIT 15%
Grand Total 100%

List of Holdings, % of Total


GICs 20.07% TFI International Inc 0.14%
Cash & Equivalents 18.19% Thomson Reuters Corp. 0.14%
MIC 14.99% Alimentation Couche-Tard Inc. 0.13%
REIT 14.61% Berkshire Hathaway Inc., Class 'B' 0.13%
Dev. LP 12.72% Cl Financial Corp. 0.13%
Pref. Shares 3.95% Gildan Activewear Inc. 0.13%
The Walt Disney Company 1.87% CVS/Caremark Corp. 0.11%
Bank of Nova Scotia 1.66% Diageo PLC 0.11%
Vanguard Information Technology ETF 1.56% Canadian Western Bank 0.11%
Toronto Dominion Bank 1.55% Thermo Fisher Scientific Inc 0.10%
Bonds 1.15% Rogers Communications 0.10%
Royal Bank of Canada 0.46% Finning International Inc. 0.10%
Canadian Natural Resources Ltd. 0.38% Badger Daylight Ltd. 0.10%
SuncorEnergy Inc. 0.35% PrairieSky Royalty Ltd 0.09%
Bank of Montreal 0.34% 3M Company 0.09%
Husky Energy Inc. 0.32% Cisco Systems Inc. 0.09%
Union Pacific Corp. 0.30% Enbridge Inc. 0.09%
Fortis Inc. 0.30% Saputo 0.08%
United Parcel Service 0.28% Arc Resources Ltd. 0.08%
Microsoft Corp. 0.28% Stella-Jones Inc. 0.05%
Magna International 0.27% InterActive Corp. 0.04%
Johnson & Johnson 0.26% Telus Corp. 0.03%
Canadian Imperial Bank of Commerce 0.25% Other core equities 0.03%
VISA Inc. 0.25% Other net assets 0.02%
United Technologies Corp. 0.23% Power Financial Corp. 0.02%
Canadian National Railways 0.22% TransCanada Corporation 0.02%
Canadian Utilities Limited 0.22% Sun Life Financial Inc. 0.02%
Wells Fargo & Co. 0.18% Great West Lifeco Inc. 0.01%
Oracle 0.17% BCE Inc. 0.01%
Apple Inc. 0.16% Encana Corp. 0.01%
Manulife Financial Corp. 0.16% Cenovus 0.01%
Emera Inc. 0.01%
Disclaimer:
This portfolio summary is not an official Integral Wealth Securities Limited account statement.
Some of the positions shown in this summary may be held at other financial institutions where they are not covered by the
Canadian Investors Protection Fund.
It may contain information about securities not held in your Integral Wealth Securities Limited account, which you have provided
to us, to enable us to prepare a more comprehensive portfolio summary.
This summary is provided as a general source of information and should not be relied upon.
BRITISH
Columbia
Statement of Disclosure
Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
■ an elected local government official
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government" includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party's legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term “trustee" does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure:


COUcTL bsSt first & middfe name(s)

Street, rural route, post office box: JOHMS Am


City:
UAMIAmo Province: B-C. Postal Code:

O provincial ^ local government


Level of government that applies to you:
O school board/francophone education authority

if sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:

N/A
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:

creditor’s name(s) creditor’s address(es)

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.

tM&l isMN£> Hc/y ill A\n$

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)

2
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
O yes
If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

Where to send this completed disclosure form:


Local government officials:
...to your local chief election officer
• with your nomination papers, and

...to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
■ by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1 st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
...to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1st and 15th of January of each year you are employed, and

06/2014
• by the 15th of the month after you leave your position 3
BRITISH Statement of Disclosure
Columbia
Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
• an elected local government official
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government’’ includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party’s legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term "trustee” does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure:


UgstlihMS. feie fL, ti
Street, rural route, post office box:

City:
AMmiMi Province: fee. Postal Code:
.2-
A
i

Level of government that applies to you:


O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:
creditor’s name(s) creditor’s address(es)

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.
your capacity name(s) of business(es)/organization(s)

3oFriA/iOK<: b&i/€Lof‘&e~ ^LCoJs/ SaFTiA/^A^ !b!C,

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal description(s) address(es)

2
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
Ono Oyes

If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

I-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

signature of person making disclosure date

Where to send this completed disclosure form:


Local government officials:
... to your local chief election officer
• with your nomination papers, and

...to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members' Conflict of Interest Act

Designated Employees:
...to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
06/2014
BRITISH Statement of Disclosure
Columbia
Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
• an elected local government official
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* (“local government” includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of the Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party’s legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term “trustee" does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

Person making disclosure:

Street, rural route, post office box: G') Lei yy\

City:
A/ana/mo— Province:

O provincial
6C
local government
Postal Code:
imm.
Level of government that applies to you:
O school board/francophone education authority

If sections do not provide enough space, attach a separate sheet to continue.


Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:
creditor’s name(s) creditor’s address(es)

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
■ Provincial nominees and designated employees must list all sources of income in the province,
■ Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.
your capacity name(s) of business(es)/organization(s)

GM/f Cofru^oj~erGerr/xe,s LTD

Real Property - s. 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
• Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
iegai description(s) address(es)

2
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
(^)no Oyes

If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

?'t G.

signature/of persoii making disclosure date

Where to send this completed disclosure form:


Local government officials:
...to your local chief election officer
• with your nomination papers, and

...to the officer responsible for corporate administration


• between the 1 st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


... to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
... to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1 st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
06/2014
BRITISH
Columbia
Statement of Disclosure
Financial Disclosure Act
You must complete a Statement of Disclosure form if you are:
• a nominee for election to provincial or local government office*, as a school trustee or as a director of a francophone education authority
• an elected local government official
• an elected school trustee, or a director of a francophone education authority
• an employee designated by a local government, a francophone education authority or the board of a school district
• a public employee designated by the Lieutenant Governor in Council
* ("local government” includes municipalities, regional districts and the Islands Trust)

Who has access to the information on this form?


The Financial Disclosure Act requires you to disclose assets, liabilities and sources of income. Under section 6 (1) of ffre Act, statements
of disclosure filed by nominees or municipal officials are available for public inspection during normal business hours. Statements filed by
designated employees are not routinely available for public inspection. If you have questions about this form, please contact your solicitor
or your political party’s legal counsel.

What is a trustee? - s. 5 (2)


In the following questions the term “trustee" does not mean school trustee or Islands Trust trustee. Under the Financial Disclosure Act
a trustee:
• holds a share in a corporation or an interest in land for your benefit, or is liable under the Income Tax Act (Canada) to pay income tax
on income received on the share or land interest
• has an agreement entitling him or her to acquire an interest in land for your benefit

fc>AUj4
Person making disclosure:
B w \ firtfi middle name(sl_

Street, rural route, post office box: 4c1ifl Vi ILLS


City: Province: fee Postal Code: \fiT 2JC4-
O provincial "t^Tocal government
Level of government that applies to you:
O school board/francophone education authority
If sections do not provide enough space, attach a separate sheet to continue.
Assets - S. 3 (a)
List the name of each corporation in which you hold one or more shares, including shares held by a trustee on your behalf:
Liabilities - s. 3 (e)
List all creditors to whom you owe a debt. Do not include residential property debt (mortgage, lease or agreement for sale), money
borrowed for household or personal living expenses, or any assets you hold in trust for another person:

creditor’s name(s) creditor’s address(es)

?SC VitOQOCAftL 2.CCD Elands Uibv-VWftvt, fO,

Income - s. 3 (b-d)
List each of the businesses and organizations from which you receive financial remuneration for your services and identify your
capacity as owner, part-owner, employee, trustee, partner or other (e.g. director of a company or society).
• Provincial nominees and designated employees must list all sources of income in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only income sources within the regional district that includes the municipality, local trust area or school district for which the official is
elected or nominated, or where the employee holds the designated position.

your capacity name(s) of business(es)/organization(s)

Real Property - s„ 3 (f)


List the legal description and address of all land in which you, or a trustee acting on your behalf, own an interest or have an agreement
which entitles you to obtain an interest. Do not include your personal residence.
■ Provincial nominees and designated employees must list all applicable land holdings in the province.
• Local government officials, school board officials, francophone education authority directors and designated employees must list
only applicable land holdings within the regional district that includes the municipality, local trust area or school district for which the
official is elected or nominated, or where the employee holds the designated position.
legal descriptions) address(es)
Corporate Assets - s. 5
Do you individually, or together with your spouse, child, brother, sister, mother or father, own shares in a corporation which total more
than 30% of votes for electing directors? (Include shares held by a trustee on your behalf, but not shares you hold by way of security.)
sjtfno Oyes

If yes, please list the following information below & continue on a separate sheet as necessary:
• the name of each corporation and all of its subsidiaries
• in general terms, the type of business the corporation and its subsidiaries normally conduct
• a description and address of land in which the corporation, its subsidiaries or a trustee acting for the corporation, own an interest, or
have an agreement entitling any of them to acquire an interest
• a list of creditors of the corporation, including its subsidiaries. You need not include debts of less than $5,000 payable in 90 days
• a list of any other corporations in which the corporation, including its subsidiaries or trustees acting for them, holds one or more shares.

As'I.
signature dfjperson rpaying disclosure date I
\'>r| 00\'h
Where to send this completed disclosure form:
Local government officials:
...to your local chief election officer
• with your nomination papers, and

...to the officer responsible for corporate administration


• between the 1st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

School board trustees/ Francophone Education Authority directors:


...to the secretary treasurer or chief executive officer of the authority
• with your nomination papers, and
• between the 1 st and 15th of January of each year you hold office, and
• by the 15th of the month after you leave office

Nominees for provincial office:


• with your nomination papers. If elected you will be advised of further disclosure requirements under the
Members’ Conflict of Interest Act

Designated Employees:
... to the appropriate disclosure clerk (local government officer responsible for corporate administration,
secretary treasurer, or Clerk of the Legislative Assembly)
• by the 15th of the month you become a designated employee, and
• between the 1 st and 15th of January of each year you are employed, and
• by the 15th of the month after you leave your position
06/2014

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