Addie Harris Rawls
District Court Judge
Filings
2025 District Court Judge
Document text
The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 11
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
Hon. Addie Marica Harris Rawls
Current Employer Job Title
N C Courts Emergency Judge
Nature or Type of Business
Retired Emergency Judge
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.)
Judicial Officer, Post-Service Filer, or Judicial Officer
Appointee (Specify office.)
Legislator, Post-Service Filer, or Appointee to Legislative
Office (Specify House or Senate.)
District Court Judge
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
Marvin Eric Rawls Spouse Grifols Plasma Coordinator Biotherapeutics
Patricia Owens Rawls Parent Retired
The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 11
Marvin Eric Rawls JR Child Seminary Student Graduate Assistant Completing School
and working as a
graduate student at
Campbell University
The SEI and any attachments, excluding the Confidential Form, are public records. Page 3 of 11
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% Clayton Johnston
(Self plus Spouse) 100.00% Clayton Johnston
(Self plus Spouse) 100.00% Oak City Martin
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 4 of 11
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
B. Stock options in a company or business?
☐ Yes ☒ No
Owner of Stock Option Full Name of Company (Do not use a ticker symbol)
C. Interests in a non-publicly owned company or business entity? These include interests in sole proprietorships,
partnerships, limited partnerships, joint ventures, limited liability companies, limited liability partnerships, and
closely held corporations.
☐ Yes ☒ No - If “No,” proceed to question 4.
Owner of Interest Name of Company or Business Entity
C (1). For each company or business entity identified in question 3.C. (the “Primary Company”), please list the
names of any other companies or business entities in which the Primary Company owns securities or equity
interests valued at over $10,000, if known.
Non-Publicly Owned Company or Business Entity
(the Primary Company)
Other Companies in which the Primary Company
Owns Security or Equity Interests
None or Not Known
C (2). If you know that any entity listed in 3.C or 3.C(1) above has any material business dealings or business
contracts with the State of North Carolina, or is regulated by the State, briefly describe that business activity.
Name of Company or Business Entity Description of Business Activity with the State
None or Not Known
4. As of December 31, 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 5 of 11
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.)
Addie Marica Harris Rawls (Self) Credit Union
Addie Marica Harris Rawls (Self) Credit Union
Addie Marica Harris Rawls (Self) Commercial Bank
Marvin Eric Rawls JR (Child) Credit Union
6. List each source of income (not specific amounts) of more than $5,000 received by you or any members of your
immediate family during 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
Addie Marica Harris Rawls
(Self)
NC Courts-AOC Court Salary
Addie Marica Harris Rawls
(Self)
New Generation Christian
Church
Church Salary
Addie Marica Harris Rawls
(Self)
New Generation Christian
Church
Church Other type of income
Addie Marica Harris Rawls
(Self)
State of NC NC Courts State/local government
retirement
Marvin Eric Rawls (Spouse) Grifols Phamaceutical Wages
Marvin Eric Rawls JR (Child) Campbell University College Salary
Marvin Eric Rawls JR (Child) Christian Church in NC Church Administrative
Body
Salary
The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 11
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
Addie Marica Harris Rawls
(Self)
Board Member New Generation Christian
Church
Church
Addie Marica Harris Rawls
(Self)
Officer - Chair Johnston Lee Harnett
Community Action, Inc
Provide Services to
Underserved Citizens /
Headstart /Weatherization
Addie Marica Harris Rawls
(Self)
Board Member Christian Church in NC Denominational Office for
the State of NC
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
Christian Church in NC None or Not Known
Johnston Lee Harnett Community Action, Inc Organization provides services to citizens to include
weatherization, education, rental assistance and other services
to include budgeting, housing and utilities assistance. State
agencies also administer federal funds that managed and
distributed by the State agencies.
New Generation Christian 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 7 of 11
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
Marvin Eric Rawls JR Child MM Designs and Creations Officer - President
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 8 of 11
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
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 9 of 11
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 10 of 11
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.
The SEI and any attachments, excluding the Confidential Form, are public records. Page 11 of 11
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 04/14/2025
Signature Date
Addie Marica Harris Rawls
Printed Name
2024 District Court Judge
Document text
The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 11
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
Hon. Addie Marica Harris Rawls
Current Employer Job Title
N C Courts Emergency Judge
Nature or Type of Business
Retired Emergency Judge
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.)
Judicial Officer or Judicial Officer Appointee(Specify
office.)
Legislator or Appointee to Legislative Office(Specify House or
Senate.)
District Court Judge
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
Marvin Eric Rawls Spouse Grifols Plasma Coordinator Biotherapeutics
Patricia Owens Rawls Parent Retired
The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 11
Marvin Eric Rawls JR Child Seminary Student Graduate Assistant Completing School
and working as a
graduate student at
Campbell University
The SEI and any attachments, excluding the Confidential Form, are public records. Page 3 of 11
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% Clayton Johnston
(Self plus Spouse) 100.00% Clayton Johnston
(Self plus Spouse) 100.00% Oak City Martin
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 4 of 11
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
B. Stock options in a company or business?
☐ Yes ☒ No
Owner of Stock Option Full Name of Company (Do not use a ticker symbol)
C. Interests in a non-publicly owned company or business entity? These include interests in sole proprietorships,
partnerships, limited partnerships, joint ventures, limited liability companies, limited liability partnerships, and
closely held corporations.
☐ Yes ☒ No - If “No,” proceed to question 4.
Owner of Interest Name of Company or Business Entity
C (1). For each company or business entity identified in question 3.C. (the “Primary Company”), please list the
names of any other companies or business entities in which the Primary Company owns securities or equity
interests valued at over $10,000, if known.
Non-Publicly Owned Company or Business Entity
(the Primary Company)
Other Companies in which the Primary Company
Owns Security or Equity Interests
None or Not Known
C (2). If you know that any entity listed in 3.C or 3.C(1) above has any material business dealings or business
contracts with the State of North Carolina, or is regulated by the State, briefly describe that business activity.
Name of Company or Business Entity Description of Business Activity with the State
None or Not Known
4. As of December 31, 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 5 of 11
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.)
Addie Marica Harris Rawls (Self) Credit Union
Addie Marica Harris Rawls (Self) Credit Union
Addie Marica Harris Rawls (Self) Commercial Bank
Marvin Eric Rawls JR (Child) Credit Union
6. List each source of income (not specific amounts) of more than $5,000 received by you or any members of your
immediate family during 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
Addie Marica Harris Rawls
(Self)
NC Courts-AOC Court Salary
Marvin Eric Rawls (Spouse) Grifols Phamaceutical Wages
Marvin Eric Rawls JR (Child) Campbell University College Salary
Marvin Eric Rawls JR (Child) Christian Church in NC Church Administrative
Body
Salary
The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 11
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
Addie Marica Harris Rawls
(Self)
Board Member New Generation Christian
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
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 7 of 11
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
Marvin Eric Rawls JR Child MM Designs and Creations Officer - President
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 8 of 11
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
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 9 of 11
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 10 of 11
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.
The SEI and any attachments, excluding the Confidential Form, are public records. Page 11 of 11
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 04/11/2024
Signature Date
Addie Marica Harris Rawls
Printed Name
2023 District Court Judge
Document text
The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 11
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
Hon. Addie Marica Harris Rawls
Current Employer Job Title
N C Courts Emergency Judge
Nature or Type of Business
Retired Emergency Judge
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.)
Judicial Officer or Filing Post-Service (Specify office.) Legislator or Filing Post-Service(Specify House or Senate.)
District Court Judge
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
Marvin Eric Rawls Spouse Grifols Plasma Coordinator Biotherapeutics
Marvin Eric Rawls JR Child Seminary Student Graduate Assistant Completing School
and working as a
graduate student at
Campbell University
The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 11
The SEI and any attachments, excluding the Confidential Form, are public records. Page 3 of 11
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% Clayton Johnston
(Self plus Spouse) 100.00% Clayton Johnston
(Self plus Spouse) 100.00% Oak City Martin
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 4 of 11
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
B. Stock options in a company or business?
☐ Yes ☒ No
Owner of Stock Option Full Name of Company (Do not use a ticker symbol)
C. Interests in a non-publicly owned company or business entity? These include interests in sole proprietorships,
partnerships, limited partnerships, joint ventures, limited liability companies, limited liability partnerships, and
closely held corporations.
☐ Yes ☒ No - If “No,” proceed to question 4.
Owner of Interest Name of Company or Business Entity
C (1). For each company or business entity identified in question 3.C. (the “Primary Company”), please list the
names of any other companies or business entities in which the Primary Company owns securities or equity
interests valued at over $10,000, if known.
Non-Publicly Owned Company or Business Entity
(the Primary Company)
Other Companies in which the Primary Company
Owns Security or Equity Interests
None or Not Known
C (2). If you know that any entity listed in 3.C or 3.C(1) above has any material business dealings or business
contracts with the State of North Carolina, or is regulated by the State, briefly describe that business activity.
Name of Company or Business Entity Description of Business Activity with the State
None or Not Known
4. As of December 31, 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 5 of 11
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.)
Addie Marica Harris Rawls (Self) Credit Union
Addie Marica Harris Rawls (Self) Credit Union
Addie Marica Harris Rawls (Self) Commercial Bank
Marvin Eric Rawls JR (Child) Credit Union
6. List each source of income (not specific amounts) of more than $5,000 received by you or any members of your
immediate family during 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
Addie Marica Harris Rawls
(Self)
NC Courts-AOC Court Salary
(Self plus Spouse) Grifols Pharmaceutical Salary
Marvin Eric Rawls (Spouse) Grofols Pharmaceutical Wages
Marvin Eric Rawls JR (Child) Campbell University College Salary
The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 11
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
Addie Marica Harris Rawls
(Self)
Board Member New Generation Christian
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
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 7 of 11
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
Marvin Eric Rawls JR Child MM Designs and Creations Officer - President
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 8 of 11
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
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 9 of 11
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
No Contributions
The SEI and any attachments, excluding the Confidential Form, are public records. Page 10 of 11
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.
Governor
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 11 of 11
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
Addie Marica Harris Rawls
Printed Name
2022 District Court Judge
Document text
For staf Use only
GD STATE ETHICS COMMISSION Ouse acsivoll
Ride
Eel 7 2022 STATEMENT OF ECONOMIC INTEREST RECEIVED
&2 ARR LT 203
This entire form must be completed to fulfill NG ETHICS COMMISSION
your ethics filing obligation.
[ [Addie | Macice THerrig foo |]
[Aboninistetie Ore of #oloect] Frnergeacy Jodg |
[Mowe or rypeormusiness J
State Government Job (specly agency and postion.) Board/ Commission (Lst the complete names of 1 State
boards on which you are serving or are being considered.)
Caren Seng 9 3 03 Offer (sey ff) | Corry Servi 353 Legltr (pec Howe of
enate.
‘Are you a CANDIDATE for a covered elected office? | [If Yes, List Office and District/ County (if applicable)
(District, Superior, or Supreme Cour, Court of Appeals,
Clerk of Court District Attorney, or General Assembly)
Oves gro
A. Do other immediate family members reside in your household?
yes Ono
on this form, “immediate family” includes your spouse (unless legally separate). It also Includes members of your
extended family (your and your spouse's children, arandehldren, parents, grandparents, and sibiings, and the spouses
of ach of host persons) who reside in your household.
List the full name of all adults and emancipated minors in your household. Minors are children under 16. They are
emancipated by marriage, enlistment in the US miltary, or court order for emancipation
EE ce i Ri oa]
‘Emancipated Minors
Plocvin € fosls
The SEX and any attachments, excluding the Confidential Form, are public records. Page 10110
5. List only the inal ofall nemancipated minors your household below. A inar fc under 18 verso,
Lis he ul name af each minor child onthe Confidential Form at the end.
unkipanciasted
PT rR TR I ———
A. ave an avers interes rth Coral ret tate ning your reence with a markt vl of $0,000
ran
Kes Ono
Owner of Reo Estate| o% ownership Interest | Location by Cty | Location by County
Moos fof Astic le] 100 | Codon | Sohmscke
vig kv Abdi Ro] [O07 | Clanton | Johns
rr 1 dT |
5 ane or ret ea aster personal rape oF the Ste of orth Corin with 8 marke vo of $10,000
Oves Kno
Real Estate, Location | 11 Personal raperty,
or Cr County Sere
2 ary me during 2020 or 2021, Gd yo or any members of your Immedite fal si o by rom he tte of
No Cor ean papery wont $16,050 ores
Oves XNo
[| wmeotpuchaser [| Nameorsener | Type of Property
The SEL and any attachments, excluding the Confidential Form, ae publc records. Page 20110
Oves ho
ownerormmesst | Full Name of Company or ticker symbol
Oves Kno
X)¥es JNo- If No,” proceed to question 4.
Oves Xto
rE fas
eat amen Fash Co LA
(0) had no reportable income over $5,000 in 2021.
A Ac IN = BS I
i 71 rari] Patan hbase ath lg Ses)
Name of Nonprofit Corporation or Organization | Describe State Business |
Oves Co PegsitoriudilOfcr ou ea resured to compet ths question your ng cosy
| emeotpersn | relotonsiptorier | Nomeof company | role of erson_|
EE A I
I A EE
EE A A
EE A A
EE EN EN
rr
rr |
I A
rr |
I A
10. Are you a practicing attorney?
Olves No udicial Offcer/State Attorney.
[ rweormmes | teweotsevicenewerss |
I A
I
rr]
12. ve you o your employer, or any members of your immediate family, or thir employers current:
+ lensed b the State board or agency with which you ar or willbe associted or
+ regulated by th State board or ogency with which you ae or wil be associated or
+ Ina business relationship wth the State boar or agency with which you re or wil be associated?
[Ives Clo X{Legisitor/dudical Office - You ar not required to complete ti question if you ae ling because
Vou are legislator or 3 ud afice or 25 8 candidate or 9ppontee to hos offices. However,
Fou are ais fing as 3 member of a Stte board or 25 o Sate employee, please answer “yes”
orn" to ths question. If you respond yes,” provide addtional Information
Name of Employer Type of Relationship
(if applicable) (Licensing, Regulatory, Business)
3. Have you or a member of your Immediate family been registered 25 3 lobbyist o lobbylst principal within the 12
months preceding your ling of tis form?
Oves [qto
Name of Lobbyist Lobbyists Principal Date of Registration
Registration Expiration
Other Disclosures
13. During 2021, afer you were appointed, employed, or fled o were nominated a5 2 candidat, did you
+ receive any "gift(s)” exceeding $200 per quarter from a person o group of persons acting together,
+ When both you and those person(s) were outside North Corolina,
+ under circumstances that would lead reasonable person to conclude the gifs were given for lobbying?
To answer Yes, ll three conditions must apy.
Des Xho
> 00 not report its given by members of your extended family.
> Do not report gifts you have previously reparted on the “Expense Report fo Exempted Persons.
Date Item Received | Name and Address of Donor(s) | Describe Item Received [emgage |
The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 10
pe
[Yes [INo JRoudicl Office - You ae not required to comple tis question f you are fling a a fudicial afc
Oves Apo
No contribution(s) with a cumulative total of more than $1,000
17 Are you an appa or prospective ppt a:
Dead oo rnc ste sain (eae ser) pre 1
x Govemors or
b. 2 orth Carla Supreme Court ste; a a Court of pens, Suerr a
Ba cout ror
G. a member of any of the folowing boards: Dyves OMe
=" sc Commision io proceed to ues 18
© Cont Resources Commission
© Stote Bow of Education
State snd o cans
Oiiin of Employment Securty
~ Enrommena anagem Commision
Indus Commision
Human Resources Commision
© Rules Review Commision
© Bodo Transporation
Uties Commission
© Witte Resources Commission
1 50, were you appointed or are you being considered for appointment to that | (J Yes (No.
Potion oy » Cone of Sine meer’ a tinh
«Iso, you must incre whether during 071 you engaged n any of the
eto Scnes win espe o oh palo he Svante of Hp
mre oft Counc o Sats aoe wh Sppomad you
i. Colectet contbutons fom mull contutors, ak posession of uch
mile. contributions, and transferred or delivered those collected | [] Yes StNo
Contions ote cna or commie
Hosted a fndrler ot your esdence or place of ness
Th. Voloteered for campalgn eed actives, ncodng phan ban event
em mg nvasng, ew o ony mer acoso | C1¥es BRM
Savance ne compan of s conde?
To ove you ever bee conited af a (elny for WHY you ave nt receed ekhr: ) pardon; or 1) an der of
a———
Oves Xtio
| oweme | owtef conviction | county of Conviction | _ State of Conviction
To Ar you avore of ay ther iormain ht you belle ay 35 h Ei Comision navn you
Conn vou comphance wih th Saks Cover EnEs Ac
ves {No ies, pease provide tht normaton ben.
The SEE and any attachments, excluding the Confidential Form, are publi records. Page ot 10
J
N—A 24 cb —— tlzo
Addie mM Harris Rusls
|
2021 District Court Judge
Document text
For Stat Use nly
GER STATE ETHICS COMMISSION F—
[Aha f
Kd 5 2021 STATEMENT OF ECONOMIC INTEREST RECEY;
Nal / EIVED
APR 15 2071
This entire form must be completed to fulfill NC ETHie
your ethics filing obligation. ETHOS Commission
Filer's Name (First, Middle, Last) - i}
First Name Widdle Name Last Name.
dic. Maria Harvis fools
Current Employer Job Tite 7]
[State of om Cone tinal Ape Diotrct Coot Jad
Nature or Type of Business ge
act
Reason for Fiing (Complete ll that apply)
State Government Jab (Spec agency and postion.) | Boara/Commisian (Ust te complete names oo Se
503155 on which you are serving or re baing éonsidered.)
Judicial Officer (Specify office.) Legislator (Specify House or Senate.)
— -
Dishret lownd Tada (IM Foti
A. Do other immediate family members reside In your household?
Res ONo
On his form, “immediate family” includes your spouse (unless legally separated). Tt iso 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 househord.
List the full name of ail adults and emancipated minors in your household. Minors are chidren under 18. They are
emancipated by marriage, enlistment n the US miltry, or court order for mend pation
ol vomes af tesa mason | Stover Sriie | are osu
Emancipated Minors © - _—
5 Ton cen
Marvin € fauls Spouse (eit lf vial Bictoepiet ics
ul or oo
Mervin € guts Te | Che Li fry Cade As stort Univesity Bi
E— — |
—_ INE - J
The SE and any attachments, excluding the Confidential Form, are public records. Page 1 of 10
“B..List only the initials of ail unemancipated minors in your household below. A miner is a chi under 18 years od
List the full name of each minor child on the Confidential Form at the end.
Initials of Relationship Employer Job Title Nature of Business
‘Unemancipated
| minors EE —
I E— NE T -
Property Interests
1. As of December 31, 2020, dd you or any members of your immediate ary: TT
A. have an ownership interest in North Carolina realestate (including your residence) with a market value of $10,000
or more?
Kes Ono
Owner of Real Estate | 9% Ownership Interest | Location by City Location by County
5
win € hooks Ade eds | JOO Y 3 Tohwst onl
Moran € bots Aloe Bods [DD To Clayton oy TT
Pharrs € Ramis Ade bots 10 OF Oakc by ol
8. lease or rent rea esate or personal property to or from the State of North Caralina with market value 07 $10,000
or more?
Oves igo
Name of Lessor Name of Lessee | If Real Estate, Location | If Personal Property,
(Renter) by City & County. Describe
2. AL any ume during 2019 or 2020, 0d you or any members of your immediate family sell or buy rom the State of
North Carolia personal property worth $10,000 or mores
Oves Xo
Name of Purchaser Name of Seller Type of Property
fie ot Pitcher : Masel premegny 1]
‘The SEL and any attachments, excluding the Confidential Form, are public records. Page 2 of 10
Financial Interests
3. Asof December 31,2020, id you or any members of your immediate family own any of the folowing financial interests
Valued at $10,000 or more? List sach company individually.
A. Stock na publicly owned company?
Oves Xo
> Do not ls interests in a widely held investment fund (including mutual funds, regulated investment companies, or
pension o defered compensation plans) i:
1. the fund is publicly traded or ts assets re widely diversified; and
2! nefther you nar a immediate amily member oe abi to control the undying assets.
Owner of Interest Full Name of Company or ticker symbol
©. Stock options in a company or business?
Oves go
Ovemer of tak pion a ams oT Sammpany (Ba wo S72 Bar pm)
C. Interests in a non-publicly owned company or business entity? These include interests in sole proprietorship,
partnerships, mited partnerships, Jot ventures, Iimited labity companies, limited abily porncrshis, and
| Closely nea corporations.
“Yes JRNo- 1"No,” proceed to question 4.
Owner of Interest 1 Name of Company or Business Entity
CUA). For cach company or busness ently identified in question 3.C. (ihe “Primary Company") please Ist the
names of any other companies o business entities in which the Primary Company owns secunties or equty
interests ald at over $10,000, f known
Non-Publicly Owned Company or Business Entity | _ Other Companies in which the Primary Company
(the primary Company) Owns Security or Equity Interests
TRNone or not known
atc RN SE
[ ee c——— coi— ————
The SEL and any attachments, excluding the Confidential Form, are pubic records. Page 30f10
C2). If you know that any entity Ited n 3.C or 3.C(1) above has any. materal business desings or busness
contracts with th Stat of North Carolin, o 3 requated by the Stace, oily Giro tha Bebrons
Name of Company or Business Entity Description of Business Activity with the State
XNone or Not Known
4.7% of December 31, 2020, were you or any members of your Immediate family th banca of a vested Ft ith
23a of $10,000 or ore that you Sree, stapisne or Comaled?
Do not list assets held in blind trusts. See 2020 SEI Helpful Tips for the definition of “Vested Tryst” and “Blind Trust.”
Oves (ho
r— Description of the Trust| Your Relationship to the Trust
5. Aa of December 31,2020, 6d you any members of your Immediate (omy have 1obitis of $10,000 or more, secon
the mortgage on Your primary personal rescence Examples Include Lred Cord dev, pots ses escent loom
persona oans and rao Gene
Hives Ono
© NemeorDebior Type of Creditor (commercial Bank, credit anion,
id ates
ede Employees Credit Union Credit Unioaf
re —— ce——— er e——————
—
[6st cach source of Income (not specif amaunt) of mor than $5,000 recewed by you or any memoers of your |
immediate famiy during 2020. Include salary, wags, Sate/oca government reremers come, reese fe
Ronorarl, Interest, didends, rena come, Bsnes Income, and thr pes requred 10 be resorcd os va sd
federal a errs. Please remember t disclose Your receipt of sary or woges rom my sacar ae
private entity.
Do not include income received rom the folowing sources:
P—— ders governmant retirement
Miltary recrement Social securty ncome/SSol
Recipient of Income Nam of Source Type of Type of Income
BUness/ Industry |
12 had no reporani income over $5000 in 2020.
dic. MW. Hacn'shouls | Shite of NC J A Se ee
€ M. Harris fals MNesGoeastion Chashiusctogy Chores leogs Albarn
Marvin € fosls _ Crtols Biokoronpet ie lary
Marvin € Roels, Te | Comphetl pie bey Uhivs ty Blocasin)) Sita
The SET and any attachments, excluding the Confidential Farm, are public records. Page aor 10
Professional and Civic Relationships
+ 700... During 2020, were you or any members of your immediate family a rector, affcr, governing board remoer
employee, independent contractor, o registered Iabbyst of a nonprofit corporation or erganization operating vi
North Carolina primarily for rellious, chantable, scentc, erary, pubic. neath and ass. or suena)
| perposesr
Yes QINo- 1 "No," proceed to questen s.
> 00 not ist State boards or entites.
> 00 not lis organizations of which you are a mere member.
Name of Person Position Name of Nonprofit Nature or
Corporation or Organization | Purpose ef Organization
M. Reervs Basls [Rotor (Res, dnt Gere saticns Choistion Che A 1.
Adee M. Hacer fouls | Direedoc Tecteslee thoncit Com Acti] a
re MH Bass | Chop too Cooi Tonle Comalogdios faci |CAocetet
oo M. Hares, fowls) esson. J Sti hadi | Education
706). Ifthe nonprofit corporations or organization sted above do business with he State of North Caraina or receive
State funds, briefly describe the nature of at business if now of wh due gence could season be beeen
Name of Nanprofit Corporation ar Organization Describe State Business
None or Not Known
Jotntostee Harnett Commu Acs con Clase cat ecva] OF ory provides Copa t
Do Nol Serve op fy rr — xy “A.
Hay Christion 7 a ” ni el
Har Choe 2 cn Proped giles segs 3 day bad i wr]
Totrstes our Totter Corl] Ad te Stic Rts Tove s reg APE
Sam Se fami » rector, offer, a governing board member of | of
any society, organization, or 3GVCacy G0Up wih an Interest in Matters over which your sgency of boned may oes
Jonson
DOYes CINe KLegistator/Judical Office - You are not required to compete this question if you ae fing because
You are a legsator or Jueicll officer or you ar fing 55 ah apponee o one of hose aes
> Do not ist organization of which you are only 3 member and do not serve in 2 leadership ole.
Name of Person Name of Society, Organization, Leadership Position
or Advocacy Group (Director, Officer, Board Member)
‘The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 10
42). Ls the name af cach business wih which you were associated where you a 3 member of you Inmedats fay
as an employe, director, cficer, pain, proprietors o member or anager oof ecoroer Sh 353
| Wamectreron | netatonsip tori | Wome of company | role person
No Busines Associations
= _—
9(b). If you know that any entity listed in 9(a) above had any material business dealings or business contracts with the
SEte of Nort Carla or wes related b the tate 3 of December 31, 3030, ie deseo ro sci
Name of Company or Business Entity | Description of Business Activity with the state
“Sot applicable (No entities listed on #9a)
10. he you 2 practicing atorney?
Oves ONo “judicial Officer/State Attorney
I Yes, check each category ofega representation i which you or the av im with whic you are afte hs came
Jeg fs f mar than $40,000 Gunn 2030.
DAdministrative 0) Admiralty DI Corporate DO Criminal
(0) Decedent's Estates. L] Environmental Dinsurance OLabor
[Local Government [J Real Property LJ Securities OTax
Tort gation (clung O)Uites Regulate CJ0tner categry not ted
esigeres)
11. During 2020, wee you 3 censed professional (other than an ators) or did you provide corsuting series
indidualy or gs member of 3 professional ssodaion o which you enred o wire Pad over $10,0008
Ove po
[ Type of Business Nature of Services Rendered
The SEL and any attachments, excluding the Confidential Farm, are public records. Page sor 10
52. 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 assocated or
+ regulated by the State board or agency vith which you are or will b associated or
+ in. business relationship with the State board or agency with which you are or wil be associated?
Oves TONo “WLegistator/Judicial Officer - You are not required to complete this question f you are filng because
Vou are 3 legislator or a Judicia officer or you are ling 35 an appointee to one af hose offices.
Name of Person Name of Employer Type of Relationship
| (if applicable) (Licensing, Regulatory, Business)
| months preceding your ing of this form?
Oves “Eno
Name of Lobbyist Lobbyist's Principal Date of Registration
Registration Expiration
Other Disclosures
14. During 2020, after you were appointed, employed, or led or were nominated a5 2 candidate, did you
+ receive any "gi(s)" exceeding $200 per quarter from a person or group of persans acting together,
+ when both you and those person(s) were outside Noth Carolina,
+ under circumstances that ould Iead a reasonable person to conclude the gifts were given fo lobbying?
To answer Yes, ll three conditions must apaly.
Oves Xo
> Do not report gifts given by members of your extended family.
> Do not report git you have previously reported on the "Expense Report for Exempted Persons.”
Date Item Received | Name and Address of Danor(s) | Describe Item Received | Estimated Market
Value
The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 10
15. During 2020, after you were appointed, employed, or fled or were nominated as a candidate, dd you
+ accept a “scholarship” exceeding $200 related to your public positon 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 grant-in-aid, either direct or indirect, to attend a conference, meeting, or similar event,
including tuition, travel, lodging, meals, and other similar expenses.
Dives DNo [Rudical officer - You are not required to complete this question I you are a Juco fcr o you
re filing as a Judicial officer appointee.
> Do not report gifs 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 isa member, participant, o affiliate.
Date of Name and Address of Donor(s) Describe Event Estimated Market
Scholarship. Value
| - es -
|
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
> Atomey General > Commissioner of Agriculture» Commissioner of Labor
> Commissioner of Insurance
Oves $2No
If Yes," lst 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 Includa contributions from immediate family members.
> Gonibutors are def broxdy in NCGS, 163278606) and include “any chance, conveyance, depst, |
distribution, transfer of funds, oan, payment, 3f, pledge or subscription of money or anything of vlue whatsoever. +
Date Amount Contributed to
No contriaution(s) with a cumulative total of more than $1,000
The SEI and any attachments, excluding the Confidential Form, are public records. Page 8 of 10
17. Are you an appointee or prospective appointee as:
a. the head of a principal sate department (c.., cabinet secretary) appointed by
the Governors or
5. a North Carola Supreme Court Justice, Court of Appeal, Superior or District
Court Judge:
ca member of any of the following boards: Oves Yoo
+ ABC Commission 18, proceed to question 18.
| + Coonal Resources Commission
+ State Board of Eeucation
+ State Board of Elections |
| + owson of Emploment sours
+ Environmental Management Commission
+ Industral Commission
+ Human Resources Commission
+ Rules Review Commission
+ Board of Transportation
+ Utities Commission
+ Wife Resources Commission
4.150, were you apo nted or are you being conscerec for appointment to that | CJ ves CINo
postion by » Counc o State member? re fo austion Ss
[ei s0, you must maicate whether curing 2020 you engaged in any of the
following activites wih respect t or on dena of the candicate or campaign
comitee of the Council of Sate mermoer who appoitted you:
+ Collected contributions rom mult le contributors, took possession of such
multiple. conrioutions, and transferred or celvered those calected | [ves [No
Contributions to the candidate or committee?
ii. Hosted a fundraiser at your residence or place of business? Yes "No
ii. Volunteered for campalgn.-reates activities, inclacing phone banks, event
assistance, mailngs, canvassing, suveyrd, o° any other actvily that JI¥es No
advances he campaign of a candidate?
18. Have you ever been convicted of a feany for which you have not received ether: (1) a pardon; or (i) an order of
Expungement?
Oves “Ano
[ Offense Date of Conviction | County of Conviction | _ State of Conviction
19. Ave you aware of any other information tha you believe may assist the Ethics Commission in advising you |
Conceming your compliance wih the State Government EXhcs Act?
Oves Jo If yes, piease provide that information below.
The SEX and any attachments, excluding the Confidential Form, are public records. Page 9 of 10
Affirmation
information provid in tris Statement of Economic Interest and any aiachTents are true, complete, and curate
| a the best of my Knowedge and beter.
| nave no wrantered, and wit mo sanater, amy asset, nest, o propery or the purpose of concealing fom
| isos whi reaming an cauable meres
Unemancpated Crldren 816 publ fecorés:
have ead and uncerstanc th following statutes:
NCGS. § 1384-25. Concesling o fain to disclose material formation.
A fing person who knowingly conceals of knowinly ais to disclose information that i requred to be dlcised
on a statement of conOMIE IrGrést hall 6 GUY of 3 Cass 1 misdemeanor anc subjec to GRepInary
Seven wnoer 6.5 1388.45
NCGS. § 1384-27, Penatty for alse information.
| A fling person who provides false information on a statement of economic interest . .. knowing that the
|| formation foe 5 uty of 3 Class m elony and shall be 3uect to Scary ackon under G5. 1384-45.
| affirm under panty of perjury that the foregoing is tru and correct.
S ym a Na ny, 4/1] zoe |
Sansture Bate
Addie M. Haris Rawls
Printed Name
Submit signed, original documents only. Do not fax or e-mail this form.
The SET and any attachments, excluding the Confidential Form, are public records. Page 100f 10
2020 District Court Judge
Document text
This entire document is a public record.
STATE ETHICS COMMISSION
2020 STATEMENT OF ECONOMIC INTEREST
NO-CHANGE FORM
This entire form must be completed to fulfill your
ethics filing obligation.
FOR STAFF USE ONLY
Date Received:
Checked for completion ______
Scanned _______ Date______
Entered in DB ____by______
Filer’s Name (First, Middle, Last)
Prefix First Name Middle Name Last Name Suffix
Hon. Addie Marica Harris Rawls
Reason for Filing (Complete all that apply.)
State Government Job (Specify agency and position.) Board/Commission (List the complete names of all State
boards on which you are serving or are being considered.)
Judicial Officer (Specify office.) Legislator (Specify House or Senate.)
District Court Judge
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 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 that I have reviewed my most recently filed 2019 Statement of Economic Interest and that as of
December 31, 2019, my responses continue to be true, correct, and complete to the best of my knowledge
and belief.
I affirm under penalty of perjury that the foregoing is true and correct.
Filed Electronically 04/07/2020
Signature Date
Addie Marica Harris Rawls
Printed Name
Submit signed, original documents only. Do not fax or e-mail this form.
2019 District Court Judge
Document text
This entire document is a public record.
STATE ETHICS COMMISSION
2019 STATEMENT OF ECONOMIC
INTEREST
NO-CHANGE FORM
This entire form must be completed to fulfill your
ethics filing obligation.
FOR STAFF USE ONLY
Date Received:
Checked for completion ______
Scanned _______ Date______
Entered in DB ____by______
Filer’s Name (First, Middle, Last)
Prefix First Name Middle Name Last Name Suffix
Mrs. Addie Marica Harris Rawls
Reason for Filing (Complete all that apply.)
State Government Job (Specify agency and position.) Board/Commission (List the complete names of all State
boards on which you are serving or are being
considered.)
Judicial Officer (Specify office.) Legislator (Specify House or Senate.)
District Court Judge
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 public records.
I have read and understand the following statutes:
N.C.G.S. § 163A-191. 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. 163A-415.
N.C.G.S. § 163A-192. 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. 163A-415.
I affirm that I have reviewed my most recently filed 2018 Statement of Economic Interest and that as of
December 31, 2018, my responses continue to be true, correct, and complete to the best of my knowledge
and belief.
I affirm under penalty of perjury that the foregoing is true and correct.
Filed Electronically 04/11/2019
Signature Date
Addie Marica Harris Rawls
Printed Name
Submit signed, original documents only. Do not fax or e-mail this form.
2018 District Court Judge
Document text
pi, NORTH CAROLINA STATE BOARD OF FOR COMPLIANCE UNIT USE ONLY
TH NE ELECTIONS AND ETHICS ENFORCEMENT Date Received:
Rr 2018 STATEMENT OF ECONOMIC INTEREST
M8 APR <4 PH 2 01
919-814-3600 ww ncsbe gov/Ethics/SET
aces or competion
canned Ae fouee
THIS ENTIRE FORM MUST BE COMPLETED To FULFILL | 1 scones lif
YOUR SEI FILING OBLIGATION Semple % ,,,.., oo. ee
| susp. sent date o
Supp. Received te
tered im doabase By
FILER'S NAME (FIRST, MIDDLE, LAST) _
Prefix | FirstName | middie Name Last Name — Suri
Addi Mavica | Har, A] |
CURRENT EMPLOYER S08 TIE
Stebe of NC Adminishob Oia dlls ishict ( bo Jad
NATURE OR TYPE OF BUSINESS ~
Legal — siting judge in Sohnstos Hane dt and lar Coundieg
[REASON FOR FILING (COMPLETE ALL THAT APPLY)
STATE GOVERNMENT JOB (Specify Agency and Position) | BOARD/COMMISSION (List complete name of all State
boards on which you are serving or re being considered
JUDICIAL OFFICER (Specify Office) LEGISLATOR (Specify House or Senate) a
ighricd Cound Judge = Lewitt ssh
‘A. Do other immediate family members reside in your household?
DR¥es ONo
When used throughout thi orm, th term Immediate family includes your sous (unless legally separated). It also
Includes members of your extended family (your and your spouse's children, orandchicren, parents, grandparents, and
Siblings, and the spouses of each of hose persons) who reside in your household,
List th ful name of all adults and emancipated minors in your househald. A minor a chid under 18 years ol.
Minors are emancipated by marriage, enlistment in the US military, o court order for emancipation.
EMANCIPATED MINORS ‘sustness
Macs € hols Husberd Oritols
Marvin € Faw, Son | Gurpbti topo 2) Fortine 821225 [Fit din oth sa
ul |
The SEI and any attachments, excluding the Confidential Form, are public records. Page 10110
©. List ONLY the initial ofall unemancipated minors n your household below. A minor is a chid under 16 years od
Note: You must lis the full name of each minor child on the Confidential Form available at the
end of this document,
INITIALS FOR | RELATIONSHIP EMPLOYER JOB TITLE NATURE OF
UNEMANCIPATED | ‘Business
MINORS —
PROPERTY INTERESTS
1. As of December 31, 2017, did you, your spouse, or members of your immediate family:
A. Have an ownership intrest in North Carolina real estate including your residence) with a market valu of
$10,000 or more?
Xoves Ono
‘Owner of Real Estate % Ownership Interest | Location by City | Location by County
pe T I ==
on Ents BT 180 Z Primacy) | Clayton Ohwslos ty
2G Me lols, 10D (int Wikgny Alusle ston Cound
beuin€. £ewts ¢ Adie hols] [OD T,(MTis™) Oak Cit Vor fin Count yO
| I g d
©. Lease or rent realestate or personal property 0.ar fram the State of North Caroling witha market vaio of
$10,000 or more?
ves {No
Name of Lessor Name of Lessee | If Real Estate Location | If Personal Property,
| Renters oy City & County Descrine
SE —
2. At ony time during 2016 or 2017, did you, your spouse, or members of your [mmediate family sel to or buy from the
Skate of North Caruina persona propery wih a market valu of $10,000 or more?
Oves Xo
Name of Purchaser Name of Seller Type of Property
The SEE and any attachments, excluding the Confidential Form, are pubic records. Page 20f 10
FINANCIAL INTERESTS
3. A of Decamber 31.2017, id 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. Stack i a publicly owned company?
ves Beto
>0 al lst ownership interests in 3 widely held investment fund (including mutual fonds, regulated InvesTment
companies, or pension or deferred compensation plans) If: (1) the fund Is publicly traded or its assets are widely
diversified; and (i) neither you nor an immediate family member are able to control the assets held i the mutual fund,
investment company, or pension or deferred compensation plan:
Owner of Interest Full Name of Company (Do not use a ticker symbol) |
©. Stock Optons In @ company or business?
Oves [No
Owner of Stock Option Full Name of Company (Do not use a ticker symbol)
C. Interests n 2 non-ublicly owned company or business entity (including interests in sole proprietorships,
partnerships, limited partnerships, jon ventures, Imited Habilty companies, Imied ably partnerships, ond
closely held corporations)?
Cl¥es [No 1*No," proceed to question a.
Owner of Interest Name of Company or Business Entity
(1): For each non-publicly owned company or business entity (the “primary company”) Kentifed in question
3.C above, please lst the names of any. other companies or business enties n whch th primary company
owns secures or equity interests vaiued at over $10,000, known.
Non-Publicly Owned Company or Business Entity | Other Companies In which the Primary Company
(the Primary Company) Owns Security or Equity Interests
Xone or Not known
The SEE and any attachments, excluding the Confidential Form, are public records. Page 3 of 10
C2). you know that any company or business ent ed in 3.C or 3.C(1) above has any material business
ings or bukiness controcts withthe State of North Caron, o 5 eguited by the State, provide a ref
scription of hat business sci. ”
Name of Company or Business Entity ‘Description of Business Activity with the State
None o Not Known
~ S——
+ 7s of December J12017, were you, your spouse, or members of your immediate fami the beneficiaries of a vested
ut with a vale of $16,008 o more that was created, esablaned, 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.”
Oves Hino
Name and Address of Trustee | Description of the Trust Your Relationship to the Trust
5 As of December 31, 2017, 4d you, your spouse, or members of your made family have labile of $10,000 or
hore, Cling the mrag0 on Your pYIMArY persona EEGEnCE” EXopIe incl credit cad debts, auto loans, Student
oan, persona oars and mira. famiy debt.
Hes Oo
‘Name of Debtor (Vou, Spouse, Immediate Family | Type of Creditor (Commercial Bank, Credit Union,
Vomber) Indu, ste)
ddie M. Harris fowls 1 i+ Unrond
[Addie M. Havns Rawls Toupha Moke Cds F Corporation)
6. List each source of income (not specific amounts) of more than $5,000 received by you, your spouse, or members of
Your mimedate fami during 2017. Include. salary, Wages, Stte/ocal government febrement, professional fees,
Honora. tart: widens, 1ento come, business income, and oer Ypes of Income feauired tbe reported on your
State and federal tox retums.
Do aot 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 Type of Income
Business/ Industry
C32 nad no reportable income aver $5,000 in 2017.
te M. Hhons fouls State of AC-AOC [TCdee
ron € Rawls Gotol, hha _
re NN. Hapris Ranks Goreastrons Onis Re Ligronsy lary Hots: ing
The SEX and any attachments, excluding the Confidential Form, are public records. Page dof 10
PROFESSIONAL AND CIVIC RELATIONSHIPS
70). During 2012, were you. your spouse or members of your Imada fami 3 director, offer, govern board
member, employee, Independent ortacon, of rserad Hey of 3 sonst coerston a anole open
Th Sits of Norn Carin primary for eos, hamtabe, moana, Waren Some hey iar cheat
pried
Wes CIN 1° proceed t question
3 Oo ot st organizations of which ro re mre memoes,
Name of Person Wis Her Position Name of Nonprofit | Nature of Business or
Corporation or organization | Purpose of rgamestan
~ ston Co Mee bo disked.
dre Of Horry Rosle Bond Con |r vie Cet ls 5S
709) 1 norroft corporations o organizations 11ed Shove do business with State af Nar Corl o recive
Ste nd, esse Drove» be Sesion of 1 nour of hak busine, know a wi ee ne con
[restorers
Nama of Nonprofit Gorporston o Organization | baseibe State business or state Funding
okos bun Coen Fsmile. Pomndignl ceives Ads to dich, Pond
i} ) Choticn Condy Bomed of Comics. oman
8. During 2017, were you, your spouse, or members of your infnediate i a director, officer, or governing board
ember ny soe, organ ion, or ovoEacy Sous wh ar Hebe aS ts SE ro et Bond
ok
Yes Jo. Cegisator uta Offer - You ar nt required o compet ti auestion you ar ling becouse
Vo re a lslator oro kia hero You ar Him 5 appari tro ates
00 otis organizations of which you re only a member. (na serving in a leadership oie),
Name of Porson Name of society, Organization | Lesderahip postion
of Advocady Group irctor, Otic; Board Member)
The SEX and any attachments, excluding the Confidential Form, are public records. Pagesor10
9(a). List the name of cach company or business with whch you were associated where you or a member of your Inmadals
family was an employee, directo, officer, partner, proprietor, or member of manager os of December 11, 2017
Name of Person Relationship to Filer ‘Name of company Role of Person
(J No Business Associations |
Mohimmd [Hele qin, FPecishon) — Acalery |Losebidi bo
9(0). I you know that any company or business entity sed in 9(a) above had any material business dealings or
business contracts withthe Ste of North Carolina or was regulated by the State 6 of December 31. 2017, provide a
ref escription of that business activi,
Name of Company or Business Entity Description of Business Activity with the State
(CI Not applicable (No entities Isted on #93)
10. Ar you a practicing atomey?
CiYes ONo "JQ)udcil Offcer/State Attorney
16Yes?, check each category of legal representation n which you or the aw firm with which you are affliated has earned
legal fees of more than $10,000 during 2017.
0 Administrative [0 Admiralty (J Corporate (0 Criminal
[J Decedent's Estates 0) Environmental Onsurance 0 Labor |
OJ) Local Government. Real Property. [Securities OTax
[ort tigation (including 0 utites Regulation [J 0ther category not ised.
negligence)
11. During 2017.were you a licensed professional (other than an attomey) or did you provide consulting services
individually or 2 3 member of a professional association for which you charged or were paid over $30,0007
Ove Xw
Type of Business Nature of Services Rendered
LE ———— EE
“The SEX and any attachments, excluding the Confidential Form, are public records. Page 6 of 10
12. Ae You o your employer, your spouse or members of your immediate amiy, o thir employer current.
+ Licensed by th State boar or employing entity with which you are or wil be associated or
+ Regulated by the State board or employing entity with which you are or will be associated or
+ Hae a busioess celatanshia with the State board or employing entity with which you ore or will be associated?
ves No. (1 Legilatorudicial Officer - You are not required to complete tis question if you re ing because
You are legislator or a judicial officer Cuil officer s defined n the SE1 Help Tos or you
are fing a5 an appointee to these offices
Name of Person Name of Employer Type of Relationship
it applicable) (Licensing, Regulatory, Business)
13. Ave you, your spouse or a mermber of your [mmedate fami currently registered a5 a Iobbyat or labbyist principal, or
were you registered as such within the 12 months preceding your filing of this form?
Oves po
Name of Lobbyist Lobbyists Principal Date of Registration
| Registration | Expiration |
OTHER DISCLOSURES _
14. During any calendar quarter in 2017 (0Ut oly the time period aftr you were appointed, employed or fied or vere
nominated as a candidate) dd you
receive any "Gif()" exceeding $200 per quarter rom a person or group of persons acting together, and
= when both you and those person(s) were outside North Carolina a the time you accepted the G(s), and.
+ the G(s) were given under circumstances that would lead a reasonable person to conclude tha they were given
for lobbying?
Oves Xo
Do mot report gts Gwen by members of your extended far.
D0 not report git tha 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 Addross of Donor(s) | Describe Tem Received | Estimated Market
| Value ~
The SEX and any attachments, excluding the Confidential Form, are public records. Page of 10
« those person(s) were outside North Carolina and
ind core
Oves One gudal Officer - You are not required to complete this question if you are a judicial officer or you are
Oves Wo
If “Yes”, list all contributions you (NOT immediate family members) made during 2017 with a cumulative
whatsoever.”
17. Ae you an appointee or prospective appointee to:
a. the head of a principal state department (e.. cabinet secretary) appointed by the
Governor; or
b. a North Carolina Supreme Court Jusic, Court of Appeals, Superior or District
Coun Judge o
<. a member o any of the folowing boards
+ ABC Cammssion
© Coastal Resources Commission
+ State Board of Education Oves Xno
© State Board of Elections
© Dwsion of Employment Security I Nos proceed to
© Envronmental Management Commission | question 18.
+ Industrial Commission y
+ Human Resources Commission |
© Rules Revew Commission
© Board of Transportation
© UNC oard of Governars
© utites Commission
© Widife Resources Commission ]
4. If 50, were you appointed or are you being considered for appointment to that ves ¥ino
ble poston bs Council of State member? Counc of State members ore 156¢d | 11 mo,” proceed to
Th auestion 16 auestion 18.
50, you must indicate whether curing 2017 you (not Immediate family
eibers) engaged n an of he Glowing actives wih spect fo o on behaf of
he candidate of campaign committe of the Council of Sate member who.
Sppomed you to your public positon:
ives Yno
1. Collected contributions from multiple contrbutors, took possession of such
ultple conrbutons, and transferred or devered those collected |
Contributions to the candidate o committee? Contributions are defined in
Gueston 16.
i. Hosted a undrarser at your resideace or place of business? ives gino
i. Volunteered for compalgn-related activites, which include, but are not Imited
To, phone banks, event sss stance, malings, canvassing, sunveying, or ony | CJYes JfNo
Other activity that advances the campaign of a candidate?
15. Have you ever been convicted of a feony for which you have not received ether: (1) @ pardon of Innocence; or (1) an
order of xpungement regarding that conviction?
Oves Jno
Offense Date of Conviction | _ County of Conviction | _ State of Conviction
19. Ae 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 AE?
(Res [INo If yes, please provide such information below.
Comstian Pea on Gases smc = _-
Shr “my > 7 ing hare 5 Tan nod
LOVEE IN the doy fo EI Ba q,
log tenia Growd fdsot (oth mt Tam net ON
Fhe board of diwedors for Fay chistPan Acaden
The SEX and any attachments, excluding the Confidential Form, are public records. Page 9 of 10
AFFIRMATION
and acurte 10h bs of my knowin bel
Valo cory ta have not ans, and will ot rane, any ase, nrc, o prapeny fr the purpse of concalng
rom diclosr while etainng an suai ie.
understand het my Stateent of Economic net and any atachmnts spleens theo ith he exception of he
Comtistil Forgan Urerameied Conan we sos von,
acknowledge that ave rend and derstand N.C... 3826 regarding conceling or Glin to disclose matrl
inormaion sh N.C.0S. TA37 reganding providing oe tomo
§ 138A.26. Concealing or iin disclose mac information
A lng person wh knowingly conceas a knowingly fs disclose information tht required 10 be disclosed
on emt of como Et snd 1s Avie shal be gy of Coe 1 iste md sr ot
0 disciplinary con unde G5. 3818.
§138A.2. Penal for ls formation
Knowing hat the formation sk sity oF Clos lon and ahh be ss Shiploany avon weber
Gans
. 4[3l2019
Sure he
Ad Haves Rods |
shad A rns Bs
Submit SIGNED, ORIGINAL documents ony, Do not fax or emai this form.
The SEE and any attachments, excluding the Confidentin Form, are public records. Page 100f 10
2017 District Court Judge
Document text
’ NORTH CAROLINA STATE ETHICS COMMISSION | ror rics COMMISSION USE ONLY
" Pi 2017 STATEMENT OF ECONOMIC INTEREST | Date Received:
]
919 814.3600 win ethicscommission ne. gov
THIS ENTIRE Fomm Hust BE CompLerep To pus |) ess scr
YOUR SEI FILING OBLIGATION | Scarred ad
fs—
| sue sen oe on
Sunn. cen Ost
| emer mata 4/17 BC
[FiLer’s Nam (Fins, MIDDLE, LAST) oT } }
[retin | First name. Middle Name Last Name | suttic
! Is
Ade Maciea Hees, Ravls | |
[coment emoves oo [pos rme —- |
(fate of Note Capolina AoC | Df, ot Coued “fedae
| arune on Type oF susiness i;
INC Fodiesat Brandy
| REASON FOR FLING (COMPLETE AL nT Apr)
STATE GOVERNMENT 108 (Speci Agency) BOARD/COMMISSION (Lst complete name ofall Sate
F — . boards on which you are serving or are being considered)
[CT Ye rrr a—
= EE — 1
[District Cound Fodye | oo
A. Do other immediate family members reside in your household?
[agit
| When used throughout this form, the ter Immediate family includes your spouse unless egal separated). It iso
Ince Meme of You excaded 1am (Your 3 Your SHUG chen or anderen Posen, shana
| ngs. and the Spouses of ach of those persons) who reside in your Rouseheld.
[ tthe mame of ait ates nc emancipated miners in your household, A minor is chia under 16 years od
Pins re emancipate, an ment i he 03 mar. 5 cou det or evamenion
FULL NAME OF ADULTS & | RELATIONSNIP | EMPLOYER | 308 TITLE NATURE OF
| nanCipaTEs Win usingss |
[Mecrin € Fpusts | Spouse eaters Cor dicator romps
Meyer € Reds To Ch rd Fim Shedek | NA |r IA |
L | | —t
| | i
The SEL and any attachments, cxcluding the Confidential Form, are public records. Page 101 10
[B. List ONLY the initats of ail unemancipated minors in your household below. A miner 5 a via under 18 years od.
| Note: You must list the full name of each minor child on the Confidential Form available at the
|__end of this document. oo ° i
_end of this docu — ER
INIIALS FOR | RELATIONSHIP | EMPLOYER JOBTITLE | WATUREOF
| UNEMANCIPATED | BUSINESS
hinogs bo |
|
| | . i I SE
NT | A I
| |
I 1 — 1
I SE EE
PROPERTY INTERESTS ]
"4 As of Dacamber 31. 2016, 46 you, your spouse, ar members of your immediate fomly.
A. Have on ownership terest in orth Carola real estate (ining your residence) with a market value of
| Suomen meres
| [Aves Oho
Owner of Ret tstae | 4 Ownarshin nterest | Location by Gy Location by County |
Mari ood Addie hols. 100 | Clasghos . sion |
Parsinat Ade 51 J00 2 | Wits Mitls | TTaksion |
Pozen candese Ais | 1009, | Oak City | Mardin :
| [ES NE
178. Lease or rent reat tate or persanal propery t.or fom the State of orth Caroling with a market valve of
310,000 o more”
| Ove Sane
Name of Lessor Name of Lessee If Real Estate, Location | If Personal Property,
l emer | yi vay Describe ]
2 At ony tm during 2015 2016, 0d you, your spouse, or members of your immediate fray ell tar oy Lom the
SEALE OF North Carns personal property with a market value of $16,000 o mores
Oves Seno
© Name of Purchaser Name of Seller — Type of Property
|
_— - _
The SEL and any attachments, excluding the Confidential Form, are public records. Page 201 10
| FINANCIAL INTERESTS
Mii —
3. of December 31. 2016, id you, your spouse, or members of your mediate family own any of te following financial
| Interests valued a 510.000 or more” LIST EACH COMPANY INDIVIDUALLY.
| A Stack in a publicly owned company?
bop ves Bdve
[%Bo not ist ownership interests in a widely held investment fund (nchuding mutual funds, regulated Tvestment
| Companies, or pension or deferred compensation plans) if: (1) the fund Is publicly traded or ts assers re widery
|| diversified: and (1) rsther vou nor an unmediate family member are able to control the assets eld toe mureel oer,
{investment company. or pension or deferred compensation pan.
I Owner of tntorest Full Name of Company (Do not use a ticker symbol)
| —
|. stock options in > company or business?
| aves pmo
| Owner of Stock Option Ful Name of Company (Do nat use a ticker symbol) |
| © Interests in. non-oubicly owned company or business entity including interests in sale proprieterships,
partnerships, limited partnerships, Joint ventures, ited lability companies, lmited habity partnersins, and
closely held corporations)”
| Ove ty 1m” proceed o question
[ "Owner of toterest I Name of Company or Business Entity |
I |
| € (1): For acs non-publicly owned company or business entity (ihe “primory company?) dented in question
| 3.C._above, please it the names of any other companies of business ones ih which the pimory company
mis Secures of cauty Interests valued at over $10.00, known, | - ”
Non-Puslicly Owned Company or Business Entity | Other Companies in which the Primary Company
ane mary Company) owns Security or Equity Interests
_ |
The SEE and any attachments, excluding the Confidential Form, are public records. Page 30110
[7 C@ ryou know tho any company or business entity sed 1 3. or 3.C(1 above has any mates bosmens
i SeBlngs or business Contacts wih the State f North Carolin, o 4 reiotad by the See, eos wa
LL desanpton or thar bose sey
Name of Company or Dusiness Entity | Description of business Activity with the State
[C2 woe or ot Know: oo
|
| — —t
i |
[8 As of December 31, 2016, were you, your spouse, or members of your Immediate family the beneficiaries of a vested
Do not list assets held in blind trusts. See 2017 SEI Helpful Tips for the definition of "Vested Trust” and “Blind Trust,”
i
| Ove gw
1 Name and Adress of Trustee Description of the Trust| Your Relationship to the Trust J
L -—
{5 As of December 31.2016, 6d you, your spouse, or members of your Immediate family have Tables of $10,000 or
| more, seciging he mriug on our armory persona eS EnCE? Examples mde crea <ard deb, uke ost susont
i Rves One
re epee
| Name of etn vou Sno, imine Fart | Typ of Grado {cammmrin sk, Gad oo
| phism | Tnadony ste "
Addic M Horry holy RB | Cre dot Un om, Finareset Suenrvs foment &
Mervin €. Roost B Commucial Boni.
| 6. List each source of racome (not specific amounts) of more than $5,000 received by you, your spouse, or members of
| your immediate family during 2016. Include salary, wages, stateflocal government retirement, professional fees,
| Bonorana, tes, dude. tal come, usiness income, ad ons woes of Income requ 9 0 epee on vou
Shae and federal fo scorn
| Do not include income received from the following sources:
| » Capital gains. » Federal government retirement
[Ei — > Social security incoma/ S501
Recipient of Income Name of source | Typeof Type of Income
| | ousimess/tndustry | eeme.
hag ro reparanie reo ower sso mats,
Adie tt try Ros ls Shte of ric [Cont Spt | Sobre |
{Addie thors Kool poeta huss Bibi ot tetra Pky cy Morac,
Phare € Pasls Grifols oo Bopeatiis Dost Sern 1
Porn 4 Adee Fini ls Tonsctos tbr Acsrstor on [Fioie 1 Prope ty | os) ~
The SEL and any attachments, excluding the Confidential Form, are public records. Page 4 of 10
PROFESSIONAL AND CIVIC RELATIONSHIPS
[7e. 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
es [Ite It Ho.” proceed to question.
| ¥ 0 oor Is State boards o entities, or antiies crated By 3 Foil Subdvisin of he Ste
> 00 not Ist organo of which vou arc a mere member,
Name of Persan His/Mer Position | Name of Nonprofit Nature of Business or
L | Corporation or Organization. | Purpose of Organization
Addie M Scers fools Foor FPrcidert less Concent Gg, | Fyligans het
Tieton Gonty om Ee te
Pte A Horr Fools Choieponsant Goce on Got [ma 07 smacay]
| 7001. 1 the monprori: corporations ar organizations sted above do business with the State of North Carolina o receive
| State funds, lease 11011 rc descpton of the mature of hak DUsnase, If Khown o with Which sue Agence cout
|e
I] None: or Not Know: 1
Ne yecives tal sniame Irom Lng |
Wows €recatisns Cogan ren Counc . Al 240 wats propped Ro prrvate. Choate Soha |.
Fenton don 5 . Ire Spy Bo A Twente, Com t |
ester Cou Fever CromePeeesd ron Couns |_ ID] pen ronal Ak sobs os ob Pogue Ene Fide
| 8 Duting 2018, Yi yo, your Spuuse, or members af your [Medic fom draco, SHcer, or governing Board
| member of any soci, organization, or advocacy aroup with an interest in matters over which your ‘agency or board may
| hove nsccion’
ves [Io [easton ical Officer - You are not required to complete his question f you re ling because
You are 60iitor o a cal oficer o you are 103 25 an appointee 1 those odes
00 not st oroanizzrions of which you are oly a member (not serving in a leadershi role)
ame a arson nome of society, orgniaton | ender poser |
or Advocacy Group | _(oirecor Siar, Basra Member) |
f SR I
The SEX and any attachments, excluding the Confidential Form, are public records. Page sof 10
50. Uist the name o cach company or business with which you were associated where you o meres of your immediate
| family was an employe. director, officer, partner, proprietor, or member or manager os of Oecamber 31, 2016.
SN ee er mwptmemeereeeepeetaeg eye
Name of Person Relationship to Filer | Name of Company | Role of Person
[680 Business Assocs |
| | | 1
S06). 1f you know 1 any company or business entay sted 11 36a) above had any material business deaings or
Business Contracts 11 Stake of North Carolin or was regulated by he State as of December 31 2016, provide a
| brit description o rot business acty
| Name of Company or Business Entity | Description of Business Activity with the State
7 ot amphcable (v0 rs ses on 595)
I
| 10. Ave you 3 practic attorney?
| Ove Cte 0 eaical omerstote Atomey
| 1 es", check each cron of egal representation in which you or the law fim with which you are offiaed has earned
legal eis of more then 510,000 dura 2016.
Clasmmstrative Admiraty corporate Cerminat 1
[Decedent's Esizcs, Environmental insurance Cltavor |
| Otocat Govereme 1 Real Property. [securities ax |
|| Carer gation co eins 1 1Urites Regulation Other category no seed. |
| negience) Sem een —
| 11. During 2016. were you » censed professional (other than an attamey) or did you provide consulting services
{individual or a5 + 7.10 of 5 rctessonsi 3sciaton fo which you charges or were hand over $10.000%
] Clves 3
= Tyne of Business I Nature of Services Rendered
TT — 1
EE I EE -
The SEL and any attachments, excluding the Confidential Form, are public records. Page sof 10
1112. Are you or your erployer, your spouse or members of your immediate family, or thelr employer currenty:
| + Licensed by the state board or employing entity with which you are or will be associated or
{+ Regulated by tr State boord or employing entity with which you are or will be associated or
| + Have a busines relationship with the State board or employing entity with which you are or wil be associated?
[Ives Cito JX caisator/udicial Office - ou are not required to complete this question if you are fing because
Vou are a legislator o a Judicial afficer ("judicial officer” 1s defined in the SEF Relprl Tos) or you
Sve lng as an appointee to those afices
Name of cian Name of Employer Type of Relationship
(if applicable) | (Licensing, Regulatory, Business) |
Were You reatered 51 Such wth the 12 mnths preceding yous fing of Ih fon?
| Ove Xo
Name of Lobbyist Lobbyist's Principat Date of Registration
Registration Expiration
| oTHER DISCLOSURES . _ ~
14. During any calendar quarter in 2016 (but only the Ume period afer you were appointed, employed or led or were
nominated as» cor cere). 1 you
+ receive any (5) exceeding $200 per quarter from a person ar roup of persans acting together, and
| + when both you arc hose person(s) were outside North Carolin ot the tne you accepted the oift(s), and
+ the f(s) were gen under circumstances that would lead a reasanable person to conclude that they were aven
| rorabbyng
| Ove gro
| [ves Rn EE
[0 not reper 5 ice by memes of your extended fami.
| D0 nat report its wa nave previously been reported by you to the Department of the Secretary of State on the
“Expense Report (or Excrpted Persons.”
Date Item Received fame and Address of Donor(s) | Describe Item Received | Estimated Market
| i Value
| |
The SEL and any attachments, excluding the Confidential Form, are public records. Page 7 of 10
{/15. Outing 2016 (but cri the time period after you were appomted, employed, or filed or were nominated 25 a candidate)
| dd you
|
+ accept “scholar exceeding $200 from person or group of persons acting together and
| + those person seve outside worth Carols ang
+ the scholars as lated 1 your public position” A “scholarship” is a grantein-aid, either direct or indirect,
10 attend a conference, meeting, or similar event, including tuition, travel, 1odging, meats, and other
| similar expense
0 ¥es CIMo JX sical Officer - You are not required to complete this uestion f you are a ucicial office or you are
| “i 32.» fuscia officer appaniee.
| _—
I
00 nak report i ht hove: previously ben reported by you to the Department of the Secretary of State on the
“Expense Report or Excited Persons.”
Legislators ore ot ured 0 report scholarships pad by a nonpartisan legistative organization of which the legislator
or the General Assy 15 2 member o participant or an fflee of that organization.
Date of Name and Address of Donor(s) | Describe Event Estimated Market
Scholarship | Value.
| |
I 6. Ware yo a1 are 04 bing conve fr 3 appoment 1 covred bord by th Governor of anther
Council of Sete roc ir?
{ council of State mermbers are
» Governor > Lt Governor » Secretory of State
» State auotor » State Treasurer » Superintendent of Public Instruction
» Attomey Gonral » Commissioner of Agriculture Comisioner of Labor
| ow xe
| Best, Nat all coneivutions you (NOT immediate family members) made during 2016 with 2 cumulative
total of more thar 51,300 to the Governor or other Council of State member who appointed you.
|» Contributions arc afin 1a 5L.C.G.S. 163-278.6(6) and include, but are not limited to, "any advance, conveyance,
| depost, distribution, anster of funds, loan, payment, Gi. pledge or subSCHBon of money or Anything of value
hatsoever
! bate Amount Contributed to 1
The SEL and any otfiments, cluding the Confidential Farm, are public records. Page 8 of 10
[[47.Ave you an amp o prospec appante vo:
| a the head of a princwal state department (e.g. cabinet secretary) appointed by the
| Governor. or
|". Nort Corot spree court utc, Court o Appeals, Superior or District |
Court ue: |
| + State Soar0 off duction Clves [No
i + State oars of Fictions,
| + Division o* oymen: Security I Nos proceed to
| + Enron to anegenent Commission auestion 15.
i + UNC Boar of Goverrors
[at s0, were you snes or or you being considered for appointment to that | ves (No
| public osiior Counc of Side member? Counc of Sate members ae 1568 | 1 who’. proceed to
| inaueston ie estion 18.
56, you mst ncicat wActher during 2016 you (no mediate family
| members) ena in ay of the folowing acthies with respect t or on behalf of |
the Cand dai Cam. commie of th Counc of State member wha |
appa yo. © four phic S0stion
[ives go |
| I Collec or tions fom muti contrautors, took possession of such | 1
i Mp cot butions, and ansterred of dovered those collected |
| Conta 10 the condaate of Sommiten? Contributions are defined in | |
I i Hosted o f.-v3raiser 22 your residence or place of business? [Ives XINo
i Volunieerc for campaign: ciated actus, whi include, but are not mid | _
Ko, 0% 1, Gur 05 stance, malig, canvasang, suveying, or any |) ves K(No |
Ghar acy 11a scances th campagn of » CANIS |
| Shera nas amor CAN |
18. Have you ever been convicted of a felony for which you have not received either: (i) a pardon of innocence; or (if) an
arder of xpungemert 1e3unding that conviction?
Oves yo
offense vate of Conviction I County of Conviction | State of Conviction
[ 19. ace you aware or soy other tormation tht you eee may assis the State Ethics Commission n advising you
| ncn your ctr rice wa he Ste Government Enc ct
| ves to rvs, pinse pave such formatien below.
| BE _— re —— wo ——
The SEX and any attuchiments, excluding the Confidential Form, are public records. Page 9 of 10
| AFFIRMATION
| from disclosune while via ning wn caitanle interest. i
Confidential Form rc i Lnenancipated Children) arc public record. |
I acknowledge that 1 ov read and understand N.C.G 8. 138A-26 regarding concealing or failing to disclose material |
|
§ 13BA27. Peal for tls information, i
| GS. 138A |
| |
[At Awe
Gh A ii Sols . 13/07 |
Addie" Hocers fads I
Printed Rare
Submit SIGHED, OK AL documents only. 00 not ax ar email this form. |
The SE and any att chrncnts, oxcluding the Confidential Form, are public records. Page 100110
2016 District Court Judge
Document text
#7, NORTH CAROLINA STATE ETHICS COMMISSION [rome
Shy Date Recsved
4g} 2016 STATEMENT OF ECONOMIC INTEREST
NO CHANGE FORM PTI »
cited 255
THIS ENTIRE FORM MUST BE COMPLETED TO scones ote
FULFILL YOUR SEI FILING OB! ON -
G OBLIGATE! wns non Pron
FLEW RAE (FIRST, MIDDLE, LAST) So
First Name Widdie Name Last Name | sumx
Aig Meri co fares Racls i}
REASON FOR FILING (SELECT ALL THAT APPLY) I oo
[J STATE GOVERNMENT JOB (Please specify the agency for | [] BOARD/COMMISSION (Please list complete name of all
hich you work or re peing comsiperad State bard an which you ar s¢ming o are bang |
— | consdered) —e—— 4
Ep Fy
Distr # Count Judie
AFFIRMATION SC - -
affirm that the information provided in this Statement of Economic terest and any attachments hereto are true,
complete, nd accurate 1 the best of my knowledge and bell
Yolo cority tha I nave not transferred, and wil not transfer, any asset, Interest, o property for the purpose of concealing
it from disclosure whik retaining an equitable interest
understand that my Statement of Economic Interest and any attachments or Supplements thereto (withthe exception of
the Confdentiol Form regarding Unemancipated Chidren) are Sublic record.
acknowledge that { ave read and understand N.C.G.5. 138A-26 regarding concealing or falling to disclose material
information and N.C G.5. 135A-27 regarding sroviding false formation
5 1208.26. Concenling or falling to disclose material formation.
A fling person who knowingly conceals or knowingly fai to disclose information that required to be disclosed on
a stotement of economic interast under this Arce shall be 9uity of 3 Cage 1 misdemeanor and shal be subject 3 |
icipinary action under G5. 136-45 i
§ 138A-27. Penalty for false information. H
¥nowing that the information s ale 1 uly of 3 Cass H felony and hall be suet to dciplnary orton under
fates |
|
I hereby affirm that I have reviewed my most recently filed 2015 Statement of Economic Interest and that as |
of December 31, 2015, my responses continue to be true, correct, and complete to the best of my knowledge |
and belier, T |
1 Agree ) i
Jadoo o\ Movers dood Cpe d 13 200g |
Sianature La Sa |
Addie mM. Has Fails |
Primteaname
Submit SIGNED, ORIGINAL documents only. Do not fax or email this form. _ _ _
This entire document is » public record.
2015 District Court Judge
Document text
, NORTH CAROLINA STATE ETHICS COMMISSION
"4 2015 STATEMENT OF ECONOMIC INTEREST FOR ETHICS commissionuse ony
SRY ME [i
919-715-2071 whew, ethicscommission.nc.go
[Fie ave (nar, Wo, LAST) — 3
; First ame [ viaename | Cost name Stix
[Addie Maria | Horcis Rawls | |
| curren empLovER 08 TITLE
Stade of Noth Caroline (AOC) District Comet Tudge.
{ NATURE OR TYPE OF BUSINESS ™
| Scdical Officer
REASON FOR FILING (SELECT ALL THAT APPLY)
| FISTATE GOVERNMENT 30 (lease spect the agency for | BOARD/COMMISSION (Please st complete name of al
| which you work or ara being considerad) | State boards on which you are serving or ara being
| comsderes)
i ]
|
|
| BE JUDICIAL OFFICER (lease specify the office you hold) _| [] LEGISLATOR (Please specify House or Senate)
[= thr mada fmt mars esd myo vero
Res No
| When used throughout this form, the term Immediate family Includes yor spouse (unless lgally separated); T iso
includes members of your extended fami (your and your spouse’ children, grandchildren, parents, grandparents, and
siblings, and the spouses of each of those persons) who reside in your household.
ONLY LIST THE INITIALS OF UNEMANCIPATED CHILDREN. Hower, you MUST subi the chidran' ful names on the
Confidential Form avaiabia at the end of this document.
| Minors are emancipated by merrisge, enlistment in the US milary, o court action for emancipation.
| FULL NAME OF ADULTS & | rewamcnsms | snpsoven 7 JOBTITLE | NATURE OF
EMANCIPATED MINORS. Business
[OE ire Grol Bots pan 1
Monin Zppuee £0915 Dasgdens For th- Tens Sted /A ra
a — EE ES SE —
The SEL and any attachments, excluding the Confidential Form, are public records. Page 1.of 10
INITIALS FOR RELATIONSHIP EMPLOYER JOB TITLE i NATURE OF
UNEMANCIPATED BUSINESS
CHILOREN__ I RS SN —— —
MER |Sow | Now Noveo [Ale
TT I
JE EN et rere
i 1
— —L |
PROPERTY INTERESTS
I A of Decambar 31, 2014, dd you, your spouse, or members of your [mmedats family:
A. Have an cwnerstlp Interest In North Carli rea estate (including your residence) vith @ market vlus of $10,000
ar mre?
®ve Ovo
| Ownr of Rest Estate | 9% Ownership Interest | Location by Ci Location by Cou
nar of eat Estate| 90 Ownership Interest | Location by Gity___| Location by County_
[Morin €onds + Adie Hh 100 | Fou Jotwston
errs € fetes Add hornsets 100% | Clogbo | Totwsdon |
AE Rents Ade isles [OOF | Oak cit. Moa ind
8. Lease or rent real estate or personal property to or. from the State of North Carolina with 8 market value of $10,000
oF more?
Doves Rio
Name of Lessor hi Name of Lessee If Real Estate, Location Tf Personal Property,
| Renter) by City & County Describe
2. AC any time during 2012 07 2013, 0d you, your spouse, or membars of your mmadiate family selLt ar ba from the
‘State of North Carolina personal property with a market value of $10,000 or mors?
OYes = &No.
__Nameofpurchaser | Nameofseller _ Typeofproperty |
The SET and any attachments, excluding the Confidential Form, are public records. Page 20f 10
FINANCIAL INTERESTS
3, As of December 31, 2014, did you, your spouse, or members of your Immediate family own any of the following financial
Interests valued at $10,000 or more?
A. stock in a publicly owned company? :
Ove Ro
00 not list ownership interests in a widely held investment fund (including mutual funds, regulated Investment
companies, of pension or deferred compensation plans) If: (1) the fund is. publicly traded or is assets are widely
diversified; and (i) nether you nor on immediate family member are abl to control the assats held fn the mutual fund,
investment company, or pension or deferred compensation pian.
a ——
6. Stock Options in a company or business”
Ove Eho 4
Owner of Stack Option Full Name of Company (Do not use a ticker symbol)
C. Interests In no7-pUblicly owned company or business antity (including Interests In sole proprstorships,
partnerships, Imited partnerships, Joint ventures, mite iasity companias, limited lisbity partnerships, and
closely held corporations)?
Yes XNo = If No", proceed to question 4.
oo Owner of Interest Name of Company or Business Entity
The SEL and any attachments, excluding the Confidential Form, are public records. Page 3 of 10
CUD For 32h mon-pablly owned compan or business anit (the primary company”) entiied in qutstion 3.C
(hive; lasse 1k tha names of any otha Compenés or BUSI: endtes In Whi the primery company owns
Secures o squny ntarests valued at over $10,050, kno: hidaiinit oie
I Non-publicly Owned Company or Business Entity | Other Companies in which the primary Company
"EY ve Primary Company) CO ne Security or Equity Interests ©
{J None or Not Known
021.1 you know tt sy company o busines any sadn 3. or 3.C(1) above hes any material business
tings or osinass coniacks ih ene State of Noch Carole, or 1 regulated by the Sate; provide o bref
Gastronon of tha business AVY. Care Is ers ee
Name of Campany or Business Entity | Description of Business Activity with the State
hone orto Known -
4. ‘As of December 31, 2014, were you, your spouse, or members of your immediate family the beneficiaries of 2 vested
ist with 3 vals F 510,000 or more kn wes created, astablahed, or controled BY you?
Do not list assets held In blind trusts. See 2015 SEI Helpful Tips for the definition of "Vested Trust” and "Blind Trust.”
ves ve
Name and Address of Trustee eseription of the Trust Your Relationship to the Trust
s. As of Dacambar 31, 2014, did you, your spouse, or members of your Immediate family have facilites of $10,000 or
more, excluding the mortgage on your primary personal residence? Examples include credit card debts, auto loans,
Testun aah, ersanal vans ond ita fary cat
Rye [No
Name of Debtor (You, Spouse, Immediate Family | Type of Creditor (Commercial Bank, Credit Union,
Vemben fndividaar, ste
a
Addie. mths Fomsls BR | Correct Bon
Morin € Rams Cormenial Bonk.
A a Crdt Union
The SEI and any attachments, excluding the Confidential Form, are pubic records. Page sof 10
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 2014. Include salary, wages, siate/ocal government. retirement, professional fae,
Rororans interest, Avidands rents Income, busingss income, and ather types of incor required to be reported on your
State an faderal to returns
00 001 include income received from the following sources:
> capital gains > Federal government retirement
» Miltary retirement > Social security income/ S01
Recipiont of Income. Name of Source Type of Type of Income
Blkiness/ Industry
[11 had no reportable income over $5,000 in 2014.
(Addi Hovis Res lor | See o6 oss. roto, Drs Count Ti toe
dive m1. Horr Ronde | NesGocsatiot Coste Ott Belin Ocyssndid (Biers) Housizy Allee]
Morin €bocts (Critels . _ |Bempentics I E—
Eo] _
RL ens [bs Gout fars c Posing Assistem ar Thcoma
PROFESSIONAL AND CIVIC RELATIONSHIPS
700). During 2013, were you, your spouse or members of your Immediate family » director, officer, governing board
ambar, armpoyes, independant contractor, ar regitersd toby t of a nonprofit corporation or organisation sparstng in
he Stare of North Carolina primarily for regious, Chankabie, scant, Iarary, pubic hes and safety. a acusationsl
purposes?
Kies CINo'= 1 "No", procesd t question 5.
55 nota State basrds o entlies, of ante crstad by 3 palica subdon of te Sate.
> 00 not kat organizations of which you ara 2 mare member, i _
"Name of Person His/Her Position | Name of Nonprofit Nature of Business or
SE — | sorporstion'or organization | Purpose of Srganiantion
Plhe Hors Kouls [Bobo | Prsjded Now Crmatvon Clnstion nso | Be ligjons Orsgenieation]
Port Gre Aanls_ [Deaco [Nos Gomer Christin Belg ous Ogonicabys
Addie. Hos Rools | Coagppansiond leon Crm Fosmife Crioe Lommenihey Boar d_
i A al to ]
706). 11 the nonprofit corporations or organzatins [ad shove do business with the State of North Caroina or receive
Stats unde, plesse provid oie Gaseripton of the nature of chat business, if known or wih which due. llgence could
Feasonatly be known.
57 NOneroRt CaTBoTation Crater, | Describe Slate Bes
Name of Nonprofit Corporation or Organization Describe State Business or State Funding
None or Not Known
Eb | reetes Ste fds doBisibetions Fo oct Serving Mets.
hor costes Acs doy cet Sbokuskif 4 Grads fiom he for Prive Seros |
EE TT aes cic 4 56 Ns Gomer Ccition Ghar SJ NA iid
in running of setaol bet pactor of fhe Chuvds ) Te
Chon is Zot invelod in punning setool oe +15
Firnnces. Ppesms smal shpad For ond |
The SEI and any attachments, excluding the Confidential Form, are public records. Pages of 10
SDI ou eur vous, oF Tes of Jour TRAE Tay ® recy Seer, oF Gavaing board
Ey sisbsnon or S4vscacy aroup wih an ara Ih AA ovr whch Your 43000 o Board TY
Fave orators
Ces No Legislator ual Office - You are nok raid cola is question 1 you aw ing because
nes os io hc of yo ars ino an apse es ofices.
Do nat st arganiztions of Which you re 6 a member (rot serving in leadership ro)
ome of Parson Name of Society, Organization Leadership Postion
or Mavocaty Group (Directo, Ofear, board Member)
9(a). List the name of each company or business with which you were associated where you or a ‘member of your.
nn oven cer: ote: Soha, Bropatr, of armbar or manga oof DecaTIor 31, 201.
Nama of Porson lationship to Fler | Name of company Role of Person
business aseotins
|
— ——
SUB you tht an company o business any Tad 7500) s5ove ad any motel business desings or business
contracts with the Stata of North Carolina or was ragulated by the State as of December 31, 2014, provide a brief
Conan of ht poses ner:
prenoftatbusness actly, lo
Name of Company or Business Entity | Description of Business Activity with the tate
ot pplasl (No antes tad on #58) LJ relations / Not known
Not applcsi (io antes std an +30) _ [Jo rltonsnp/Notinown
10. Are you & practicing attorney? a Co EL
Chves' Cie. (Rover Offcr/stte Attomey
Eves, chck sac catgory flgal representation n wich you orth a fim wih whih Voi ore Slated has erd
lesa fev of more than 10,00 Guna 2034
Damnation Cosamiaty corporate Oicaminat
[I Dscadents Estates environmental Dinarance Outer
tcl Government ent property secures Om
Tort gation (cluding [Ube Raguiaton ~~ CJ0ther category ot sted.
O eaigeresy B
Tha SEL and any attachments, excluding the Confidential Form, are public records. Page sor 10
11. During 2014, were you o licensed professional (other then an sttornay) or aid you provide consulting services |
Individually or a5 & member of a professional associston for whieh you Charged of were paid over 410,000° |
Oves ®no 3 |
Type of Business. ! Nature of Services Rendered ji
UU S|
i J
12. Ace you or your employer, your spouse or membars of your immediate far, o their employer currently:
Licensed by the State bard or employing entity with which you are or willbe assacisted 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 JX Legislator udicel Officer = You ara not required to complete this question I you ar fing because |
Vou sre a lagisator or a dca ofcer "ud officer” 15 defined nthe SEL Hap Tip) or you are |
ing as an appointee to thoso offices, |
Name of Person i Name of Employer I Type of Relationship |
! Gt applicable) | Cticonsing. Regutatory Business) _|
|
53. Are yay, your spouse or a member of your immediate family carrantly registered as 3 Iobby it or obbYIt princpal or
were you registered 2s such within the 12 tonths preceding. vour fing of ths form?
Des “(No
Name of Lobbyist Ii Lobbyist’s Principal | pateor Registration
i | Registration Expiration
T T
AO - 1 . SE
OTHER DISCLOSURES
£3. During any celendar quarter In 2014 (but only the time period after you ware sppointad, smployed or fled or were
nominated a: 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) ware outside North Caralina atthe time you accepted the git(s), and
the if(s) were given under circumstances that would ead » reasonable person to conclude that they sere given for
lobbying?
Ores Kno
%DS not report gits given by members of your extended fomily. |
505 not report gifs that have previously been reparted by you to the Department of the Secretary of Stata on the
“Expense Report for Exempted Persons.”
Date Item Received | Name and Address of Donor(s) | Describe Item Received | Estimated Market i
The SEI and any attachments, excluding the Confidential Form, are public records. Page7 of 10
sone rst ness ort Corals and
+ Do nt rept gif that ave reviuly i apoted by you othe Deparment of the Siar of Stat on he
Ree hepa ot Beams osore.
Dateof | Name and Address of Donor(s) Describe Event Estimated Market |
' EE ian
| | | |
a fee SE SE
| | i
Sorts
cot Stat iambers sh:
11° Yes" list all contributions you (NOT immediate family members) made during 2014 with a cumulative total
whatsoever.”
prmm—— i
oe pea rR
[othe head of a principal sate depart e5. coinet secretary) svpanied oy he |
li b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District Court |
[Tg
|. a mambor of an o the follwing bowrs
6c Commision
Const Resmureas Commision
| Sone Board of Educton ves Bimo
| State Bord of lctions
| Din of Employment Security Nor process te
Inuit Commission
| Rules Review Commission |
| Sout of Tanaporation |
i ONC Board of Govemors
i Uti Commision |
| Wid Resaress Commission
I a. 1 so, were you appointed or are you being considered for appointment to that public | (J Yes [No 1
i position by a Council of State member? Council of Stata members are listed In [i or proceed 1a
faded lie,
pr a Sr a eT
rand ay of th Fvng SCARS A ras ov bona oF tp
Conant o copa commitos of to Counc oF Shae member wr pointed
[| Tyr pean
| Ove Oo
| i Collected contrbutions rom mutiple convbutor, too psession of such
Fhe A
| he Sante or caramtes? Comeloutins re dened avestion 16.
| _mieemire or mites? Cosrbtors we efowdinouentonss, | _____
| i Hosted andrea at your residence or acs of business? ves Give
Th. Valntaared for carpal vlad acuviis, which inclu, bt are ok iod
| Phone barks, avert atsarance, maiings, caneasing survenna, or ons omer | [1¥es [INo
Ceiway tat savanees the corpaign of omnes
[. Hove you ever been comicad of elany or whieh you have no recved ars (3 = pardon of nocines o 7 am
aria of wipingermam. regarding hak comvcions
| Ove mie
i ottense = of Gomviction | County of Conviction | state of Conviction
- em — ty ——— p—
re py A —————
[Santen os comptarce wi oe Some Sovetenn Sono
|
| |
Th SEL and any attachments, excluding the Confidential Form, are public records. Pages or 10
i AFFIRMATION
| 1 aon tht the foun provided in his Stent of Ecoonic terest ad any atlchunests hereto ae ae, complete
| and accurate to the best of my knowledge and belict
Taso certify that I have not transferred. and will not transfer. any asset interest, or propaty for the purpose of concealing it
Som disclose while retin an uitble rest,
1 understand that my Statement of Economic Interest and any attachments or supplements thereto (with the exception of the
Confidential Form reguding Unenancipated Children) are public record.
| Lackaowledge th have tend nd understand N.C.G., 138-26 1egading concealing or filing o disclose mocrisl
| intonation 1d N.C.G.5. 1384-27 regarding providing se information
| 13826 Conceating or ing disclose tei nforusion
{ A filing person who knowingly conceals or Knowingly fails to disclose iuforniation that i required to be disclosed ou 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.
£13827. Peaaly for fle information
A filing person who provides false information on a statement of economic inferest as required under this Article
| now ha the infomation i se i ity ofa Clas flony nd sll be subject o iscaplaay action under GS.
[IT
| Agree |
je M. Hers Low
| Printed Name
fu wo Koes, Ope 14 Zo/s
f ture ate
]
| Submit SIGNED, ORIGINAL documents only. |
[Read not fax or email this form. |
The SE and any attachments, excluding the Confidential Form, are public records. Page 1001 10