State of New Mexico I Secretary of State '3 JAN 29 Ethics Administration GEISPEIT, Santa Fe, New Mexico 87501 2013 FINANCIAL DISCLOSURE STATEMENT Annual Filing a Filing with Declaration of Candidacy Within 30 days of Appointment/Hire Date appointed, Assumed Office or Hired Candidate for office mbent in 4, fl agency, board or commission subject to Senate Confirmation Appointed to agency i Public officer with agency Employee of P.0.. Box or Street Adtlr 39062 Title or osition held Nature of business or occupation Last :1 5' Name Address Spouso's title or position el Nature of business or occupation 12. I hereby swear or affirm under penalty of perjury that the foregoing information is true, correct and complete to the best m-i now e. Signature: 2% ?2 (Printed name)