Albert Charles Ellis, Esq

This entire document is a public record. STATE ETHICS COMMISSION 2026 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM ELECTRONIC FILING This entire form must be completed to fulfill your ethics filing obligation. Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix albert charles ellis Reason for Filing (Complete all that apply.) Are you a CANDIDATE for elected office? ☐ Yes ☒ No If yes, for what position are you seeking election? (Specify name of office seeking in box below.) Do you currently hold this position? ☐ Yes ☐ No State Government Job or Post-Service Filer (Specify agency and position.) Board/Commission (List the complete names of all State boards on which you are serving or are being considered.) Pitt Community College Trustees Judicial Officer, Post-Service Filer, or Appointee (Specify office) Legislator, Post-Service Filer, or Appointee (House or Senate) This entire document is a public record. AFFIRMATION I have carefully reviewed my most recently filed Statement of Economic Interest Long Form and my responses continue to be true, correct, and complete to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my No Change Form is a public record. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 01/08/2026 Signature Date albert charles ellis Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

STATE ETHICS COMMISSION For Staff Use Only (ZR) 2025 STATEMENT OF ECONOMIC INTEREST| 10 1 oecEvED a 0) Please review carefully and confirm N= that all questions are answered. Incomplete SEis will not be accepted. NC ETHICS COMMISSION [Obert [Claales | ETT | [Coment Employer "Tube [Weed sd Smith PAI fvvvevey = Shaehollee | Nature or Type of Business N Law NS Reason for Filing (Complete all that apply.) State Goverment Employes or Filing Post.Service | List Name(s)of All State Boards on Which You Are Serving Spec and position: or to Which You Are Being Appointed AN Community Callge | Currently Serving as a Judicial Officer or Filing Post. | Currently Serving 4 a Legislator or Filing Post Service or Service or as an Appointee (Specity office) ‘25 an Appointee (Specity House or Senate) (A 55 any immediate family members" curently reside in your households Ono Yes “immediate family includes your spouse (unless legally separated) and unemancipated minor children (under 18). It aiso includes members of your extended family (your and your spouse's children, grandchildren, parentes Srandparent, and siblings, and the spouses of each of those parsons) who reside n your household. H yes, list the full name of all immediate family members residing in your household. - “List only inital of unemancipated minors (under 18) in section'B' below and full names on“Confidential Form at the and of SEL." Immediate Family Member| Relationship | Employer 3ob Title Nature of Business The SEZand any attachments, excluding the Confidential Form, are public records Page tor 1 wi, Hs [omar— Neer te % AChobac Vows] 00 | Gaegadle | pm | [ew 7 1 1 nT So ore He [ome otpwarer | wameotsotr | rpmarvrepeny | [ owneroftmerest | ulName of Company or ticker symbol AClcls Elle | mua] Ramls | ore X EVA [ Townorofimemst Name of Company o Business Entity [J Nene or not known ri a ar of hr oi, oo ee, a ty, Name of Company of Business Eng escrpion of Business Actin wih oa tate [Ma 17 twa von 30 en amt dts fr the > ct seals bind ct. Oars oranda Tk can bend ur et under "SEls / SEIHelpful Tips": https: //ethics.nc.gov/sels/sei-helpful-tips Ove tho Name and Address of Trustee Description of the Trust Your Relationship to the Trust a a vee Yoo pre Freep ——— “credit union,” “individual,” etc.) a a vrs Sr To ei FISReTry Asante ora Wa T5008 road BT To a 7 Fin an ARF CE wig oh dio oe ota. rd, ruta noms ints tention! Vous cass slater wagered rom any dovermmental or privat anity, ena er ied oy soverpentlor private + morte ——— © pati ems Tether th loi sous: sagt cls acral Gevaert il Be CSL asl sores: tlt fer Techrent of incoms Name oT Perso or Ext rom | Fre oF Bases Tope Stns A k [| Waekd Soi OF] Comma | Solan, Row (A Clady SN] Weekes Sots PA] Lomeiam Roni Liban & (hs wens | Hom | TeresT” Professional and Civic Relationships (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, terary, public health and safety, or ‘educational purposes? ves DYo- If No, proceed to question 8. > Do not list State Boards orentifies. »_Do not list organizations of which you ara a mere member. Name of Nonprofit Nature or Corporation or Organization | Purpose of Organization 75). 1f 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 dua diligence could reasonably bs known. "Name of Nonprofit Corporation or Organization Describe State Business Cone 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 Jurisdiction? C3Yes If No [J Legistator/ Judicial Offcer - You ara not required to complete this question f you are filing solely because you are a legislator or judicial oficer or a post-service filer or appointea to those offices. Howaver, If you are also filing as & member of a Stata board or 8s a State employee, anor yas? or “no o this question. 1 “yas,” provide addiianal information. Do not lst organizations of which you are only a mamber and do not serve in a leadership role. Name of Society, Organization, Leadership Position or Advocacy Group. (Director, Officer, Board Member) The SEX and any attachments, excluding the Confidential Form, are public records. Page sof 10 Se Ae oF ocamionr S1, 3538, wre you a 8 nor of your mod ory on loo, des, pre, oe Segre abes camera ot oi ween emectremon | mesip roar | ammorcmny | seesivern | | Bes Oromo potions. S07 yea row ata nity tad 230) sors hd ay rl Be denn or Bae ors SI ror Carina we rete oy Ste sof Se Sh St hy en rar: ctivty with the State [Dhemorvotironn 7 Foy yy ——r— x CNo (Jsudeal Offcaristote Attomey Jin House Attorney 114 chock nc ctagry lag reprsetation in whieh you oth fm with whieh yu ar fated hs ares ioe Tos of ors than 30,900 Gag m0 = p— yw— — Comat Shecssentsesates envranmeta Winsrancs or Coc Govrament I erintan = Sermons Domes om cos negligence) TL. During 038, ware 20 3 Teened prfovson (her a a Somer) 3 yo pron orang rns a a a rate ring sees over Sho EO LL The SEX and any attachments excluding he Confdantal Form, ar public records, sage corso + under circumstances that would lead a reasonable person to conclude the gifts were given for lobbying? To answer Yes, all three conditions must apply. ps ren ts) wor ide oor Qe No [)3udicial Officer - You are not required to complete this question If you are fling soi as a judicial shah EE eT Te = ETE EE > sey Grr > Comin tigre» cantons tor A ne ve. IP I | Tho contribution(s) with a cumulative total of more than $1,000 17 A you 3 sppantes or prospective sppotes ane head of a principl sate department (.., cabinet secretary) sppanied BY 1.2 North Carolina Suprema Court Justice; or Court of Appeals, Superior, or Dirt Court ode; or 0 member of any of the follwing boards: aves Ho + AGC commision No, fossa to question 15, + Coostl Resources Commission + Stat Board of Education + Stoo Soard of lections + Division of Employment Securty + Environmental Management Commission + Industrial Commision + Human Resouress Commission + Rules Review Commission + Board of Transporation + utes Commision + Wide Resources Commision 11 yos, ware you appointed o ar you beng considered for sppntmant t that | (Jes CIN Postion by Cound of State member? No” proceed to question 12. if ye, vou mus ncte whether curing 2023 You engaged In amy of 04 alaning Scves wh respec t of on eball of te candida o Campaign commie of he Counc of vate member Whe appOTRRdyOU: © Colcted contributions from multpl contributors, ook possession of such ile. contributions, and. ranstrrad of dered hose. colecied Coirbution to the candidate or commie’ Hosted a fondrasar at your residence o placa ofbusioess? Over OMe W. Volunteord for campaigned aciiis, including phone berks, evant asistonce, mage, canvass, Surveying. of shy Sher Oves Oe Sci tht navences th compa of scandens 15 Have you ver bean comvced of a elon for Which yo hava nak recsed ahr: (a pardon o (1) an oder of Spungement? ave Yeo | ofense Toate of conviction | county of Conviction | _ state of conviction | 15. Are you aware of omy ther information tht you believe may axa ie Es Commisen In sian vou Concerning your complance with tha Stats Goverment ELS ACT ves “Ne if yes lease provid tha information below: The SEL and any attachments, excliding the Confidential Form, are public records. Pages of 10 Affirmation The information provided inthis Statement of Eno nerest and ay atachmants ars true, complete, and accurate 5a bet of my knowledge and ler 3 have ot tarsferrd, and will ot rasta, any ase, Intres, or proprty for the purpose. of concasing i om done whl resin an stokes pherea undastand that my Statement of Economic ntarest and ny attachments excep fo the ConfidantlFom regarding Unamancpaad Chon av pose rei, have read and understand the following statues: N.C.G.5. 8 1388-26, Concesing offing to discasa mara formato, A fing person who knowingly conceal o knewingly fis to disclose formation thas required to bs diacosed oma Sharemant of ccm aes shal be Qu of 5 Cos § scemesnat ind Suse to cp eon mr 0.5. 3a: NC.GS. § 13827. Pnaly for fos information. A fling person who provides as infomation on a statement of economic naret knowing ha the Informatio fle 1+ Quilty of 8 Clas elon ad shale sober acer Scion andes cre. soa-45. afm dr anak of pray $33 he foregoing I rue and cores Abe TT Lend, Th. pS] Sionatare ood Albee x iS Fringed ams Submit signed, original documents oly. Do not fax or e-mail this form. The SET and any attachments, excluding the Confidantia Form, are public records. Page 100r 10

OZER oN STATE ETHICS COMMISSION Date Received: wide @ 3) 2025 STATEMENT OF ECONOMIC INTEREST AECEIV NE No Change Form This entire form must be completed to fulfill your SEI filing obligation. NCETHICS Commission ET Fi FL [Pref | pirstame | middiename | wasthame | suffix hacles Reason for Filing (Complete all that apply.) B v | IT Community Clleye BA) Toudne | (Specify office.) (Specify House or Senate.) | Jre— ea Ca ETT I SAL Er Fs ony mas Prisbrrbi nubs as dp a | eee a eae ae A — figs oro Ss or mgt fhe ron ht Ande Pry oats (As A wr mb si oA Te ef ee [RS —— a So sy acy Son rant 5 45 Hynde possi pong erage rus Setomoth Stas Ge A Chaeles €11is Submit signed, orignal documents only. Do nt fo ar emai this orm, TO

FOR STF GSE ORLY GEER STATE ETHICS COMMISSION Out Reeves Bh i & 2024 STATEMENT OF ECONOMIC INTEREST RECEIVED 7 No Change Form 2 This entire form must be completed to fulfill Your SEI filing obligation. NG ETHICS COMMISSION Fiers Name (Fist Midi, as) [prefix [FirstName | MiddieName | LastName [suffix pr ==] Reason or Fling (Complete all that apply.) State Goverment 195 (Speci s3ency and posion) | Board Commision (st th complete names of 31 Sate Boards on which yo are ering or are being considered.) Rey yous CANDIBRTE Tor 3 covered Sed oes? I yes, speciy ofice and GRtctcoumty applicable: (District, Supreme, or Superior Court; Court of Appeals; Clerk of Court; DA; Legislator; Member, Council of State) Oves Eo RPFRATION 1 have carefully reviewed my mst ecenty fed Statement of Economic Interest Long Form and my responses continue Lo Bere corte, and compte tothe bet of my knowiede and ele have not rarsferred, and ill not transfer, ay asst, interest, o propery for the purpose of concealing i rom Sosa ill recaining an cqurabie terest understand that my No Change Form is a public ecard have read and understand the folowing statutes: NCGS. § 13626. Concesing or ang to disclose material information. A fing person who knowingly conceals o knowingly fis o disclose information tht required t be disclosed ns erent of economic nares + shall be Quit af 3 Class 1 misdemeanor and. subject to apnary Shion ander 6.5. 130A. NCGS. § 138-27. Penly for ase information. A fing person who provides false information on statement of economic Interest. knowing that the mon floes uty of a Clas eon and shall be subject to dsclinary action under 6.9. 1364-45 affirm under penalty of perjury that the foregoing is true and correct. Sgratard Date Aen crates gis Printed Name Submit signed, original documents only. Do not fax or e-mail this form. This document s a public record

FORT USEOT ZN STATE ETHICS COMMISSION One Received: (17) 2023 STATEMENT OF ECONOMIC INTEREST & No Change Form This entire form must be completed to fulfill Your SEI filing obligation. Fier Name (First, Hidde, Last) Reason for ling (Complete all tat apply) State Government Job (Spey agency and position.) | Board Commission (Ls the complete ramos of ol State Boards on whieh you re ering a re ban considered.) I ay Currently Serving or Served ss a Judea Officer n 2022_| Carenty Senin or Served a 3 Lagilator in 2022 Spach (Speci oc, 6.3. oage, crk of cout, istrict ttomey.)| Fouse o Senate) AFFIRMATION have careful reviewed my most recnty fd Statement of Economic nerest Lang Form and my responses canine be te, correct, and compet the est of ry knowiede and ble, 1 have not transfered, and wil not transfer, any asset, interest, o propery for the purse of concealing i from lose whi retaining an eaurabie meres understand that my No Cringe Form i public record. have read and understand th follwing statutes: N.C.GS. § 1384-26. Concesig or falling to disclose material formatn, A fing person who knowingly conceals or knowingly al to iscose formation that required to be discosed na Sherman of 6conomE Ierst shill be Guy of 3 Clas 1 magemeanor and Subject 0 ascpinary 26ion ner 6.5. TIA NCGS. § 1384-27, Penalty for fle information. A fing person who provides ase information on a statement of economic tres... knowing tht the Information ase 5 uty ofa Coss felony and shall be subject dsclnary acon under G.5. 1384-45. affirm under penalty of perjury that the foregoing is true and correct. wars amature EQ Aer Chars eis Printed Name Submit signed, original documents ony. Do not fax or e-mail this form. This document is a pubic record.

TOR STAFF USE GRY GT STATE ETHICS COMMISSION Date Received Cie | RH 7] 2022 STATEMENT OF ECONOMIC INTEREST RECEIVED | = No Change Form | 9 | arodan This entire form must be completed to fulfill ! Your SEI filing obligation. | NeEmics comission Fier Rema KES We, BRR Ee] prefix First Name MddieNome [ lsstheme | sux | Reston toring Gompiemmnatapy | State Government Jo (Specty 3g6ncy 3nd posilon) | Bcera/Commisson (Lt te complete mares ral Sate | Tr | Curren Serving as a Judicial Officer (Specly oficer) | Currently Serving as 8 Legsator (Saecy House or Senate | Are you a CANDIDATE for 2 covered elected office? | | If Yes, specify office and Oisrct/County I, applicasier (District, Superior, or Supreme Court, Court of | lek of Caut, Didi Atomey, General Asset) Oves EiNo AFFIRMATION | everett ens my mss ety a Sem. Ecorse tr orm eres nn | 0 true, correct, and completa to th best of my knowledge and sell. | hve ot ter sick nts, ase ers, rope or pecs of vcs om disclosure while retaining an equitable terest. Lunderstand that my No Change Form is a public record. | have read and understand the following statues: N.C.GS. § 1384-26. Concealing or fling to disclose material information. | fing person who knowingly conceas or knowingly fis to disclose information that is required t be disclosed an 8 statement of economic interest... shall be quity of Class 1 Misdemeanor ond «+ subject to Socmasy action under G.5. 136-45. | N.C.G.S. § 1384-27. Penalty for false information. fling person who provides fis Information on a statement of economic interes... . knowing tht the Information fis € Gully of a las H felony and snal be subject to disclary scion under Go. 139A45. I atfirm under penalty of perjury that the foregoing Is true and correct. Siandedre Date Abert Crartes mts Printed Name Submit signed, original documents only. Do not fax or e-mail thi form. This document is a public record

This entire document is a public record. STATE ETHICS COMMISSION 2022 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM ELECTRONIC FILING This entire form must be completed to fulfill your ethics filing obligation. Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Mr. albert charles ellis Reason for Filing (Complete all that apply.) Are you a CANDIDATE for elected office? ☐ Yes ☒ No If yes, for what position are you seeking election? (Specify name of office seeking in box below.) Do you currently hold this position? ☐ Yes ☐ No State Government Job (Specify agency and position.) Board/Commission (List the complete names of all State boards on which you are serving or are being considered.) Pitt Community College Trustees Judicial Officer (Specify office.) Legislator (Specify House or Senate.) AFFIRMATION I have carefully reviewed my most recently filed Statement of Economic Interest Long Form and my responses continue to be true, correct, and complete to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my No Change Form is a public record. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 03/29/2022 Signature Date albert charles ellis Printed Name Submit signed, original documents only. Do not fax or e-mail this form. This entire document is a public record.

For Staff Use Ony. 1 Ga STATE ETHICS COMMISSION —— (iy) 2021 STATEMENT OF ECONOMIC INTEREST | RECEIVED &F NO CHANGE FORM This entire form must be completed to fulfill ‘your SEI filing obligation. | NC ETHICS COMMISSION | Fier’ Name (Firs, idle, sat) prafix First Name Middle Name LastName Suffix w en Cranes [Ee | Reason for Filing (Complete all that apply.) ES Toy Tirnua SAN eee ee Ste Gevermans Job (Spach agency and poston] | Beara Commisson (Le he comets Tames of 3 Stee | Boards on which you are serving r ae seing considered) | Pit Garrity Cologe Scard of Trstens er EE ie — Si Ofer Spach oes) Ceamvtor Spec vows or Sate I it-HLLL + rave careful reviewed my mest recently filed Statement of E<anomc Interest Lang Form and my resa6nses continue be tre, comet, and compte to the Ses of my know edge 314 belie 1 Nave not tamer, 35d wil nt tans, any asa, interest or rosary for the purse of orcasing am | disclosure while retaining an equitable interest. | understand thet my No Crange Form 5 publ record 1 rave read and understand the folowing statutes N.C.G.S.§ 130A-26. Conceaing or faiing to disclose material Information | A fing person who knowingly concea's or knavingly falls to disclose Information that is required to be discosed 01a Statement of econo c Inerest-. 7a be Qulty of 8 Claes 1 misdemeanor and... 3usject 3 clscrary | action under 6.5. £3845, | meas § aman sent ore iormation | A fing person who orovides feise information on a statement of economic Interest... knowing that tne | [| formalin fase» au fo Cis Hoy ard ns be sojut 1 anciioay oct on der 6.5 130445. | Taffirm under penalty of parjury that the foregoing is trus and correct. J) dy cll Gls Y= _ evar | Sgnature Era— Aen Cras Ets | Printed Name. Submit signed, original documents only. Do not fax or e-mail this form, This entire document is a public record.

wr FOR STAFF USE ONLY Gr STATE ETHICS COMMISSION Dae Receved: FET 23 KA 7 2020 STATEMENT OF Ei RECEIVED Bl ali 7 CONOMIC INTEREST NS NO CHANGE FORM JAN 22 200 This entire form must be completed to fulfill your SEI filing obligation. (EesXa Scanned) oute |-24-20 EneredinD8 by Filer's Name (First, Middle, Last) Reason for Filing (Complete all that apply.) State Government Job (Specify agency and postion.) | Boara/Commission (Lt the complete names of oll State boards on which you are serving or are being considered.) LAT Commaity Cllye A) F Tewslies Legislator (Specfy House or Senate.) AFFIRMATION 1 have careful reviewed my most recently fled Statement of Economic Interest Long Form and my responses continue to be tro, correct, and complete to the best of my knowledge and bale, 1 have not transferred, and wil no transfer, any asset, interest, or property fo the purpose of concealing It from disclosure while retaining an equitable interest. Tunderstand that my No Change Form s a pubic record. Ihave read and understand the following statutes: N.C.GS. § 1384-26. Concealing or falling to disclose mterial information. A filing person who knowingly conceals or knowingly fais to disclose information that is required to be disclosed on statement of &conomic Interest. shal be Quity of 8 Class 1 misdemeanor and . subject to cscpinary Xton under G.5. 13845. NCGS. § 1384-27. Penaty for flse information. A fing person wh provides flse information on a statement of economic interest . . knowing tha the information i faise 1 guilty ofa Class feony and shal be subject o disciplinary action under G.5. 1384-45. Taffirm under penalty of perjury that the foregoing is true and correct. 101 0% i ” al Albeed Chabs lle Printed Name Submit inal documents only. Do not fax or e-mail this form. “This entire document is a public record.

This entire document is a public record. STATE ETHICS COMMISSION 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 Mr. Albert Charles Ellis 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.) Pitt Community College Trustees Judicial Officer (Specify office.) Legislator (Specify House or Senate.) 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 02/05/2019 Signature Date Albert Charles Ellis Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

./ }. NORTH CAROLINA STATE BOARD OF for SR i sot & ELECTIONS AND ETHICS ENFORCEMENT Date Rece ved: 2018 STATEMENT OF ECONOMIC INTEREST BI FER 6 PY 355 NO CHANGE FORM THIS ENTIRE FORM MUST BE COMPLETED TO |, FULFILL YOUR ETHICS FILING OBLIGATION —— FILE'S NAVE (FIRST, MIDDLE, (AST) Prefix | Furst Name Middle Name Last Name Suttix | __ Firs | oMame | ame | Soin _ Mr, Albert Charles | Ellis. REASON FOR FILING (COMPLETE ALL THAT APPLY) — _ | | STATE GOVERNMENT 308 (Speci Agency 936 Poston) | BOARD/COMMISSION (List he complete name of ail State | — boards on which you are serving or ave beng conselered) | NA Pitt Community College Board of Trustees. JUDICIAL OFFICER (Specty Office) LEGISLATOR (Speciy House or Senate) NA . | AFFIRMATION BN - oo 1 Yaffe that the information orovided 1m this Statement of Economic Interest and any attachments hereto ae true. complete and accurate to 1 Dest of my knowledge and beret also cru that 1 hove not transferred, and wil not transfer, any asset, interest, or property for the purpose of concealing I from disclosure while retaining an eGuabie meres 1 understand that my Statement of Econamic [terest and any atachments o supplements thereto (in the exceation of he Confidential Tor regarding Unemancinated Ci drem are subi record 1 acknonledge iat | nave read and understand N.C... 1354-26 regarting concealing or fing to disciose material formation ant MCG. 139A 37 regarding 31ou Gn fase miormarin 5 1384.26 Concealng or fang to disciose materia formation. Atiing person who knowingiy conceals o knowingly fais £0 disclose format on tha 1 requir to be Giscosed on a Sateen: of economic Interest unde hs Artic Shall 5¢ Quy of Class | m demeanor ang anal oc SUBJCt 16 dc onary acon under G.5. 13.45. 5 1354-27. ena fo fase information A fing person wo provides false information on. statement of economic interest a required under this Arce Knowing tha tne information s ae GuIty of & Class H felony and Snal be susct 1 8 Spiny act on 4ncer GS The as 77 " J ve y 48 Signature i ES Plece” Chasley EM Printed Name | Submit SIGNED, ORIGINAL documents only. Do nt fax or e-mail this form. “This entire document is a public record.

, NORTH CAROLINA STATE ETHICS COMMISSION | ror ers commission ust once M & 2017 STATEMENT OF ECONOMIC INTEREST | oc feces 919-414-3600 wi eticscommiss on ne. oopy] SEP 13M Il: 39 THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL A poli on YOUR SEI FILING OBLIGATION [7Cscames Wel) doe _— ee [mvc AC [ices wae tees, wiooce, st) ] | Prot | pest name Middle Name Last Name Sufix Me Abert Charles Elis | commer enpioves sone | Ward and Smith, P.A. Attorney - Shareholder NATURE OR TYPE OF BUSINESS. 7] Law Firm REASON FOR FILING (COMPLETE ALL THAT APPLY) STATE GOVERNMENT 108 (Specify Agency) BOARD/COMMISSION (List complete name of ail State | | beards on which you are serving or are being considered) NA Pitt Community College Board of Trustees JUDICIAL OFFICER (Specty Office) - he ATOR (Specty House or Senate) I NIA | NA AD other immediate family members reside in your household? [®ves Ono nen used Shrcughout this form, the term Immediate family includes your spouse (unis legally separated). It aiso Includes members of your extended family (your and your spouse's children, grandchidrer, parents, grandparents, and SIblngs, and the spouses of cach of those persons) who reside in your household. Lst the full name of aif adults and emancipated minors in your household A minor 1s» chid under 15 years old Hinors are emancipated by marrage, enUStmEnt in the US miltary, of court order for emancipation i FULL NAME OF ADULTS & | RELATIONSHIP | EMPLOYER 308 TITLE NATURE OF EMANCIPATED MINORS | susIness Laura A Ellis spouse NA NA NA | | | ! The SEX and any attachments, excluding the Confidential Form, are public records. Page 1f 10 Jo. Ls ONLY the intial ofa remanciated miners n your hoschotd bow. A er 3 his anes 9 yes os Note: You must lis the ful name of each minor child on the Confidential Form available at the | | endo this document. " § hie stehe | INILALS FOR | RELATIONSHIP ewelover | so Time waTURE OF UNEMANCIPATED Business | J | ee | | | | } ! + L de. | I PROPERTY INTERESTS | [[1- 4s of December 31, 2016, 0 you, your spouse, or members of your immediate famiy A Have an ownership interest in North Caroling real estate (Incuding your residence) with a market value of | $10,000 or more | Kives [No pre or Ren estate | Ownership Tnarest | Location vy iy | _tocaton by Count Albert Charles Ellis and oo B — N TT 1 [Lavra A Ellis I 100% . Greenville | Pitt | Albert Charles Ellis and T 7 1 — | Lavra A” Eis 100% Pine Knoll Shores | Carteret ) 8. Lease or rent real estate or personal property 10x om the State of Herth Carling wih a market value of $10,000 or more” | | ove sme | Name of Lessor I Name of Lessee | If Real Estate, Location If Personal Property, } Renter) oy City County | Describe [ i ! | State of North Caraing personal property wih a market velue of $10,000 or mores Oves Wo Name of Purchaser I Name of Seller Type of Property | | | The SEX and any attachments, excluding the Confidential Form, are public records. Page 20f 10 | FINANCIAL INTERESTS | | 3,4 of December 31, 2016, 68 you. your spause, or members of vour immediate arly own any of he faowing fnancit | interests valued at $10,000 or more? LIST EACH COMPANY INDIVIDUALLY. A. Stock in 2 publicly owned company? | [=r —— | Do ot Ist ownership interests in @ widely held investment fund (including mutual ands, equated Teestment companies, of pansion or deferren compensation plans) I: () the fund 1s pul add 6 ts 3peets mre en | diversified; and (1) neither you nor an immediate family member are able to control the assets held fn the mutual ford, | investment company, or pension or deferred compansation plan. owerotimerest | rename f Owner of Interest Full Name of Company (Do not use a ticker symbal) | — Co ot com 2 van Vicker symbol 1 -—-— i ] 6. Stack Options In company or business? | Ives xno oo | Owner of Stack Option || Fun Name of company (00 not use a ticker symbol) —_— €. Inforests in 2 non- publicly owned company or business entity (cluding interests in soe proprictorshps, partnerships, lmied partnerships, Joint ventures, fimicd labiity companies, ited \abity partnerships, 30d closely held corporations)? | Rives [Ito- It"No," procecd to question 4. | [ - Owner of Interest Name of Company or Business Entity | | Albert Charles Ellis I Nucoux Un LLC | (1). For each non-publily owned company or business ently (the “primary company”) dentifed in question | 3. above, plas st the names of any OEhcr conEanes or GUSInEss ¢ntiie: In wnch the primary company | | owns securities or cquty Interests valued 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 | [atone oro kn | ne 2 em -— E— —— _— | The SEL and any attachments, excluding the Confidential Form, are public records. Page 30f 10 € (2). If you know that any company or business entity sted in 3.C or 3.C(1) above has any material business | | dealings or business contracts wih the State of North Caroling, o 4 reguiated by the State, provide a rer | L description of tha business actity | | ame of Company or Business entity Description of Business Activity with the State | [ome or ot xnav : | - - h 25 of Degember 11, 2016, vere you, your spause, or members of your immediate far the beneficiaries of 3 vested | | trust witha vhue GF $10,000 or more that was created, estabianed, or controled by yous | | 00 not st assets hed in oid tuste. See: 2017 SE1 Hell Tip for the demon of “vested Trust” and “Bind Trust | | Yes Xo | | Mame and adress o vrustee | bescription of tha Trust| vour Relationship to the rust | 5. As of December 31, 2016, id you, your spouse, or merbers of your MELE fomly have abies of $10,000 or more, excluding he mOTgagE on your Drmory personal residence” Examples mcd cred £4 debts, ute loans, sudert loans personal loans and ira fami debt Oves Xo | Name of Debtor (You, Spouse, Immediate Family | Type of Creditor (Commercial Bank, Credit Union, | Heber) ndividuat, etc.) | | ©. List each source of income (rot speci amounts) of are han $5,909 recenved by vou, your spouse, or mermbers of your mediate family Gur 2016. Ince star, wages. STHSHOCOI Government rebremen. protons foe Ronorara, interest, Gnidends, rental come, business income, 3nd other types of ome required 16 be reported on your | State and federat to returns Do not include income received from the following sources: > Capita gains > Federal government retirement | i » military retirement » Social security income/ S01 Recipient of Income Name of Source | Type of | Type of Income ” | Business/maustry | | C11 had ng reportable income aver $5,000 1m 2016 } | Albert Charles Elis Ward and Smith, PA. Law Firm Salary + Bonus -W-2 | | Albert Charles Ellis First Citizons Bank Bank Interest - 1099 | | Albert Charles Ellis | ells Fargo Advisors | Bank - Financial Firm | Interest - 1099 | [won Charles Ells Wells Fargo Advisors | Bank - Financial Firm | Interest - 1069 | Albert Charles Ellis Wells Fargo Advisors Bank - Financial Firm Dividends The SEL and any attachments, excluding the Confidential Farm, are public records. Page dof 10 | PROFESSIONAL AND CIVIC RELATIONSHIPS | | 213). Ouring 2016, were you, your spouse or members of your immediate fomily a director, officer, poverming board member, employee, independent contractor, of registered Iobbyist of 8 Nanprofit €orporation o oraaisapen operates a of oh Cre pinay Fr eis, chara, soem, ror, pu eat ara st, o cucond | purposes? | |» Boot ist State Boards or entities, or entities created by 3 pofical subdwimon of the Stare, 7 | 3 0a not ist organizations of which you are a mee meer Name of Person Wis/Mec Position | Name of Nonprofit Nature of Business or | . or Corporation or Organization | Purpese of Oganication | A Chartes Elis Board Member | United Way of Pit County | 501(c)3) Charity | Laura A Ellis Board Member Habitat for Humanity | 501(c)(3) Charity | | | State funds, picase provide a trie Gescripion of he nature of That business, f Known 1 with which doe digence coon reasanably be known. None or Not Known [8 Bring 2015, were you. vou Spouse, o members of your immediate family 3 director, GMcer or Governg bord | member of any society. organization, or SINCCACY GrouR Wi a Keres in mators er whch your agency of bourd moy | | Hove Jursaction’ | Yes Xo. []Lesiator/3usicia Officer - You are not requred to complete this question i you are fing because you are 2 legislator or a Judicial office or you are ing a5 an appoine 15 hase offices [0 ot ornare oa mmr (ots rv ro) | Nameoferson | Name of Society, Organization | Leadership position F | or Advocacy Group | (Director, Officer, Board Member) | — | orAdveccyGroup | (Birector, Officer, Buard Member) | _— — —_— EE — | [ The SEI and any attachments, excluding the Confidential Form, are public records. Page of 10 9a. List the name of each company or business with which you were associated where you or 3 member of your Immediate family was an employee, rector, Ler, pariner, oMTERD, rember of onaGe: v4 of December 1, S016 Name of Person Relationship to Filer | Name of Company Role of Person Mo Business Assazianons Albert Charles Ells same Ward and Smith, PA | GoManaging Partnor 11 ou know that any company o business entity ted n 3) above had any material busngss dealings or Business contracts wih the Stat of Hort Carol of wa reQuated by he Site 35 of Gece 31. 201. provide a nt escnpion of hat bess act. X ot sopicae (No cin sted on 793) T 10. Are you» practicing attomey? ves (ino [I udical Offcer/stoe Atioroey Hes", check each category of legal representation in which you or the ae fm vith whch you are ffated hs earned ego ees of mare. than $10,000 Gury 2036 (1 Aammisteative X sama Xcorporate Ly caminat R Dececents Estates X Environmental Xmsurance Rusbor Loca Gavernmns X ean property Nseries Rox 8 Tort Imation (inclu Clunites Reguiaten Comer category not sec regpence) 11. During 2016, were you 3 Ucensed professional (ther than an stomey) o 4d vau prowde consulting services EE wo ma ev Ho et EE Type of Business. | Nature of Services Rendered EE 1 FE The SEX and any attachments, excluding the Confidential Form, are public records. Page 6 of 10 [12.4 you or your emptoyer, vour spouse a mamibers of your meta fami, or the ates sere Licensed by the State board or employing entity with which you ar or wil be associted or | + Beulated by the Stat board or employing enuty with whieh you are o wil be associated or } + Have a business relationship with the State board or employing entity with which you are or wil be associated? | ves [No CJ Legistor/ludicin Officer - You are nt recured to complete this question you are fing because | J YOu are a egsitor o a uc oer (Jadrial after Is domed m the SE1 Hern Ts os | | 02 ing 35 an appt to those ices | I Nome of Person Name of Employer Type of Relationship I | | scatter cern, Rego ness) _| [a Charles Ells Ward and Smith, PA | Business | 13, Are you, yout spouse a a member of your immediate fori currently regstored 9s a obbyist o abby principal a | Were Fos 1ST 35 Such with he 12 moni receding your mg of ths fern? | | Ove xn | r Name of Lobbyist | Lobbyists principal | oateor Registration | | ! | hegiration Expiration | OTHER DISCLOSURES ~ oo 1 14. During any colendar carter in 2016 (bu anly the Uma period aor you were appointed, employed or fed or were Samad 2 5 Candia), 03 vou + receive any "af()" exceeding $200 per quarter from 3 person or group of persons acting gether, and + when both ou and those person(s) were outside North Caron at the time you accepted the G(s), and {+ the itt) were given under circumstances that would fad o reasonable person to conclude tha they were given for ebbing’ | Ores Rio | Do not report gifts given by members of your extended family. : - —] »00 1 repart gis that have previously bien reported by you to the Deparment of the Secretary of State on the | “Expense Pagor for Exempted persans.” | L Li A —— Date item Received | Name and Address of Donar(s) | Describe Trem Received | Estimated Market | Vato. | | The SET and any attachments, excluding the Confidential Form, are public records. Page 7af 10 15. During 2016 (but only the time period afer you were appointed, employed, or Fed o were nominated as a candidate) aid you | + accept a scholarship” exceeding $200 from a pers or oroup of persons acting together and |» those person(s) were outside North Carolina and + the scholars was related to your public poston? A “scholarship” is a grant-in-aid, ether direct or indirect, to attend a conference, meeting, or similar event, including tuition, travel, lodging, meals, and other similar expenses. | Ces [XNo [Judicial Officer - You are mot required to compere ths question if you are a judicial office or you are | Filng as Judicial officer apporntee |” “Expense Report for Exempted Persons.” |» Lesisiators are not require to report scholarships paid by nonpartisan legislative organization of which th legisator | or the General Assembly is a member or partcipsnt of 3 afflae of that organ zation Dare of Name and Address of Donor(s) Describe Event Estimated Market | Scholarship Value | 16. Were you appomted or are you being considered for an appaIMENt 10 covered board by the Governor or another Council of State member? Council of State members are » Governor » Lt Governor > Secretary of Ste > Stare Auditor > State Treasurer > Superintendent of Pubic struction » Attomey Genes! > Commissioner of Agriculture > Commissioner of Labar » Commissioner of Insurance Kves Cte If “Yes”, list all contributions you (NOT immediate family members) made during 2016 with a cumulative | total of more than $1,000 to the Governar or other Council of State member who appointed you. = Contributions are defined in N.C 6.5. 163-276.6(6) and include, but are not limited to, “any advance, conveyance, daposi, distebition, transfer of funds, loan, payment, Gt, leds or subscription of money or AAG of value whatsoever,” {C30 contributions) wih cumulative total of more than 1,000 [pee Democratic Primary $5,100 Roy Cooper for Governor Campaign {After Democratic Primary $5,100 | Roy Cooper for Governor Campaign The SEX and any attachments, excluding the Confidential Form, are public records. Page of 10 17. re you an appointee or prospective apport to: a a. the nad of a principal state department (e.g. cabinet secretary) appormied by the Governor, or . a North Carolina Supreme Court Justice, Court of Appeals, Superior or Ostet | ; Court dae: or a member of any of the folowing boards: + 38C Commission + Coastal Resources Commission 1 + State Board of Education Lives XNo | + State Board of Elections | + Divison of Employment Securty I “Nos proceed to | + Environmental Management Commission auestion 15. | + Industrial Commission | + Human Resources Commission | + Rules Review Commission | ! | + Board of Transportation + UNC Beard of Governors + Uris Commission « Wife Resources Commission oo | 4150, were you appointed or are you being consered for appartment to hat | [1¥es CINe | PUB Don by 3 Cour of Sa Merb? Coun of Soe mbes E1468 | 11a qroceed to | - question 18. ] €. 1150, you must indicate whesher during 2016 you (not mmmeniate fami | memes) angagec i an of the 510m 1a SCEMLES wi TESPECt to of on bea of | the candidate ar Campaign committee of he Counc. of SUA member who | Sopormted yo: 10 Your pUBIK posGn | fives [No | i Collected contribution from muttig controutors, took Gossession of Such | mltie contabutions, an trancterre or dahvered those collected i Contributions to the candidate or commEtes? Contre: are defined in Gestion 16 i. Hosted 2 fondraiser at your residence or place of tsness? Cves Cio i. Volunteered for compargn-related aces, which clude, but are nat Imited i 5, hone banks ent ssestance, mahi, Canvases, Sunes, or any | (Ives Clte Shir atts hat AGvaNCES he CAMDaID of CanaORGE” 1 18. Hove you ever been convicted of a felony or whieh you have not received ether: (1) a pardon of inacence; a (1) an order of expungement raring that conuin® DOYes XNo COTVIEHOn | County OF Comvicticm Toone ore mma offense Date of Conviction | County of Conviction | State of Conviction 19. Are you aware of any other Information that you believe may assist the State EXhcs Commission 11 advising you concarning your compliance wih the State Government EXNCs Acts Ces (No if yes, please provide such information below, | The SEX and any attachments, excluding the Confidential Form, are public records. Page gf 10 | AFFIRMATION ] | also certify that have not ansferred. and will non transfer, any asset, interes. ar property for the purpose of concealing it | trom disclosure ile retaining an Gquitabie interest | understand that my Statement of Economic Interest and any attachments or supplensents thereto (with the exception of the | Vacknow ledize that | have read and understand NCGS. 1384-26 regarding concealing or failing to disclose material A fing person who knowingly conceals of knowingly ils te disclose informaion that is required to be disclosed | 10 disciplinary action under G8. 1387-45, | X11 parce | | Diba Charles Ells ! | Printed Name | | | utes some, onsen resem ny. D0 not fa or emai thi orm. J The SEI and any attachments, excluding the Confidential Form, are public records. Page 10 of 10