Statement of Economic Interests HAND- DELIVERED Filed in 2011 for calendar year 2010 by Darling, Alberta Legislature Senate District 08 RECEIVED iirsazi an A23 FOR EXAMPLES AND EXCEPTIONS SEE THE |NsTRucT|oNs OR v|s|T ouR WEBSITE AT BOARD Still have questions? For priority service send an e-mail to: otherwise leave a detailed message at (608) 261~2028. ATTACH ADDITIONAL PAGES AS SEE INSTRUCTIONS Part A As of December 31,2010 Il INVESTMENTS a) WISCONSIN DEFERRED COMPENSATION PROGRAM If you held an investment in a fund available within the Wisconsin Deferred Compensation Program, please place a checkmark next to each fund in which you held $5,000 or more, whether held privately or through the Program. I More More More $5,000 to than $5,000 to than $5,000 to than $50,000 $50,000 $50,000 $50,000 $50,000 $50,000 Profile Series Small Cap Bond Vanguard Retirement B|ackRock Russell 2000 BlackRock US Debt 2045 Index Index Vanguard Retirement DFA US Micro Cap Portfolio lj Federated US [Vi 2035 Government Securities 2-5 Vanguard Retirement Mid Cap 2025 Biackeock Mid cap Equity P/angtlafd nves men ra Vanguard Retirement l"de" 2015 Rowe Price Mid Cap EI Market Vanguard Targel El El El Retirement Income Large Cap Calvert Scam |n,,eStmem Fixed Returns for the Quarter International Equity Stable Value American Euro Pacific lj Fidemy Comrafund Gf?Wli\ Foic Bank Option lj BlaCl'R??l' EAFE ECIUUV Vanguard Institutional Index Index p|uS Vanguard Wellington - Admiral Shares b) OTHER INVESTMENTS List stocks, bonds, limited partnerships, Wisconsin governmental securities, and mutual and money market funds in which you and your femiIy's interest was valued at $5,000 or more. MUTUAL OR MONEY MARKET FUND Dreyfus Institutional [Vi Aaron Rents Inc Abercrombie 8. Fitch Abraxis Bioscience Inc lil Accredited Home Lenders Holding Co. Administaff inc. Alcoa inc. lj Alliance Boots lj Allied Waste EI U3 f?n5i?0,Finari?i?l Qfbj-*D Inc- Amcore Financial 3' Arnerican lnfernational Amerigroup Corp fl :i 'l Amgen (inc. 1 corp . Astoria Financial Corporalion AVVISI |f1C. Banco Santander Central Hispano Bank of America Bankunited Finl Corp Barclays PLC ADR Barr Pharmaceuticals Inc. Bayer Benchmark Electronics Best Buy Inc. BG Group Biogeri ldec Inc. BNP Paribas Boeing Co. BP PLC Brinker International Inc. Broadcom Corp, Bucyrus International Inc. Cabot Oil 8. Gas Corp. Cameron International Corp. Canon Inc. Capital One Bank Caremark RX lnc. Caterpillar Inc. Celanese Corp Del Celgene Corp. Centene Corp. Charles Schwab Checkpoint Systems lnc. Cisco Systems Inc. CiliGroup Inc. Comvere Tech Inc. Conoco Phillips Corp. Cooper Companies Inc. Coming Inc. Financial Covance Inc. CVS Corp Deere Co. Dell Inc, Delphi Financial Group Inc. Deutsche Telecom DuPont EIDE nemour co Eaton Vance Corp EOG Resources Inc. First Data Corp Flir Systems Inc Fortis Fosters Group Franklin Res Inc. Genentech Inc General Electric Co. General Mills Inc Glaxcosmithkline Global Payments Inc Halliburton Harley Davidson Inc Harman International Industries Inc Harrah's Entertainment Harris Corp Harsco Corporation HBOS Headwaters Inc Healthways Inc Hexcel Corp Hitachi Home Depot Inc Hong Kong Electric Houston Exploration Co Hovnanian Enterprises Inc HSBC Holdings ING ING Group Intel Corp. International Business Machines Corp. (IBM) Itron Inc Industries Inc. Jefferies Group Inc Joy Global Inc KAO Corp L-3 Communications Laboratory Corp of America Lazard Limited Legg Mason Inc Lloyds TSB Group Marsh McLennan Companies Man/ell Tech Group Inc Medtronic Inc. MEMC Electronic Meritage Homes Corp Microsoft Corp. Millea Holdings Inc ADR Moneygram International Inc Moog Inc Moreland Ear, Nose Throat Group, Ltd. National Australia Bank National Grid Navteq Corp. Nippon Inc Novartis AG Oceaneering International Inc. Oneok Inc Oracle Corp. Oriental Financial Group Pacific Capital Bancorp Peabody Energy Corp. Pfizer inc. Pharmaceutical Product Development Inc Philadelphia Consolidation Holding Corp. Phillips-Van Heusen Corp. PNM RES Inc. PPG Industries Inc. Protective Life Corp. Raymond James Financial Inc. Reed Elsevier Rio Tinto Robert Half Intl Inc. Rockwell Automation Inc. Royal Dutch Petroleum RWE San Disk Corporation Sanmina Sci Corp Sasol Limited School Specialty Inc. Scotts Miracle Gro Co Seagate Technology Holdings lnc. Siemans AG SL Green Realty Corp Snap On Tools Inc. Societe Generale France Sonic Corp. Sprint Nextel Corp. St. Jude Medical Inc Standard Pacihc Corp. State Auto Finl Corp Stein l\/lart Inc. Sterling Financial Corp. STMicroelectronics NV NY Reg Stora Enso North America Student Loan Corp. Sunrise Senior Living Inc. Swift Energy Co. Symantec Corp. Target Corporation Telecom Corporation of New Zealand Telefonica SA Telestra Limited Thermo Fisher Scientihc Inc. Tiffany and Co Time Warner Inc. Timken Co Toll Bros inc. Total SA Toyota Transocean inc. TXU Corp Unilever United Fire 8- Casualty Co. United Health Group Inc. United Overseas Bank United Parcel Services inc. United Technology Corp. UPM Corp URS Corporation USG Corp. Valero Energy Corporation Valspar Corp Varian Semiconductor Equipment Assoc Viacom Inc. Walsco Inc Weatherford International Wellpoint Inc Wesco Intl Inc. Western Union Weyerhaeuser Co. W-H Energy Services Inc. Whole Foods Market Winnebago Industries inc. Yahoo Inc. BONDS Bell Atlantic Energy Acquisition Corp Federal Farm Credit Bank Bond El El El El Moreland Medical Center, LLP ij ij we Wit _M_e_fe_v1@_v $50229 El BUSINESS ACTIVITIES List businesses, farms, rental, commercial, and income-producing real estate; and business activities in which you or your family had at least a 10% or greater interest. a) Enterprise(s) operating under a business or trade name, list here. Name of Municipality Describe _b"sl"955 59" Moreland Ear, Nose Throat Group, Ltd. Waukesha Waukesha WI Service Group-Medical b) Enterprise(s) NOT operating under a business or trade name, list here. Name of Municipality Describe Slat? Florida condominium Captiva Lee FL Condominium rental COMMERCIAL CUSTOMERS, CLIENTS, AND TENANTS For each unincorporated business, subchapter corporation, service corporation (SC), limited liability company (LLC), partnership, or income-producing real estate reported in item 2, list businesses, organizations, and lobbyists that paid the enterprise $1,000 or more in calendar year 2010. Check if the organization authorized you to represent it in its dealings with others as an attorney-at-law, agent, spokesperson, or representative. Businesses, organizations, lobbyists that were customers, clients, or tenants City State insurance companies as third party payors Various US ij South Seas Resort Captiva FL BUSINESS PARTNERS For each enterprise reported under Item 2, list its co-owners, partners, officers, and directors (other than yourself), unless the information is already registered with the Wisconsin Department of Financial Institutions. CIW Sm" NON-COMMERICIAL REAL ESTATE List the specific location of WISCONSIN REAL ESTATE in which you or your family had an interest (except your principal residence and real estate whose location you already listed in item 2). Nature of Interest Location of property Municipality own, lease, option. Street address or flre number or town County easement, land contract) OFFICERS AND DIRECTORS List organizations of which you or a family member was an officer or director (unless already listed in item 2). ., Moreland Ear, Nose Throat Group, Ltd. Waukesha WI ofhcer director AGENT, REPRESENTATIVE OR SPOKESPERSON List organizations that authorized you or a family member to represent them in their dealings with others as an attorney-at-law, agent, spokesperson, or representative (unless already listed in item 2, 3 or 6). Business or organization City State CREDITORS List creditors to which you or your family owed $5,000 or more. (ghegk one) . . AmSouth Mortgage Company Schaumburg IL Chase Manhattan Bank Phoenix AZ Mutual Benefit Life Milwaukee WI Northwestern Mutual Life Milwaukee WI Part For calendar year 2010 EMPLOYERS List your and your famiIy's EMPLOYERS ($1,000 or more of income) in 2010. Name of employer Nature of empIoyer's (if State ofWisconsin, also identify agency or institution) City State business Moreland Ear, Nose Throat Group, Ltd. 7 Waukesha WI Medical Fractice Fredric I-lorwitz, MD, S.C. Milwaukee WI Medical Clinic State ofWI - Legislature Madison WI State Government ADDITIONAL SOURCES OF INCOME List other sources from which you or your family received income of $1,000 or more in 2010. Sourcgcimcome City WW State Moreland Medical Center, LLP Waukesha WI ENTERTAINMENT AND GIFTS List individuals and organizations that provided you with entertainment or gifts (more than $50) in 2010. .. .. aeA1,,__t' e,,t ., . .. .M HONORARIA AND EXPENSES List, for 2010, sources of honoraria and payment of expenses related to your state government duties (more than not previously reported to the Government Accountability Board' Approximate value of Amount of Cicrumstancos of receipt Payer expenses honorarlum FILING NOTES -or- COMMENTS If we saw an opportunity to clarify a prior report, we added comments or H/ing tips be/ow. Please review any comments and make the appropriate corrections. In Item 3, because ofthe number of items you submitted, we have not listed every item. Please continue to submit an updated listing on an annual basis. ln Item 1, because of the number of items you submitted, we have not listed every item. Please continue to submit an updated listing on an annual basis. CERTIFICATION I have read the accompanying instructions and certify that the information contained in this Statement of Economic Interests is true complete and correct to the best of my knowledge information and belief If any part has been left blank I have done so intentionally because there is nothing to report Ml Daytime phone it 266 5830 (j sen darl|ng@leg|s wisconsin gov Signature of person filing Date mall address - I . The information sought in this form is required by ??19.43 and 19.44. Wisconsin Statutes. Failure to nie a completed form may result in a forfeiture of up to $500. Statements of Economic Interests are open for public inspection. The Government Accountability Board will notify you of the identity of any person who examines your Statement. ln accordance with VWsconsin Statutes, the Government Accountability Board states that no personally identitiable information is likely to be used for purposes other than those for which It is collected. Mail or fax 102 Wisconsin Government Accountability Board, Box 7984, Madison, WI 53707-79842 Fax: (608) 264-9319 GAB 901 Personalized. For use in 2011