Abdul Shahid-Muslem Rasheed

This entire document is a public record. STATE ETHICS COMMISSION 2025 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM ELECTRONIC FILING This entire form must be completed to fulfill your ethics filing obligation. Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Abdul Shahid Muslim Rasheed Reason for Filing (Complete all that apply.) Are you a CANDIDATE for elected office? ☐ Yes ☒ No If yes, for what position are you seeking election? (Specify name of office seeking in box below.) Do you currently hold this position? ☐ Yes ☐ No State Government Job or Post-Service Filer (Specify agency and position.) Board/Commission (List the complete names of all State boards on which you are serving or are being considered.) Rural Infrastructure Authority Vance-Granville Community College Trustees Judicial Officer, Post-Service Filer, or Appointee (Specify office) Legislator, Post-Service Filer, or Appointee (House or Senate) This entire document is a public record. AFFIRMATION I have carefully reviewed my most recently filed Statement of Economic Interest Long Form and my responses continue to be true, correct, and complete to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my No Change Form is a public record. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 03/25/2025 Signature Date Abdul Shahid Muslim Rasheed Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

This entire document is a public record. STATE ETHICS COMMISSION 2025 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM ELECTRONIC FILING This entire form must be completed to fulfill your ethics filing obligation. Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Abdul Shahid Muslim Rasheed Reason for Filing (Complete all that apply.) Are you a CANDIDATE for elected office? ☐ Yes ☒ No If yes, for what position are you seeking election? (Specify name of office seeking in box below.) Do you currently hold this position? ☐ Yes ☐ No State Government Job or Post-Service Filer (Specify agency and position.) Board/Commission (List the complete names of all State boards on which you are serving or are being considered.) Rural Infrastructure Authority Vance-Granville Community College Trustees Judicial Officer, Post-Service Filer, or Appointee (Specify office) Legislator, Post-Service Filer, or Appointee (House or Senate) This entire document is a public record. AFFIRMATION I have carefully reviewed my most recently filed Statement of Economic Interest Long Form and my responses continue to be true, correct, and complete to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my No Change Form is a public record. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 03/25/2025 Signature Date Abdul Shahid Muslim Rasheed Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

This entire document is a public record. STATE ETHICS COMMISSION 2024 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM ELECTRONIC FILING This entire form must be completed to fulfill your ethics filing obligation. Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Abdul Shahid-Muslem Rasheed Reason for Filing (Complete all that apply.) Are you a CANDIDATE for elected office? ☐ Yes ☒ No If yes, for what position are you seeking election? (Specify name of office seeking in box below.) Do you currently hold this position? ☐ Yes ☐ No State Government Job (Specify agency and position.) Board/Commission (List the complete names of all State boards on which you are serving or are being considered.) Rural Infrastructure Authority Vance Granville Community College Trustees Judicial Officer or Filing Post-Service (Specify office.) Legislator or Filing Post-Service (Specify House or Senate.) AFFIRMATION I have carefully reviewed my most recently filed Statement of Economic Interest Long Form and my responses continue to be true, correct, and complete to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my No Change Form is a public record. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 04/11/2024 Signature Date Abdul Shahid-Muslem Rasheed Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

This entire document is a public record. STATE ETHICS COMMISSION 2024 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM ELECTRONIC FILING This entire form must be completed to fulfill your ethics filing obligation. Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Abdul Shahid-Muslem Rasheed Reason for Filing (Complete all that apply.) Are you a CANDIDATE for elected office? ☐ Yes ☒ No If yes, for what position are you seeking election? (Specify name of office seeking in box below.) Do you currently hold this position? ☐ Yes ☐ No State Government Job (Specify agency and position.) Board/Commission (List the complete names of all State boards on which you are serving or are being considered.) Rural Infrastructure Authority Vance Granville Community College Trustees Judicial Officer or Filing Post-Service (Specify office.) Legislator or Filing Post-Service (Specify House or Senate.) AFFIRMATION I have carefully reviewed my most recently filed Statement of Economic Interest Long Form and my responses continue to be true, correct, and complete to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my No Change Form is a public record. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 04/11/2024 Signature Date Abdul Shahid-Muslem Rasheed Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

This entire document is a public record. STATE ETHICS COMMISSION 2023 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM ELECTRONIC FILING This entire form must be completed to fulfill your ethics filing obligation. Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Abdul Shahid-Muslem Rasheed Reason for Filing (Complete all that apply.) Are you a CANDIDATE for elected office? ☐ Yes ☒ No If yes, for what position are you seeking election? (Specify name of office seeking in box below.) Do you currently hold this position? ☐ Yes ☐ No State Government Job (Specify agency and position.) Board/Commission (List the complete names of all State boards on which you are serving or are being considered.) Vance Granville Community College Trustees Judicial Officer or Filing Post-Service (Specify office.) Legislator or Filing Post-Service (Specify House or Senate.) AFFIRMATION I have carefully reviewed my most recently filed Statement of Economic Interest Long Form and my responses continue to be true, correct, and complete to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my No Change Form is a public record. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 04/11/2023 Signature Date Abdul Shahid-Muslem Rasheed Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

This entire document is a public record. STATE ETHICS COMMISSION 2023 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM ELECTRONIC FILING This entire form must be completed to fulfill your ethics filing obligation. Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Abdul Shahid-Muslem Rasheed Reason for Filing (Complete all that apply.) Are you a CANDIDATE for elected office? ☐ Yes ☒ No If yes, for what position are you seeking election? (Specify name of office seeking in box below.) Do you currently hold this position? ☐ Yes ☐ No State Government Job (Specify agency and position.) Board/Commission (List the complete names of all State boards on which you are serving or are being considered.) Vance Granville Community College Trustees Judicial Officer or Filing Post-Service (Specify office.) Legislator or Filing Post-Service (Specify House or Senate.) AFFIRMATION I have carefully reviewed my most recently filed Statement of Economic Interest Long Form and my responses continue to be true, correct, and complete to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my No Change Form is a public record. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 04/11/2023 Signature Date Abdul Shahid-Muslem Rasheed Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

This entire document is a public record. STATE ETHICS COMMISSION 2022 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM ELECTRONIC FILING This entire form must be completed to fulfill your ethics filing obligation. Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Abdul Shahid-Muslem Rasheed Reason for Filing (Complete all that apply.) Are you a CANDIDATE for elected office? ☐ Yes ☒ No If yes, for what position are you seeking election? (Specify name of office seeking in box below.) Do you currently hold this position? ☐ Yes ☐ No State Government Job (Specify agency and position.) Board/Commission (List the complete names of all State boards on which you are serving or are being considered.) Vance Granville Community College Trustees Judicial Officer (Specify office.) Legislator (Specify House or Senate.) AFFIRMATION I have carefully reviewed my most recently filed Statement of Economic Interest Long Form and my responses continue to be true, correct, and complete to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my No Change Form is a public record. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 04/18/2022 Signature Date Abdul Shahid-Muslem Rasheed Printed Name Submit signed, original documents only. Do not fax or e-mail this form. This entire document is a public record.

This entire document is a public record. STATE ETHICS COMMISSION 2022 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM ELECTRONIC FILING This entire form must be completed to fulfill your ethics filing obligation. Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Abdul Shahid-Muslem Rasheed Reason for Filing (Complete all that apply.) Are you a CANDIDATE for elected office? ☐ Yes ☒ No If yes, for what position are you seeking election? (Specify name of office seeking in box below.) Do you currently hold this position? ☐ Yes ☐ No State Government Job (Specify agency and position.) Board/Commission (List the complete names of all State boards on which you are serving or are being considered.) Vance Granville Community College Trustees Judicial Officer (Specify office.) Legislator (Specify House or Senate.) AFFIRMATION I have carefully reviewed my most recently filed Statement of Economic Interest Long Form and my responses continue to be true, correct, and complete to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my No Change Form is a public record. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 04/18/2022 Signature Date Abdul Shahid-Muslem Rasheed Printed Name Submit signed, original documents only. Do not fax or e-mail this form. This entire document is a public record.

The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 10 STATE ETHICS COMMISSION 2021 STATEMENT OF ECONOMIC INTEREST ELECTRONIC FILING This entire form must be completed to fulfill your ethics filing obligation. Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Abdul Shahid-Muslem Rasheed Current Employer Job Title Franklin Vance Warren Opportunities,Inc. CEO Nature or Type of Business Human Services Reason For Filing (Complete all that apply.) State Government Job (Specify agency and position.) Board/Commission (List complete names of all State boards on which you are serving or are being considered.) Rural Infrastructure Authority Vance Granville Community College Trustees Judicial Officer (Specify office.) Legislator (Specify House or Senate.) A. Do other immediate family members reside in your household? ☒ Yes ☐ No On this form, ”immediate family” includes your spouse (unless legally separated). It also includes members of your extended family (your and your spouse’s children, grandchildren, parents, grandparents, and siblings, and the spouses of each of those persons) who reside in your household. List the full name of all adults and emancipated minors in your household. Minors are children under 18. They are emancipated by marriage, enlistment in the US military, or court order for emancipation. Full names of Adults and Emancipated Minors Relationship Employer Job Title Nature of Business The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 10 B. List only the initials of all unemancipated minors in your household below. A minor is a child under 18 years old. List the full name of each minor child on the Confidential Form at the end. Initials of Unemancipated Minors Relationship Employer Job Title Nature of Business JL Grandchild Property Interests 1. As of December 31, 2020, did you or any members of your immediate family: A. have an ownership interest in North Carolina real estate (including your residence) with a market value of $10,000 or more? ☒ Yes ☐ No Owner of Real Estate % Ownership Interest Location by City Location by County Abdul Shahid-Muslem Rasheed (Self) 1.00% Henderson Vance B. lease or rent real estate or personal property to or from the State of North Carolina with a market value of $10,000 or more? ☐ Yes ☒ No Name of Lessor Name of Lessee (Renter) If Real Estate, Location by City & County If Personal Property, Describe 2. At any time during 2019 or 2020, did you or any members of your immediate family sell to or buy from the State of North Carolina personal property worth $10,000 or more? ☐ Yes ☒ No Name of Purchaser Name of Seller Type of Property The SEI and any attachments, excluding the Confidential Form, are public records. Page 3 of 10 Financial Interests 3. As of December 31, 2020, did you or any members of your immediate family own any of the following financial interests valued at $10,000 or more? List each company individually. A. Stock in a publicly owned company? ☐ Yes ☒ No ►Do not list interests in a widely held investment fund (including mutual funds, regulated investment companies, or pension or deferred compensation plans) if: 1. the fund is publicly traded or its assets are widely diversified; and 2. neither you nor an immediate family member are able to control the underlying assets. Owner of Interest Full Name of Company or ticker symbol B. Stock options in a company or business? ☐ Yes ☒ No Owner of Stock Option Full Name of Company (Do not use a ticker symbol) C. Interests in a non-publicly owned company or business entity? These include interests in sole proprietorships, partnerships, limited partnerships, joint ventures, limited liability companies, limited liability partnerships, and closely held corporations. ☐ Yes ☒ No - If “No,” proceed to question 4. Owner of Interest Name of Company or Business Entity C (1). For each company or business entity identified in question 3.C. (the “Primary Company”), please list the names of any other companies or business entities in which the Primary Company owns securities or equity interests valued at over $10,000, if known. Non-Publicly Owned Company or Business Entity (the Primary Company) Other Companies in which the Primary Company Owns Security or Equity Interests None or Not Known C (2). If you know that any entity listed in 3.C or 3.C(1) above has any material business dealings or business contracts with the State of North Carolina, or is regulated by the State, briefly describe that business activity. Name of Company or Business Entity Description of Business Activity with the State None or Not Known 4. As of December 31, 2020, were you or any members of your immediate family the beneficiaries of a vested trust with a value of $10,000 or more that you created, established, or controlled? Do not list assets held in blind trusts. See 2021 SEI Helpful Tips for the definition of “Vested Trust” and “Blind Trust.” https://ethics.nc.gov ☐ Yes ☒ No Name and Address of Trustee Description of the Trust Your Relationship to the Trust The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 10 5. As of December 31, 2020, did you any members of your immediate family have liabilities of $10,000 or more, excluding the mortgage on your primary personal residence? Examples include credit card debts, auto loans, student loans, personal loans and intra-family debt. ☒ Yes ☐ No Name of Debtor Type of Creditor (commercial Bank, credit union, individual, etc.) Abdul Shahid-Muslem Rasheed (Self) Credit Union 6. List each source of income (not specific amounts) of more than $5,000 received by you or any members of your immediate family during 2020. Include salary, wages, state/local government retirement income, professional fees, honoraria, interest, dividends, rental income, business income, and other types required to be reported on State and federal tax returns. Please remember to disclose your receipt of salary or wages from any governmental or private entity. Do not include income received from the following sources: ► Capital gains ► Federal government retirement ► Military retirement ► Social security income/SSDI Recipient of Income Name of Source Type of Business/Industry Type of Income Abdul Shahid-Muslem Rasheed (Self) Franklin Vance Warren, Opp. Human Services Salary The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 10 Professional and Civic Relationships 7(a). During 2020, were you or any members of your immediate family a director, officer, governing board member, employee, independent contractor, or registered lobbyist of a nonprofit corporation or organization operating in North Carolina primarily for religious, charitable, scientific, literary, public health and safety, or educational purposes? ☒ Yes ☐ No - If “No,” proceed to question 8. ► Do not list State boards or entities. ► Do not list organizations of which you are a mere member. Name of Person Position Name of Nonprofit Corporation or Organization Nature or Purpose of Organization Abdul Shahid-Muslem Rasheed (Self) Board Member Emerging Issues research 7(b). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive State funds, briefly describe the nature of that business, if known or with due diligence could reasonably be known. Name of Nonprofit Corporation or Organization Describe State Business Emerging Issues Provide research and education 8. During 2020, were you or any members of your immediate family a director, officer, or governing board member of any society, organization, or advocacy group with an interest in matters over which your agency or board may have jurisdiction? ☐ Yes ☒ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing because you are a legislator or judicial officer or you are filing as an appointee to one of those offices. ►Do not list organizations of which you are only a member and do not serve in a leadership role. Name of Person Name of Society, Organization, or Advocacy Group Leadership Position (Director, Officer, Board Member) The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 10 9(a). List the name of each business with which you were associated where you or a member of your immediate family was an employee, director, officer, partner, proprietor, or member or manager as of December 31, 2020. Name of Person Relationship to Filer Name of Company Role of Person No Business Associations 9(b). If you know that any entity listed in 9(a) above had any material business dealings or business contracts with the State of North Carolina or was regulated by the State as of December 31, 2020, briefly describe that activity. Name of Company or Business Entity Description of Business Activity with the State None or Not Known 10. Are you a practicing attorney? ☐ Yes ☒ No ☐ Judicial Officer/State Attorney If “Yes”, check each category of legal representation in which you or the law firm with which you are affiliated has earned legal fees of more than $10,000 during 2020. ☐ Administrative ☐ Admiralty ☐ Corporate ☐ Criminal ☐ Decedent’s Estates ☐ Environmental ☐ Insurance ☐ Labor ☐ Local Government ☐ Real Property ☐ Securities ☐ Tax ☐ Tort litigation (including negligence) ☐ Utilities Regulation ☐ Other category not listed 11. During 2020, were you a licensed professional (other than an attorney) or did you provide consulting services individually or as a member of a professional association for which you charged or were paid over $10,000? ☐ Yes ☒ No Type of Business Nature of Services Rendered The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 10 12. Are you or your employer, or any members of your immediate family, or their employers currently:  licensed by the State board or agency with which you are or will be associated or  regulated by the State board or agency with which you are or will be associated or  in a business relationship with the State board or agency with which you are or will be associated? ☐ Yes ☒ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing because you are a legislator or a judicial officer or you are filing as an appointee to one of those offices. Name of Person Name of Employer (if applicable) Type of Relationship (Licensing, Regulatory, Business) 13. Have you or a member of your immediate family been registered as a lobbyist or lobbyist principal within the 12 months preceding your filing of this form? ☐ Yes ☒ No Name of Lobbyist Lobbyist’s Principal Date of Registration Registration Expiration Other Disclosures 14. During 2020, after you were appointed, employed, or filed or were nominated as a candidate, did you  receive any “gift(s)” exceeding $200 per quarter from a person or group of persons acting together,  when both you and those person(s) were outside North Carolina,  under circumstances that would lead a reasonable person to conclude the gifts were given for lobbying? To answer Yes, all three conditions must apply ☐ Yes ☒ No ► Do not report gifts given by members of your extended family. ► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” Date Item Received Name and Address of Donor(s) Describe Item Received Estimated Market Value The SEI and any attachments, excluding the Confidential Form, are public records. Page 8 of 10 15. During 2020, after you were appointed, employed, or filed or were nominated as a candidate, did you  accept a “scholarship” exceeding $200 related to your public position from a person or group of persons acting together,  when those person(s) were outside North Carolina? To answer Yes, both conditions must apply A “scholarship” is a grant-in-aid, either direct or indirect, to attend a conference, meeting, or similar event, including tuition, travel, lodging, meals, and other similar expenses. ☐ Yes ☒ No ☐ Judicial Officer - You are not required to complete this question if you are a judicial officer or you are filing as a judicial officer appointee. ► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” ► Legislators are not required to report scholarships paid by a nonpartisan legislative organization of which the legislator or the General Assembly is a member, participant, or affiliate. Date of Scholarship Name and Address of Donor(s) Describe Event Estimated Market Value 16. Have you been appointed or considered for appointment to a covered board by the Governor or another Council of State member? Council of State members are: ► Governor ► Lt. Governor ► Secretary of State ► State Auditor ► State Treasurer ► Superintendent of Public Instruction ► Attorney General ► Commissioner of Agriculture ► Commissioner of Labor ► Commissioner of Insurance ☒ Yes ☐ No If “Yes,” list all contributions you made in 2020 with a cumulative total of more than $1,000 to the Council of State member who appointed you. Do not include contributions from immediate family members. ► Contributions are defined broadly in N.C.G.S. 163-278.6(6) and include “any advance, conveyance, deposit, distribution, transfer of funds, loan, payment, gift, pledge or subscription of money or anything of value whatsoever.” Date Amount Contributed to No Contributions The SEI and any attachments, excluding the Confidential Form, are public records. Page 9 of 10 17. Are you an appointee or prospective appointee as: a. the head of a principal state department (e.g., cabinet secretary) appointed by the Governor; or b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District Court Judge; or c. a member of any of the following boards:  ABC Commission  Coastal Resources Commission  State Board of Education  State Board of Elections  Division of Employment Security  Environmental Management Commission  Industrial Commission  Human Resources Commission  Rules Review Commission  Board of Transportation  Utilities Commission  Wildlife Resources Commission ☐ Yes ☒ No If “No,” proceed to question 18. d. If so, were you appointed or are you being considered for appointment to that position by a Council of State member? ☐ Yes ☒ No If “No,” proceed to question 18. e. If so, you must indicate whether during 2020 you engaged in any of the following activities with respect to or on behalf of the candidate or campaign committee of the Council of State member who appointed you: i. Collected contributions from multiple contributors, took possession of such multiple contributions, and transferred or delivered those collected contributions to the candidate or committee? ☐ Yes ☐ No ii. Hosted a fundraiser at your residence or place of business? ☐ Yes ☐ No iii. Volunteered for campaign-related activities, including phone banks, event assistance, mailings, canvassing, surveying, or any other activity that advances the campaign of a candidate? ☐ Yes ☐ No 18. Have you ever been convicted of a felony for which you have not received either: (i) a pardon; or (ii) an order of expungement? ☐ Yes ☒ No Offense Date of Conviction County of Conviction State of Conviction 19. Are you aware of any other information that you believe may assist the Ethics Commission in advising you concerning your compliance with the State Government Ethics Act? ☐ Yes ☒ No If yes, please provide that information below. The SEI and any attachments, excluding the Confidential Form, are public records. Page 10 of 10 Affirmation The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form regarding Unemancipated Children are public records. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 04/12/2021 Signature Date Abdul Shahid-Muslem Rasheed Printed Name

The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 10 STATE ETHICS COMMISSION 2021 STATEMENT OF ECONOMIC INTEREST ELECTRONIC FILING This entire form must be completed to fulfill your ethics filing obligation. Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Abdul Shahid-Muslem Rasheed Current Employer Job Title Franklin Vance Warren Opportunities,Inc. CEO Nature or Type of Business Human Services Reason For Filing (Complete all that apply.) State Government Job (Specify agency and position.) Board/Commission (List complete names of all State boards on which you are serving or are being considered.) Rural Infrastructure Authority Vance Granville Community College Trustees Judicial Officer (Specify office.) Legislator (Specify House or Senate.) A. Do other immediate family members reside in your household? ☒ Yes ☐ No On this form, ”immediate family” includes your spouse (unless legally separated). It also includes members of your extended family (your and your spouse’s children, grandchildren, parents, grandparents, and siblings, and the spouses of each of those persons) who reside in your household. List the full name of all adults and emancipated minors in your household. Minors are children under 18. They are emancipated by marriage, enlistment in the US military, or court order for emancipation. Full names of Adults and Emancipated Minors Relationship Employer Job Title Nature of Business The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 10 B. List only the initials of all unemancipated minors in your household below. A minor is a child under 18 years old. List the full name of each minor child on the Confidential Form at the end. Initials of Unemancipated Minors Relationship Employer Job Title Nature of Business JL Grandchild Property Interests 1. As of December 31, 2020, did you or any members of your immediate family: A. have an ownership interest in North Carolina real estate (including your residence) with a market value of $10,000 or more? ☒ Yes ☐ No Owner of Real Estate % Ownership Interest Location by City Location by County Abdul Shahid-Muslem Rasheed (Self) 1.00% Henderson Vance B. lease or rent real estate or personal property to or from the State of North Carolina with a market value of $10,000 or more? ☐ Yes ☒ No Name of Lessor Name of Lessee (Renter) If Real Estate, Location by City & County If Personal Property, Describe 2. At any time during 2019 or 2020, did you or any members of your immediate family sell to or buy from the State of North Carolina personal property worth $10,000 or more? ☐ Yes ☒ No Name of Purchaser Name of Seller Type of Property The SEI and any attachments, excluding the Confidential Form, are public records. Page 3 of 10 Financial Interests 3. As of December 31, 2020, did you or any members of your immediate family own any of the following financial interests valued at $10,000 or more? List each company individually. A. Stock in a publicly owned company? ☐ Yes ☒ No ►Do not list interests in a widely held investment fund (including mutual funds, regulated investment companies, or pension or deferred compensation plans) if: 1. the fund is publicly traded or its assets are widely diversified; and 2. neither you nor an immediate family member are able to control the underlying assets. Owner of Interest Full Name of Company or ticker symbol B. Stock options in a company or business? ☐ Yes ☒ No Owner of Stock Option Full Name of Company (Do not use a ticker symbol) C. Interests in a non-publicly owned company or business entity? These include interests in sole proprietorships, partnerships, limited partnerships, joint ventures, limited liability companies, limited liability partnerships, and closely held corporations. ☐ Yes ☒ No - If “No,” proceed to question 4. Owner of Interest Name of Company or Business Entity C (1). For each company or business entity identified in question 3.C. (the “Primary Company”), please list the names of any other companies or business entities in which the Primary Company owns securities or equity interests valued at over $10,000, if known. Non-Publicly Owned Company or Business Entity (the Primary Company) Other Companies in which the Primary Company Owns Security or Equity Interests None or Not Known C (2). If you know that any entity listed in 3.C or 3.C(1) above has any material business dealings or business contracts with the State of North Carolina, or is regulated by the State, briefly describe that business activity. Name of Company or Business Entity Description of Business Activity with the State None or Not Known 4. As of December 31, 2020, were you or any members of your immediate family the beneficiaries of a vested trust with a value of $10,000 or more that you created, established, or controlled? Do not list assets held in blind trusts. See 2021 SEI Helpful Tips for the definition of “Vested Trust” and “Blind Trust.” https://ethics.nc.gov ☐ Yes ☒ No Name and Address of Trustee Description of the Trust Your Relationship to the Trust The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 10 5. As of December 31, 2020, did you any members of your immediate family have liabilities of $10,000 or more, excluding the mortgage on your primary personal residence? Examples include credit card debts, auto loans, student loans, personal loans and intra-family debt. ☒ Yes ☐ No Name of Debtor Type of Creditor (commercial Bank, credit union, individual, etc.) Abdul Shahid-Muslem Rasheed (Self) Credit Union 6. List each source of income (not specific amounts) of more than $5,000 received by you or any members of your immediate family during 2020. Include salary, wages, state/local government retirement income, professional fees, honoraria, interest, dividends, rental income, business income, and other types required to be reported on State and federal tax returns. Please remember to disclose your receipt of salary or wages from any governmental or private entity. Do not include income received from the following sources: ► Capital gains ► Federal government retirement ► Military retirement ► Social security income/SSDI Recipient of Income Name of Source Type of Business/Industry Type of Income Abdul Shahid-Muslem Rasheed (Self) Franklin Vance Warren, Opp. Human Services Salary The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 10 Professional and Civic Relationships 7(a). During 2020, were you or any members of your immediate family a director, officer, governing board member, employee, independent contractor, or registered lobbyist of a nonprofit corporation or organization operating in North Carolina primarily for religious, charitable, scientific, literary, public health and safety, or educational purposes? ☒ Yes ☐ No - If “No,” proceed to question 8. ► Do not list State boards or entities. ► Do not list organizations of which you are a mere member. Name of Person Position Name of Nonprofit Corporation or Organization Nature or Purpose of Organization Abdul Shahid-Muslem Rasheed (Self) Board Member Emerging Issues research 7(b). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive State funds, briefly describe the nature of that business, if known or with due diligence could reasonably be known. Name of Nonprofit Corporation or Organization Describe State Business Emerging Issues Provide research and education 8. During 2020, were you or any members of your immediate family a director, officer, or governing board member of any society, organization, or advocacy group with an interest in matters over which your agency or board may have jurisdiction? ☐ Yes ☒ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing because you are a legislator or judicial officer or you are filing as an appointee to one of those offices. ►Do not list organizations of which you are only a member and do not serve in a leadership role. Name of Person Name of Society, Organization, or Advocacy Group Leadership Position (Director, Officer, Board Member) The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 10 9(a). List the name of each business with which you were associated where you or a member of your immediate family was an employee, director, officer, partner, proprietor, or member or manager as of December 31, 2020. Name of Person Relationship to Filer Name of Company Role of Person No Business Associations 9(b). If you know that any entity listed in 9(a) above had any material business dealings or business contracts with the State of North Carolina or was regulated by the State as of December 31, 2020, briefly describe that activity. Name of Company or Business Entity Description of Business Activity with the State None or Not Known 10. Are you a practicing attorney? ☐ Yes ☒ No ☐ Judicial Officer/State Attorney If “Yes”, check each category of legal representation in which you or the law firm with which you are affiliated has earned legal fees of more than $10,000 during 2020. ☐ Administrative ☐ Admiralty ☐ Corporate ☐ Criminal ☐ Decedent’s Estates ☐ Environmental ☐ Insurance ☐ Labor ☐ Local Government ☐ Real Property ☐ Securities ☐ Tax ☐ Tort litigation (including negligence) ☐ Utilities Regulation ☐ Other category not listed 11. During 2020, were you a licensed professional (other than an attorney) or did you provide consulting services individually or as a member of a professional association for which you charged or were paid over $10,000? ☐ Yes ☒ No Type of Business Nature of Services Rendered The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 10 12. Are you or your employer, or any members of your immediate family, or their employers currently:  licensed by the State board or agency with which you are or will be associated or  regulated by the State board or agency with which you are or will be associated or  in a business relationship with the State board or agency with which you are or will be associated? ☐ Yes ☒ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing because you are a legislator or a judicial officer or you are filing as an appointee to one of those offices. Name of Person Name of Employer (if applicable) Type of Relationship (Licensing, Regulatory, Business) 13. Have you or a member of your immediate family been registered as a lobbyist or lobbyist principal within the 12 months preceding your filing of this form? ☐ Yes ☒ No Name of Lobbyist Lobbyist’s Principal Date of Registration Registration Expiration Other Disclosures 14. During 2020, after you were appointed, employed, or filed or were nominated as a candidate, did you  receive any “gift(s)” exceeding $200 per quarter from a person or group of persons acting together,  when both you and those person(s) were outside North Carolina,  under circumstances that would lead a reasonable person to conclude the gifts were given for lobbying? To answer Yes, all three conditions must apply ☐ Yes ☒ No ► Do not report gifts given by members of your extended family. ► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” Date Item Received Name and Address of Donor(s) Describe Item Received Estimated Market Value The SEI and any attachments, excluding the Confidential Form, are public records. Page 8 of 10 15. During 2020, after you were appointed, employed, or filed or were nominated as a candidate, did you  accept a “scholarship” exceeding $200 related to your public position from a person or group of persons acting together,  when those person(s) were outside North Carolina? To answer Yes, both conditions must apply A “scholarship” is a grant-in-aid, either direct or indirect, to attend a conference, meeting, or similar event, including tuition, travel, lodging, meals, and other similar expenses. ☐ Yes ☒ No ☐ Judicial Officer - You are not required to complete this question if you are a judicial officer or you are filing as a judicial officer appointee. ► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” ► Legislators are not required to report scholarships paid by a nonpartisan legislative organization of which the legislator or the General Assembly is a member, participant, or affiliate. Date of Scholarship Name and Address of Donor(s) Describe Event Estimated Market Value 16. Have you been appointed or considered for appointment to a covered board by the Governor or another Council of State member? Council of State members are: ► Governor ► Lt. Governor ► Secretary of State ► State Auditor ► State Treasurer ► Superintendent of Public Instruction ► Attorney General ► Commissioner of Agriculture ► Commissioner of Labor ► Commissioner of Insurance ☒ Yes ☐ No If “Yes,” list all contributions you made in 2020 with a cumulative total of more than $1,000 to the Council of State member who appointed you. Do not include contributions from immediate family members. ► Contributions are defined broadly in N.C.G.S. 163-278.6(6) and include “any advance, conveyance, deposit, distribution, transfer of funds, loan, payment, gift, pledge or subscription of money or anything of value whatsoever.” Date Amount Contributed to No Contributions The SEI and any attachments, excluding the Confidential Form, are public records. Page 9 of 10 17. Are you an appointee or prospective appointee as: a. the head of a principal state department (e.g., cabinet secretary) appointed by the Governor; or b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District Court Judge; or c. a member of any of the following boards:  ABC Commission  Coastal Resources Commission  State Board of Education  State Board of Elections  Division of Employment Security  Environmental Management Commission  Industrial Commission  Human Resources Commission  Rules Review Commission  Board of Transportation  Utilities Commission  Wildlife Resources Commission ☐ Yes ☒ No If “No,” proceed to question 18. d. If so, were you appointed or are you being considered for appointment to that position by a Council of State member? ☐ Yes ☒ No If “No,” proceed to question 18. e. If so, you must indicate whether during 2020 you engaged in any of the following activities with respect to or on behalf of the candidate or campaign committee of the Council of State member who appointed you: i. Collected contributions from multiple contributors, took possession of such multiple contributions, and transferred or delivered those collected contributions to the candidate or committee? ☐ Yes ☐ No ii. Hosted a fundraiser at your residence or place of business? ☐ Yes ☐ No iii. Volunteered for campaign-related activities, including phone banks, event assistance, mailings, canvassing, surveying, or any other activity that advances the campaign of a candidate? ☐ Yes ☐ No 18. Have you ever been convicted of a felony for which you have not received either: (i) a pardon; or (ii) an order of expungement? ☐ Yes ☒ No Offense Date of Conviction County of Conviction State of Conviction 19. Are you aware of any other information that you believe may assist the Ethics Commission in advising you concerning your compliance with the State Government Ethics Act? ☐ Yes ☒ No If yes, please provide that information below. The SEI and any attachments, excluding the Confidential Form, are public records. Page 10 of 10 Affirmation The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form regarding Unemancipated Children are public records. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 04/12/2021 Signature Date Abdul Shahid-Muslem Rasheed Printed Name

The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 10 STATE ETHICS COMMISSION 2020 STATEMENT OF ECONOMIC INTEREST This entire form must be completed to fulfill your ethics filing obligation. ____ Checked for completion ____Scanned ______Date Incomplete Qs ____ ____ ____ ____ Supp. sent date _______ by _____ Supp. received date _________ Entered in database ______ by ______ Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Abdul National Rasheed Current Employer Job Title Franklin Vance Warren Opportunities,Inc. CEO Nature or Type of Business Human Services Reason For Filing (Complete all that apply.) State Government Job (Specify agency and position.) Board/Commission (List complete names of all State boards on which you are serving or are being considered.) Rural Infrastructure Authority Vance Granville Community College Trustees Judicial Officer (Specify office.) Legislator (Specify House or Senate.) A. Do other immediate family members reside in your household? ☒ Yes ☐ No On this form, ”immediate family” includes your spouse (unless legally separated). It also includes members of your extended family (your and your spouse’s children, grandchildren, parents, grandparents, and siblings, and the spouses of each of those persons) who reside in your household. List the full name of all adults and emancipated minors in your household. Minors are children under 18. They are emancipated by marriage, enlistment in the US military, or court order for emancipation. Full names of Adults and Emancipated Minors Relationship Employer Job Title Nature of Business For Staff Use Only Date Received: The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 10 B. List only the initials of all unemancipated minors in your household below. A minor is a child under 18 years old. List the full name of each minor child on the Confidential Form at the end. Initials of Unemancipated Minors Relationship Employer Job Title Nature of Business JL Grandchild Property Interests 1. As of December 31, 2019, did you or any members of your immediate family: A. have an ownership interest in North Carolina real estate (including your residence) with a market value of $10,000 or more? ☒ Yes ☐ No Owner of Real Estate % Ownership Interest Location by City Location by County Abdul National Rasheed (Self) 1.00% Henderson Vance B. lease or rent real estate or personal property to or from the State of North Carolina with a market value of $10,000 or more? ☐ Yes ☒ No Name of Lessor Name of Lessee (Renter) If Real Estate, Location by City & County If Personal Property, Describe 2. At any time during 2018 or 2019, did you or any members of your immediate family sell to or buy from the State of North Carolina personal property worth $10,000 or more? ☐ Yes ☒ No Name of Purchaser Name of Seller Type of Property The SEI and any attachments, excluding the Confidential Form, are public records. Page 3 of 10 Financial Interests 3. As of December 31, 2019, did you or any members of your immediate family own any of the following financial interests valued at $10,000 or more? List each company individually. A. Stock in a publicly owned company? ☐ Yes ☒ No ►Do not list interests in a widely held investment fund (including mutual funds, regulated investment companies, or pension or deferred compensation plans) if: 1. the fund is publicly traded or its assets are widely diversified; and 2. neither you nor an immediate family member are able to control the underlying assets. Owner of Interest Full Name of Company or ticker symbol B. Stock options in a company or business? ☐ Yes ☒ No Owner of Stock Option Full Name of Company (Do not use a ticker symbol) C. Interests in a non-publicly owned company or business entity? These include interests in sole proprietorships, partnerships, limited partnerships, joint ventures, limited liability companies, limited liability partnerships, and closely held corporations. ☐ Yes ☒ No - If “No,” proceed to question 4. Owner of Interest Name of Company or Business Entity C (1). For each company or business entity identified in question 3.C. (the “Primary Company”), please list the names of any other companies or business entities in which the Primary Company owns securities or equity interests valued at over $10,000, if known. Non-Publicly Owned Company or Business Entity (the Primary Company) Other Companies in which the Primary Company Owns Security or Equity Interests None or Not Known C (2). If you know that any entity listed in 3.C or 3.C(1) above has any material business dealings or business contracts with the State of North Carolina, or is regulated by the State, briefly describe that business activity. Name of Company or Business Entity Description of Business Activity with the State None or Not Known 4. As of December 31, 2019, were you or any members of your immediate family the beneficiaries of a vested trust with a value of $10,000 or more that you created, established, or controlled? Do not list assets held in blind trusts. See 2020 SEI Helpful Tips for the definition of “Vested Trust” and “Blind Trust.” ☐ Yes ☒ No Name and Address of Trustee Description of the Trust Your Relationship to the Trust The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 10 5. As of December 31, 2019, did you any members of your immediate family have liabilities of $10,000 or more, excluding the mortgage on your primary personal residence? Examples include credit card debts, auto loans, student loans, personal loans and intra-family debt. ☒ Yes ☐ No Name of Debtor Type of Creditor (commercial Bank, credit union, individual, etc.) Abdul National Rasheed (Self) Credit Union 6. List each source of income (not specific amounts) of more than $5,000 received by you or any members of your immediate family during 2019. Include salary, wages, state/local government retirement income, professional fees, honoraria, interest, dividends, rental income, business income, and other types required to be reported on State and federal tax returns. Please remember to disclose your receipt of salary or wages from any governmental or private entity. Do not include income received from the following sources: ► Capital gains ► Federal government retirement ► Military retirement ► Social security income/SSDI Recipient of Income Name of Source Type of Business/Industry Type of Income Abdul National Rasheed (Self) Franklin Vance Warren, Opp. Human Services Salary The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 10 Professional and Civic Relationships 7(a). During 2019, were you or any members of your immediate family a director, officer, governing board member, employee, independent contractor, or registered lobbyist of a nonprofit corporation or organization operating in North Carolina primarily for religious, charitable, scientific, literary, public health and safety, or educational purposes? ☒ Yes ☐ No - If “No,” proceed to question 8. ► Do not list State boards or entities. ► Do not list organizations of which you are a mere member. Name of Person Position Name of Nonprofit Corporation or Organization Nature or Purpose of Organization Abdul National Rasheed (Self) Board Member Emerging Issues research 7(b). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive State funds, briefly describe the nature of that business, if known or with due diligence could reasonably be known. Name of Nonprofit Corporation or Organization Describe State Business Emerging Issues Provide research and education 8. During 2019, were you or any members of your immediate family a director, officer, or governing board member of any society, organization, or advocacy group with an interest in matters over which your agency or board may have jurisdiction? ☐ Yes ☒ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing because you are a legislator or judicial officer or you are filing as an appointee to one of those offices. ►Do not list organizations of which you are only a member and do not serve in a leadership role. Name of Person Name of Society, Organization, or Advocacy Group Leadership Position (Director, Officer, Board Member) The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 10 9(a). List the name of each business with which you were associated where you or a member of your immediate family was an employee, director, officer, partner, proprietor, or member or manager as of December 31, 2019. Name of Person Relationship to Filer Name of Company Role of Person No Business Associations 9(b). If you know that any entity listed in 9(a) above had any material business dealings or business contracts with the State of North Carolina or was regulated by the State as of December 31, 2019, briefly describe that activity. Name of Company or Business Entity Description of Business Activity with the State None or Not Known 10. Are you a practicing attorney? ☐ Yes ☒ No ☐ Judicial Officer/State Attorney If “Yes”, check each category of legal representation in which you or the law firm with which you are affiliated has earned legal fees of more than $10,000 during 2019. ☐ Administrative ☐ Admiralty ☐ Corporate ☐ Criminal ☐ Decedent’s Estates ☐ Environmental ☐ Insurance ☐ Labor ☐ Local Government ☐ Real Property ☐ Securities ☐ Tax ☐ Tort litigation (including negligence) ☐ Utilities Regulation ☐ Other category not listed 11. During 2019, were you a licensed professional (other than an attorney) or did you provide consulting services individually or as a member of a professional association for which you charged or were paid over $10,000? ☐ Yes ☒ No Type of Business Nature of Services Rendered The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 10 12. Are you or your employer, or any members of your immediate family, or their employers currently:  licensed by the State board or agency with which you are or will be associated or  regulated by the State board or agency with which you are or will be associated or  in a business relationship with the State board or agency with which you are or will be associated? ☐ Yes ☒ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing because you are a legislator or a judicial officer or you are filing as an appointee to one of those offices. Name of Person Name of Employer (if applicable) Type of Relationship (Licensing, Regulatory, Business) 13. Have you or a member of your immediate family been registered as a lobbyist or lobbyist principal within the 12 months preceding your filing of this form? ☐ Yes ☒ No Name of Lobbyist Lobbyist’s Principal Date of Registration Registration Expiration Other Disclosures 14. During 2019, after you were appointed, employed, or filed or were nominated as a candidate, did you  receive any “gift(s)” exceeding $200 per quarter from a person or group of persons acting together,  when both you and those person(s) were outside North Carolina,  under circumstances that would lead a reasonable person to conclude the gifts were given for lobbying? To answer Yes, all three conditions must apply ☐ Yes ☒ No ► Do not report gifts given by members of your extended family. ► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” Date Item Received Name and Address of Donor(s) Describe Item Received Estimated Market Value The SEI and any attachments, excluding the Confidential Form, are public records. Page 8 of 10 15. During 2019, after you were appointed, employed, or filed or were nominated as a candidate, did you  accept a “scholarship” exceeding $200 related to your public position from a person or group of persons acting together,  when those person(s) were outside North Carolina? To answer Yes, both conditions must apply A “scholarship” is a grant-in-aid, either direct or indirect, to attend a conference, meeting, or similar event, including tuition, travel, lodging, meals, and other similar expenses. ☐ Yes ☒ No ☐ Judicial Officer - You are not required to complete this question if you are a judicial officer or you are filing as a judicial officer appointee. ► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” ► Legislators are not required to report scholarships paid by a nonpartisan legislative organization of which the legislator or the General Assembly is a member, participant, or affiliate. Date of Scholarship Name and Address of Donor(s) Describe Event Estimated Market Value 16. Have you been appointed or considered for appointment to a covered board by the Governor or another Council of State member? Council of State members are: ► Governor ► Lt. Governor ► Secretary of State ► State Auditor ► State Treasurer ► Superintendent of Public Instruction ► Attorney General ► Commissioner of Agriculture ► Commissioner of Labor ► Commissioner of Insurance ☒ Yes ☐ No If “Yes,” list all contributions you made in 2019 with a cumulative total of more than $1,000 to the Council of State member who appointed you. Do not include contributions from immediate family members. ► Contributions are defined broadly in N.C.G.S. 163-278.6(6) and include “any advance, conveyance, deposit, distribution, transfer of funds, loan, payment, gift, pledge or subscription of money or anything of value whatsoever.” Date Amount Contributed to No Contributions The SEI and any attachments, excluding the Confidential Form, are public records. Page 9 of 10 17. Are you an appointee or prospective appointee as: a. the head of a principal state department (e.g., cabinet secretary) appointed by the Governor; or b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District Court Judge; or c. a member of any of the following boards:  ABC Commission  Coastal Resources Commission  State Board of Education  State Board of Elections  Division of Employment Security  Environmental Management Commission  Industrial Commission  Human Resources Commission  Rules Review Commission  Board of Transportation  Utilities Commission  Wildlife Resources Commission ☐ Yes ☒ No If “No,” proceed to question 18. d. If so, were you appointed or are you being considered for appointment to that position by a Council of State member? ☐ Yes ☒ No If “No,” proceed to question 18. e. If so, you must indicate whether during 2019 you engaged in any of the following activities with respect to or on behalf of the candidate or campaign committee of the Council of State member who appointed you: i. Collected contributions from multiple contributors, took possession of such multiple contributions, and transferred or delivered those collected contributions to the candidate or committee? ☐ Yes ☐ No ii. Hosted a fundraiser at your residence or place of business? ☐ Yes ☐ No iii. Volunteered for campaign-related activities, including phone banks, event assistance, mailings, canvassing, surveying, or any other activity that advances the campaign of a candidate? ☐ Yes ☐ No 18. Have you ever been convicted of a felony for which you have not received either: (i) a pardon; or (ii) an order of expungement? ☐ Yes ☒ No Offense Date of Conviction County of Conviction State of Conviction 19. Are you aware of any other information that you believe may assist the Ethics Commission in advising you concerning your compliance with the State Government Ethics Act? ☐ Yes ☒ No If yes, please provide that information below. The SEI and any attachments, excluding the Confidential Form, are public records. Page 10 of 10 Affirmation The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form regarding Unemancipated Children are public records. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 04/14/2020 Signature Date Abdul National Rasheed Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 10 STATE ETHICS COMMISSION 2020 STATEMENT OF ECONOMIC INTEREST This entire form must be completed to fulfill your ethics filing obligation. ____ Checked for completion ____Scanned ______Date Incomplete Qs ____ ____ ____ ____ Supp. sent date _______ by _____ Supp. received date _________ Entered in database ______ by ______ Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Abdul National Rasheed Current Employer Job Title Franklin Vance Warren Opportunities,Inc. CEO Nature or Type of Business Human Services Reason For Filing (Complete all that apply.) State Government Job (Specify agency and position.) Board/Commission (List complete names of all State boards on which you are serving or are being considered.) Rural Infrastructure Authority Vance Granville Community College Trustees Judicial Officer (Specify office.) Legislator (Specify House or Senate.) A. Do other immediate family members reside in your household? ☒ Yes ☐ No On this form, ”immediate family” includes your spouse (unless legally separated). It also includes members of your extended family (your and your spouse’s children, grandchildren, parents, grandparents, and siblings, and the spouses of each of those persons) who reside in your household. List the full name of all adults and emancipated minors in your household. Minors are children under 18. They are emancipated by marriage, enlistment in the US military, or court order for emancipation. Full names of Adults and Emancipated Minors Relationship Employer Job Title Nature of Business For Staff Use Only Date Received: The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 10 B. List only the initials of all unemancipated minors in your household below. A minor is a child under 18 years old. List the full name of each minor child on the Confidential Form at the end. Initials of Unemancipated Minors Relationship Employer Job Title Nature of Business JL Grandchild Property Interests 1. As of December 31, 2019, did you or any members of your immediate family: A. have an ownership interest in North Carolina real estate (including your residence) with a market value of $10,000 or more? ☒ Yes ☐ No Owner of Real Estate % Ownership Interest Location by City Location by County Abdul National Rasheed (Self) 1.00% Henderson Vance B. lease or rent real estate or personal property to or from the State of North Carolina with a market value of $10,000 or more? ☐ Yes ☒ No Name of Lessor Name of Lessee (Renter) If Real Estate, Location by City & County If Personal Property, Describe 2. At any time during 2018 or 2019, did you or any members of your immediate family sell to or buy from the State of North Carolina personal property worth $10,000 or more? ☐ Yes ☒ No Name of Purchaser Name of Seller Type of Property The SEI and any attachments, excluding the Confidential Form, are public records. Page 3 of 10 Financial Interests 3. As of December 31, 2019, did you or any members of your immediate family own any of the following financial interests valued at $10,000 or more? List each company individually. A. Stock in a publicly owned company? ☐ Yes ☒ No ►Do not list interests in a widely held investment fund (including mutual funds, regulated investment companies, or pension or deferred compensation plans) if: 1. the fund is publicly traded or its assets are widely diversified; and 2. neither you nor an immediate family member are able to control the underlying assets. Owner of Interest Full Name of Company or ticker symbol B. Stock options in a company or business? ☐ Yes ☒ No Owner of Stock Option Full Name of Company (Do not use a ticker symbol) C. Interests in a non-publicly owned company or business entity? These include interests in sole proprietorships, partnerships, limited partnerships, joint ventures, limited liability companies, limited liability partnerships, and closely held corporations. ☐ Yes ☒ No - If “No,” proceed to question 4. Owner of Interest Name of Company or Business Entity C (1). For each company or business entity identified in question 3.C. (the “Primary Company”), please list the names of any other companies or business entities in which the Primary Company owns securities or equity interests valued at over $10,000, if known. Non-Publicly Owned Company or Business Entity (the Primary Company) Other Companies in which the Primary Company Owns Security or Equity Interests None or Not Known C (2). If you know that any entity listed in 3.C or 3.C(1) above has any material business dealings or business contracts with the State of North Carolina, or is regulated by the State, briefly describe that business activity. Name of Company or Business Entity Description of Business Activity with the State None or Not Known 4. As of December 31, 2019, were you or any members of your immediate family the beneficiaries of a vested trust with a value of $10,000 or more that you created, established, or controlled? Do not list assets held in blind trusts. See 2020 SEI Helpful Tips for the definition of “Vested Trust” and “Blind Trust.” ☐ Yes ☒ No Name and Address of Trustee Description of the Trust Your Relationship to the Trust The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 10 5. As of December 31, 2019, did you any members of your immediate family have liabilities of $10,000 or more, excluding the mortgage on your primary personal residence? Examples include credit card debts, auto loans, student loans, personal loans and intra-family debt. ☒ Yes ☐ No Name of Debtor Type of Creditor (commercial Bank, credit union, individual, etc.) Abdul National Rasheed (Self) Credit Union 6. List each source of income (not specific amounts) of more than $5,000 received by you or any members of your immediate family during 2019. Include salary, wages, state/local government retirement income, professional fees, honoraria, interest, dividends, rental income, business income, and other types required to be reported on State and federal tax returns. Please remember to disclose your receipt of salary or wages from any governmental or private entity. Do not include income received from the following sources: ► Capital gains ► Federal government retirement ► Military retirement ► Social security income/SSDI Recipient of Income Name of Source Type of Business/Industry Type of Income Abdul National Rasheed (Self) Franklin Vance Warren, Opp. Human Services Salary The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 10 Professional and Civic Relationships 7(a). During 2019, were you or any members of your immediate family a director, officer, governing board member, employee, independent contractor, or registered lobbyist of a nonprofit corporation or organization operating in North Carolina primarily for religious, charitable, scientific, literary, public health and safety, or educational purposes? ☒ Yes ☐ No - If “No,” proceed to question 8. ► Do not list State boards or entities. ► Do not list organizations of which you are a mere member. Name of Person Position Name of Nonprofit Corporation or Organization Nature or Purpose of Organization Abdul National Rasheed (Self) Board Member Emerging Issues research 7(b). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive State funds, briefly describe the nature of that business, if known or with due diligence could reasonably be known. Name of Nonprofit Corporation or Organization Describe State Business Emerging Issues Provide research and education 8. During 2019, were you or any members of your immediate family a director, officer, or governing board member of any society, organization, or advocacy group with an interest in matters over which your agency or board may have jurisdiction? ☐ Yes ☒ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing because you are a legislator or judicial officer or you are filing as an appointee to one of those offices. ►Do not list organizations of which you are only a member and do not serve in a leadership role. Name of Person Name of Society, Organization, or Advocacy Group Leadership Position (Director, Officer, Board Member) The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 10 9(a). List the name of each business with which you were associated where you or a member of your immediate family was an employee, director, officer, partner, proprietor, or member or manager as of December 31, 2019. Name of Person Relationship to Filer Name of Company Role of Person No Business Associations 9(b). If you know that any entity listed in 9(a) above had any material business dealings or business contracts with the State of North Carolina or was regulated by the State as of December 31, 2019, briefly describe that activity. Name of Company or Business Entity Description of Business Activity with the State None or Not Known 10. Are you a practicing attorney? ☐ Yes ☒ No ☐ Judicial Officer/State Attorney If “Yes”, check each category of legal representation in which you or the law firm with which you are affiliated has earned legal fees of more than $10,000 during 2019. ☐ Administrative ☐ Admiralty ☐ Corporate ☐ Criminal ☐ Decedent’s Estates ☐ Environmental ☐ Insurance ☐ Labor ☐ Local Government ☐ Real Property ☐ Securities ☐ Tax ☐ Tort litigation (including negligence) ☐ Utilities Regulation ☐ Other category not listed 11. During 2019, were you a licensed professional (other than an attorney) or did you provide consulting services individually or as a member of a professional association for which you charged or were paid over $10,000? ☐ Yes ☒ No Type of Business Nature of Services Rendered The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 10 12. Are you or your employer, or any members of your immediate family, or their employers currently:  licensed by the State board or agency with which you are or will be associated or  regulated by the State board or agency with which you are or will be associated or  in a business relationship with the State board or agency with which you are or will be associated? ☐ Yes ☒ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing because you are a legislator or a judicial officer or you are filing as an appointee to one of those offices. Name of Person Name of Employer (if applicable) Type of Relationship (Licensing, Regulatory, Business) 13. Have you or a member of your immediate family been registered as a lobbyist or lobbyist principal within the 12 months preceding your filing of this form? ☐ Yes ☒ No Name of Lobbyist Lobbyist’s Principal Date of Registration Registration Expiration Other Disclosures 14. During 2019, after you were appointed, employed, or filed or were nominated as a candidate, did you  receive any “gift(s)” exceeding $200 per quarter from a person or group of persons acting together,  when both you and those person(s) were outside North Carolina,  under circumstances that would lead a reasonable person to conclude the gifts were given for lobbying? To answer Yes, all three conditions must apply ☐ Yes ☒ No ► Do not report gifts given by members of your extended family. ► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” Date Item Received Name and Address of Donor(s) Describe Item Received Estimated Market Value The SEI and any attachments, excluding the Confidential Form, are public records. Page 8 of 10 15. During 2019, after you were appointed, employed, or filed or were nominated as a candidate, did you  accept a “scholarship” exceeding $200 related to your public position from a person or group of persons acting together,  when those person(s) were outside North Carolina? To answer Yes, both conditions must apply A “scholarship” is a grant-in-aid, either direct or indirect, to attend a conference, meeting, or similar event, including tuition, travel, lodging, meals, and other similar expenses. ☐ Yes ☒ No ☐ Judicial Officer - You are not required to complete this question if you are a judicial officer or you are filing as a judicial officer appointee. ► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” ► Legislators are not required to report scholarships paid by a nonpartisan legislative organization of which the legislator or the General Assembly is a member, participant, or affiliate. Date of Scholarship Name and Address of Donor(s) Describe Event Estimated Market Value 16. Have you been appointed or considered for appointment to a covered board by the Governor or another Council of State member? Council of State members are: ► Governor ► Lt. Governor ► Secretary of State ► State Auditor ► State Treasurer ► Superintendent of Public Instruction ► Attorney General ► Commissioner of Agriculture ► Commissioner of Labor ► Commissioner of Insurance ☒ Yes ☐ No If “Yes,” list all contributions you made in 2019 with a cumulative total of more than $1,000 to the Council of State member who appointed you. Do not include contributions from immediate family members. ► Contributions are defined broadly in N.C.G.S. 163-278.6(6) and include “any advance, conveyance, deposit, distribution, transfer of funds, loan, payment, gift, pledge or subscription of money or anything of value whatsoever.” Date Amount Contributed to No Contributions The SEI and any attachments, excluding the Confidential Form, are public records. Page 9 of 10 17. Are you an appointee or prospective appointee as: a. the head of a principal state department (e.g., cabinet secretary) appointed by the Governor; or b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District Court Judge; or c. a member of any of the following boards:  ABC Commission  Coastal Resources Commission  State Board of Education  State Board of Elections  Division of Employment Security  Environmental Management Commission  Industrial Commission  Human Resources Commission  Rules Review Commission  Board of Transportation  Utilities Commission  Wildlife Resources Commission ☐ Yes ☒ No If “No,” proceed to question 18. d. If so, were you appointed or are you being considered for appointment to that position by a Council of State member? ☐ Yes ☒ No If “No,” proceed to question 18. e. If so, you must indicate whether during 2019 you engaged in any of the following activities with respect to or on behalf of the candidate or campaign committee of the Council of State member who appointed you: i. Collected contributions from multiple contributors, took possession of such multiple contributions, and transferred or delivered those collected contributions to the candidate or committee? ☐ Yes ☐ No ii. Hosted a fundraiser at your residence or place of business? ☐ Yes ☐ No iii. Volunteered for campaign-related activities, including phone banks, event assistance, mailings, canvassing, surveying, or any other activity that advances the campaign of a candidate? ☐ Yes ☐ No 18. Have you ever been convicted of a felony for which you have not received either: (i) a pardon; or (ii) an order of expungement? ☐ Yes ☒ No Offense Date of Conviction County of Conviction State of Conviction 19. Are you aware of any other information that you believe may assist the Ethics Commission in advising you concerning your compliance with the State Government Ethics Act? ☐ Yes ☒ No If yes, please provide that information below. The SEI and any attachments, excluding the Confidential Form, are public records. Page 10 of 10 Affirmation The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form regarding Unemancipated Children are public records. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 04/14/2020 Signature Date Abdul National Rasheed Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

ror start fb bref, = _ RECEIVED §77 +3) STATE ETHICS COMMISSION 5 2019 Er ) APR 15 20 RE. 2019 STATEMENT OF ECONOMIC STATE ETHICS COMMISSION INTEREST do, Checkes for completion This entire form must be completed to fulfill A scannes 4l1l1%0me your ethics filing obligation. Incomplete @s VCE __ Supp. sent doe by Supp. recomed cate enters in gatabase by __ [profi [Firstname [widdiename ~~ [uasthape [sux | y FT I a TT i Re Prosiimemsts Col a] on which you are Serving o ae being consdesed. (Br sr Ase Pe IR TOF Rom — Judiciol Officer (Speciy office.) Legislator (Specify House or Senate.) A. Po other immediate family members reside in your household? es Ono this form, “immediate fay” includes your spouse (unless legally separated). Italo includes members of your extended fry (your and your spouse's chidren, arandilren, parents, grandparents, and Sings, and he Spouses of ach of those persons) who reside in your household. List the ull name of all adults and emancipated minors n your household. Minors are chidren under 18. They are emancipated by marriage, enlistment in the US miltay, or court order fo emancipation. me | ee | rine emancipated iors r+ “<r 1 1 7] The SEX and any attachments, excluding the Confidential Form, are public records. Page 10f 10 List the full name of each minor child on the Confidential Form at the end. \Unemancipated Property Interests 1. As of December 31, 2018, did you or any members of your Immediate fomiy: A. have an ownership interest in North Carolina real estate (Including your residence) with a market value of Sa or more? Yes [No |__owner of Real estate | 5% Ownership interest [Location by city Location by County head] 0% | fowsarsen | lane | hela [Sn Bsfemel] S59, Sse sere oe spoil] 52% | frwlasa) | tvs | ay Ansa 52 fosuclarse pr 7 5. lease or rent real estate or personal property to or from the State of North Carolina with a market value of $10,000 or more? Ove fe If Real Estate, Location | If Personal Property, by City & County Describe 2. Atany time during 2017 or 2015, dd you or any members of your immediate family sel to o buy from the State of North Caroling personal property worth $10,000 or more? Oves emeotruchms | Wemeotsater | ypootrrapeny The SEI and any attachments, excluding the Confidential Form, are public records. Page 20f 10 Financial Interests 3. As of December 31, 2015, did you or any members of your Immediate family awn any of the following financial interests valued at $10,000 or more? List each company individually. A. Stock n a publicly owned company? Cove [po Do not st interests In a widely held investment fund (induding mutual fonds, regulated ivestment companies, or pension or deferred compensation plans) if 1 the fund is publicly traded ors assets are widely diversified; and 2. neither you'nor on immediate family member are able to control the underlying assets. [ ownerofimerest [ull Name of Company or ticker symbol 5. Stock options n a company or business? Ove @fo ‘Owner of Stock Option Full Name of Company (Do not use a ticker symbol) C. Interests ina non-public owned company o business entity? These include interests in sol proprietorships, portnerships, imited partnerships, Joint ventures, limited abilty companies, limited abilty partnerships, and closely held corporations. (1). For each company or business ently identified in question 3.C. (the “Primary Company”), please Ist the names of any other companies or business entities In which the Primary Company owns securities or equity interests valued at over $10,000, f known. Non-Publicly Owned Company or Business Entity | Other Companies in which the Primary Company (the Primary Company) ‘Owns Security or Equity Interests The SET and any attachments, excluding the Confidential Form, are public records. Page30f 10 EI pr a A rn EE pT Te pp——— rr Do not list. ‘held in blind trusts. See 2019 SEI Helpful Tips for the definition of "Vested Trust” and Blind Trust.” ea Rr ——— IT — LA LE rt ol Name of oer Cte Ri rots wos individual, etc.) : (Caper | Mtgm Serio | 6. List each source of income (not specific amounts) of more %5/600 received by you or any members of your oor im sols Sm i a Ca srioh rem einen Se Hs sine! EE To nam abe Sada pear Co nt tty The SEE and any attachments, exctuig th Contd Form, ae public records romans Professional and Civic Relationships 7(2). During 2016, were you or any members of your immediate family a directo, office, governing board member, employee, Independant contractor, o registered lobbyis of a nonprofit corporation of organization operating in Noth Carolina primary for religious, charitable, scientific, Iterary, public health and sfety, o educations purposes? [Wes [10 - 1£"No,” proceed to question 8. > Bo not it Sate boards o entities. > D0 no st organizations of which you are a mere member. [hoonotitorpeniations of which you are a mere member: Name of Nonprofit Nature or Corporation or Organization | Purpose of Organization J7 Z 17 2 77-3 |i 1 Lp Srl Beare wssper | Hug A Los 92s 2 A 706) Ifthe nonprofit corporations or organizations sed above do business with the State of Rorth Carolina or receive State funds, briefly describe the nature of that business, f Known or ith due igence could reasonably be known. Name of Nonprofit Corporation or Organization K eee , mduealed | art Jnetrace herp© | Boney obese” | Lis 7 0718 O55, 165/05) 405 5. During 7015, were you or any members of your immediate famiy a qtr, offic of gouehring board mere of any society, organization, or advocacy group with an interest in mattés over which your dGency or board may have. Junsaction’ rn Eos tt ts lai Vou are a lgisator or Judialafice or you are ing as an appointee 0 one Of hose offices 00 not st organizations of which you are only a member and do not serve in leadership ol. Name of Society, Organization, Leadership position or Advocacy Group (Director, Officer, Board Hember) The SEX and any attachments, excluding the Confidential Form, are public records. Page sof 10 90a). List the name of cach business with which you were associated where you or a member of your immediate family Was an employee, directo, officor, partner, propictor, or member or manager 35 of December 31, 2018. [amecrreson | somtersporier | ameorcompany | metre | 9(b). If you know that any entity listed in 9(a) above had any material business dealings or business contracts with the State of North Corolina or was regulated by the State 2 of December 31, 2018, briefly describe tat acti. escrpton of Busnes cy wt tess [[2Not applicable (No entities listed on #9a) 10. Are you a practigng attomey? Ores ate Oaudical Offcer/State Attorney. Yes", check each category of legal representation in which you or the law fir with which you are affiated has eamed legal fees of more than $10,000 during 2016. administrative admiralty corporate criminal 0 Decedents Estates Environmental Cltnsurance Cltabor C3 tocal Government Real Property Oisecurities Ox Tort tigation (including Cuties Regulation 0th category no sted negligence) 11. During 2018, were you a licensed professional (other than an attorney) or did you provide consulting services individually o a5 a member of 3 professional association for which you charged or were paid over $10,007 offer Ono i — : The SEX and any attachments, excluding the Confidential Form, are public records. Page Gof 10 12. Are you or your employer, or any members of your immediate family, or their employers currently: «licensed by the Sate board or agency with which you are or wil be associated or « regulated by the State board or agency with which you are o wil be associated or + in’ business relationship with the State board or agency with which you are or will be associated? A You are a egisitor or a judicial oficer o you are ling 25 an appointee to one of those offices Name of Employer Type of Relationship (if applicable) (Licensing, Regulatory, Business) 13. Hove you or @ member of your Immedate family been registered 35 3 lobbyist o lobbyist principal within the 12 months preceding your ling of this form Name of Lobbyist Lobbyists Principal Date of Registration Registration Expiration Other Disclosures 14. During 2016, er you were appointed, employed, or fed or were nominated a5 3 candidate, did you + receive any "gfR(s)" exceeding $200 per quarter rom a person or group of persons acting together, + when both you an those person(s) were outside North Carolin, + under circumstances that would ead a reasonable person to conclude the its were given for lobbying? To answer Yes, all three conditions must apply. ove m6 > Bo no report its given by members of your extended family. > Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” Date Item Received | Name and Address of Donor(s) | Describe Item Received [| map ree | The SEX and any attachments, excluding the Confidential Form, are public records. Page 7of 10 Date of Name and Address of Donor(s) flee Ono. Le toute yu mad i 018 with cumulative oof mors thn 3,00 te Co ee RRR Ee Tow [em EET 17. Are you an appointee or prospective appointee as: a. the head of a principal state department (e.g. cabinet secretary) appointed by the Governor; or b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District Court Judge; or . a member of any of the following boards: + ABC Commission + Coastal Resources Commission na + State Board of Education Yes ©WNo + State Board of Elections + Division of Employment Security I “No” proceed to « Environmental Management Commission question 18. + Industral Commission + Human Resources Commission + Rules Review Commission + Board of Transportation + UNC Board of Governors + Uiities Commission + Wide Resources Commission 4. If s0, were you appointed or ae you being considered for appointment to that | [I es [No positon by Council of State member? 3 or rood isi question 18. e. 1 50, you must indicate whether during 2018 you engaged in any of the following activities with respect to o on behalf of the candidate or campaign committee of the Council of State member who appointed you: 1. Collected contributions from multiple contributors, took possession of such multiple contributions, and transfered or delivered those collected contributions tothe candidate or committee? i. Hosted a fundraiser at your residence or place of business? [Oves Owe | i. Volunteered for campaign-relted activities, including phone banks, event assistance, mailings, canvassing, surveying, or any other activity that advances the campaign of candidate? 18. Have you ever been convicted of a felony for which you have not received either: (1) a pardon; or (I) an order of expungement? Ove whe | offense | pate of Conviction | County of Conviction State of Conviction 19. Are you aware of any other information that you belive may assist the Ethics Commission in advising you concerning youg compliance withthe State Government Ethics Act? ‘The SEI and any attachments, excluding the Confidential Form, are public records. Page 9 of 10 “The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate. to the best of my knowledge and belief. 1 have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable Interest understand that my Statement of Economic Interest and any attachments except for the Confidential Form regarding Unemancipated Children are public records. I have read and understand the folowing statutes: N.C.G.S. § 1634-191. Concealing or failing to disclose material information. A fling person who knowingly conceals or knowingly fais to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and subject to disciplinary. action under G.S. 1634-415. N.C.G.S. § 1634-192. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the Information is fase is quity of a Class H felony and shall be subject to disciplinary action under G.S. 1634-415. affirm that T have reviewed my most recently filed 2018 Statement of Economic Interest and that as of December 31, 2018, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I affirm unde, the foregoing is true and correct. ig Date uy Son Busser Name ‘Submit signed, original documents only. Do not fax or e-mail this form. ‘The SEX and any attachments, excluding the Confidential Form, are public records. Page 10 of 10

ror start fb bref, = _ RECEIVED §77 +3) STATE ETHICS COMMISSION 5 2019 Er ) APR 15 20 RE. 2019 STATEMENT OF ECONOMIC STATE ETHICS COMMISSION INTEREST do, Checkes for completion This entire form must be completed to fulfill A scannes 4l1l1%0me your ethics filing obligation. Incomplete @s VCE __ Supp. sent doe by Supp. recomed cate enters in gatabase by __ [profi [Firstname [widdiename ~~ [uasthape [sux | y FT I a TT i Re Prosiimemsts Col a] on which you are Serving o ae being consdesed. (Br sr Ase Pe IR TOF Rom — Judiciol Officer (Speciy office.) Legislator (Specify House or Senate.) A. Po other immediate family members reside in your household? es Ono this form, “immediate fay” includes your spouse (unless legally separated). Italo includes members of your extended fry (your and your spouse's chidren, arandilren, parents, grandparents, and Sings, and he Spouses of ach of those persons) who reside in your household. List the ull name of all adults and emancipated minors n your household. Minors are chidren under 18. They are emancipated by marriage, enlistment in the US miltay, or court order fo emancipation. me | ee | rine emancipated iors r+ “<r 1 1 7] The SEX and any attachments, excluding the Confidential Form, are public records. Page 10f 10 List the full name of each minor child on the Confidential Form at the end. \Unemancipated Property Interests 1. As of December 31, 2018, did you or any members of your Immediate fomiy: A. have an ownership interest in North Carolina real estate (Including your residence) with a market value of Sa or more? Yes [No |__owner of Real estate | 5% Ownership interest [Location by city Location by County head] 0% | fowsarsen | lane | hela [Sn Bsfemel] S59, Sse sere oe spoil] 52% | frwlasa) | tvs | ay Ansa 52 fosuclarse pr 7 5. lease or rent real estate or personal property to or from the State of North Carolina with a market value of $10,000 or more? Ove fe If Real Estate, Location | If Personal Property, by City & County Describe 2. Atany time during 2017 or 2015, dd you or any members of your immediate family sel to o buy from the State of North Caroling personal property worth $10,000 or more? Oves emeotruchms | Wemeotsater | ypootrrapeny The SEI and any attachments, excluding the Confidential Form, are public records. Page 20f 10 Financial Interests 3. As of December 31, 2015, did you or any members of your Immediate family awn any of the following financial interests valued at $10,000 or more? List each company individually. A. Stock n a publicly owned company? Cove [po Do not st interests In a widely held investment fund (induding mutual fonds, regulated ivestment companies, or pension or deferred compensation plans) if 1 the fund is publicly traded ors assets are widely diversified; and 2. neither you'nor on immediate family member are able to control the underlying assets. [ ownerofimerest [ull Name of Company or ticker symbol 5. Stock options n a company or business? Ove @fo ‘Owner of Stock Option Full Name of Company (Do not use a ticker symbol) C. Interests ina non-public owned company o business entity? These include interests in sol proprietorships, portnerships, imited partnerships, Joint ventures, limited abilty companies, limited abilty partnerships, and closely held corporations. (1). For each company or business ently identified in question 3.C. (the “Primary Company”), please Ist the names of any other companies or business entities In which the Primary Company owns securities or equity interests valued at over $10,000, f known. Non-Publicly Owned Company or Business Entity | Other Companies in which the Primary Company (the Primary Company) ‘Owns Security or Equity Interests The SET and any attachments, excluding the Confidential Form, are public records. Page30f 10 EI pr a A rn EE pT Te pp——— rr Do not list. ‘held in blind trusts. See 2019 SEI Helpful Tips for the definition of "Vested Trust” and Blind Trust.” ea Rr ——— IT — LA LE rt ol Name of oer Cte Ri rots wos individual, etc.) : (Caper | Mtgm Serio | 6. List each source of income (not specific amounts) of more %5/600 received by you or any members of your oor im sols Sm i a Ca srioh rem einen Se Hs sine! EE To nam abe Sada pear Co nt tty The SEE and any attachments, exctuig th Contd Form, ae public records romans Professional and Civic Relationships 7(2). During 2016, were you or any members of your immediate family a directo, office, governing board member, employee, Independant contractor, o registered lobbyis of a nonprofit corporation of organization operating in Noth Carolina primary for religious, charitable, scientific, Iterary, public health and sfety, o educations purposes? [Wes [10 - 1£"No,” proceed to question 8. > Bo not it Sate boards o entities. > D0 no st organizations of which you are a mere member. [hoonotitorpeniations of which you are a mere member: Name of Nonprofit Nature or Corporation or Organization | Purpose of Organization J7 Z 17 2 77-3 |i 1 Lp Srl Beare wssper | Hug A Los 92s 2 A 706) Ifthe nonprofit corporations or organizations sed above do business with the State of Rorth Carolina or receive State funds, briefly describe the nature of that business, f Known or ith due igence could reasonably be known. Name of Nonprofit Corporation or Organization K eee , mduealed | art Jnetrace herp© | Boney obese” | Lis 7 0718 O55, 165/05) 405 5. During 7015, were you or any members of your immediate famiy a qtr, offic of gouehring board mere of any society, organization, or advocacy group with an interest in mattés over which your dGency or board may have. Junsaction’ rn Eos tt ts lai Vou are a lgisator or Judialafice or you are ing as an appointee 0 one Of hose offices 00 not st organizations of which you are only a member and do not serve in leadership ol. Name of Society, Organization, Leadership position or Advocacy Group (Director, Officer, Board Hember) The SEX and any attachments, excluding the Confidential Form, are public records. Page sof 10 90a). List the name of cach business with which you were associated where you or a member of your immediate family Was an employee, directo, officor, partner, propictor, or member or manager 35 of December 31, 2018. [amecrreson | somtersporier | ameorcompany | metre | 9(b). If you know that any entity listed in 9(a) above had any material business dealings or business contracts with the State of North Corolina or was regulated by the State 2 of December 31, 2018, briefly describe tat acti. escrpton of Busnes cy wt tess [[2Not applicable (No entities listed on #9a) 10. Are you a practigng attomey? Ores ate Oaudical Offcer/State Attorney. Yes", check each category of legal representation in which you or the law fir with which you are affiated has eamed legal fees of more than $10,000 during 2016. administrative admiralty corporate criminal 0 Decedents Estates Environmental Cltnsurance Cltabor C3 tocal Government Real Property Oisecurities Ox Tort tigation (including Cuties Regulation 0th category no sted negligence) 11. During 2018, were you a licensed professional (other than an attorney) or did you provide consulting services individually o a5 a member of 3 professional association for which you charged or were paid over $10,007 offer Ono i — : The SEX and any attachments, excluding the Confidential Form, are public records. Page Gof 10 12. Are you or your employer, or any members of your immediate family, or their employers currently: «licensed by the Sate board or agency with which you are or wil be associated or « regulated by the State board or agency with which you are o wil be associated or + in’ business relationship with the State board or agency with which you are or will be associated? A You are a egisitor or a judicial oficer o you are ling 25 an appointee to one of those offices Name of Employer Type of Relationship (if applicable) (Licensing, Regulatory, Business) 13. Hove you or @ member of your Immedate family been registered 35 3 lobbyist o lobbyist principal within the 12 months preceding your ling of this form Name of Lobbyist Lobbyists Principal Date of Registration Registration Expiration Other Disclosures 14. During 2016, er you were appointed, employed, or fed or were nominated a5 3 candidate, did you + receive any "gfR(s)" exceeding $200 per quarter rom a person or group of persons acting together, + when both you an those person(s) were outside North Carolin, + under circumstances that would ead a reasonable person to conclude the its were given for lobbying? To answer Yes, all three conditions must apply. ove m6 > Bo no report its given by members of your extended family. > Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” Date Item Received | Name and Address of Donor(s) | Describe Item Received [| map ree | The SEX and any attachments, excluding the Confidential Form, are public records. Page 7of 10 Date of Name and Address of Donor(s) flee Ono. Le toute yu mad i 018 with cumulative oof mors thn 3,00 te Co ee RRR Ee Tow [em EET 17. Are you an appointee or prospective appointee as: a. the head of a principal state department (e.g. cabinet secretary) appointed by the Governor; or b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District Court Judge; or . a member of any of the following boards: + ABC Commission + Coastal Resources Commission na + State Board of Education Yes ©WNo + State Board of Elections + Division of Employment Security I “No” proceed to « Environmental Management Commission question 18. + Industral Commission + Human Resources Commission + Rules Review Commission + Board of Transportation + UNC Board of Governors + Uiities Commission + Wide Resources Commission 4. If s0, were you appointed or ae you being considered for appointment to that | [I es [No positon by Council of State member? 3 or rood isi question 18. e. 1 50, you must indicate whether during 2018 you engaged in any of the following activities with respect to o on behalf of the candidate or campaign committee of the Council of State member who appointed you: 1. Collected contributions from multiple contributors, took possession of such multiple contributions, and transfered or delivered those collected contributions tothe candidate or committee? i. Hosted a fundraiser at your residence or place of business? [Oves Owe | i. Volunteered for campaign-relted activities, including phone banks, event assistance, mailings, canvassing, surveying, or any other activity that advances the campaign of candidate? 18. Have you ever been convicted of a felony for which you have not received either: (1) a pardon; or (I) an order of expungement? Ove whe | offense | pate of Conviction | County of Conviction State of Conviction 19. Are you aware of any other information that you belive may assist the Ethics Commission in advising you concerning youg compliance withthe State Government Ethics Act? ‘The SEI and any attachments, excluding the Confidential Form, are public records. Page 9 of 10 “The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate. to the best of my knowledge and belief. 1 have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable Interest understand that my Statement of Economic Interest and any attachments except for the Confidential Form regarding Unemancipated Children are public records. I have read and understand the folowing statutes: N.C.G.S. § 1634-191. Concealing or failing to disclose material information. A fling person who knowingly conceals or knowingly fais to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and subject to disciplinary. action under G.S. 1634-415. N.C.G.S. § 1634-192. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the Information is fase is quity of a Class H felony and shall be subject to disciplinary action under G.S. 1634-415. affirm that T have reviewed my most recently filed 2018 Statement of Economic Interest and that as of December 31, 2018, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I affirm unde, the foregoing is true and correct. ig Date uy Son Busser Name ‘Submit signed, original documents only. Do not fax or e-mail this form. ‘The SEX and any attachments, excluding the Confidential Form, are public records. Page 10 of 10

| 47%« NORTH CAROLINA STATE BOARD OF FOR COMPLIANCE UNIT USE ONLY “KY. ELECTIONS AND ETHICS ENFORCEMENT Sate Receives "4 2018 STATEMENT OF ECONOMIC INTEREST 919-814-3600 www.ncsbe.gov/Ethics/SEL IH i no ag cked for compton ameal | 17) oate THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL , YOUR SEI FILING OBLIGATION Ireimpleit 2 ce ce sem se Supp. SencDote oy Supp. Received Date _____ Entered in dtabase ____ by ___ FILER'S NAME (FIRST, MIDDLE, LAST) Ll Sill Austin | Ashezs |] "NATURE OR TYPE OF BUSINESS REASON FOR FILING (COMPLETE ALL THAT APPLY) STATE GOVERNMENT JOB (Speciy Agency and Position) | BOARD/COMMISSION (List complete name of ll State boards on which you are serving or are being considered JANCTE TIE Commini ti To, lo L, 4 I roll AWA Ly 57 ue THR | JUDICIAL OFFICER (Specty Office) | LEGISLATOR (Specify House or Senate) PS other immediate family members reside in your hausehold? Ges Ono When used throughout ths form, the term Immediate family includes your spouse (unless legally separated). It also includes members of your extended family (your and your spouse's children, grandchildren, parents, grandparents, and siblings, and the spouses of each of those persons) who reside in your household. List the full name of all adults and emancipated minors in your household. A minor is 3 child under 18 years old. Minors are emancipated by marnage, enistment in the US miltary, or court order for emancipation: FULL NAME OF ADULTS & 08 TITLE EMANCIPATED Juinors 4 4 = ] I The SET and any attachments, excluding the Confidential Form, are public records. Page 10f 10 [Bist ONLY the iniiats of all emancipated minors i your househald below. A minor is 2 chid under 18 years old. Note: You must list the full name of each minor child on the Confidential Form available at the end of this document. INITIALS FOR NATURE OF UNEMANCIPATED BUSINESS Minos RAR Pw yy 2 EE IL rads 7 I Al EEA EE EE PROPERTY INTERESTS 1. As of December 31. 2017, ct you, your spouse, or members of your Immediate fami: A. Have an ownership Interest In North Carolin realestate (including your residence) with a market value of $10,000 or more? we ono |__owner of meat estate | o ownership interest | Locationby city | Location by county | had, | reo | | foes 7 Z, 1 \ewtal Jopertd soo | | fraki 8. Lease or rent real estate or personal property Lo or fram the State of Narth Carolina with a market value of $10,000 or more? Ove of Name of Lessee | 1f Real Estate, Location | If Personal Property, (Renter) by City & County Describe 2. At any time during 2016 or 2017, did you, your spouse, or members of your immediate family sell to or buy from the Sets personal property with a market value of $10,000 or more? Oves tho [ Nemeofpuchaser | Nameofseler | Type of Property The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 10 [Fanancrar interests 3. As of December 31, 2017, did you, your spouse, or members of your immediate family own any of the following financial interests valued at $10,000 or more? LIST EACH COMPANY INDIVIDUALLY. Stock n a pub cwned company? [ves wo +o [Bt lst ownership Terests Tn a widely held Investment Tard (neluding mutual ands, requated Investment companies, or pension or deferred compensation plans) if: (i) the fund is publicly traded or its assets are widely diversified; and (ii) neither you nor an immediate family member are able to control the assets held in the mutual fund, Investment company. of pension or deferred compensation plan [ ownerofmmersst | Full Name of Company (Do not use a ticker symbol) 5. Stock Options 1 2 company or business? ove mf Owner of Stock Option Full Name of Company (Ba not use a ticker symbol C. Interests in a non-publicly owned company or business entity (including interests in sole proprietorships, partnerships, limited partnerships, joint ventures, limited liability companies, limited liability partnerships, and Slosely eld corprationsy Oves we, No,” proceed to question 4. Name of Company or Business Entity € (1). For each non-publicly owned company or business entity (the “primary company”) identified in question S.C "Shove, please st he names of any othe companies of busincss ennies h which the primary company ons Secures or equty Interests valoda at over $10,000, known. Non-Publicly Owned Company or Business Entity | _ Other Companies in which the Primary Company (the primary Company) ‘Owns Security or Equity Interests None or Not Known The SEI and any attachments, excluding the Confidential Form, are public records. Page 30110 C (2). 1 you know that any company or business entty listed in 3.C or 3.C(1) above has any material business. © Geainge o business corkacks wit he Stat of Nort Carolin, o 5 eguited by th State, prove » bret desemgion of tht business arty. Name of Company or Business Entity Description of Business Activity with the Stats As of Desamber 31. 2017 were you, your spouse, or members of your Inada aml Te benefcares of 3 vested See STST81000 or moe te wet ree amtahed, or cori by yooh Do not list assets held in blind trusts. See 2017 SEI Helpful Tips for the definition of “Vested Trust” and "Blind Trust.” ove fo [ame and Adress of Trustee | Description of the Trust__| _ Your Relationship to the Trust _| 5. As of December 21, 2017, 41d you, your spouse, or members of your [mmadiate family have liabilities of $10,000 or ‘more, excluding the mortgage on your primary personal residence? Examples include credit card debts, auto loans, student oars, pessonationn ana ratory gem: Oves [ONo Name of Debtor (You, Spouse, Immediate Family | Type of Creditor (Commercial Bank, Credit Union, 1%) yA Snag ote rl os os it sot cet Pc ea me of rE an SEA oy fou pet vi, or aro your immediate family during 2017. Include salary, wages, state/local gbverment retirement, professional fees, Ronorars, erst, GAdands, Feta come, Busnes Income, 373 the PES of incor 1edured tb reported o your Ste an federal tx rtums. Do not Include income received from the following sources: » capital gains » Federsi government retirement > Miltary retirement » Social security Income/SsDX Recipient of Income Name of Source Type of Type of Income BUiness/Industry 0 had og reporablgncome ove $5,000 n 2017. ) ] A= IT Se (Gt da[Sn Biskedt 10114 Za BEY. The SET and any attachments, excluding the Confidential Form, ae public records. Page dof 10 |proFesstonaL ano cvic reLaTionsHIPs 707 Ba Z0L, were you, your spe o members of Yo ae fry & rea, over, governing bord oa orator, or rors oo 1 Senso ororato o onSbon open eo mon cra ere, ears Suh eas oe ste or Sdvesars pid 9 Oho 1°No proceed to question's 5 mor Tt Sate Sod a ie, o nti reted BY 3 pal ban of Bo Ste > Do htt organs of wich sou ar mre meme. | 200 ott ormnizations of which you are sere peer. ie/er postion | __ Name of Nonprofi | Nature of Business or p, corpavapen or oppeontion | purpose op msmmzston 70 Fhe norproft comartions o roams Tad Sve 4 Buses wih the Sate of Nori Coral or rceve fT Erie AR A petit Hat Nags of Nonprofit Corporation o Organization Derive State Busines or State Funding fone or vot Krom ERIE We Vou Ur seo ee Sou REE oy 3 Frets Ser 5 oven 507d aCe. very Sr 48 FE er er Eh ot S97 obo Te aes Oves or D)Legistator/Judicial Officer You are not required to complete this question if you are fling because. nara oa aves or Yoo re fin oo asso hac see 00 ott aranizatons of which you ae ny member (ot sein in a endersi oe). Name of Person Name of Sadity, organization Leadership Position i or Advocacy Group (Director, Officer, Board Member) The SET and any attachment, excluding the Confidential Form, are pubic records. Page sot 10 (a) List the name of each company or business with which you were associated where you or» member of your [mmedite Tami was an employee, director, affcer, partner, proprietor, of mermber or manager 55 of December 31. 2017. ssp | vr | ast lores agamanigrsr EAR 77 © fYorrZ fo HGS? Gasheect], 5 boss (hm! fpsheecl, 5; A797 Vr Huon basket som AA Liriecn! bk (0). 1F you know that any company or business ancy sted n 9(a) above had any material business dealings or business contracts with the Stat of North arclna o was regulated by the Sate a of December 11. 2017, provide a brie description of hat business ctuy. ‘Name of Company or Business Entity Description of Business Activity with the State 10. Are you a practicing attorney? Oves uo [Judicial Offcer/State Attorney "Yes", check each category of egal representation in which ou or the law firm with which you are afated has earned legal fees of more than $10,000 during 2017. (0 Administrative Admiralty [OCorporate 0 Criminal [0 Decedent's Estates. [J Environmental [Insurance 0 tabor 0 Local Government [J Real Property (J Securities OTax [Tort litigation (including [0 utilities Regulation [0] Other category not listed. negligence) 11. During 201Z.were you 3 lensed professional (other than an attomey) or did you provide consulting services nda of 25 3 mbes of professional association for Whih you charged or were paid over $10,007 Oves rd The SET and any attachments, excluding the Confidential Form, are public records. Page 6 of 10 PRP RP S————— tsa ove Sate wo of eros avy vit ch ou ror li vst or + Regulated by the State board or employing entity with which you are or will be associated or : ne State oat employing ent wth whieh you ae or wil be ssocited? Lives. Bs DlLegsbtor uct Ofc - vou ae no require to compe is sation fu re fing bec cas Ea Ses Se ee Tay ves 1 ea pana te hae oes promprr— Name of Employer Type of Reonship spplcaner (wicensing, Regulatory, Business) 5 Are you you spunea 3 meer you Feeds oly ure retard 5 3 Bt a ey pn, o were you registered as such within the 12 months preceding your filing of this form? Name of Lobbyist provwr———] oeot | Reimration wopmeemon | "Copieaton THER DIsciosuREs FE EWI Pr p—— OT PY PE Romie 2% aoe 5 vou receive any GY xcenng $200 er ara rom person o gro of persons actin together, and. ha th 100 3d tose person(s) were cid North Carol at te me vou cepa th aC), and th (5 war given under circumstances tat would ead 8 rasan persan to conclude hat hey were ive befits Oves No 5 ot epar gFS ven y r ovor Sede oY 00 nt reper gs tht have sreviudly ben repared by vot th Deparment of th Secretary of Sate on the pons hep tor amon Person The SEE and any attachment, excluding the Confidential Form, are publi records. Page 70110 15 buna 2017 (but only the time period after you were appointed, employed, or filed or were nominated as a candidate) + accept a “scholarship” exceeding $200 from a person or group of persons acting together and CT ae lath cnotors you oT melt ats ere) me rig 2017 wt deposit, distribution, transfer of funds, loan, payment, gift, pledge or subscription of money or anything of value whatsoever,” [17 e you an appointee or prospective appantee to: a. the head of a principal state department (e.g. cabinet secretary) appointed by the. Governar; or b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District | Court Judge; or <. a member of any of the following boards: + ABC Commission * Coastal Resources Commission + State Board of Education Oves 6 * State Board o Elections Division of Employment Security It No proceed to Environmental Management Commission Question 18. © Industral Commission ~ Human Resources Commission © Rules Review Commission ~ Board of Transportation © UNC Board of Governors * Uuiites Commission © Wide Resources Commission 4-1 s0, were you appointed or ae you being considered fo appointment to that | CJYes CINo ure positon bv a Counch of State. marmpars Counc of tats members are Ited | 1y oo,” proceed to question 16. Hi! | e. If so, you must indicate whether during 2017 you (not immediate family 1 members) engaged in any of the following activities with respect to or on behalf of the cancdte of campaign committe of the Councl af State member Who Shhomed you to your publ postion: Oves [INo i. Collected contributions from multiple contributors, took possession of such rultipe contributions, and translerred or delered those collected Contributions t the candidate or committee? Contributions are defined in Question 16, i. Hosted a fandraisr at your resence o place of business? Oves One Ti. Vakunteared for campaign elated acties, which include, but ar not Imited Lo, phone banks, cvent assstance, mallngs, camassng, surveynd, or ny [C1¥es [INo thar activity tnt advances the campaign of a candid? 16. Have you ever been convicted of » felony for which you have aot received either () a pardon of Inocence; or (1) an order of expungemept regarding that conviction? ea LPL Date of Conviction | _ County of Conviction | _ State of Conviction 15. Ae you aware of any other information that ou belle may asset the Sate Ethics Commission i advising you Cancarming your compHERce with the State Government Etncs Acs Cves 0 yes, please provide such information below. The SEX and any attachments, excluding the Confidential Form, are public records. Pages of 10 AFFIRMATION Bi aif hm th information provided tis Sttcnent of Ecanoic Interest and any tachment her a tre, complete, nd socurat to th bet of my Knowledge and beck. | also criy that have not transrrd, and will not rans, any asc, ners, o propery for the purpose of concealing i from closure while reining an equiable ieres understand that my Statcnent of Bonomi Inert ae any atischments or supplemens thereto (with the exception ofthe Contents Form regarding Unermancipated Children) are public record J acknowledge that hae red and understand N.C.G:S. 138A-26 regarding concealing o fling 0 disclose material ion and... 13827 regarding providing fl information: § 138A26, Conccaling or fling to disclose seca information A ing person sho knowingly conceals o knowingly ils to disclose information ha is eur 0 be disclosed Daf acon men under this Artic shall be guilty of a Class | misdemeanor and shal be subjet to disciplinary acon under GS. 138345 | §138A-27. Penalty for false information. > Fling person who provides fl information on a semen of economic terest a required under this Arle Knowing that th information is flse i guilty of a Class H felony and shall be subject to disciplinary action under | GS. 135A, V. aa” Zn ios 2 Tahar Sate JA 7 NA A Finted Rame | Submit SIGNED, ORIGINAL documents only. Do not ax or email this form. The SET and any attachments, excluding the Confidential Form, are public records. Page 1001 10

| 47%« NORTH CAROLINA STATE BOARD OF FOR COMPLIANCE UNIT USE ONLY “KY. ELECTIONS AND ETHICS ENFORCEMENT Sate Receives "4 2018 STATEMENT OF ECONOMIC INTEREST 919-814-3600 www.ncsbe.gov/Ethics/SEL IH i no ag cked for compton ameal | 17) oate THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL , YOUR SEI FILING OBLIGATION Ireimpleit 2 ce ce sem se Supp. SencDote oy Supp. Received Date _____ Entered in dtabase ____ by ___ FILER'S NAME (FIRST, MIDDLE, LAST) Ll Sill Austin | Ashezs |] "NATURE OR TYPE OF BUSINESS REASON FOR FILING (COMPLETE ALL THAT APPLY) STATE GOVERNMENT JOB (Speciy Agency and Position) | BOARD/COMMISSION (List complete name of ll State boards on which you are serving or are being considered JANCTE TIE Commini ti To, lo L, 4 I roll AWA Ly 57 ue THR | JUDICIAL OFFICER (Specty Office) | LEGISLATOR (Specify House or Senate) PS other immediate family members reside in your hausehold? Ges Ono When used throughout ths form, the term Immediate family includes your spouse (unless legally separated). It also includes members of your extended family (your and your spouse's children, grandchildren, parents, grandparents, and siblings, and the spouses of each of those persons) who reside in your household. List the full name of all adults and emancipated minors in your household. A minor is 3 child under 18 years old. Minors are emancipated by marnage, enistment in the US miltary, or court order for emancipation: FULL NAME OF ADULTS & 08 TITLE EMANCIPATED Juinors 4 4 = ] I The SET and any attachments, excluding the Confidential Form, are public records. Page 10f 10 [Bist ONLY the iniiats of all emancipated minors i your househald below. A minor is 2 chid under 18 years old. Note: You must list the full name of each minor child on the Confidential Form available at the end of this document. INITIALS FOR NATURE OF UNEMANCIPATED BUSINESS Minos RAR Pw yy 2 EE IL rads 7 I Al EEA EE EE PROPERTY INTERESTS 1. As of December 31. 2017, ct you, your spouse, or members of your Immediate fami: A. Have an ownership Interest In North Carolin realestate (including your residence) with a market value of $10,000 or more? we ono |__owner of meat estate | o ownership interest | Locationby city | Location by county | had, | reo | | foes 7 Z, 1 \ewtal Jopertd soo | | fraki 8. Lease or rent real estate or personal property Lo or fram the State of Narth Carolina with a market value of $10,000 or more? Ove of Name of Lessee | 1f Real Estate, Location | If Personal Property, (Renter) by City & County Describe 2. At any time during 2016 or 2017, did you, your spouse, or members of your immediate family sell to or buy from the Sets personal property with a market value of $10,000 or more? Oves tho [ Nemeofpuchaser | Nameofseler | Type of Property The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 10 [Fanancrar interests 3. As of December 31, 2017, did you, your spouse, or members of your immediate family own any of the following financial interests valued at $10,000 or more? LIST EACH COMPANY INDIVIDUALLY. Stock n a pub cwned company? [ves wo +o [Bt lst ownership Terests Tn a widely held Investment Tard (neluding mutual ands, requated Investment companies, or pension or deferred compensation plans) if: (i) the fund is publicly traded or its assets are widely diversified; and (ii) neither you nor an immediate family member are able to control the assets held in the mutual fund, Investment company. of pension or deferred compensation plan [ ownerofmmersst | Full Name of Company (Do not use a ticker symbol) 5. Stock Options 1 2 company or business? ove mf Owner of Stock Option Full Name of Company (Ba not use a ticker symbol C. Interests in a non-publicly owned company or business entity (including interests in sole proprietorships, partnerships, limited partnerships, joint ventures, limited liability companies, limited liability partnerships, and Slosely eld corprationsy Oves we, No,” proceed to question 4. Name of Company or Business Entity € (1). For each non-publicly owned company or business entity (the “primary company”) identified in question S.C "Shove, please st he names of any othe companies of busincss ennies h which the primary company ons Secures or equty Interests valoda at over $10,000, known. Non-Publicly Owned Company or Business Entity | _ Other Companies in which the Primary Company (the primary Company) ‘Owns Security or Equity Interests None or Not Known The SEI and any attachments, excluding the Confidential Form, are public records. Page 30110 C (2). 1 you know that any company or business entty listed in 3.C or 3.C(1) above has any material business. © Geainge o business corkacks wit he Stat of Nort Carolin, o 5 eguited by th State, prove » bret desemgion of tht business arty. Name of Company or Business Entity Description of Business Activity with the Stats As of Desamber 31. 2017 were you, your spouse, or members of your Inada aml Te benefcares of 3 vested See STST81000 or moe te wet ree amtahed, or cori by yooh Do not list assets held in blind trusts. See 2017 SEI Helpful Tips for the definition of “Vested Trust” and "Blind Trust.” ove fo [ame and Adress of Trustee | Description of the Trust__| _ Your Relationship to the Trust _| 5. As of December 21, 2017, 41d you, your spouse, or members of your [mmadiate family have liabilities of $10,000 or ‘more, excluding the mortgage on your primary personal residence? Examples include credit card debts, auto loans, student oars, pessonationn ana ratory gem: Oves [ONo Name of Debtor (You, Spouse, Immediate Family | Type of Creditor (Commercial Bank, Credit Union, 1%) yA Snag ote rl os os it sot cet Pc ea me of rE an SEA oy fou pet vi, or aro your immediate family during 2017. Include salary, wages, state/local gbverment retirement, professional fees, Ronorars, erst, GAdands, Feta come, Busnes Income, 373 the PES of incor 1edured tb reported o your Ste an federal tx rtums. Do not Include income received from the following sources: » capital gains » Federsi government retirement > Miltary retirement » Social security Income/SsDX Recipient of Income Name of Source Type of Type of Income BUiness/Industry 0 had og reporablgncome ove $5,000 n 2017. ) ] A= IT Se (Gt da[Sn Biskedt 10114 Za BEY. The SET and any attachments, excluding the Confidential Form, ae public records. Page dof 10 |proFesstonaL ano cvic reLaTionsHIPs 707 Ba Z0L, were you, your spe o members of Yo ae fry & rea, over, governing bord oa orator, or rors oo 1 Senso ororato o onSbon open eo mon cra ere, ears Suh eas oe ste or Sdvesars pid 9 Oho 1°No proceed to question's 5 mor Tt Sate Sod a ie, o nti reted BY 3 pal ban of Bo Ste > Do htt organs of wich sou ar mre meme. | 200 ott ormnizations of which you are sere peer. ie/er postion | __ Name of Nonprofi | Nature of Business or p, corpavapen or oppeontion | purpose op msmmzston 70 Fhe norproft comartions o roams Tad Sve 4 Buses wih the Sate of Nori Coral or rceve fT Erie AR A petit Hat Nags of Nonprofit Corporation o Organization Derive State Busines or State Funding fone or vot Krom ERIE We Vou Ur seo ee Sou REE oy 3 Frets Ser 5 oven 507d aCe. very Sr 48 FE er er Eh ot S97 obo Te aes Oves or D)Legistator/Judicial Officer You are not required to complete this question if you are fling because. nara oa aves or Yoo re fin oo asso hac see 00 ott aranizatons of which you ae ny member (ot sein in a endersi oe). Name of Person Name of Sadity, organization Leadership Position i or Advocacy Group (Director, Officer, Board Member) The SET and any attachment, excluding the Confidential Form, are pubic records. Page sot 10 (a) List the name of each company or business with which you were associated where you or» member of your [mmedite Tami was an employee, director, affcer, partner, proprietor, of mermber or manager 55 of December 31. 2017. ssp | vr | ast lores agamanigrsr EAR 77 © fYorrZ fo HGS? Gasheect], 5 boss (hm! fpsheecl, 5; A797 Vr Huon basket som AA Liriecn! bk (0). 1F you know that any company or business ancy sted n 9(a) above had any material business dealings or business contracts with the Stat of North arclna o was regulated by the Sate a of December 11. 2017, provide a brie description of hat business ctuy. ‘Name of Company or Business Entity Description of Business Activity with the State 10. Are you a practicing attorney? Oves uo [Judicial Offcer/State Attorney "Yes", check each category of egal representation in which ou or the law firm with which you are afated has earned legal fees of more than $10,000 during 2017. (0 Administrative Admiralty [OCorporate 0 Criminal [0 Decedent's Estates. [J Environmental [Insurance 0 tabor 0 Local Government [J Real Property (J Securities OTax [Tort litigation (including [0 utilities Regulation [0] Other category not listed. negligence) 11. During 201Z.were you 3 lensed professional (other than an attomey) or did you provide consulting services nda of 25 3 mbes of professional association for Whih you charged or were paid over $10,007 Oves rd The SET and any attachments, excluding the Confidential Form, are public records. Page 6 of 10 PRP RP S————— tsa ove Sate wo of eros avy vit ch ou ror li vst or + Regulated by the State board or employing entity with which you are or will be associated or : ne State oat employing ent wth whieh you ae or wil be ssocited? Lives. Bs DlLegsbtor uct Ofc - vou ae no require to compe is sation fu re fing bec cas Ea Ses Se ee Tay ves 1 ea pana te hae oes promprr— Name of Employer Type of Reonship spplcaner (wicensing, Regulatory, Business) 5 Are you you spunea 3 meer you Feeds oly ure retard 5 3 Bt a ey pn, o were you registered as such within the 12 months preceding your filing of this form? Name of Lobbyist provwr———] oeot | Reimration wopmeemon | "Copieaton THER DIsciosuREs FE EWI Pr p—— OT PY PE Romie 2% aoe 5 vou receive any GY xcenng $200 er ara rom person o gro of persons actin together, and. ha th 100 3d tose person(s) were cid North Carol at te me vou cepa th aC), and th (5 war given under circumstances tat would ead 8 rasan persan to conclude hat hey were ive befits Oves No 5 ot epar gFS ven y r ovor Sede oY 00 nt reper gs tht have sreviudly ben repared by vot th Deparment of th Secretary of Sate on the pons hep tor amon Person The SEE and any attachment, excluding the Confidential Form, are publi records. Page 70110 15 buna 2017 (but only the time period after you were appointed, employed, or filed or were nominated as a candidate) + accept a “scholarship” exceeding $200 from a person or group of persons acting together and CT ae lath cnotors you oT melt ats ere) me rig 2017 wt deposit, distribution, transfer of funds, loan, payment, gift, pledge or subscription of money or anything of value whatsoever,” [17 e you an appointee or prospective appantee to: a. the head of a principal state department (e.g. cabinet secretary) appointed by the. Governar; or b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District | Court Judge; or <. a member of any of the following boards: + ABC Commission * Coastal Resources Commission + State Board of Education Oves 6 * State Board o Elections Division of Employment Security It No proceed to Environmental Management Commission Question 18. © Industral Commission ~ Human Resources Commission © Rules Review Commission ~ Board of Transportation © UNC Board of Governors * Uuiites Commission © Wide Resources Commission 4-1 s0, were you appointed or ae you being considered fo appointment to that | CJYes CINo ure positon bv a Counch of State. marmpars Counc of tats members are Ited | 1y oo,” proceed to question 16. Hi! | e. If so, you must indicate whether during 2017 you (not immediate family 1 members) engaged in any of the following activities with respect to or on behalf of the cancdte of campaign committe of the Councl af State member Who Shhomed you to your publ postion: Oves [INo i. Collected contributions from multiple contributors, took possession of such rultipe contributions, and translerred or delered those collected Contributions t the candidate or committee? Contributions are defined in Question 16, i. Hosted a fandraisr at your resence o place of business? Oves One Ti. Vakunteared for campaign elated acties, which include, but ar not Imited Lo, phone banks, cvent assstance, mallngs, camassng, surveynd, or ny [C1¥es [INo thar activity tnt advances the campaign of a candid? 16. Have you ever been convicted of » felony for which you have aot received either () a pardon of Inocence; or (1) an order of expungemept regarding that conviction? ea LPL Date of Conviction | _ County of Conviction | _ State of Conviction 15. Ae you aware of any other information that ou belle may asset the Sate Ethics Commission i advising you Cancarming your compHERce with the State Government Etncs Acs Cves 0 yes, please provide such information below. The SEX and any attachments, excluding the Confidential Form, are public records. Pages of 10 AFFIRMATION Bi aif hm th information provided tis Sttcnent of Ecanoic Interest and any tachment her a tre, complete, nd socurat to th bet of my Knowledge and beck. | also criy that have not transrrd, and will not rans, any asc, ners, o propery for the purpose of concealing i from closure while reining an equiable ieres understand that my Statcnent of Bonomi Inert ae any atischments or supplemens thereto (with the exception ofthe Contents Form regarding Unermancipated Children) are public record J acknowledge that hae red and understand N.C.G:S. 138A-26 regarding concealing o fling 0 disclose material ion and... 13827 regarding providing fl information: § 138A26, Conccaling or fling to disclose seca information A ing person sho knowingly conceals o knowingly ils to disclose information ha is eur 0 be disclosed Daf acon men under this Artic shall be guilty of a Class | misdemeanor and shal be subjet to disciplinary acon under GS. 138345 | §138A-27. Penalty for false information. > Fling person who provides fl information on a semen of economic terest a required under this Arle Knowing that th information is flse i guilty of a Class H felony and shall be subject to disciplinary action under | GS. 135A, V. aa” Zn ios 2 Tahar Sate JA 7 NA A Finted Rame | Submit SIGNED, ORIGINAL documents only. Do not ax or email this form. The SET and any attachments, excluding the Confidential Form, are public records. Page 1001 10

NORTH CAROLINA STATE ETHICS COMMISSION [ee Al J 2017 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM ecko tor completion 27. THIS ENTIRE FORM MUST BE COMPLETED TO scanned Date_ FULFILL YOUR ETHICS FILING OBLI¢ TON A H GAT) covered in 08 Joa A ERS WA FT, WISE UT) I [AAN, (Shasrd | Fashmo || aan oa oe COREE AL Te re STATE GOVERMENT 208 (Spel Areny and Posiion) | sonmo/Conmesion (Le comple rome o 1 SR a, AAC (72 JE (cnprwrenty CPPEHFT SOCIAL OFrCER Spey Oe) Leormon (pmo rsp] AeFRRRTION Ld Sb is bd is als curt ht aw nt ranted, nd wil mo oslo, an set, tres, a Gropay for he purges of concealing amar nt wm understand tha my Statement of Economic net and ay tachment or spleens tre (with he exception of a et Een et ad any chert acknntodg ht | hve eas and understand H.C... 13025 regard casing or all to dose teria a and C1. aan 26 rau § 59w25. Contin ol cies eet ermatin ting person whe kneinly concession ta reed chs on ee me Be a os a 0 os roman i reed ees ee rt 1550.27. senaty or ee main Amr of separ ere os red under hs Ace bel hrs atm hat have reviewed my mos recently led 2016 Statement of Economie ntrest and that ere a amg espn Th sat fed 2018 Statement of coro Interest and that a oe Ede _ Br ee pr ie B07 | Sifnjty eA - Date. Lut (o ZA gC Ld Sa Submit SIGNED, ORIGINAL documents ny. Bo not fo or emai his form, Ti ia domamentian puna

NORTH CAROLINA STATE ETHICS COMMISSION [ee Al J 2017 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM ecko tor completion 27. THIS ENTIRE FORM MUST BE COMPLETED TO scanned Date_ FULFILL YOUR ETHICS FILING OBLI¢ TON A H GAT) covered in 08 Joa A ERS WA FT, WISE UT) I [AAN, (Shasrd | Fashmo || aan oa oe COREE AL Te re STATE GOVERMENT 208 (Spel Areny and Posiion) | sonmo/Conmesion (Le comple rome o 1 SR a, AAC (72 JE (cnprwrenty CPPEHFT SOCIAL OFrCER Spey Oe) Leormon (pmo rsp] AeFRRRTION Ld Sb is bd is als curt ht aw nt ranted, nd wil mo oslo, an set, tres, a Gropay for he purges of concealing amar nt wm understand tha my Statement of Economic net and ay tachment or spleens tre (with he exception of a et Een et ad any chert acknntodg ht | hve eas and understand H.C... 13025 regard casing or all to dose teria a and C1. aan 26 rau § 59w25. Contin ol cies eet ermatin ting person whe kneinly concession ta reed chs on ee me Be a os a 0 os roman i reed ees ee rt 1550.27. senaty or ee main Amr of separ ere os red under hs Ace bel hrs atm hat have reviewed my mos recently led 2016 Statement of Economie ntrest and that ere a amg espn Th sat fed 2018 Statement of coro Interest and that a oe Ede _ Br ee pr ie B07 | Sifnjty eA - Date. Lut (o ZA gC Ld Sa Submit SIGNED, ORIGINAL documents ny. Bo not fo or emai his form, Ti ia domamentian puna

NORTH CAROLINA STATE ETHICS COMMISSION 2016 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM FILER'S NAME (FIRST, MIDDLE, LAST) Prefix First Name Middle Name Last Name Suffix abdul M Rasheed REASON FOR FILING (SELECT ALL THAT APPLY) STATE GOVERNMENT JOB (Please specify the agency for which you work or are being considered) BOARD/COMMISSION (Please list complete name of all State boards on which you are serving or are being considered) Vance Granville Community College Trustees; JUDICIAL OFFICER (Please specify the office you hold) LEGISLATOR (Please specify House or Senate) The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 2 AFFIRMATION I affirm that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate to the best of my knowledge and belief. I also certify that I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments or supplements thereto (with the exception of the Confidential Form regarding Unemancipated Children) are public record. I acknowledge that I have read and understand N.C.G.S. 138A-26 regarding concealing or failing to disclose material information and N.C.G.S. 138A-27 regarding providing false information: § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest under this Article shall be guilty of a Class 1 misdemeanor and shall be subject to disciplinary action under G.S. 138A-45. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest as required under this Article knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I hereby affirm that I have reviewed my most recently filed 2015 Statement of Economic Interest and that as of December 31, 2015, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I Agree. It is my intention that this check box constitutes my electronic signature. By checking this box I certify that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate to the best of my knowledge and belief. Filed Electronically 4/12/2016 Signature Date abdul M Rasheed Printed Name The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 2

“4 2015 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM [ wasenane 15 | ld lL © OA OEE (tae pty hice yous | sO pls ter se 2 EE 7 44 P / Rs pLDUL Shap, Miskan fitoa G75, Res

“4 2015 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM [ wasenane 15 | ld lL © OA OEE (tae pty hice yous | sO pls ter se 2 EE 7 44 P / Rs pLDUL Shap, Miskan fitoa G75, Res