XGR Krist SFI

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    NEBRASKA POSTMARK gJlq/fjqACCOUNTABILITY AND DATEDISCLOSURE COMMISSION STATEMENT MICROFILM 8 ' {}3'014011th Floor, State Capitol R t: : ,~~-I\)~MggROF ~.t. VL... ~ :,; --.. ~.'r~!\ijpP.o. Box 95086 EC~"~ '1 C\}I/tV,ISri-tEl)sE ONLY". i . . . "Ill;Lincoln, NE 68509 FINANCIAL R -c 't ',[n A -\~

    ' " ' , f ; i . : t : . 'f l;J(402) 471-2522 INTERESTS I n u 1 ~ , :u L~f~~~!~~,~~BRAS'I t -.~"\f t~~JT"-"( ~(If .bl\t("i. ...\.-\BEFORE COMPLETING nnUGl{ \'5 ~ u u Z t l o ~ A O G 2 0 A M 9 : 0 3-'uREAD FILING REQUIREMENTS NADGFORM C-1 .. ~~E .A CCOUNTA8 lL lTY &D i S C L O S U R E C O M M iS S IO N Candidates for designated offices and holders of designated offices and positions must file this statement.See Sections 1A and1B of the instructions. Candidates (including incumbents) subject to this filing requirement must file with the Commission and with the appropriateelection official (See Instructions). Designated officeholders and holders of desiqnated positions must file this statement with the Commission annually. Dollar values need not be report for anyitem, except Item 11. Persons who fails to file as required is subject to a civil penalty of upto $2,000.ITEM 1 IYOUR NAME, ADDRESS AND PHONE NUMBERName ((((1sT RoBc..( ::r. Telephone No. 4(}2,40 .833A

    LAST FIRST MIDDLEAddress .2.33S tJo.~ J fJ2-vi .9-, r ! J 1 - v \ -r I t ...... ,uC ~813c..(STREETADDRESSORRURALROUTE CITY STATE ZIPCODEITEM 2 IOCCASION FOR FILING (Check Appropriate Box)

    ~ A candidate for elective office o Left office or position "Annual officeholder's or state employee's report o Newly appointed to office or posit ionITEM 3 I OFFICE HELD & TERM OF OFFICE (Incumbent elected/appointed officials and state employees. SeeIB of instructions) .Listthe office or position you currently hold which requires this filing. If you have left office, list the office you held.Office or Position: Term: BEGINS ENDSName of City, County, District, or State Agency:ITEM 4 IOFFICE SOUGHT (Candidates only. See 1A of instructions)List the office sought which requires this f iling. ~ ; - , , - I - n . c . - 1ffice: J . . - e 6- \ 5 > / - '1 - - , ~ . - - - ))Name of City, County, District, or State Office: S:-:N'..f>rj or..ITEMS IPERIOD COVERED BY THIS STATEMENTThis statement must cover all financial interests for the entire "preceding calendar year" and notjust as of year-end. Ifyou haveleft office, this statement must cover all financial interests from the end of the calendar year for which you previously filed up to andincluding the date you left office.E J This statement covers the preceding calendar year January1 through December 31, 2-0010 Left office, this statement covers the period January 1, to (DATEYOULEFTOFFICEORPOSITION)RevisedAugust2007

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    ITEM 6 ISOURCES OF INCOME OF OVER $1,000Income includes money or any other form of recompense constituting income under the Intemal Revenue Code. (See definitions)Name and address of any source* (including an individual, business, Ust the nature of the source's business and the nature of the services youbody of govemment, political subdivision or body corporate) from rendered or the circumstances under which income was received. NOTE: Do nwhom income of over $1,000 was received. list the amount of the income.1.) xLS-. Go" e-rr--r""M= 1a.) t.AE4-'F (!...rtes: ~,..1/

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    ITEM 8 I REAL PROPERTY OF n. ,-ILER IN NEBRASKA (Real property valur uat less than $1,000 and yourpersonal residence need not be reported.) . .. List all. real property in your name or in which you have a direct ownership interest. The description required must be sufficient to identhe location of the property. Exceptions: You need not report real estate owned by a business listed in Item 6 or 7, your persoresidence of real property valued at less than $1,000. Personal residence refers to your principal dwelling-house and adjacent land ufor house-hold purposes, such as lawns and qardens.

    Location of Property Nature of Property(Description or Address (such as: agricultural, commercial, industrial, residential-rental)

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    ITEM 10 I CREDITORS 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 bereported. Accounts payable, debts arising out of retail installment transactions or loans made by a financial institution in the ordinarycourse of business need not be reported.

    Name Address

    ITEM 11 I SOURCES OF GIFTS OF A VALUE OF MORE THAN $100 RECEIVED EXCEPT GIFTS FROM RELATIVES.(Seedefinitions) .Name and address of Donor Occupation or nature of business of Value of Gift Descript ion of Gift andDonor (See Key Below) Circumstances or Occasion foGift

    Choose Value: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 estimate of the filer. For each reported gift insert in theValue column the letter which corresponds to the value category of the gift. The value categories are:A) $100.D1 to $200; B) $200.01 to $500; C) $500.01 to $1,000; D) $1,000.01 or more.ITEM 12 ISIGNATURE 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 trand comolete.

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