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NEBRASKA s..

DATE
ACCOUNTABILITY AND ,
MICROFILM
DISCLOSURE COMMISSION STATEMENT NUMBER 799C092
11th Floor, State Capitol
P.o. Box 95086 OF Fl'F C F~fit::1QaUSE ONLY
:-! ;C (;1 '.' NEf:'F"\
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Lincoln, NE 68509 FINANCIAL r'J e-r

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(402) 471-2522
INTERESTS 20ng APR 20 At'! 9: 09
BEFORE COMPLETING
READ FILING REQUIREMENTS ~~~E
. .['f'n! n! lLITY d~
NADC FORM C-1 c SSION
1#J3:~
• Candidates for designated offices and holders of designated offices and positions must file this statement. See Sections 1A and
1B of the instructions.
• Candidates (including incumbents) subject to this filing requirement must file with the Commission and with the appropriate
election official (See Instructions).
• Designated officeholders and holders of designated positions mustfile this statementwith the Commissionannually.
• Dollar values need not be report for any item, except Item 11.
• Persons who fails to file as requiredis subject to a civil penalty of up to $2,000.
ITEM 1 I YOUR NAME, ADDRESS AND PHONE NUMBER

Name GwoR-
LAST
ffilUbJ
FIRST
R~t
MIDDL
TelephoneNo·30S.
.
3&;)" &S;,,2.
Address <11 \ S- R~ &tVTWOOS) L{«. c.i, E..
STREET ADDRESS OR RURAL ROUTE
(-:;-IlA1A rft'j
CITY
15 l...1rTV D f\f(;
STATE
(;;R-R 0(
ZIP CODE

ITEM 2 I OCCASION FOR FILING (Check Appropriate Box)

D A candidate for elective office o Left office or position

~nnual officeholder's or state employee's report o Newly appointed to office or position
ITEM 3 I
OFFICE HELD & TERM OF OFFICE (Incumbent elected/appointed officials and state employees.
IB of instructions)
See

List the office or position you currently hold which requiresthis filirig. If you have left office, list the offlce you held,
Office or Position: s.5~~k . Term: Ol/()C} 01/( 3
Bi!GINS ENDS
Name of City, County, District, or State Agency: Le..G.( sLATuR.£.,
-

ITEM 4 I OFFICE SOUGHT (Candidates only. See 1A of instructions)

List the office sought which requires this filing.
Office:

Name of City, County, District, or State Office:

ITEM 5 I PERIOD COVERED BY THIS STATEMENT

This statement must cover all financial interestsfor the entire "preceding calendar year"and not just as of year-end. If you have
left office, this statement must cover all financial interestsfrom the end of the calendar year for which you previouslyfiled up to and
including the date you left office. .

~
This statement covers the preceding calendar year January1 through December 31, :;;"'008
D Left office, this statement covers the period January 1, to
(DATE YOU LEFT OFFICE OR POSITION)

I Revised August 2007

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ITEM 6 I SOURCES OF INCOME OF OVER $1,000

lncorne includes money or any other form of recompense constituting income under the Infernal Revenue Cope. (See definitions)
Name and address of any source' (including an individual, business, List the nature of the source's business and the nature of the services you
body of government, political subdivision or body corporate) from rendered or the circumstances under which income was received.' NOTE: Do not
whom income of over $1,000 was received. list the amount of the income.
1.) ( .tL~~ IC J...\-eo \N-t. ~t.JniL~ 1a.) ,~n.bNlJ ~ D....cc;V'lAeA v <L.r~vVv I

{ Y q I;} ..Kl'<.o AD LV PrV S lu\6 d-, bo 0 0 ( scs« _-:.-L.Vp"" A'} ,.:.J..- c,,/3D/f) 'if'
'd\P.~)lt,~,*, r r, '0(');),,0 ? I t>

2.) 2a.)

3.) 3a.)

4.) 4a.)

·NOTE: IF INCOME RESULTED FROM EMPLOYMENT BY, OPERATION OF OR PARTICIPATION IN A PROPRIETORSHIP, PARTNERSHIP;
CORPORATION OR OTHER PERSON, LIST THE SAME AS THE SOURCE OF INCOME, BUT NOT THE PATRONS, CUSTOMERS, PATIENTS, OR.
CLIENTS THEREOF.
ITEM 7 I BUSINESSES WITH WHICH YOU ARE ASSOCIATED (See definitions)
Name and address of all businesses, organizations, or associations (profit and non-profit) with which you held a position of officer, director, limited liability
company member, partner, or stockholder and any entity in which you held a position of trustee. Such reporting is required based on the position held, not
on whether income was received. You need not report business associations which are otherwise listed under Item 6.
Name and Address of Business or Organization Nature ofAssociation
i.) [1",,-Uk)a~\~(~ \.\p l"it t-PfW ole""1\ _<::'1'1 Ih. 1a.)

~lA 'Me -n" r.rJJ wF%e- ~LU\\t...D~ I.~+.,A

'11.4. ,nA~ I~AA =r; T <"'~ fI (~ A)'~lM.n;J-(';'/3()IO~
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2.) 2a.)

3.} 3a.)

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4.) 4a.)
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5.) Sa.)

6.) 6a.)

7.) 7a).
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1
.ITENiS .. REA~.PROPEFtT\ ~~" rlE FILER IN NEBRASKA (Real p!Operty'Val~ed at les~ than $~,000 and your
. 'lJ~rsonal residence ne.ed notb~-reported.). .,.; ; , ..•. '.

Ltst all r~alpr'op.ertYih·.yQ(jr Jiatii~. or in o/hich you have a direct ownership interest: Thedescrlption required must be sulflclent to identify
the location ofthe.propsrty.' Exceptions: . You need not report real estate owned by a business listed in Item 6 or 7, your personal
residence of real property valued at less than $1 ,ooci.Personal residence refers to your principal dwelling-house and adjacent land used.
for house-hold purposes, such as lawns and gardens.
...
Location of Property Nature of Property
(Description or Address (such as: agricultural, commercial, industrial, residential-rental)

N~ A,

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'ITEM9 OTHER FINANCIAL INTERESTS AND PROPERTY'HELI)OURING THE PERIOQ OF THJS STATEMENT .,'
. WHICH EXCEEDED A FAIR-MARKET VALUE OF $1,000 AT ANY TIME DURING THE REPORTING PERIOD
. (a) List the names and addresses of the institutions in which you had checking and savings accounts and G~rtificates of deposit. '.

Financial Institution Address

h-ve-- tJC)l~BfrJJl(. . . , '. ··~e{S·(\J. J:)~A{)W &L-L .

G~ tSLf}IVOJ ~~ &·~I

Lvt;LLS FARGO DMJ.K .. 3oi-{' We '0 Y'd. 8ii

Gf1-/t1V{J IS. L/t-J..HJ II .(VG . ~'g-w(

3, LC)ClU.I ST.
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G/LktJ0J IS Ut-t0(JJ /VEl ~/
(b) List the names of the issuers of all stocks, bonds, and government securities, not otherwise listed under Items 6 or 7.
S::kdule-l; ,'t-Jwt-~~~-kcX
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8>C.1~~:tf~~.
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e\:$~

., ~6--t\-l.oJjs. R~i~v.s-h~ .f~ .. ~,'e)~lo~ c.E.:cak.u~ ~.~ t .

s~~1I ~IM.~IV'C-<~ai b~:C.~\e.a.~o:r.1. 3o~,,~ eel, ~/{)J ~1(lS Co. ~f)rs+--6/1.1 .
BILffi.b co. GIO, ~b~ ~Pf D j N~V'lI.AL+j~p J;h~,: J)Uvol~(O"b6*p~"tl,,':th~ .
'. (c) Describe other property owned or held forthe production of income not otherwise disclosed in Items 6; 7, 8 or 9(a)(b),lnclude
leaseholds and other interests in reat estate, promissory notes 'and other obligations owed to y6'u, beneficial interests in trusts and'
estates, cash value life insurance, IRAs, deferred income and retirement plans. Exception: Do not include accounts receivable,
inventory, fixtures and equipment owned or used by a business listed in Items 6 & 7 or household goods, personal automobiles and
other tangible personal property unless such property was held primarily for sale or exchanqe .

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ITEM 10 'I CREDITORS TO WHOM $1,000 OR MORE WAS OWED OR GUARANTEED BY YOU OR A MEMBER OF
YOUR IMMEDIATE FAMILY. ,
Exception: Loans from a relative and land contracts which have been recorded with the County Clerk or Register of Deeds need not be
reported. Accounts payable. debts arising out of retail installment transactions or loans made by a financial institution in the ordinary
course of business need not be reported. '
Name Address

N.,4,

ITEM 11 I SOURCES OF GIFTS OF A VALUE OF MORE THAN $100 RECEIVED EXCEPT GIFTS FROM RELATIVES.
(See definitions) , ,
Name and address of Donor Occupation or nature of business of ' , Value of Gift Description of Gift and
Donor (See Key Below) Circumstances or Occasion for
Gift

N'.A. 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 the
Value column the letter which corresponds to the value category of the gift. The value categories are:

A) $100.01 to $200; B) $200.01 to $500; C) $500.01 to $1,000; D) si.ooo.ot or more.

ITEM 121 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 true
and complete.

Au i:~)./eu
(Signatur{( of Filer)
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~ate)