Adam Lockhart Taylor
Board of ReviewCommerce, Department ofState Human Resources, Office of
Filings
2025 Board of Review
Document text
The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 10
STATE ETHICS COMMISSION
2025 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
Mr. Adam Lockhart Taylor
Current Employer Job Title
NC Board of Review Board Member, Employer Representative
Nature or Type of Business
Unemployment Appeals Review Board
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 complete names of all State boards
on which you are serving or are being considered.)
Board of Review
Judicial Officer, Post-Service Filer, or Judicial Officer
Appointee (Specify office.)
Legislator, Post-Service Filer, or Appointee to Legislative
Office (Specify House or Senate.)
A. Do any immediate family members reside in your household?
☒ Yes ☐ No
On this form, ”immediate family” includes your spouse (unless legally separated) and unemancipated children (minors
under 18 years of age). 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
Paige Elizabeth Dosser Spouse Wake County Training Manager Coordinate Training
for County Employees
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
Property Interests
1. As of December 31, 2024, 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
(Self plus Spouse) 100.00% Raleigh Wake
Adam Lockhart Taylor (Self) 17.00% Ocean Isle Beach Brunswick
Adam Lockhart Taylor (Self) 33.00% Wadesboro Anson
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 2023 or 2024, did you or any members of your immediate family sell or buy personal property
worth $10,000 or more to or from the State of North Carolina?
☐ 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, 2024, 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
► Include stocks held individually of in a portfolio managed by a financial services company
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
Adam Lockhart Taylor (Self) See Attached
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
Adam Lockhart Taylor (Self) Lockhart Farms, LLC
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
Lockhart Farms, LLC I am not sure; however, as I reported in last years
statement, Lockhart Farms, LLC leases 3 separate tracts of
land to Strata Solar for the operation of a solar farm.
4. As of December 31, 2024, 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 2025 SEI Helpful Tips for the definition of “Vested Trust” and “Blind Trust.”
https://ethics.nc.gov/seis
☐ 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, 2024, 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. Do not disclose the amount of the debt.
☒ Yes ☐ No
Name of Debtor Type of Creditor (commercial Bank, credit union,
individual, etc.)
Adam Lockhart Taylor (Self) Commercial Bank
Adam Lockhart Taylor (Self) Commercial Bank
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 2024. 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. You must disclose your receipt of salary or wages from any governmental or private
entity, including those already listed in response to other SEI questions.
Do not include income received from the following sources:
► Capital gains ► Federal government retirement
► Military retirement ► Social security retirement, survivors, or disability benefits
Recipient of Income Name of Person or Entity
from Which Income Was
Received
Type of
Business/Industry
Type of Income
Paige Elizabeth Dosser
(Spouse)
State of North Carolina Governmental State/local government
retirement
Paige Elizabeth Dosser
(Spouse)
Wake County Governmental Salary
Adam Lockhart Taylor (Self) Lockhart Farms, LLC Family Partnership Business income
Adam Lockhart Taylor (Self) Raymond James
Investments
Securities Dividends
Adam Lockhart Taylor (Self) State of North Carolina Governmental Salary
The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 10
Professional and Civic Relationships
7(a). During 2024, 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, or entities created by local governments.
► 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
Adam Lockhart Taylor (Self) Board Member Christ Episcopal Church Church
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
Christ Episcopal Church None or Not Known
8. During 2024, 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 solely
because you are a legislator or judicial officer or as a candidate or appointee to 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 for profit business with which you or a member of your immediate family was an employee,
director, officer, partner, proprietor, or member or manager as of December 31, 2024.
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, 2024, 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/In House/Employee 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 2024.
☐ 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 2024, 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 solely
because you are a legislator or judicial officer or as a candidate or appointee to 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
Adam Lockhart Taylor (Self) State of North Carolina 04/12/2024 09/01/2024
Other Disclosures
14. During 2024, 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 2024, 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 filing solely because you
are a legislator or judicial officer or as a candidate or appointee to those offices.
► 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 2024 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 yes, 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.
Governor
e. If yes, you must indicate whether during 2024 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.
To ensure I am answering the question correctly regarding affiliation with organizations. I was elected in 2023 to serve
a 3-year term on the Christ Episcopal Church (Raleigh) Vestry Committee effective January 2024. I know Christ Church
operates a pre-school program and leases several properties in the downtown area. I assume there is a possibility that
a worker could file an unemployment claim that could reach the level of the Board of Review but understand the need to
recuse myself if that were to occur.
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 04/15/2025
Signature Date
Adam Lockhart Taylor
Printed Name
2024 Board of Review
Document text
The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 10
STATE ETHICS COMMISSION
2024 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
Mr. Adam Lockhart Taylor
Current Employer Job Title
Office of State Human Resources Director of Government Relations
Nature or Type of Business
Constituent Services and Legislative Liaison
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 complete names of all State boards
on which you are serving or are being considered.)
State Human Resources, Office of - Director of
Government Relations
Board of Review
Judicial Officer or Judicial Officer Appointee(Specify
office.)
Legislator or Appointee to Legislative Office(Specify House or
Senate.)
A. Do any immediate family members reside in your household?
☒ Yes ☐ No
On this form, ”immediate family” includes your spouse (unless legally separated) and unemancipated children (minors
under 18 years of age). 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
Paige Elizabeth Dosser Spouse Wake County Training Manager Coordinate Training
for County Employees
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
Property Interests
1. As of December 31, 2023, 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
(Self plus Spouse) 100.00% Raleigh Wake
Adam Lockhart Taylor (Self) 17.00% Ocean Isle Beach Brunswick
Adam Lockhart Taylor (Self) 33.00% Wadesboro Anson
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 2022 or 2023, did you or any members of your immediate family sell or buy personal property
worth $10,000 or more to or from the State of North Carolina?
☐ 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, 2023, 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
► Include stocks held individually of in a portfolio managed by a financial services company
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
Adam Lockhart Taylor (Self) See Attached
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
Adam Lockhart Taylor (Self) Lockhart Farms, LLC
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
Lockhart Farms, LLC I am not sure; however, as I reported in last years
statement, Lockhart Farms, LLC leases 3 separate tracts of
land to Strata Solar for the operation of a solar farm.
4. As of December 31, 2023, 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 2024 SEI Helpful Tips for the definition of “Vested Trust” and “Blind Trust.”
https://ethics.nc.gov/seis
☐ 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, 2023, 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. Do not disclose the amount of the debt.
☒ Yes ☐ No
Name of Debtor Type of Creditor (commercial Bank, credit union,
individual, etc.)
Adam Lockhart Taylor (Self) Commercial Bank
Adam Lockhart Taylor (Self) Commercial Bank
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 2023. 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. You must disclose your receipt of salary or wages from any governmental or private
entity, including those already listed in response to other SEI questions.
Do not include income received from the following sources:
► Capital gains ► Federal government retirement
► Military retirement ► Social security retirement, survivors, or disability benefits
Recipient of Income Name of Person or Entity
from Which Income Was
Received
Type of
Business/Industry
Type of Income
(Self plus Spouse) Wake County Governmental Salary
Paige Elizabeth Dosser
(Spouse)
State of North Carolina Governmental State/local government
retirement
Adam Lockhart Taylor (Self) Lockhart Farms, LLC Family Partnership Business income
Adam Lockhart Taylor (Self) Raymond James
Investments
Securities Dividends
Adam Lockhart Taylor (Self) State of North Carolina Governmental Salary
The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 10
Professional and Civic Relationships
7(a). During 2023, 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, or entities created by local governments.
► 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
Adam Lockhart Taylor (Self) Board Member Christ Episcopal Church Church
Adam Lockhart Taylor (Self) Officer - Chair Kilwinning Masonic Lodge #64 Fraternal Org. with
Charitable fundraising and
donations
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
Christ Episcopal Church None or Not Known
Kilwinning Masonic Lodge #64 None or Not Known
8. During 2023, 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 solely
because you are a legislator or judicial officer or as a candidate or appointee to 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 for profit business with which you or a member of your immediate family was an employee,
director, officer, partner, proprietor, or member or manager as of December 31, 2023.
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, 2023, 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/In House/Employee 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 2023.
☐ 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 2023, 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 solely
because you are a legislator or judicial officer or as a candidate or appointee to 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
Adam Lockhart Taylor (Self) State of North Carolina 02/04/2022 12/31/2022
Adam Lockhart Taylor (Self) State of North Carolina 04/12/2024 12/31/2024
Other Disclosures
14. During 2023, 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 2023, 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 filing solely because you
are a legislator or judicial officer or as a candidate or appointee to those offices.
► 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 2023 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 yes, 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.
Governor
e. If yes, you must indicate whether during 2023 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.
To ensure I am answering the question correctly regarding affiliation with organizations. I was elected in 2023 to serve
a 3-year term on the Christ Episcopal Church (Raleigh) Vestry Committee effective January 2024. I know Christ Church
operates a pre-school program and leases several properties in the downtown area. I assume there is a possibility that
a worker could file an unemployment claim that could reach the level of the Board of Review but understand the need to
recuse myself if that were to occur.
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 08/14/2024
Signature Date
Adam Lockhart Taylor
Printed Name
2024 State Human Resources, Office of
Document text
The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 10
STATE ETHICS COMMISSION
2024 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
Mr. adam Lockhart Taylor
Current Employer Job Title
Office of State Human Resources Director of Government Relations
Nature or Type of Business
Constituent Services and Legislative Liaison
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 complete names of all State boards
on which you are serving or are being considered.)
State Human Resources, Office of - Director of
Government Relations
Judicial Officer or Judicial Officer Appointee(Specify
office.)
Legislator or Appointee to Legislative Office(Specify House or
Senate.)
A. Do any immediate family members reside in your household?
☒ Yes ☐ No
On this form, ”immediate family” includes your spouse (unless legally separated) and unemancipated children (minors
under 18 years of age). 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
Paige Elizabeth Dosser Spouse Wake County Training Manager Coordinate Training
for County Employees
Virginia Lockhart Taylor Child Student
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
Property Interests
1. As of December 31, 2023, 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
(Self plus Spouse) 100.00% Raleigh Wake
adam Lockhart Taylor (Self) 17.00% Ocean Isle Beach Brunswick
adam Lockhart Taylor (Self) 33.00% Wadesboro Anson
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 2022 or 2023, did you or any members of your immediate family sell or buy personal property
worth $10,000 or more to or from the State of North Carolina?
☐ 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, 2023, 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
► Include stocks held individually of in a portfolio managed by a financial services company
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
adam Lockhart Taylor (Self) See Attached
Virginia Lockhart Taylor (Child) See Attached
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
adam Lockhart Taylor (Self) Lockhart Farms, LLC
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
Lockhart Farms, LLC I am not sure; however, as I reported in last years
statement, Lockhart Farms, LLC leases 3 separate tracts of
land to Strata Solar for the operation of a solar farm.
4. As of December 31, 2023, 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 2024 SEI Helpful Tips for the definition of “Vested Trust” and “Blind Trust.”
https://ethics.nc.gov/seis
☐ 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, 2023, 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. Do not disclose the amount of the debt.
☒ Yes ☐ No
Name of Debtor Type of Creditor (commercial Bank, credit union,
individual, etc.)
adam Lockhart Taylor (Self) Commercial Bank
adam Lockhart Taylor (Self) Commercial Bank
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 2023. 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. You must disclose your receipt of salary or wages from any governmental or private
entity, including those already listed in response to other SEI questions.
Do not include income received from the following sources:
► Capital gains ► Federal government retirement
► Military retirement ► Social security retirement, survivors, or disability benefits
Recipient of Income Name of Person or Entity
from Which Income Was
Received
Type of
Business/Industry
Type of Income
(Self plus Spouse) Wake County Governmental Salary
Paige Elizabeth Dosser
(Spouse)
State of North Carolina Governmental State/local government
retirement
adam Lockhart Taylor (Self) Lockhart Farms, LLC Family Partnership Business income
adam Lockhart Taylor (Self) Raymond James
Investments
Securities Dividends
adam Lockhart Taylor (Self) State of North Carolina Governmental Salary
The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 10
Professional and Civic Relationships
7(a). During 2023, 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, or entities created by local governments.
► 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
adam Lockhart Taylor (Self) Board Member Christ Episcopal Church Church
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
Christ Episcopal Church None or Not Known
8. During 2023, 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 solely
because you are a legislator or judicial officer or as a candidate or appointee to 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 for profit business with which you or a member of your immediate family was an employee,
director, officer, partner, proprietor, or member or manager as of December 31, 2023.
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, 2023, 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/In House/Employee 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 2023.
☐ 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 2023, 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 solely
because you are a legislator or judicial officer or as a candidate or appointee to 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
adam Lockhart Taylor (Self) State of North Carolina 02/04/2022 12/31/2022
adam Lockhart Taylor (Self) State of North Carolina 04/12/2024 12/31/2024
Other Disclosures
14. During 2023, 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 2023, 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 filing solely because you
are a legislator or judicial officer or as a candidate or appointee to those offices.
► 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 2023 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
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 yes, 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 yes, you must indicate whether during 2023 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 04/15/2024
Signature Date
adam Lockhart Taylor
Printed Name
2023 State Human Resources, Office of
Document text
The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 10
STATE ETHICS COMMISSION
2023 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
Mr. adam Lockhart Taylor
Current Employer Job Title
Office of State Human Resources Director of Government Relations
Nature or Type of Business
Constituent Services and Legislative Liaison
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 complete names of all State boards
on which you are serving or are being considered.)
State Human Resources, Office of - Director of
Government Relations
Judicial Officer or Filing Post-Service (Specify office.) Legislator or Filing Post-Service(Specify House or Senate.)
A. Do any immediate family members reside in your household?
☒ Yes ☐ No
On this form, ”immediate family” includes your spouse (unless legally separated) and unemancipated children (minors
under 18 years of age). 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
Paige Elizabeth Dosser Spouse Wake County Training Manager Coordinate Training
for County Employees
Virginia Lockhart Taylor Child Student
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
Property Interests
1. As of December 31, 2022, 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
(Self plus Spouse) 100.00% Raleigh Wake
adam Lockhart Taylor (Self) 17.00% Ocean Isle Beach Brunswick
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 2021 or 2022, did you or any members of your immediate family sell or buy personal property
worth $10,000 or more to or from the State of North Carolina?
☐ 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, 2022, 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
adam Lockhart Taylor (Self) See Attached
Virginia Lockhart Taylor (Child) See Attached
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
adam Lockhart Taylor (Self) Lockhart Farms, LLC
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
Lockhart Farms, LLC I am not sure; however, as I reported in last years
statement, Lockhart Farms, LLC leases 3 separate tracts of
land to Strata Solar for the operation of a solar farm.
4. As of December 31, 2022, 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 2023 SEI Helpful Tips for the definition of “Vested Trust” and “Blind Trust.”
https://ethics.nc.gov/seis
☐ 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, 2022, 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. Do not disclose the amount of the debt.
☒ Yes ☐ No
Name of Debtor Type of Creditor (commercial Bank, credit union,
individual, etc.)
adam Lockhart Taylor (Self) Commercial Bank
adam Lockhart Taylor (Self) Commercial Bank
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 2022. 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. You must disclose your receipt of salary or wages from any governmental or private
entity, including those already listed in response to other SEI questions.
Do not include income received from the following sources:
► Capital gains ► Federal government retirement
► Military retirement ► Social security retirement, suvivors, or disability benefits
Recipient of Income Name of Source Type of
Business/Industry
Type of Income
(Self plus Spouse) Wake County Governmental Salary
Paige Elizabeth Dosser
(Spouse)
State of North Carolina Governmental State/local government
retirement
adam Lockhart Taylor (Self) Lockhart Farms, LLC Family Partnership Business income
adam Lockhart Taylor (Self) Raymond James
Investments
Securities Dividends
adam Lockhart Taylor (Self) State of North Carolina Governmental Salary
The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 10
Professional and Civic Relationships
7(a). During 2022, 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, or entities created by local governments.
► 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
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
None or Not Known
8. During 2022, 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 solely
because you are a legislator or judicial officer or as a candidate or appointee to 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 for profit business with which you or a member of your immediate family was an employee,
director, officer, partner, proprietor, or member or manager as of December 31, 2022.
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, 2022, 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/In House/Employee 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 2022.
☐ 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 2022, 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 solely
because you are a legislator or judicial officer or as a candidate or appointee to 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
adam Lockhart Taylor (Self) State of North Carolina 02/04/2022 12/31/2022
Other Disclosures
14. During 2022, 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 2022, 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 filing solely because you
are a legislator or judicial officer or as a candidate or appointee to those offices.
► 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 2022 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
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 2022 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 04/14/2023
Signature Date
adam Lockhart Taylor
Printed Name
2022 State Human Resources, Office of
Document text
The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 10
STATE ETHICS COMMISSION
2022 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
Mr. adam Lockhart Taylor
Current Employer Job Title
Office of State Human Resources Director of Government Relations
Nature or Type of Business
Constituent Services and Legislative Liaison
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 complete names of all State boards
on which you are serving or are being considered.)
State Human Resources, Office of - Director of
Government Relations
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
Paige Elizabeth Dosser Spouse Wake County Training Manager Coordinate Training
for County Employees
Virginia Lockhart Taylor Child Student
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
Property Interests
1. As of December 31, 2021, 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
(Self plus Spouse) 100.00% Raleigh Wake
adam Lockhart Taylor (Self) 17.00% Ocean Isle Beach Brunswick
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 2020 or 2021, 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, 2021, 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
adam Lockhart Taylor (Self) See Attached
Virginia Lockhart Taylor (Child) See Attached
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
adam Lockhart Taylor (Self) Lockhart Farms, LLC
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
Lockhart Farms, LLC I am not sure; however, as I reported in last years
statement, Lockhart Farms, LLC leases 3 separate tracts of
land to Strata Solar for the operation of a solar farm.
4. As of December 31, 2021, 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 2022 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, 2021, 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.)
adam Lockhart Taylor (Self) Commercial Bank
adam Lockhart Taylor (Self) Commercial Bank
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 2021. 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
(Self plus Spouse) Wake County Governmental Salary
Paige Elizabeth Dosser
(Spouse)
State of North Carolina Governmental State/local government
retirement
adam Lockhart Taylor (Self) State of North Carolina Governmental Salary
adam Lockhart Taylor (Self) Raymond James
Investments
Securities Dividends
adam Lockhart Taylor (Self) Lockhart Farms, LLC Family Partnership Business income
The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 10
Professional and Civic Relationships
7(a). During 2021, 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
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
None or Not Known
8. During 2021, 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, 2021.
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, 2021, 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 2021.
☐ 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 2021, 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 2021, 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 2021, 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 2021 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
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 2021 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 02/03/2022
Signature Date
adam Lockhart Taylor
Printed Name
2021 Commerce, Department of
Document text
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
Mr. Adam Lockhart Taylor
Current Employer Job Title
NC Department of Commerce Policy Analyst - Division of Workforce Solutions
Nature or Type of Business
Policy Analyst of Workforce Programs in NC
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.)
Commerce, Department of - Policy Analyst
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
Paige Elizabeth Dosser Spouse Wake County Training Manager Coordinate Training
for County Employees
Elizabeth Louisa Taylor Child Student
Virginia Lockhart Taylor Child Student
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
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
(Self plus Spouse) 100.00% Raleigh Wake
Adam Lockhart Taylor (Self) 32.00% Wadesboro Anson
Adam Lockhart Taylor (Self) 17.00% Ocean Isle Beach Brunswick
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
Adam Lockhart Taylor (Self) Attached
Elizabeth Louisa Taylor (Child) Attached
Virginia Lockhart Taylor (Child) attached
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
Adam Lockhart Taylor (Self) Lockhart Farms, LLC
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
Lockhart Farms, LLC I am not sure; however, as I reported in last years
statement, Lockhart Farms, LLC leases 3 separate tracts of
land to Strata Solar for the operation of a solar farm.
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.)
Adam Lockhart Taylor (Self) Commercial Bank
Adam Lockhart Taylor (Self) Commercial Bank
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
Paige Elizabeth Dosser
(Spouse)
State of North Carolina Governmental State/local government
retirement
Paige Elizabeth Dosser
(Spouse)
Wake County Governmental Wages
Adam Lockhart Taylor (Self) Raymond James Brokerage Securities Dividends
Adam Lockhart Taylor (Self) Lockhart Farms, LLC Family Partnership Other type of income
Adam Lockhart Taylor (Self) State of North Carolina Governmental Wages
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
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
None or Not Known
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
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 04/23/2021
Signature Date
Adam Lockhart Taylor
Printed Name
2020 Commerce, Department of
Document text
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
Mr. Adam Lockhart Taylor
Current Employer Job Title
NC Department of Commerce Assistant Secretary - Employment Security
Nature or Type of Business
Administration of the Unemployment Insurance program in NC
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.)
Commerce, Department of - Assistant Secretary
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
Paige Elizabeth Dosser Spouse Wake County Training Manager Coordinate Training
for County Employees
Elizabeth Louisa Taylor Child Student
Virginia Lockhart Taylor Child Student
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
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
(Self plus Spouse) 100.00% Raleigh Wake
Adam Lockhart Taylor (Self) 32.00% Wadesboro Anson
Adam Lockhart Taylor (Self) 17.00% Ocean Isle Beach Brunswick
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
Adam Lockhart Taylor (Self) Attached
Elizabeth Louisa Taylor (Child) Attached
Virginia Lockhart Taylor (Child) attached
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
Adam Lockhart Taylor (Self) Lockhart Farms, LLC
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
Lockhart Farms, LLC I am not sure; however, as I reported in last years
statement, Lockhart Farms, LLC leases 3 separate tracts of
land to Strata Solar for the operation of a solar farm.
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.)
Adam Lockhart Taylor (Self) Commercial Bank
Adam Lockhart Taylor (Self) Commercial Bank
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
Paige Elizabeth Dosser
(Spouse)
Wake County Governmental Wages
Paige Elizabeth Dosser
(Spouse)
State of North Carolina Governmental State/local government
retirement
Adam Lockhart Taylor (Self) State of North Carolina Governmental Wages
Adam Lockhart Taylor (Self) Lockhart Farms, LLC Family Partnership Other type of income
Adam Lockhart Taylor (Self) Raymond James Brokerage Securities Dividends
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
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
None or Not Known
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
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 07/17/2020
Signature Date
Adam Lockhart Taylor
Printed Name
Submit signed, original documents only. Do not fax or e-mail this form.
2019 Commerce, Department of
Document text
Forstttuseonly_
SERFECEIVED
(751 28) STATE ETHICS COMMISSION Rw
iy yay aR 15
lr B/)) 2019 STATEMENT OF ECONOMIC so
INTEREST (s THES COMNISS
obo SITE Compieton
This entire form must be completed to fulfill Dscroes Adlon
your ethics filing obligation. Incomplete Qs
Sup. sentaoe by
Supp receed ante
entered in datobase____by____
i a J
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.
C Deparment o Commerce
vison of Employment Security
bam Secreay
Judicial Officer (Specify office.) Legisiator (Specify House or Senate.)
A. Do other immediate family members reside in your household?
©Yes [No
On tis form, “immediate family” includes your spouse (unless legally separated). It also includes members of your
extended family (your and your spouse's children, arandchildren, parents, grandparents, and Sings, and the spouses.
of cach of those persons) who reside in your household.
List the full name of all adults and emancipated minors in your household. Minors ae children under 18. They are
emancipated by marriage, enlistment n the US miltary, or court order for emancipation.
rr ee)
‘Emancipated Minors |
wun Employees
|
The SEI and any attachments, excluding the Confidential Form, are public records. Page 10f 10
FA
Initials of
\Unemancipated
I I iid NR RO
TE
r— eee
$10,000 or more?
OYes © No
TEE
by City & County Describe
SYes [No
[ ownerormmerest [Full Name of Company or ticker symbol
a ES
OYes © No
© Yes [JNo - If “No,” proceed to question 4.
I |
CJNone or Not Known
Do not list assets held in blind trusts. See 2019 SEI Helpful Tips for the definition of "Vested Trust” and “Blind Trust.”
Oves ©No
Recipient of Income Type of Type of Income
[1 had no reportable income over $5,000 in 2018.
Paige Elizabeth Dosser Wake County
i
Professional and Civic Relationships
7). During 2018, were you or any members of your immediate family a director, office, Governing board member,
Cloves Independent cntrair,o regseraa lobby of 8 ongrOt. corporation of arganaation aperating n Noth
Crain rman for Te gous, harkanie, Scent, Werar, publ heath anc Safety, o ecucations purposes?
[Yes © No - If "No," proceed to questions.
> Do not Ist Sate bords or etter.
> Bo not st organizations of wich you are mere member,
| ot it organizations of whic you a0 8 mere mab
Name of Nonprofit | Nature or |
Corporation organization | Purpose of Organization
700.1 th nonprofit corporations o organizations I5ted 3bov do business with he State of North Carolina of receive
State func, bref descr he tur of hak busingas, known or with ue gence coud reasonably be Known.
Name of Nonprofit Corporation or Organization | Describe State Business |
[JNone or Not Known
6 During 2016, ware you o any members of your [mmedte famly 3 director, Ofer, or Governg Bord member of
any Society, organization, of 3Avocacy GroUp Wi a RErest In MALES over Which your agency or board may nave
Sosaicion’
ves No. [Legislator udicl Offer - You re not requir to complete this question if you ae fling because
Vou are a legislator o ual officer or you are ing a an appaee t one of hose offices.
D0 not st organizations of which you ar any a member and do nt seve I a leadership ole.
Name of Society, Organization, Leadership Position
or Advocacy Group (Director, orice, board Member)
The SEI and any attachments, excluding the Confidential Form, are public records. Page sof 10
ameter | nesiomprarier | Nameotcompam | Raeotranen |
I EE EE
I I EE EE
I EE EE EE
I EE EE
I
I
I
10. Are you a practicing attorney?
[Decedent's Estates [Environmental 0 Insurance OLabor
[JLocal Government. [Real Property 0 Securities OTax
[Tort litigation (including [utilities Regulation [JOther category not listed
negligence)
11. During 2018, were you a licensed professional (other than an attorney) or did you provide consulting services
1
rr]
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?
OYes © No[Legislator/udicial Officer - You are not required to complete this question if you are fling 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 Type of Relationship
(if applicable) (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
Gam Tosh Taylor egiaie Liason, NC Deparment of Conners
Divison of Employment Security
14. During 2018, after you were appointed, employed, or filed or were nominated as a candidate, did you
« receive any "gif(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.
OYes oMNo
> Do not report gifts given by members of your extended family.
» Do not report gifs you have previously reported on the "Expense Report for Exempted Persons.”
Date Item Received | Name and Address of Donor(s) | Describe Item Received [| mpg rset
‘The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 10
15. unig 2015, afr you were appaed, ployed, of fled or were nominated 35 3 candidat, dd you
accept a scholars” exceeding $200 rele your publ postion rom a pers or Group of persons acting
[giv
amen those person(s) were outside North Carling?
To anewr Ys, both andiions must apy
A schoarahip a grant aid, athe direct or Indirect, t attend a conference, meting, or similar
ee
Yes [Io uta Oca - You ar no equi comple 4s question you ae a pfcal offcer or you re
i otal rvs pee
00 ot report fs you have previously reported n the “Expense Report for Exempted Parsons.”
Legiators ae ot require to report schlrshps ald by nonprtian ila rganizatin of Which th egislatar
or the General Assembly is a member, participant, or affiliate. |
ote or | Name amd Address of Bomerte) Describe vent Estimated Market
Schatersnip Vetus
re TE ABREGISTRATION FEE
/ashington, D.C. 20006 (SEE ATTACHED) 1
. [Tp ——— vy _ L_ Cowetot
Se emer
| Council of State members are:
I — FRT— » secrstary sate
| > State Auditor » State Treasurer » Superintendent of Publclnstruction
» Attorney General + Commissioner Agicuure » Commissioner ofabor
I —
Oves ©No
1 Yes, lis ail contributions you made in 2018 with a cumulative total of more than $1,000 to the Council
Sta member wh appomeLd You. Do mat elude contputons rom immediate family members
Contributions are define broly in N.C... § 1634-1411(13 and Include “any advance, conveyance, dept,
Grin, rane funds, on, YER, G1, e438 or Sabon of ORY oa of valve
en
ee.
owe pr Contributed to ]
No contion(s) With cumulative total of more tha $1,000
Th SEL and any attachments, excluding the Confidential Form, are public records. Page sf 10
17 Ar you a pew pespeYS ppTeS3
= the hea of principal state depriment (9. cobtseretas) sppoied by te
2 oh Coola Supreme Cour Justice, Court of Appel, Superior a Dist
se
a member of ay ofthe allowing boards:
hac commision
Comat Resoes Commision
+ State Board of Education SYes [No
Ste aard of Secon
vat Emplovment Scuty Nor proceed to
Enron Managemen Commision ester 18.
Indes Commision
~ Human Resorees Commision
utes Review Common
Bordo Transporation
nC sor of Govemors
lis Comission
Wie Reson Commission
0, were you ppoited or ae you being consdred for appoint to tat | S Yes ING
oy te emacs Stes Dio ct
serve a5 Assan: Secretar for the Dison of Employment Security uestion 18.
© 130, you must inde whether during 2018 you engaged non of th alwng
et an oo pet ot on com colon of
oe Coon of Sore meer we spores ou
I Colles contin rom mule conor, ask posession of such | Yes © No
lie oneness amend dears as coneced
omen to he cing or coSS)
ested onraser at your residence o place of usiness? ves one
Th. Valurteerd or campagne elred acti, including pone Sas, eves
ee a eames, Sve soy tony ho ances | Yes © No
mean fre
15. Hove you ever bee convicted of elon or Whe you hav nt received ahr: () 3 pardon; o 1) on oder of
bondi
Oves ome
oWeme | ooteot Conviction | County of Conviction | state of conviction
5. Ar you aware of any ater nfermation a you belies may sit te ¥hcs Commision n adn you
a compton wih he Ste verre Bes Aes
[OYes ©No If yes, please provide that information below.
The SET and any attachments, excluding th Confidential Form, are pubic records. Pages ot 10
he information provided in ths Statement of Economic Interest and any attachments are tue, complete, and accurate
to the best of my knowledge and ele.
have not transferred, and will ot transfer, any asst, interest, or property for the purpose of concealing it from
disclosure while retaining an equitable terest.
understand that my Statement of Economic Interest and any attachments except fo the Confidential Form regarding
Unemancipated Chiron re public records.
Ihave read and understand the folowing statutes
N.C.G.S.§ 163-191. Concealing or failing to disclose material information
A fing person who knowingly conceals or knowingly fll to disclose information that s required to be disclosed
an a statement of economic Interest. shall be Guy of 3 Class 1 Misdemeanor and Suojet to Gscpinary
action under G.5. 1638-415.
NCGS. § 1634-152. Penaty for fais information.
A fling person who provides fase information on a statement of economic Interest... knowing that the
information i alse 1 guilty of a Class H felony and shal be Subject © disciplinary action under G.5. 1694-415.
afm that have reviewed my most recently filed 2018 Statement of Economic Interest and that as of December 31,
2015, my responses continue to be true, correct, and complete to th best of my Knowiedoe and pert |
Taffirhyfider penalty of perjury that the foregoing is true and correct. |
Sanbture Bate
Mo Letrrt Tole
Printed Name
Submit signed, original documents only. Do not fax or e-mail this form.
The SEE and any attachments, excluding the Confidential Form, are public records. Page 10.0f 10
2018 Commerce, Department of
Document text
NORTH CAROLINA STATE ETHICS COMMISSION
2018 STATEMENT OF ECONOMIC INTEREST
NO CHANGE FORM
FILER'S NAME (FIRST, MIDDLE, LAST)
Prefix First Name Middle Name Last Name Suffix
Mr. Adam Lockhart Taylor
REASON FOR FILING (SELECT ALL THAT APPLY)
STATE GOVERNMENT JOB (Specify the agency for which
you work or are being considered)
BOARD/COMMISSION (List complete name of all State
boards on which you are serving or are being considered)
Commerce, Department of
JUDICIAL OFFICER (Specify the office you hold) LEGISLATOR (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 2017 Statement of Economic Interest and that as of December 31,
2017, 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 3/12/2018
Signature Date
Adam Lockhart Taylor
Printed Name
The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of
2
2017 Commerce, Department of
Document text
COMPLETE THIS FORM AND MAIL SIGNED, ORIGINAL TO
STATE ETHICS COMMISSION, 1324 MAIL SERVICE CENTER, RALEIGH, NC 27699-1324
NORTH CAROLINA STATE ETHICS COMMISSION
2017 STATEMENT OF ECONOMIC INTEREST
919-814-3600 www.ethicscommission.nc.gov
FILER'S NAME (FIRST, MIDDLE, LAST)
Prefix First Name Middle Name Last Name Suffix
Mr. Adam Lockhart Taylor
CURRENT EMPLOYER JOB TITLE
NC Department of Commerce Systems and Procedures Analyst
NATURE OR TYPE OF BUSINESS
Chief Deputy
REASON FOR FILING (SELECT ALL THAT APPLY)
STATE GOVERNMENT JOB (Specify Agency) BOARD/COMMISSION (List complete name of all State
boards on which you are serving or are being considered)
Commerce, Department of
JUDICIAL OFFICER (Specify Office) LEGISLATOR (Specify House or Senate)
The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of
11
A. Do other immediate family members reside in your household?
Yes No
When used throughout this 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 a child under 18 years old. Minors are
emancipated by marriage, enlistment in the US military, or court order for emancipation.
FULL NAME OF
ADULTS &
EMANCIPATED
MINORS
RELATIONSHIP EMPLOYER JOB TITLE NATURE OF
BUSINESS
Paige Elizabeth Dosser Wife Wake County Training Manager Training for Wake
County employees
Elizabeth Louisa Taylor Daughter College Student NA NA
B. List ONLY the initials of all unemancipated minors in your household below. A minor is a child 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
UNEMANCIPATED
CHILDREN
RELATIONSHIP EMPLOYER JOB TITLE NATURE OF
BUSINESS
V.L.T Daughter High School Student NA NA
PROPERTY INTERESTS
1. As of December 31, 2016, did you, your spouse, or 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
Adam L. Taylor/Paige E.
Dosser
100 Raleigh Wake
Adam Lockhart Taylor 32 Wadesboro Anson
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
The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of
11
2. At any time during 2015 or 2016 , did you, your spouse, or members of your immediate family sell to or buy from the State of
North Carolina personal property with a market value of $10,000 or more?
Yes No
Name of Purchaser Name of Seller Type of Property
FINANCIAL INTERESTS
3. As of December 31, 2016, 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
A. Stock in a publicly owned company?
Yes No
Do not list ownership interests in a widely held investment fund (including mutual funds, regulated 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, or
pension or deferred compensation plan.
Owner of Interest Full Name of Company (Do not use a ticker symbol)
See Attached
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 (including 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
Adam Lockhar Taylor (32%) Lockhart Farms LLC
The SEI and any attachments, excluding the Confidential Form, are public records. Page 3 of
11
C (1). For each non-publicly owned company or business entity (the “primary company”) identified in question 3.C above,
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 company or business 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, provide a brief description of 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, 2016, were you, your spouse, or members of your immediate family the beneficiaries of a vested trust with a
value of $10,000 or more that was created, established, or controlled by you?
Do not list assets held in blind trusts. See 2017 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
5. As of December 31, 2016, did you, your spouse, or 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 (You, Spouse, Immediate Family Member) Type of Creditor (Commercial Bank, Credit Union,
Individual, etc.)
Adam Lockhart Taylor Chase Credit Card
The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of
11
6. List each source of income (not specific amounts) of more than $5,000 received by you, your spouse, or members of your
immediate family during 2016. Include salary, wages, state/local government retirement, professional fees, honoraria, interest,
dividends, rental income, business income, and other types of income required to be reported on your State and federal tax returns.
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
I had no reportable income over $5,000 in 2016.
See Attached
PROFESSIONAL AND CIVIC RELATIONSHIPS
7(a). During 2016, were you, your spouse or 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 the State of 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, or entities created by a political subdivision of the State.
Do not list organizations of which you are a mere member.
Name of Person His/Her Position Name of Nonprofit
Corporation or Organization
Nature of Business or Purpose
of Organization
7(b). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive State funds,
please provide a brief description of the nature of that business, if known or with which due diligence could reasonably be known.
Name of Nonprofit Corporation or Organization Describe State Business or State Funding
None or Not Known
The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of
11
Please answer the following question as it pertains to the following board/agency:
Commerce, Department of
8. During 2016, were you, your spouse, or 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 a judicial officer or you are filing as an appointee to those offices.
Do not list organizations of which you are only a member (not serving in a leadership role).
Name of Person Name of Society, Organization or
Advocacy Group
Leadership Position (Director, Officer,
Board Member)
9(a). List the name of each company or 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, 2016.
Name of Person Relationship to Filer Name of Company Role of Person
No Business Associations
Adam Lockhart Taylor Self Lockhart Farms LLC Officer
9(b). If you know that any company or business 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, 2016, provide a brief description of that business
activity.
Name of Company or Business Entity Description of Business Activity with the State
Not applicable (No entities listed on #9a) No relationship / 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 2016.
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.
The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of
11
11. During 2016, 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
Please answer the following question as it pertains to the following board/agency:
Commerce, Department of
12. Are you or your employer, your spouse or members of your immediate family, or their employer currently:
• Licensed by the State board or employing entity with which you are or will be associated or
• Regulated by the State board or employing entity with which you are or will be associated or
• Have a business relationship with the State board or employing entity 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 (“judicial officer” is defined in the SEI Helpful Tips) or you are filing as an
appointee to those offices.
Name of Person Name of Employer (if applicable) Type of Relationship (Licensing,
Regulatory, Business)
13. Are you, your spouse, or a member of your immediate family currently registered as a lobbyist or lobbyist principal or were you
registered as such within the 12 months preceding your filing of this form?
Yes No
Name of Lobbyist Lobbyist’s Principal Date of Registration Registration Expiration
Adam Lockhart Taylor NC Department of Commerce 1/1/2017 12/31/2017
OTHER DISCLOSURES
The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of
11
14. During any calendar quarter in 2016 (but only the time period 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, and
• when both you and those person(s) were outside North Carolina at the time you accepted the gift(s), and
• the gift(s) were given under circumstances that would lead a reasonable person to conclude that they were given for lobbying?
Yes No
Do not report gifts given by members of your extended family.
Do not report gifts that have previously been reported by you to the Department of the Secretary of State on the "Expense
Report for Exempted Persons."
Date Item Received Name and Address of
Donor(s)
Describe Item Received Estimated Market Value
Please answer the following question as it pertains to the following board/agency:
Commerce, Department of
15. During 2016 (but only the time period after you were appointed, employed, or filed or were nominated as a candidate) did you
• accepted a “scholarship” exceeding $200 from a person or group of persons acting together and
• those person(s) were outside North Carolina and
• the scholarship was related to your public position? 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 that have previously been reported by you to the Department of the Secretary of State 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 or participant or an affiliate of that organization.
Date of Scholarship Name and Address of
Donor(s)
Describe Event Estimated Market Value
The SEI and any attachments, excluding the Confidential Form, are public records. Page 8 of
11
Please answer the following question as it pertains to the following board/agency:
Commerce, Department of
16. Were you appointed or are you being considered for an 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 (NOT immediate family members) made during 2016 with a cumulative total of more than
$1,000 to the Governor or other Council of State member who appointed you.
Contributions are defined in N.C.G.S. 163-278.6(6) and include, but are not limited to, “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 contribution(s) with a cumulative total of more than $1,000
The SEI and any attachments, excluding the Confidential Form, are public records. Page 9 of
11
Please answer the following question as it pertains to the following board/agency:
Commerce, Department of
17. Are you an appointee or prospective appointee to:
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
• UNC Board of Governors
• 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 public
position by a Council of State member? Council of State members are listed in question 16.
Yes No
If "No", proceed to question
18.
e. If so, you must indicate whether during 2016 you (not immediate family members) 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 to your public position:
i. Collected contributions from multiple contributors, took possession of such multiple
contributions, and transferred or delivered those collected contributions to the candidate
or committee? Contributions are defined in question 16.
Yes No
ii. Hosted a fundraiser at your residence or place of business? Yes No
iii. Volunteered for campaign-related activities, which include, but are not limited to,
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 of innocence; or (ii) an order of
expungement regarding that conviction?
Yes No
Offense Date of Conviction County of Conviction State of Conviction
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19. Are you aware of any other information that you believe may assist the State Ethics Commission in advising you concerning your
compliance with the State Government Ethics Act?
Yes No If yes, please provide such information below.
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 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 4/3/2017
Signature Date
Adam Lockhart Taylor
Printed Name
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