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Candidates fer designated offices and holders ef designated offices and positions must file this statement. See Sect ions 1A and1 B of the instructions .
Candidates (including incumbents) subject to' this filing requirement must file with the Commissi on and with the appropria teelection efficial (See Instruct iens) .
Designated officeholders and holde rs ot designated positions must file this statementwith the Commisslon annually . Dollar values need net be report fer any item , except Item 11. Persons who.fails to'file as reauired is subject to' a civil penalty of up to' $2,000.
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NEBRASKAACCOUNTABILITY AND
DISCLOSURE COMMISSION11 th Floor, State Capitol
P.O. Box 95086Lincoln, NE 68509(402) 471-2522
BEFORE COMPLETINGREAD FILING REQUIREMENTS
STATEMENTOF
FINANCIALINTERESTS
NADC FORM C-1
ITEM 1 I YOUR NAME, ADDRESS AND PHONE NUMBER
Name C a,- I~ 0 r l Ale r;: ,~ nLAST FIRSTAddress III 2.. I-3r h b;; ? :: 5+ ,
STREET ADDRESS OR RURAL ROUTE
POSTMARKDATE
79 6 00 '72ICROFILMNUMBER
fin; ) II' r 7~ ' I - . -I
-,- ; r n Telephone No..MIDDLEHo Id r e .&\ e
Cll'"
go t ?
~ f5 -~ e 1 '1,Ve.,
STATE
ITEM 2 I OCCASION FOR FILING (Check Appropriate Box)
D A candidate for elective off iceIX IAnnual officeholder 's or state employee's report
~~q~1ZIP CODE
D Left office or positionD Newly appointed to office or position
ITEM 3 IOFFICE HELD & TERM OF OFFICE (Incumbent elected/appointed officials and state employees.IB of instructions)
List the office or position you currently held which requiresthis filing. lfyou have left office, list the office you held .Office or Position: . :s a+ e ~ en a- r0 v- Term: ~ / = -= - ~{-- ; - ! !O ~7 ! . .- . . - - - !. /~z . . :-3~/_ - .
BEGINS ENDS
Name of City, County, District , or State Agency: 3 8
See
ITEM 4 I OFFICE SOUGHT (Candidates only. See 1A of instructions)List the off ice sought which requires this filing.Office:
Name of City, County, District, or State Office:
ITEM 5 I PERIOD COVERED BY THIS STATEMENTThis statement mustcover all financial interests fer the entire "preceding calendar year" and not just as ot year-end. Ifyou haveleft office, this statement must cover all financ ial interests from the end ef the calendaryear fer which you previously filed up to'andinclud ing the date you left office.
[l;I This statement covers the preceding calendar year January1 through December 31,
D Left off ice, this statement covers the period January 1, to-------- (DATE YOU LEFT OFFICE OR POSITION)
L-_---------. ; .....--I
Rev ised August 2007
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..ITEM 6 I SOURCES OF INCOME OF OVER $1 ,000Income inc ludes money or any other form of recompen se const ituting incom e under the I nternal Reven ue Cod e. (See d e finitions )Name and address of any source * (including an individual, busin es s, List the nature of the sour ce 's busine ss and the nature of th e ser vices youbody of government, p olitical subdivision or body co rporate) fr om rend e red or the circumst ances under wh ich income was rec e ived . NOTE: Dowhom income of ove r $1,000 w as received . list the amount of the inc ome .1 .) P . . .. .as: (pa ( L ,e : : :rO;1 , c. : 1a.) Be.-rp.; rr z.,- ;!Irl (3 .-0 .r-I-. e"-~ r: :: ;;u- r n ~
De."? ' t y (q ; n4 !t~J
Xt M . ? i7 /.4;;: ' f .. .J r 5 " - LZ ~ Nt!!-b r= ;-J ,
2.) P ctr /c oe d a" . : 2 ert /" Cprp 2a.)Oe~ N( a; de .: :? ; r eWa I
J
3.) Sewiai 6e .c .uritJ i&6 ce Me; f T 3a. )Wa p h ' 9+ cn DC
4.) .:5rat "e- or- Ne-h r, 4a .)st .aTe .. C ::: i.o i- ro Ib. il ' 1 G O I r z "
'A le. . b r :
*NOTE: IF INCOME RESULTED FROM E MPLOYMENT BY, OPERAT ION OF OR PART ICIPATIO N IN A PROPRIETORS HIP, PART NERSHCORPORATIO N OR OTHER PERSON , LIST THE SAME AS THE SOURCE OF I NCOME, BUT NOT THE PATRONS , CUSTOMERS , PAT IENTS ,CLIENTS THEREOF.
ITEM 7 I BUSINESSES WITH WHICH YOU ARE ASSOCIA TED (See defi nitions)Name and address of all bus ine sses , organiza tions , or assoc iations (prof it and non-profit ) with which you held a p os ition of officer, director, limited liacompany member , partne r, or s tockholder and any entity in which you held a position of truste e. Su ch re porting is req uired bas ed on the position he ldon whethe r incom e was re ceived . You ne ed not r epo rt business a ss ocia tions which are otherwise lis ted unde r Item S.
Name a nd Address o f Business o r Orga niza tion Na ture of Associatio n
1.) C l , C: / ;:$ : + i an Hc...ne-. ;: . TnC " r 1a.) a: n de ..." t e - Yi .d e; ~+ L ; v i'",ecBe tfic 4
Il ~ " "" !,..,+"", .d L;v ir ;' ::",., h? =
Ho I J'-~5e - I'Ve!- b , - , r .; II Nu r: ::> /n_ /..JnrV Z~ C . d r - e> -J2.) 2a .)
3.) 3a .)
4.) 4a .)
5.) 5a .)
6.) Sa.)
7.) 7a ).
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ITEM 8 IREAL PROPERTY OF THE FILER IN NEBRASKA (Real proper ty valued at less than $1,000 and you rpersona l residence need not be repor ted.)
List all real property in your name o r in which you have a direct ownership interest. The description required must be suffic ient to identifythe location of the property. E xceptio ns: You need not repo rt real estate owned by a bus iness listed in Item 6 or 7 , your personres idence of real p roperty valued at less than $1,000 . Pe rsona l residen ce re fers to your pr incip a l dwelling-house a nd adjacent l and ufor house -hold pu rposes , such as lawns and qardens.
Location of Property(Descr iption or Address
Nature of Prope rty(such as : agr icultural , commercial , industr ial, res iden tial-ren tal)
ITEM 9 IOTHER FINANCIAL INTERE STS AND PROPER TY HELD DURING THE PER IOD OF THIS STATEMENTWHICH EXCEEDED A FAIR MARKET VALUE OF $1,000 AT ANY TIME DURING THE REPORTING PER IOD
Financ ial Institution
(a ) List the names and addresses of the insti tutions in wh ich you had checking and savings accoun ts and ce rtifica te s of depo sit.
Addre ss
(b) List the n ames of the issuers of all stock s, bonds, and government securit ies , not othe rwise listed under Items 6 o r 7.
p r iYlC i peJ I L., i -F e- C&>, (: :7+e?C Ie.) O e~ /Y(o ; rle ~ J : : r: ~~aW 0 I V l" t . d y-+ ( S t - oc - k: )
(c) Describe other property owned o r held for th e production of income not otherwise disclosed in Items 6, 7, 8 o r 9(a)(b ). Includeleaseholds and other interests in real estate , promissory notes and other obl igations owed to you, benef icial inte rests in t rus ts andesta tes , cash va lue life insu rance , IRAs, de fe rred income a nd ret irement plans . Except ion: Do not include accounts receivable ,inventory , fixtures and equipmen t owned o r used by a busin ess lis ted in I tems 6 & 7 or household goods , pe rsonal automobiles a nd
othe r tancible personal property unless s uch property was held primari lv for sa le or e xchanqe .
F'~,-W \ I and ..
N'~ Ne ; Q+.- z .t-f -7 - iC f P h e- rr-~ C c .:>_
W y~ , ," ,tV Q -f , - 1 - 8 ~ I B ph e tF ~ C e ;:> ~
PI" I ~ r : / - i n ;; 1 ~ -::?e.-r- v I e . .fZ "'!;1 C a r r~l'Vl u -+" d P"i-
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ITEM 10 ICREDITORS TO WHOM $1 ,000 OR MORE WAS OWED OR GUARANTEED BY YOU OR A MEMBER OFYOUR IMMEDIATE FAMILY.
Exception: Loans from a relative and land contracts which have been recorded with the County Clerk or Register of Deeds need not breported. Accounts payable, debts arising out of retai l installment transactions or loans made by a financial institution in the ordinarycourse of business need not be reported.
Name Address
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ITEM 11 ISOURCES OF GIFTS OF A VALUE OF MORE THAN $100 RECEIVED EXCEPT GIFTS FROM RELATIVES.(See definitions)
Name and add ress of Donor Occupat ion or nature of bus iness of Value of Gift Description of G ift andDono r (See Key Below) Circumstances or Occas ion f
GiftChoose Va lue:
Choose Value:
Choose Value:
Choose Value:
Choose Value:
Choose Value:
Choose Value:
Choose Value:
" - - -. -
The monetary value of each gift shall be categorized based on the good faith es tima te of the filer . For each reported gift insert in theValue column the letter which corresponds to the value category of the gift. The value categor ies are :
A) $100.01 to $200; B) $200.01 to $500; C) $500 .01 to $1,000 ; D) $1 ,000.01 or more.ITEM 12 I SIGNATURE OF FILER AND DATE.I hereby state that I have used all reasonable diligence in the preparation of this Statement and that to the best of my knowledge it is trueand complete.
-= : ) ~AfA' 3 9 ' a- ( ' -~O7(Signature of Filer) (Date)