Alfred Wilson Hamer, III
Health and Human Services, Department of
Filings
2016 Health and Human Services, Department of
Document text
, NORTH CAROLINA STATE ETHICS COMMISSION frome
HS ove mec
4 2016 STATEMENT OF ECONOMIC INTEREST
’ CANDIDATE
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NO CHANGE FORM seroma
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THIS ENTIRE FORM MUST BE COMPLETED TO |." 7// "f)
FULFILL YOUR ELECTION FILING OBLIGATION
2016 ELECTION FILER'S NAME (FIRST, MIDDLE, LAST) BN |
Prefix | FirstName | MiddieName | Last Name Suffix |
Ce. La IE PY < |
Me | AM Ceel WMAsev | Hamee } la |
REASON FOR FILING (SELECT ALL THAT APPLY) ) 1
KI STATE GOVERNMENT 508 (lose speci the 39eny fer | (J BOARD/CONMISSION (Pease ist complete name af ofl
which you work or are being considered) Stace boards on which you are serving o a being
I |
E Qaetmens Heat Human Seestss I |
CoooiCAL CPCER (Pas spect he atte vas tty | 3 VEGSLATOR (Pere Spec oes Sart |
AFFIRMATION — —
aftr that he information provided in ths Statement of Economic Interest and any attachments hereto are ue
Complete, and acanate a hi Deck of my bnowtedae and beter
$8 ty at he ot artrs, on ie ontr, ny st, ret, rset othe es of concn |
irom disclosure his rekoining on equal mest
1 understand tha my Stotement of Economic Interest and any attachments or supplements thereta (th te cxcaption of
he Codi Farm re3araing Unemancpaced hr) re pubh ecer.
1 acknowledge that 1 have rca and understand N.C.G.. 1384-26 regarding concealing of Faling to disclose materia
Information and N.C.G.5. 136-27 ragardng providing tase miarmaton
§ 138A.25. Concealing or falling to disclose maternal information.
A fling person who knowingly conceals or Knowingly ai to cose information thal s required to be disclosed on
Statement of comm Interat nde (is ARIE shall bs Gy of 3 Coes 1 mismeaner and shall oe subject 15
scoinary acon under 6.5. 1308.45
§ 1388.27. penalty for fos information
A fing person who provides fis information on 3 statement o economic nerest as required under tis Article
Knowing tht The information 5 {1s 1 Quik af 5 CLs 1 felony and shall be subset to ioc pinary acts under
rate |
hereby afiem that 1 have reviewed my most recently fied 2015 Statement of Economic Interest and that ss |
of December 31, 2015, my responses continue to be tue, correct, and complete to the best of my knowledge
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Blah Wilson Horner
Printed Name ;
Submit SIGNED, ORIGINAL documents anty. Do not tax or email thi form.
“This entire document is a public record.
2015 Health and Human Services, Department of
Document text
Em NORTH CAROLINA STATE ETHICS COMMISSION
"'J7; 2015 STATEMENT OF ECONOMIC INTEREST
iil NO CHANGE FORM
FILER'S NAME (FIRST, MIDDLE, LAST) 5-APR 8-1 2
~ IT
ETSTATE GOVERNMENT JOB (Please specify the agency for | [1] BOARD/COMMISSION (Please list complete name of all
‘Which you work o are being considered) State Soards on which you are serving or re being
considered)
Cosa / Duns ]
(CJ UDICIAL OFFICER (Please specify the office you hold) | [J LEGISLATOR (Please specify House or Senate)
Taff tht the Information provided i this Statement of Economic Interest and any attachments hereto are true,
complete, and accurate to the best of my knowledge ona bole.
alo certiy that have not transferred, and wil no wanster, any asset, Interest, o property for the purpose of concealing
it from disclosure whi retaining an equitable interest.
understand that my Statement of Economic Interest and any attachments or supplements thereto (with the exception of
the Confidential Form regarding Unemancipated Chidren) are pubic record.
Tacknowiedge that 1 have read and understand N.C.G.S. 1384-26 regarding concealing or ailing to disclose merial
information and N.C.G.5. 1384-27 regarding providing fase information
§ 1384-26. Concealing or falling to disclose material information
A fing person who knowingly conceals or knowingly fis to disclose information tht is required to be disclosed on
a statement of economic terest undor this Article shall be uty o a Class 1 misdemeanor and shal be Subject to
isipinary action under G.5. 138A-45.
§ 1384-27. Penalty for aise information.
fing person wh provides fase information on statement of economic nterst as required under thi Article
Knowing that he information 1s flse 1s uity of a las H felony and shal be subject o disciplinary action Under
G5. 13045.
I hereby affirm that have reviewed my most recently filed 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.
2nd beter,
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ACez) Waser Hamen AL is
Frnted Name Toe
Ag lle TET submit S1oNED, ORIGINAL documents any.
Do not fax or emall this form.
nature
“This entire document is a public record.