FORMA UNITED STATES HOUSE OF REPRESENTATIVES CALENDAR YEAR 2011 FINANCIAL DISCLOSURE STATEMENT Ben Ray Lujan (Fata) (Daye Telephone) (oORELMERED Member of the U.S. ‘State: NM [Officer Or Employing Office: Filer = 4 ; a ‘$200 penalty shail oie Hause of Representative pstict- 03 Employee be assessed against : : - 7 anyone who files ‘Termination Date: (J Amendment] Termination RY INFORMATION -- ANSWER EACH OF THESE QUESTIONS Tid You. your toute, ovadapendent cd rosie snp reporabe Te ves 5 mom} etoparia pote in agpeyeingmere tan omaneermse eg) Wo Yes [] No ivan icons of ‘id you hed ary reportable postions anor before te dao of ingin dhe re ‘Yas fg) Mo [_j| Wb eurnt clone oar? Yoo (1 No wi yes, complete and attach Schedule Vi id you, your apouss, oF dependent child purchase, sel or exchango any “Did you have any reportable agresment ot araigomentwith an outside IV. rportaie aseet in transaction exceeding $1,000 durlngthe reporting” Yes (~) No fyi] % ently? Yes (A No [ euros FFyea, complate and atach Schedule V. Hf yes, complete and attach Schedule x. (Did you, your spouse, or a dependent child have any reportable liability Bee eee eee eee eee '¥- {more than 10,008) dung the reporting pari? Yes No Each question in this part must be answered and the appropriate yes, complete and attach Schedule V. ‘schedule attached for each "Yes" response. EXCLUSION OF SPOUSE, DEPENDENT, OR TRUST INFORMATION ~ ANSWER EACH OF THESE QUESTIONS in ‘oxcepted trusts" need not be disclosed. Have you excluded from this report details of such @ trust benefiting you, your sf toate Exemptions~ Have you excluded from this report any other assets, “uneamed” income, transactions, or lalities of 2 spouse or dependent child ‘because they meet ail three tests for exemption? Do not answer "yes" unless you have first consulted with the Committee on Ethics. Yes [] No iy]SCHEDULE Ill - ASSETS AND "UNEARNED" INCOME [1 on pay Lujan ‘BLOCK A BLOCK B Asset and/or Income Source Year-End Value of Asset EI Rancho Home $100,001 - None NONE $250,000 "NM Public Employees Pension == $15,001-. INTEREST ——=$1,001-$2,500 $50,000 Wells Fargo Checking $1,001 - ‘None NONE $15,000SCHEDULE V - LIABILITIES [Report tiablties of over $10,000 owed to any one creditor at any time during the reporting period by you, your spouse, or dependent child. Mark the highost Name Ben Ray Lujan Pogo Sot 4 ofthe preceding calender yoar exceeded $10,000. NOTE: Pandig iagitation may require Members to ropot morigaes on Liability incurred : Valley National Bank, NM Mortgage on El Rancho home $50,001 - $100,000 (loan to campaign)SCHEDULE IX - AGREEMENTS. Faia eee [identity the date, parties fo, and genoral torme of any agreement or arrangement with respect to: future employment, a leave of absence during the period of laovernment service; continuation or deferral of payments by a former or current employer other than the U.S. Government; or continuing participation in an lemployee welfare or benefit plan maintained by a former employer. Terms of Agreement December | Agreement between Rep. Lujan and State of | Continued participation in state pension plan 31,2007 | NM