Alfred Bryant, Jr.
Social Work Certification and Licensure Board
Filings
2015 Social Work Certification and Licensure Board
Document text
’ es NORTH CAROLINA STATE ETHICS COMMISSION
4 Fi 2015 STATEMENT OF ECONOMIC INTEREST
= NO CHANGE FORM
FILER'S NAME (FIRST, MIDDLE, LAST) 205 WAR 24 AY 0: 10
| resthame widdeame | iastteme | sumx
IASey [| [Gyan ES
REASON FOR FILING (SELECT ALL THAT APPLY)
[CJ STATE GOVERNMENT JOB (Please specify the agency for | LBOARD/COMMISSION (Please list complete name of ail
which you work or are being considered) State Goards an which you are sening or ae being
considered
CJ )UDICIAU OFFICER (Please specify the office you hold) _| CJ LEGISLATOR (Please specty House or Senate)
1 affirm that the information provided in ths Statement of Economic Interest and any attachments hereto are true,
complete, ond accurate to the best of my knowledge ond berer
1 aso certify that I ave not transferred, and wil not transfer, any asst, interest, o property for the purpose of concealing
it from disclosure whi reining an equitable interest
1 understand that my Statement of Economic Interest and any attachments o supplements thereto (with the exception of
the Confidential Form regarding Unemandpated Chidren) are Pubic cord.
1 acknowledge that 1 ave read and understand N.C.G.S. 130A-26 regarding concealing o aling to disclose material
information and N.C.G.5. 1364-27 regarding providing flse Information:
5 1384.26. Concealing or fling to disclose materil information.
A fling person who knowingly conceols or knowingly fist disclose information that s required to be disclosed on
2 stotament of economic intrest under this Aric shall be Quilty of 3 Class 1 miscemeanor and shall be subject 0
Giscpinary action under G.5. 138-45
5 1364-27. Penalty for foise information.
A fling person who provides false information an a statement of economic interest as required under tis Article
Knowing that the infermation s fase 5 Gulty of & Class felony and shal be subject iscipinary action under
G's. 1364,
I hereby affirm that I have reviewed my most racently fled 2014 Statement of Economic Interest and that as
of December 31, 2014, my responses continue to be true, correct, and complete to the best of my knowledge
and belief,
(Er Agree
Ae Borge I 2-\3-15
Printed Name Tote
\ ___, Submit SIGNED, ORIGINAL documents only.
> Do not fax or email this form.
Tgnetire
This entire document is 3 public record.