Andrea P. Marshall

ror status ony Bre CEN HECEIVED GEN STATE ETHICS COMMISSION CIF JUN 15 2019 REF 2019 STATEMENT OF ECONOMIC INTEREST = § wags This entire form must be completed to fulfill SAS scanned |18|l your ethics filing obligation. Incomplete Qs ___ __ Supp. sent cote on Supp. received date entered n database on Files Nome (First, Middle, Lost) Tatherson | Mucshol - [ Rebewd [| Reason For Filing (Complete al that apply.) ‘State Government Job (Specify agency and position.) Board/Commission (List complete names of all State boards on which you are serving or re being considered.) gamer Community Cylleg ] Montyornery Commnty Gillge Teushees Judicial Officer (Specify office.) Legislator (Specify House or Senate.) A. Do other immediate family members reside in your household? Yes [No this form, “immediate family” includes your spouse (unless legally separated). It aso includes members of your extended family (your and your spouse's children, grandchidren, parents, grandparents, and sibings, and th spouses | of ach of those persons) who reside in your household. List the ful nome o all adults and emancipated minors in your household. Minors are children under 16. They are emancipated by marrage, enlistment in the US miltary or court order for emancipation. Emancipated Minors . re Randy Marshall Penske Truck Diesel Techn EA I A I The SEX and any attachments, excluding the Confidential Form, are public records. Page 1.0f 10 . List nly the initials of all unemancipated minors in your household below. A minor i a child under 18 years old List the full name of each minor child on the Confidential Form at the end. ‘Unemancipated Property Interests 1. As of December 31, 2018, 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? Hives Ono | ownert est seats | oe cna tvarest | tacaton oy city | toca sw cour | dy Marshall 5. lease or rent real estate or personal property to or from the State of North Carolina with a marke value of $10,000 or more? Oves @ho Name of Lessee | If Real Estate, Location | If Personal Property, (Renter) by City & County Describe 2. Atany time during 2017 or 2018, did you or any members of your immediate family sell to or buy from the State of North Carolina personal property worth $10,000 or more? Oves eff | Mameotpurchaser | Nameorsener | Type of Property The SEI and any attachments, excluding the Confidential Form, are public records. Page 20f 10 3. As of December 31, 2015, 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? ves [No 50 not list interests in a widely held investment fund (including mutual funds, regulated investment companies, or pension or deferred compensation plans) i: 1. the fund is publicly traded or Is assets are widely diversified; and 2. neither you nor an immediate family member ara abi to control the underlying assets TT owner | run emer company oreo symbo 5. Stock options in a company or business? Oves ho 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 proprietorship, partnerships, imited partnerships, joint ventures, limited liability companies, limited liabilty partnerships, and closely held corporations. Clves [fo 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 | Other Companies in which the Primary Company. (the Primary Company) ‘Owns Security or Equity Interests The SET and any attachments, excluding the Confidential Form, are public records. Page 3 of 10 C2) 1 you know that any entity listed in 3.C or 3.C(1) above has any material business dealings or business 3 contracts with the State of North Carolina, or s regulated by the State, briefly deseribe that business activity. oesrpon of Business Acti with hi sot 4. As of December 31, 2018, 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 controled? Do not list assets held in blind trusts. See 2019 SEI Helpful Tips for the definition of “Vested Trust” and “Blind Trust.” Oves fo Nome and Address of Trustee Description ofthe Trust 5. AS of December 31, 2018, did you any members of your immediate family have liabiltes of $10,000 or mare, excluding the mortgage an Jour primary personal residence? Examples include red card debts to loan) student loan, personal loans and intra family debt ves No Name of Debtor Type of Creditor (commercial Bank, credit union, individual, etc.) State_employers Cred Union 6. Lit cach source of income (no specific amounts) of more than $5,000 received by you of any members of your immediate family during 2018. 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. Do not include income received from the following sources: > Capita gains » Federal government retirement > Miltary retirement » Sodial security income/SsDI Recipient of Income Type of Type of Income Business / Industry 01 had no reportable income over $5,000 in 2015. v Firemen? Andee Nontgomeey (o.Scher| Mondymeey Gunty sch Feborsio [sil Sdeaty, [| 77 7 | Stia/sonty | ‘The SEL and any attachments, excluding the Confidential Form, are public records. Page 4 of 10 Professional and Civic Relationships 700). During 2018, were you or any members of your immediate family a director, office, governing board member, ployee, Independant contractor, o reorterad lobbyist of & nonprofit corporation or arganization operating in Noth orolina primary or reious, chartable, scientific, erary, public health an safety, o educational Purposes? OYes Eo - If "No," proceed to question 8. > Do not Tis Sate boards or entities. > Do not ls organizations of which you are a mere member oo Name of Nanprofit Nature or Corporation or Organization | Purpose of Organization 706). 1 the nonprofit corporation or organizations lted above do business with the State of Nath Carolina or receive State funds, riefy describe the nature of that business, f known or with due gence coud reasonably be known. Name of Nonprofit Corporation or Organization Describe State Business [8 During 2018, were you or any members of your immediate fami 2 director, officer, or Governing Board member of any Society, organization, or aGvOcacY Group with an interest in tatters oer which yout agency of board May have Jurisdiction? Oves [lo []Legilator/udicil Officer You are not required to complete this question if you are fling because Vou are a legislator or Judicalofice or ou are ling a5 an appoiTiee 0 one of hose offices. D0 not st organizations of which you re only a member and do not serve in a leadership ol. Name of Society, Organization, Leadership position or Advocacy Group (Director, Officer, Board Member) The SET and any attachments, excluding the Confidential Form, are public records. Page sof 10 (a). List the name of each business with which you were associated where you or a member of your immediate family Was an employee, director, officer, partner, proprietor, or member or manager as of December 31, 2018. | mestrenn | nomimip aries | raneorcmpay | rowotranen [No Business Associations | 1] | 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 Carolin or was regulated by the State 8s of December 31, 2015, biel describe that actiy. Name of Company or Business Entity Description of Business Activity with the State fot applicable (No entities listed on #92) 10. Are you a practicing attorney? Oves [No [Judicial Officer/state Attorney Yes", check each category of legal representation in which you or the law in with which you are afiated has cared legal fees of more than $10,000 during 2016. 0 Administrative 0) Admiralty 0 Corporate 0 criminal 0 Decedent's Estates. Environmental Clinsurance [tabor 0) Local Government (Rest property Securities Orex [or tigation (inclucing 0] Utes Regulation CJ Other category not listed negligence) 11. During 2018, were you a licensed professional (other than an attorney) or did you provide consulting services individual oF 35 3 member of 8 professional association for which You chaTOed or were paid over $10,007 Oves ho rs of eves nds The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 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 wil be associated or + regulated by the State board or agency with which you are or willbe associated or «in a business relationship with the State board or agency with which you are or wil be associated? OYes @No [Legisator Judicial Officer - You are not required to complete this question if you are filing because Vou are a legislator or a judicial officer or you are ling 25 an appointee to one of those offices. Name of Employer Type of Relationship (if applicable) (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 fling of this form? Oves [fo Name of Lobbyist Lobbyist's Principal Date of Registration Registration Expiration Other Disclosures 14. During 2018, after you were appointed, employed, or fled or were nominated as a candidate, dd 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 labbying? To answer Yes, al three conditions must apply. Oves Eo > Do not report gifts given by members of your extended family. > Do not report gits you have previously reported on the “Expense Report for Exempted Persons.” — flee snd ress cf boner® | Pec em ect | ppt | The SEI and any attachments, excluding the Confidential Form, are public records. Page 70f 10 15. During 2018, afte you were appointed, employed, or fled or were nominated as a candidate, id 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. [01 ¥es (@No [Judicial Officer - You are not required to complete this question if you are a judicial officer or you are. ing as 2 judicial officer appointee. > 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, o affilate. Date of Name and Address of Donor(s) Scholarship. 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 > Attomey General > Commissioner of Agricuture > Commissioner of Labor > Commissioner of Insurance Oves @ho If "Yes," list all contributions you made in 2018 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. § 163A-1411(13) and include any advance, conveyance, deposit distribution, transfer of funds, oan, payment, Gift pledge or subscription of money or anything of value whatsoever.” Date Amount Contributed to [7 No contribution(s) with a cumulative total of more than $1,000 | The SET and any attachments, excluding the Confidential Form, are public records. Page 8 of 10 17. Are. you an appointee or prospective appointee as: a. the head of a principal state department (c.9., cabinet secretary) appointed by the Governor; or b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District Court Judge; or . a member of any ofthe following boards: + ABC Commission + Coastal Resources Comission oo * State Board of Education Oves efvo ~ State Board of Elections and Ethics Enforcement | + Division of Employment Security If “No proceed to + Environmental Management Commission question 18. + Industrial Commission + Human Resources Commission + Rules Review Commission + Board of Transportation + UNC Board of Governors + Uiltes Commission + Wildife Resources Commission 4. 130, were you appointed or are you being considered for appointment tothat | CJ¥es [No postion by a Counclof State member? YN ound is question 18. . 1 50, you must indicate whether during 2018 you_engaged in any of the following activites with respect to or on behalf of the candidate o campaign committee of he Counc of State member who appointed you: i. Collected contributions from multiple contributors, tok possession of such multiple contributions, and transferred or delivered those collected Contributions to the candidate or commitee? Hosted andar at your eden o lac of business? [ove Ome | iil. Volunteered for campaign-related activities, including phone banks, event assistance, mailings, canvassing, surveying, o any other actuty that advances the campaign of a candidate? 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? Oves ho 19. Are you aware of any other information that you believe may assist the State Board of Elections and Ethics Enforcement In advising You concerning your compliance with he State Government Ethics Act? OYes (Who If yes, please provide that information below. The SEI and any attachments, excluding the Confidential Form, are public records. Page 9 of 10 Affirmation The information provided n this Statement of Economic Interest and any attachments are true, complete, and accurate the bot of my knowiedae and beer ive not transferred, ard wil rt transl, any acse,interest, or property forthe purpose of cnceatig fom | disclosure whi retaining an equitable interest. | understand that my Statement of Economic Interest and any attachments excep or the Confidential Form regarding Unemanciomed Chien av pobie fecord, have read and understand the following statutes: NCGS. § 1634-191. Conceaing or filing to disclose material information A ing person who knowingly conceals or knowingly fails 0 dislse information tht required to be disclosed ons Staten of economic Interest. shal be Guy of 3 Clas 1 Misdemeanor and Sec to dscpinary Seon ander 0.5. Tesnats. NCGS. § 1634-152. Penalty for fale information. A fling person who provides false information on a statement of economic interest... knowing tat the norman 1158 5 uly of a Cla felony and Sha be Subject 10 Scpinary action under G5. 163-415, Laff that 1 have reviewed my most recently fled 2018 Statement of Economic Interest and that as of December 31, 2018, my responses continue 1 be rue, correc, ang comple t the best of my knowledge and ble. I affirm under penalty of perjury that the foregoing is true and correct. [ | lids f Puscheld 35,2009 Sarature 5 Andrea P Marshall Printed Noms Submit signed, original documents only. Do not fax or e-mail this form. The SET and any attachments, excluding the Confidential Form, are public records. Page 10 of 10

7x Jl: NORTH CAROLINA STATE BOARD OF FOR ERPONESE GNF 08 ONY 4 P/ ELECTIONS AND ETHICS ENFORCEMENT [oate Received "2018 STATEMENT OF ECONOMIC INTEREST | 3 oo al m8 APR 19 2p Checked for completion NO CHANGE FORM same AC owe 133 THIS ENTIRE FORM MUST BE COMPLETED TO |... 00 FULFILL YOUR ETHICS FILING OBLIGATION Ia FILER'S NAME (FIRST, MIDDLE, LAST) prefix |_ First Name Middle Name Last Name Suffix Po I ol Mes. | Andrea Patterson Marsha | REASON FOR FILING ALL THAT STATE GOVERNMENT JOB (Specify Agency and Postion) | BOARD/COMMISSION (List the complete name of all State boards on which you are serving or are being considered Mortgomery Community Colleqe. JUDICIAL OFFICER (Speci Office) LEGISLATOR (Specify House or Senate) |AFFRMATION 1 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 knowedge and belief also certify that I have not transferred, and will nt transfer, any asset, Interest, or property for the purpose of concealing i from disclosure while 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 Children) are public record. 1 acknowedge that [ nave reag and understand N.C.G.S. 1384-26 regarding concealing or falling to disclose material information and N.C.G.S. 1384-27 regarding providing fale information: § 138A-26. Concealing or failing to disclose material information. A fling person who knowingly conceals or knowingly fails to disclose information that i required to be disclosed on a statement of economic nterest under ths Artce shall be guilty of 3 Class 1 misdemeanor ang shall bs Subject to disciplinary action under G.5. 138.45. § 1384-27. Penalty for faise information. {flag person who provides tl formation n statement of economic terest as regured uncer thi Article| knowing that the information is false is guity of a Class H felony and shall be subject to disciplinary action under GS. 1304.45. i) LA Lf April 13 20)g Signature Date shod D-Marsbell ‘Name Submit SIGNED, ORIGINAL documents only. Do not fax or e-mail this form. This entire document is a public record.

0 NORTH CAROLINA STATE ETHICS COMMISSION FOR ETHICS COMMISSION USE ONLY Ap [ERS 4 J 2017 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM ” A " Creces ofciminsor 17 THIS ENTIRE FORM MUST BE COMPLETED TO | scanned oe: FULFILL YOUR ETHICS FILING OBLIGATION enerea in ong Voy FILER'S NAVE (FIRST, MIDDLE, LAST) prefix Middia Name Last Nome Sux Mes, | Andrea Patfersen Mare ig REASON FOR FILING (COMPLETE ALL THAT APPLY - STATE GOVERNMENT JOB (Specify Agency and Position) 'BOARD/COMMISSION (List the complete name of all State Boards on whieh you ar servi o rs pee consigare | Morkomery Commundy Coll JUDICIAL OFFICER (Specify Office) LEGISLATOR (Specify House or Senate) AFFIRMATION TT Ff tnt the formation provide in this Statement of Economic Interest and any attachments hreto are true, Complete, and aceurate 1 he best of my knowledge and peter Lalo crt tha have not transferred, and will oot aner, any ase, interest, or propery for the purpose of concealing rom rschmrs whie reining om equa voret 1 understand tha my Statement of Economic Interest and any attachments or supplements thereto (with the exception of the Content Form regarding Unemanepated Cricrem are Subic recor acknowledge that have ead and understand N.C.G.S. 138426 regarding concealing or fling to disclose materia Information nd N-C.G.5. 1358-37 reqaeing providing Tose miarmmson § 130426, Concealing or failing to cisclose material information. A ling person who knowingly conceals or knowingly falls t discos information tha required to be disclosed on 3 Stine of ccomame Imeorat unde tis Arle Snell be Guy of 8 Clos 1 misderener and Shah be sect 45 iran ton ander 5 3A4S § 1388-27. Penaty or fle information. A ling person who provides fis information on a statement of economic interest as required under this Article Knowing tha te Information aie 1s guy of» Coes 1 Foy red Shak be subject saclay aor ander [the hereby affirm that 1 hava reviewed my most recently fied 2016 Statement of Economie Interest and that as | of Docember 31, 3016, my responses continue to be trae correct ond complete to he best of my kmovtenge on beer 1 Aaree ) | sda. adel 3-3/7 Saraturs Bate Andrea P. Marshall Printed Name Submit SIGNED, ORIGINAL documents only. Do not fax or -mall this form. oo This entre document s a public record.

NORTH CAROLINA STATE ETHICS COMMISSION 2016 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM FILER'S NAME (FIRST, MIDDLE, LAST) Prefix First Name Middle Name Last Name Suffix Andrea Marshall REASON FOR FILING (SELECT ALL THAT APPLY) STATE GOVERNMENT JOB (Please specify the agency for which you work or are being considered) BOARD/COMMISSION (Please list complete name of all State boards on which you are serving or are being considered) Montgomery Community College Trustees; JUDICIAL OFFICER (Please specify the office you hold) LEGISLATOR (Please 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 2015 Statement of Economic Interest and that as of December 31, 2015, my responses continue to be true, correct, and complete to the best of my knowledge and 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 4/14/2016 Signature Date Andrea Marshall Printed Name The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 2

© 5% NORTH CAROLINA STATE ETHICS COMMISSION ES 44 2015 STATEMENT OF ECONOMIC INTEREST hae NO CHANGE FORM Lo. mreTwooE Sn DGMRIS MIETT FILER'S NAME (FIRST, MIDDLE, LAST) z First Name Middle Name Lost Name Suffix rea Pateesen Marsh a | REASON FOR FILING (SELECT ALL THAT APPLY) CI STATE GOVERNMENT J0B (Please specify the agency fo | (¥BOARD/COMMISSION (Please lst complete name of ail ‘which you work or are being considered) ‘State boards on which you are serving or are being Considered satgomery Community College JUDICIAL OFFICER (Please spec the ofice you hold) _| LJ LEGISLATOR (Fiease specify House or Senate AFFIRMATION affirm tha 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 belie. also certify that I have not transferred, and wil not transfer, any asset, Interest, oF property forthe purpose of concealing from clsclosure whe retaining an equitable Interest. 1 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. 1 acknowledge that 1 have read and understand N.C.G.S. 1384-26 regarding concealing or falling to disclose material information nd N.C.G.5. 138A-27 regarding providing false information: § 138A-26. Concealing or failing to disclose material information. A fling person who knowingly conceals or knowingly fails to disclose information that Is required to be disclosed on 2 Stotarment of economic interest under his Ace shal be guy of a Class 1 misdemeanor and shall be subject to Giscpinary action under G.5. 138A-45. § 1383-27. Penalty for false information. A fing person who provides flse (formation on a statement of economic interest as required under this Aticle Knowing that the information false fs Quilty of a Cass H felony and shall be subject to disciplinary action under GS. 13045. I hereby affirm that 1 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 and belie. if Agree Andrea Patterson Marshall Apel 13,2015” Frnted Name Tote Submit SIGNED, ORIGINAL documents only. Do not fax or email this form. Signature ee —eeereeeen This entire document is a public record.