North Carolina

Allen Lee Todd

13 filings · 2015–2025
High Point Urban Area MPO (TAC)Winston-Salem Area Transportation Planning Organization (TAC)

Filings

2025 Winston-Salem Area Transportation Planning Organization (TAC)
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_ [Ea — TORR STATE ETHICS COMMISSION raResaner CEI 1 LF) 2025 STATEMENT OF ECONOMIC INTEREST | RECE == MPO/RPO TAC No Change Form 0 This entire form must be completed to fulfill NE ETHOS CONS Your SEI filing obligation. » $C0M Fier Nome (Fst, Midd, Lost) prt Ihsthons vide Name | LostMome | sux | Udder Zee [ow | | State Government Job (Spey agency and postion) [Gaara] Commission (Ls tn complete names of State boards or TACS on whieh you re serving) ee WisbSae “AFFIRMATION 1 have careful reviewed my most recently fled Statement of Economic Interest Long Form and my responses continue 1 be tre, comect, and complet to the bes of my knowledge and belt: have not transferred, and wil not transfer, any asse, interes, or property for the purpose of concealing i from disclosure While retaining an equitable terest. understand that my No Change Form i a public record Ihave read and understand the folowing statutes: N.CG.5. § 1364-26. Concealng or fling to disclose material Information A fling person who knowingly conceals ar knowingly fis to disclose informatio tht s required to be disclosed on a statement of economic Interest -. sal be ouilty of 3 Class 1 misdemeanor and. - subject to dsconary action under G.5. 138.45 N.CG.5. § 138A-27. Penalty for aise information. A fling person who provides fale information on a statement of economic terest... . knowing tat the informatio i ose 15 guilty of Clas H felony and shal be Subject 10 8Scilnry action under G.5. 1394-45 Taffiem under penalty of perjury that the foregoing is true and correct. V/A an! PD) \l gal 2026 Ero Bo Aen J. Todd Printed Name Submit signed, original documents only. Do not fax or e-mail this form. This document is a public record.
2024 Winston-Salem Area Transportation Planning Organization (TAC)
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The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 10 STATE ETHICS COMMISSION 2024 STATEMENT OF ECONOMIC INTEREST ELECTRONIC FILING This entire form must be completed to fulfill your ethics filing obligation. Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Major Allen Todd Current Employer Job Title Town of Wallburg Mayor Nature or Type of Business Municipality 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.) Winston-Salem Urban Area MPO (TAC) Judicial Officer or Judicial Officer Appointee(Specify office.) Legislator or Appointee to Legislative Office(Specify House or Senate.) A. Do any immediate family members reside in your household? ☐ Yes ☒ No On this form, ”immediate family” includes your spouse (unless legally separated) and unemancipated children (minors under 18 years of age). It also includes members of your extended family (your and your spouse’s children, grandchildren, parents, grandparents, and siblings, and the spouses of each of those persons) who reside in your household. List the full name of all adults and emancipated minors in your household. Minors are children under 18. They are emancipated by marriage, enlistment in the US military, or court order for emancipation. Full names of Adults and Emancipated Minors Relationship Employer Job Title Nature of Business The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 10 B. List only the initials of all unemancipated minors in your household below. A minor is a child under 18 years old. List the full name of each minor child on the Confidential Form at the end. Initials of Unemancipated Minors Relationship Employer Job Title Nature of Business Property Interests 1. As of December 31, 2023, did you or any members of your immediate family: A. have an ownership interest in North Carolina real estate (including your residence) with a market value of $10,000 or more? ☒ Yes ☐ No Owner of Real Estate % Ownership Interest Location by City Location by County Allen Todd (Self) 100.00% Winston-Salem Davidson B. lease or rent real estate or personal property to or from the State of North Carolina with a market value of $10,000 or more? ☐ Yes ☒ No Name of Lessor Name of Lessee (Renter) If Real Estate, Location by City & County If Personal Property, Describe 2. At any time during 2022 or 2023, did you or any members of your immediate family sell or buy personal property worth $10,000 or more to or from the State of North Carolina? ☐ Yes ☒ No Name of Purchaser Name of Seller Type of Property The SEI and any attachments, excluding the Confidential Form, are public records. Page 3 of 10 Financial Interests 3. As of December 31, 2023, did you or any members of your immediate family own any of the following financial interests valued at $10,000 or more? List each company individually. A. Stock in a publicly owned company? ☐ Yes ☒ No ► Include stocks held individually of in a portfolio managed by a financial services company Do not list interests in a widely held investment fund (including mutual funds, regulated investment companies, or pension or deferred compensation plans) if: 1. the fund is publicly traded or its assets are widely diversified; and 2. neither you nor an immediate family member are able to control the underlying assets. Owner of Interest Full Name of Company or ticker symbol 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 4 of 10 5. As of December 31, 2023, did you any members of your immediate family have liabilities of $10,000 or more, excluding the mortgage on your primary personal residence? Examples include credit card debts, auto loans, student loans, personal loans and intra-family debt. Do not disclose the amount of the debt. ☐ Yes ☒ No Name of Debtor Type of Creditor (commercial Bank, credit union, individual, etc.) 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 I had no reportable income over $5000 in 2023. The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 10 Professional and Civic Relationships 7(a). During 2023, were you or any members of your immediate family a director, officer, governing board member, employee, independent contractor, or registered lobbyist of a nonprofit corporation or organization operating in North Carolina primarily for religious, charitable, scientific, literary, public health and safety, or educational purposes? ☐ Yes ☒ No - If “No,” proceed to question 8. ► Do NOT list State boards or entities, or entities created by local governments. ► Do NOT list organizations of which you are a mere member. Name of Person Position Name of Nonprofit Corporation or Organization Nature or Purpose of Organization 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 6 of 10 9(a). List the name of each for profit business with which you or a member of your immediate family was an employee, director, officer, partner, proprietor, or member or manager as of December 31, 2023. Name of Person Relationship to Filer Name of Company Role of Person No Business Associations 9(b). If you know that any entity listed in 9(a) above had any material business dealings or business contracts with the State of North Carolina or was regulated by the State as of December 31, 2023, briefly describe that activity. Name of Company or Business Entity Description of Business Activity with the State None or Not Known 10. Are you a practicing attorney? ☐ Yes ☒ No ☐ Judicial Officer/State Attorney/In House/Employee Attorney If “Yes”, check each category of legal representation in which you or the law firm with which you are affiliated has earned legal fees of more than $10,000 during 2023. ☐ Administrative ☐ Admiralty ☐ Corporate ☐ Criminal ☐ Decedent’s Estates ☐ Environmental ☐ Insurance ☐ Labor ☐ Local Government ☐ Real Property ☐ Securities ☐ Tax ☐ Tort litigation (including negligence) ☐ Utilities Regulation ☐ Other category not listed 11. During 2023, were you a licensed professional (other than an attorney) or did you provide consulting services individually or as a member of a professional association for which you charged or were paid over $10,000? ☐ Yes ☒ No Type of Business Nature of Services Rendered The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 10 12. Are you or your employer, or any members of your immediate family, or their employers currently:  licensed by the State board or agency with which you are or will be associated or  regulated by the State board or agency with which you are or will be associated or  in a business relationship with the State board or agency with which you are or will be associated? ☐ Yes ☒ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing solely because you are a legislator or judicial officer or as a candidate or appointee to those offices. Name of Person Name of Employer (if applicable) Type of Relationship (Licensing, Regulatory, Business) 13. Have you or a member of your immediate family been registered as a lobbyist or lobbyist principal within the 12 months preceding your filing of this form? ☐ Yes ☒ No Name of Lobbyist Lobbyist’s Principal Date of Registration Registration Expiration Other Disclosures 14. During 2023, after you were appointed, employed, or filed or were nominated as a candidate, did you  receive any “gift(s)” exceeding $200 per quarter from a person or group of persons acting together,  when both you and those person(s) were outside North Carolina,  under circumstances that would lead a reasonable person to conclude the gifts were given for lobbying? To answer Yes, all three conditions must apply ☐ Yes ☒ No ► Do not report gifts given by members of your extended family. ► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” Date Item Received Name and Address of Donor(s) Describe Item Received Estimated Market Value The SEI and any attachments, excluding the Confidential Form, are public records. Page 8 of 10 15. During 2023, after you were appointed, employed, or filed or were nominated as a candidate, did you  accept a “scholarship” exceeding $200 related to your public position from a person or group of persons acting together,  when those person(s) were outside North Carolina? To answer Yes, both conditions must apply A “scholarship” is a grant-in-aid, either direct or indirect, to attend a conference, meeting, or similar event, including tuition, travel, lodging, meals, and other similar expenses. ☐ Yes ☒ No ☐ Judicial Officer - You are not required to complete this question if you are filing solely because you are a legislator or judicial officer or as a candidate or appointee to those offices. ► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” ► Legislators are not required to report scholarships paid by a nonpartisan legislative organization of which the legislator or the General Assembly is a member, participant, or affiliate. Date of Scholarship Name and Address of Donor(s) Describe Event Estimated Market Value 16. Have you been appointed or considered for appointment to a covered board by the Governor or another Council of State member? Council of State members are: ► Governor ► Lt. Governor ► Secretary of State ► State Auditor ► State Treasurer ► Superintendent of Public Instruction ► Attorney General ► Commissioner of Agriculture ► Commissioner of Labor ► Commissioner of Insurance ☐ Yes ☒ No If “Yes,” list all contributions you made in 2023 with a cumulative total of more than $1,000 to the Council of State member who appointed you. Do not include contributions from immediate family members. ► Contributions are defined broadly in N.C.G.S. 163-278.6(6) and include “any advance, conveyance, deposit, distribution, transfer of funds, loan, payment, gift, pledge or subscription of money or anything of value whatsoever.” Date Amount Contributed to The SEI and any attachments, excluding the Confidential Form, are public records. Page 9 of 10 17. Are you an appointee or prospective appointee as: a. the head of a principal state department (e.g., cabinet secretary) appointed by the Governor; or b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District Court Judge; or c. a member of any of the following boards:  ABC Commission  Coastal Resources Commission  State Board of Education  State Board of Elections  Division of Employment Security  Environmental Management Commission  Industrial Commission  Human Resources Commission  Rules Review Commission  Board of Transportation  Utilities Commission  Wildlife Resources Commission ☐ Yes ☒ No If “No,” proceed to question 18. d. If yes, were you appointed or are you being considered for appointment to that position by a Council of State member? ☐ Yes ☒ No If “No,” proceed to question 18. e. If yes, you must indicate whether during 2023 you engaged in any of the following activities with respect to or on behalf of the candidate or campaign committee of the Council of State member who appointed you: i. Collected contributions from multiple contributors, took possession of such multiple contributions, and transferred or delivered those collected contributions to the candidate or committee? ☐ Yes ☐ No ii. Hosted a fundraiser at your residence or place of business? ☐ Yes ☐ No iii. Volunteered for campaign-related activities, including phone banks, event assistance, mailings, canvassing, surveying, or any other activity that advances the campaign of a candidate? ☐ Yes ☐ No 18. Have you ever been convicted of a felony for which you have not received either: (i) a pardon; or (ii) an order of expungement? ☐ Yes ☒ No Offense Date of Conviction County of Conviction State of Conviction 19. Are you aware of any other information that you believe may assist the Ethics Commission in advising you concerning your compliance with the State Government Ethics Act? ☐ Yes ☒ No If yes, please provide that information below. The SEI and any attachments, excluding the Confidential Form, are public records. Page 10 of 10 Affirmation The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form regarding Unemancipated Children are public records. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 04/14/2024 Signature Date Allen Todd Printed Name
2022 High Point Urban Area MPO (TAC)
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+: FOR STAFF USE ONLY. —] GI . STATE ETHICS COMMISSION Cots Ronved ahde , (al 2022 STATEMENT OF ECONOMIC INTEREST | mEcEvEn &Z No Change Form | ARIS This entire form must be completed to fulfill | your SEI filing obligation. NC ETHICS COMMISSION Filer's Name (First, Middle, Last) i} Reason for Filing (Complete al that apply.) State Government Job (Specify agency and positon.) | Boare/ Commission (Lst the complete names of af Sate boards on which you are serving or are being considered.) With ew M10 Currently Serving as a Judicial Office (Specify office.) | Currently Serving 95 » Legsator (Speciy House or Senate.) ‘Are you a CANDIDATE fo a covered elected office? | | If Yes, speciy the office and District County (District or Superior Court, Court of Appeals, Supreme Court, Clerk 97 Court, District Attorney) Oves FfNo AFFIRMATION 1 have careful reviewed my most recently filed Statement of Economic Interest Long Form and my responses continue to be true, corect, and complete to the best of my Knowledge and belt. 1 have not transferred, and will not transfer, any asset, intrest, or property for the purpose of concealing t from disclosure while retaining an equitabi interest 1 understand that my No Change Form is public record. Ihave read and understand the following statutes: N.C.G.5. § 1384-26. Concealing or faiing to disclose material information. A fling person who knowingly conceals or knowingly fall to disclose information that is required to be disclosed on a statement of economic intrest... shall be guilty of Class 1 misdemeanor and . - - subject to ciscpinary | action under G.5. 136A.45. N.C.G.S. § 1384-27. Penalty for flse information. A fling person who provides flse information on a statement of economic intrest . . Knowing that the information s fase s guilty of a Class felony and shall be subject to disciplinary schon under G.5. 136A-45, ~~ 5 A®|{ 2 wz Signatur Bp ; D Al Co L. odd ob. 12d | Printed Name | Submit signed, original documents only. Do not fax or e-mail this form. This document Is a public record.
2022 Winston-Salem Area Transportation Planning Organization (TAC)
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+: FOR STAFF USE ONLY. —] GI . STATE ETHICS COMMISSION Cots Ronved ahde , (al 2022 STATEMENT OF ECONOMIC INTEREST | mEcEvEn &Z No Change Form | ARIS This entire form must be completed to fulfill | your SEI filing obligation. NC ETHICS COMMISSION Filer's Name (First, Middle, Last) i} Reason for Filing (Complete al that apply.) State Government Job (Specify agency and positon.) | Boare/ Commission (Lst the complete names of af Sate boards on which you are serving or are being considered.) With ew M10 Currently Serving as a Judicial Office (Specify office.) | Currently Serving 95 » Legsator (Speciy House or Senate.) ‘Are you a CANDIDATE fo a covered elected office? | | If Yes, speciy the office and District County (District or Superior Court, Court of Appeals, Supreme Court, Clerk 97 Court, District Attorney) Oves FfNo AFFIRMATION 1 have careful reviewed my most recently filed Statement of Economic Interest Long Form and my responses continue to be true, corect, and complete to the best of my Knowledge and belt. 1 have not transferred, and will not transfer, any asset, intrest, or property for the purpose of concealing t from disclosure while retaining an equitabi interest 1 understand that my No Change Form is public record. Ihave read and understand the following statutes: N.C.G.5. § 1384-26. Concealing or faiing to disclose material information. A fling person who knowingly conceals or knowingly fall to disclose information that is required to be disclosed on a statement of economic intrest... shall be guilty of Class 1 misdemeanor and . - - subject to ciscpinary | action under G.5. 136A.45. N.C.G.S. § 1384-27. Penalty for flse information. A fling person who provides flse information on a statement of economic intrest . . Knowing that the information s fase s guilty of a Class felony and shall be subject to disciplinary schon under G.5. 136A-45, ~~ 5 A®|{ 2 wz Signatur Bp ; D Al Co L. odd ob. 12d | Printed Name | Submit signed, original documents only. Do not fax or e-mail this form. This document Is a public record.
2021 Winston-Salem Area Transportation Planning Organization (TAC)
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GCE a ZZARN STATE ETHICS COMMISSION A &p 2021 STATEMENT OF ECONOMIC INTEREST NS Z NO CHANGE FORM RECEIVED This entire form must be completed to fulfill APR 15 2021 Your SEI filing obligation. [ Fier’s Name (First, Micdle, Last) J —————— 1 | prefix First Name Middle Name | Last Name Suffix ch A - Ze) Lodd Reason or Fig (Complete al that omy.) State Government 395 (Speciy agency and postion) | Board Commission (Lt ie complete names of at State | or | moards on whieh sou are serving or re being conscarec.) | nm Wisalew Mf Oc (spect Se) Tegitr (Spc Wouss a Sore 1 AFFIRMATION | 1 have caretuty reviewed my mos: recently ied Statement o Economic Interest Long Farm ang my responses continue 10 true, correct, and compete ta the ost of my knowledge and beet. 1 rave not transerrcd, and will not transfer, any asset, Interest, or property or the purpose of concesling i from discos whi retaining an ecutable terest. Turderstana that my fo Change Form is a puslic record. N.C.G.5. § 1384.25. Concealing or failing to disclose material information. | Afiing person who knowingly conceals or knowingly fais to disclose information that is required to be disclosed. on a Statement of economic Interest. shal bs Guity of 3 Cass 1 misdemeanor anc... Subject to disciplinary action under G.5. 138-45 NCGS. § 1384.27. pent for flse information A fling person wh provides fase information on 8 statement of economic terest... knoning that the Information is flse 15 uty of a Class H felony and snail be Subject to dscipinary action under G.5. 138A-15, | atti wager that the foregoing is true and correct. Ee luton o Printed ame “This entire document is » public record.
2020 Winston-Salem Area Transportation Planning Organization (TAC)
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[/R-JSTATE ETHICS COMMISSION OR STAFF USE OLY nh EMENT OF ECONOMIC INTEREST pues REST RECEIVED NO CHANGE FORM APR 92020 This entire form must be completed to fulfill Same NC ETHICS COMMISSION your SEI filing obligation. TO. pre ratio py a Norme (Fre, Midd, 30) Reason for Filing (Complete all that apply.) SE Goverment To (Spey sgency and poskion) — Bard/Cammision (USK the Complete ames of al State. [ Doards on which you are serving o ar being considered.) I . fnston Salem, MPO | Vg Dudicial Officer (Specify office.) Legislator (Specify House or Senate.) I n IN] | MIR IN [Pe FRRMATION have careful reviewed my most recenty fed Statement of Economic Interest Long For and my responses continu to be true, correct, and complete to the best of my knowledge and belief. 1 have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from iScosure while revaiing an equnable eres understand that my No Change Form is a public record. 1 have read and understand the following statutes: | c6:5.5 1388-26. Concing or ang to dicose materia formation. | ing person who knowingly conceats or kmowingly tas to disclose information that s required to b disclosed on 3 Ramen of Sono Gres Shall bs Sul of Class 3 misdemeanor and sje 1 dscpinany Scion under 6:5. 13A45. | Mes. 5 1388.27. penaty or fie formation. | Afing person who provides fase information on a statement of economic interest... knowing that the || formato i fase 1s qui of a lass felony and shall be subject to lscpinary action under G5. 1394-45. affirm under per that the foregoing is true and correct. , 2/8020 gnature Date THE aie doce Ts ¥ pu rower:
2019 Winston-Salem Area Transportation Planning Organization (TAC)
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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. Allen Lee Todd 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.) Winston-Salem Urban Area MPO (TAC) 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 04/02/2019 Signature Date Allen Lee Todd Printed Name Submit signed, original documents only. Do not fax or e-mail this form.
2018 Winston-Salem Area Transportation Planning Organization (TAC)
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NORTH CAROLINA STATE ETHICS COMMISSION 2018 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM FILER'S NAME (FIRST, MIDDLE, LAST) Prefix First Name Middle Name Last Name Suffix Mr. Allen Lee Todd REASON FOR FILING (SELECT ALL THAT APPLY) STATE GOVERNMENT JOB (Specify the agency for which you work or are being considered) BOARD/COMMISSION (List complete name of all State boards on which you are serving or are being considered) Winston-Salem Urban Area MPO (TAC); JUDICIAL OFFICER (Specify the office you hold) LEGISLATOR (Specify House or Senate) The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 2 AFFIRMATION I affirm that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate to the best of my knowledge and belief. I also certify that I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments or supplements thereto (with the exception of the Confidential Form regarding Unemancipated Children) are public record. I acknowledge that I have read and understand N.C.G.S. 138A-26 regarding concealing or failing to disclose material information and N.C.G.S. 138A-27 regarding providing false information: § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest under this Article shall be guilty of a Class 1 misdemeanor and shall be subject to disciplinary action under G.S. 138A-45. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest as required under this Article knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I hereby affirm that I have reviewed my most recently filed 2017 Statement of Economic Interest and that as of December 31, 2017, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I Agree. It is my intention that this check box constitutes my electronic signature. By checking this box I certify that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate to the best of my knowledge and belief. Filed Electronically 4/3/2018 Signature Date Allen Lee Todd Printed Name The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 2
2017 High Point Urban Area MPO (TAC)
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NORTH CAROLINA STATE ETHICS COMMISSION [romeo Iv Cate cae | 4 2017 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM Checks for completion THIS ENTIRE FORM MUST BE COMPLETED TO [sco pate. FULFILL YOUR ETHICS FILING OBLIGATION Y) Enered in 08 7 ty (A) ia Firs a (oot, Asn a — Tora | ris ams iad Name TT ame Tin = I | titles Lie i Too SE | REASON FOR FILING (COMPLETE ALL THAT APPLY) oo } | STATE GOVERNMENT JOB (Specify Agency and Position) BOARD/COMMISSION (List the complete name of all State | | : } "boards on which you are serving o are being considered JUDICIAL OFFICER (Spey Office) Co [iscisaron specs rouse or senate i AFFIRMATION ee — affirm that the information provided in this Statement of Economic Interest and any attachments hereto re true, complete, and accurate a th best of my knowledge and bent. [ako certify that 1 have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing | irom ciciosare whie retaining an equitable terest 1 understand that my Statement of Economic Interest and any attachments or supplements thereto (with the exception of the Confidential For regarding Unemancipated Chidrem are pubic record. 1 acknowiedge tht 1 Have road and understand N.C.G.S. 138A-26 regarding concealing o failing to disclose material information and N.C.G.5. 136A-27 régardng providing false mfrmation: § 138A-26. Concealing or falling to disclose material information. A filing person who knowinaly conceals or knowingly fais to disclose information tht s required to be disclosed on a statement of economic interest under this Ace Shall be Guilty of a Clas 1 misdemeanor and shal be subleet 10 | Gncilinry action under 6.5. 136-45 § 1388-27. Penalty for false information A lng person who provides false information on statement of economic interest as required under ths Article Knowing tha he information is false 1 Guy ofa Cass H felony and shall be subject t icplinary action under GS. 136A 45 |x pare afi tt ¢ have reviewed my most recently fed 2016 Statement of Economic Interest and tht as of December 31, 2016, my responses continue o be tue, correct, and complete a 1 best of my knowledge 3nd ballet, ) qe 27 NN bo AT Tp 7 UL NA 0 Signature = ai Attias 6 Tarl Printed Name l This entire document is a public record.
2017 Winston-Salem Area Transportation Planning Organization (TAC)
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NORTH CAROLINA STATE ETHICS COMMISSION [romeo Iv Cate cae | 4 2017 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM Checks for completion THIS ENTIRE FORM MUST BE COMPLETED TO [sco pate. FULFILL YOUR ETHICS FILING OBLIGATION Y) Enered in 08 7 ty (A) ia Firs a (oot, Asn a — Tora | ris ams iad Name TT ame Tin = I | titles Lie i Too SE | REASON FOR FILING (COMPLETE ALL THAT APPLY) oo } | STATE GOVERNMENT JOB (Specify Agency and Position) BOARD/COMMISSION (List the complete name of all State | | : } "boards on which you are serving o are being considered JUDICIAL OFFICER (Spey Office) Co [iscisaron specs rouse or senate i AFFIRMATION ee — affirm that the information provided in this Statement of Economic Interest and any attachments hereto re true, complete, and accurate a th best of my knowledge and bent. [ako certify that 1 have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing | irom ciciosare whie retaining an equitable terest 1 understand that my Statement of Economic Interest and any attachments or supplements thereto (with the exception of the Confidential For regarding Unemancipated Chidrem are pubic record. 1 acknowiedge tht 1 Have road and understand N.C.G.S. 138A-26 regarding concealing o failing to disclose material information and N.C.G.5. 136A-27 régardng providing false mfrmation: § 138A-26. Concealing or falling to disclose material information. A filing person who knowinaly conceals or knowingly fais to disclose information tht s required to be disclosed on a statement of economic interest under this Ace Shall be Guilty of a Clas 1 misdemeanor and shal be subleet 10 | Gncilinry action under 6.5. 136-45 § 1388-27. Penalty for false information A lng person who provides false information on statement of economic interest as required under ths Article Knowing tha he information is false 1 Guy ofa Cass H felony and shall be subject t icplinary action under GS. 136A 45 |x pare afi tt ¢ have reviewed my most recently fed 2016 Statement of Economic Interest and tht as of December 31, 2016, my responses continue o be tue, correct, and complete a 1 best of my knowledge 3nd ballet, ) qe 27 NN bo AT Tp 7 UL NA 0 Signature = ai Attias 6 Tarl Printed Name l This entire document is a public record.
2016 High Point Urban Area MPO (TAC)
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NORTH CAROLINA STATE ETHICS COMMISSION fii commccion var ony : fotos /] 2016 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM Pe aN o checklit bootien 1: 08 THIS ENTIRE FORM MUST BE COMPLETED TO | sconecs ote FULFILL YOUR SEI FILING OBLIGATION ramon on | ss wae gr wong, sry ovens | Fist Nome Wiad Name [ry sur | | ” ble we 1 | Sill | Lee Tal? | REASON FG FING SELECT A THAT APY) {1} STATE GOVERNMENT JOB (Please specify the agency for | [7BOARD/COMMISSION (Please list complete name of all Which ou wok or ve beng considered State boars an which yo ae serving o are being I . | considered) "e LJatlbapy, (Fi) 07 1 AUDICIAL OFFICER (Pleas speciy the office you hold) | (1 LEGISLATOR {Fieas: spect House or Senate) ‘AFFIRMATION oo - | 1 affirm that the information provided in this Statement of Economic Interest and any attachments hereto are true, | Compe, nd acarate 6 he best of my knowledge an betel: i | als centity tha 1 have not transfered, and wil ot transfer, any ass, interest, or property fo the purpose of concealing irom dslosure whi retaining an equtable terest | 1 understand that my Statement of Economic Interest and any attachments or supplements thereto (with the exception of he Comdemtal Form regarding Unemanchotea Crlaren) ar ble record 1 acknowledge that ave read and understand N.C.G.5. 138A-26 regarding concealing or [aig to disclose material Infomation ond N.C.G.5. 136A-37 redarang provid (ale information: 5 1304.26. Conceaing or ing to disclose maternal formation. A ling person who knowingly conceats a knowingly fal to dicose formation tha required to be disclosed on Stoke of economies under hs Acie shall be ky of 3 Cos 1 misdemeanor and all ¢ Sulec 16 cphmary action under G.5. 139A-45. 5 138-27. Pena for fase fosmation. | log person who provides te fosmaion on statement of Scan tort a aquired under ths Ale [1 Vcwn tro th formation $115 5 Guity of a Class felony art shall be subject Lo icplmary ction under [I Hoy 1 horehy affirm that 1 have reviewed my mast recently fied 2015 Statement of Economic Interest and that as | of ecerier 31, 2015, my responeas canine a be uc. corroct, and complete to tne best of my Knowledge | ang beri.” EEE | C3 Rare ; ~ / Ea pg ada Lk |All Log Tad) | Finted Rame | Submit SIGNED, ORIGINAL documents only. Do not fax or mal this form. This entire document is a public record.
2016 Winston-Salem Area Transportation Planning Organization (TAC)
Document text
NORTH CAROLINA STATE ETHICS COMMISSION fii commccion var ony : fotos /] 2016 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM Pe aN o checklit bootien 1: 08 THIS ENTIRE FORM MUST BE COMPLETED TO | sconecs ote FULFILL YOUR SEI FILING OBLIGATION ramon on | ss wae gr wong, sry ovens | Fist Nome Wiad Name [ry sur | | ” ble we 1 | Sill | Lee Tal? | REASON FG FING SELECT A THAT APY) {1} STATE GOVERNMENT JOB (Please specify the agency for | [7BOARD/COMMISSION (Please list complete name of all Which ou wok or ve beng considered State boars an which yo ae serving o are being I . | considered) "e LJatlbapy, (Fi) 07 1 AUDICIAL OFFICER (Pleas speciy the office you hold) | (1 LEGISLATOR {Fieas: spect House or Senate) ‘AFFIRMATION oo - | 1 affirm that the information provided in this Statement of Economic Interest and any attachments hereto are true, | Compe, nd acarate 6 he best of my knowledge an betel: i | als centity tha 1 have not transfered, and wil ot transfer, any ass, interest, or property fo the purpose of concealing irom dslosure whi retaining an equtable terest | 1 understand that my Statement of Economic Interest and any attachments or supplements thereto (with the exception of he Comdemtal Form regarding Unemanchotea Crlaren) ar ble record 1 acknowledge that ave read and understand N.C.G.5. 138A-26 regarding concealing or [aig to disclose material Infomation ond N.C.G.5. 136A-37 redarang provid (ale information: 5 1304.26. Conceaing or ing to disclose maternal formation. A ling person who knowingly conceats a knowingly fal to dicose formation tha required to be disclosed on Stoke of economies under hs Acie shall be ky of 3 Cos 1 misdemeanor and all ¢ Sulec 16 cphmary action under G.5. 139A-45. 5 138-27. Pena for fase fosmation. | log person who provides te fosmaion on statement of Scan tort a aquired under ths Ale [1 Vcwn tro th formation $115 5 Guity of a Class felony art shall be subject Lo icplmary ction under [I Hoy 1 horehy affirm that 1 have reviewed my mast recently fied 2015 Statement of Economic Interest and that as | of ecerier 31, 2015, my responeas canine a be uc. corroct, and complete to tne best of my Knowledge | ang beri.” EEE | C3 Rare ; ~ / Ea pg ada Lk |All Log Tad) | Finted Rame | Submit SIGNED, ORIGINAL documents only. Do not fax or mal this form. This entire document is a public record.
2015 Winston-Salem Area Transportation Planning Organization (TAC)