Andrew M. Perkins, Jr.

This entire document is a public record. STATE ETHICS COMMISSION 2025 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. Andrew M. Perkins 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.) Transportation, Board of 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 01/17/2025 Signature Date Andrew M. Perkins Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

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 Mr. Andrew M. Perkins Current Employer Job Title Retired Asst Vice Chancellor Nature or Type of Business Architect 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.) Transportation, Board of 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 Mary T Perkins Spouse Retired Vice President Brenner Hospital Nurse 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 (Self plus Spouse) 100.00% Winston Salem Forsyth 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 No Contributions 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. Governor 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 02/20/2024 Signature Date Andrew M. Perkins Printed Name

FOR STAFF TSE ONLY Ln: STATE ETHICS COMMISSION Date Razeived: GAT 8s Cl; he) 2023 STATEMENT OF ECONOMIC INTEREST eT No Change Form This entire form must be completed to fulfil Your SEI filing obligation. Filer's Nome (First, Middle, Lost) Reason for Filing (Complete all that spply.) State Government Job (Specify agency and positon.) | Boord/ Commission (List the complete names of al State boards on which you are serving or are being considered.) P Currently Serving or Served as a Judicial Officer In 2022 | Currently Serving or Served as 3 Legislator in 2022 (Specify (Specify office €.9. Judge, clerk of cour, district attomey.)| House or Senate.) “AFFIRMATION 1 have careful reviewed my most recently fied Statement of Econamic Interest Long Form and my responses continue to'be true, correct, and complete to the best of my knowledge and bellef. 1 have not transferred, and will no transfer, any asset, interest, or property fo the purpose of concealing It from disclosure while retaining an equitable ntarest 1 understand that my No Change Form is 2 public record. Ihave read and understand the following statutes: N.C.G.5. § 1384-26. Concealing or ailing to disclose material information. A fing person who knowingly conceals o knowingly als to lsclose information that i required to be disclosed on a statement of economic interest... shal be Quy of a Class 1 misdemesnor and - subject to disciplinary action under G.5. 138A-45. N.C.GS. § 1384-27. Penalty for flse information A fling person who provides false Information on a statement of economic interest . . . knowing that the information i false is guilty of a Class H felony and shall be subject to disciplinary action under G.5. 138A-45. Taffiem under penalty of perjury that the foregoing is true and correct. A we Ny 2023 Signature Date Aasdery M Repins Se. Printed Name Submit signed, original documents only. Do not fax or e-mal ths form, “This document is a public record.

TORSTAFF USE OLY GT STATE ETHICS COMMISSION Oete Received: iP 7 2022 STATEMENT OF ECONOMIC INTEREST HECEIVED N= No Change Form _— ‘This entire form must be completed to fulfill con Your SEI filing obligation. NG ETHICS COMMISSION Filer's Name (First, Middle, Last) | [Audeey [Meciennd [Reams Reason for Filing (Complete al 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.) Luc por (uc Bossd of Tomspoae Currently Serving as a Judicial Officer (Specify office.) Currently Serving as a Legislator (Specify House or Senate.) Are You a CANDIDATE for a covered elected office? | | If Yes, specty office and District/County I, applicable: (District, Superior, or Supreme Court, Court of Clerk of Cour, District Attorney, General Assembly) Oves No AFFIRMATION I have carefully reviewed my most recently fled Statement of Economic Interest Long Form and my responses continue to be true, correct, and complete o the best of my knowledge and belie. 1 have not transferred, and wil not transfer, any asset, Interest, or property fo the purpose of concealing it from disclosure wile retaining an equitable Interest. Tunderstand that my No Change Form s a public record. Ihave read and understand the following statutes: N.C.G.5. § 138A-26. Concealing or falling to disciose materia information. A fling person who knowingly conceals or knowingly fail to disclose information tha is required to be disclosed on a statement of economic interes -. . shall be Quit of a Class 1 misdemeanor and. subject o dsciplmary action under GS. 138A-45. N.C.GS. § 1384-27. Penalty for aise Information. A fing person who provides false Information on a statement of economic nterest . . . knowing tha the Information is fase is uily of & Cass H felony and shall be subject to disciplinary actin under G.5. 1334-45, Taffirm under penalty of perjury that the foregoing is true and correct. QudsrOrCaaRuny 2022 Signature Date Paden M. Pravins Su Printed Name Submit signed, original documents only. Do not fax or e-mail this form. This document Is a public record

CE CR) STATE ETHICS COMMISSION | —— g ;) 2021 STATEMENT OF ECONOMIC INTEREST | RECEIVED Ra NO CHANGE FORM | 49R 15 2001 This entire form must be completed to fulfil your SEI filing obligation. | | NCETHICS COMMISSION Fes Name (Fist, iad, Las) ] prefix Frottame | Wiase ame Last Name suffix Me. Andus MeCegunnd Peeking Te. Reason for Filing (Complate al tha apply.) State Government Job (Speciy agency and positon) | Board/Commission (LSt the complete names of al State i“ | boards on which you are serving or ae being considered.) NC. Boned of TRaustoersTion | Housing Aornoery or Vinson Satem Judicial Offcer (specy office.) Looms Rech Mosse oF done N/a A | [AFFIRMATION 1 have carefully reviews my most recently filed Statement of Economic Interest Lang Form and my responses continue to be true, correct, and complete to the bast of my knowledge and belie, | | 1 have nox arsfered, and will not transfer, any asset, Interest, or property for the pursase of concealing it from cisclosure whi retaining an eauitable Interest. | 1 understand thet my to Change Form is o public recor have read and understand the folowing statutes: N.C.G.5. § 1384-25. Concealing or fling to d'sclose material information | | A fling person who knawingly conceals or knowingly fails to disclose information that is required o be disclosed on a Statement of economic interest... shall be uity of a Class 1 misdemeanor and... subject to dsclnary action under G.5. 1384-45. N.C.G.5. 5 1384-27. Penalty for faise information. A ing person who provides false Informetien on 3 statement of economic interest... knowing that the informatio is flse 1s uit of Class felony and shal be subject o ciscplinary action under G.5. 1384-45. | | afc under penalty of perjury tha the foregoing s rue and correct | . T_Appu 202] Signature Bate | | Andes MPerins, Name } | | submit signed, original documents only. Do not fax or e-mail this form. This entire document is a public record.

CE CR) STATE ETHICS COMMISSION | —— g ;) 2021 STATEMENT OF ECONOMIC INTEREST | RECEIVED Ra NO CHANGE FORM | 49R 15 2001 This entire form must be completed to fulfil your SEI filing obligation. | | NCETHICS COMMISSION Fes Name (Fist, iad, Las) ] prefix Frottame | Wiase ame Last Name suffix Me. Andus MeCegunnd Peeking Te. Reason for Filing (Complate al tha apply.) State Government Job (Speciy agency and positon) | Board/Commission (LSt the complete names of al State i“ | boards on which you are serving or ae being considered.) NC. Boned of TRaustoersTion | Housing Aornoery or Vinson Satem Judicial Offcer (specy office.) Looms Rech Mosse oF done N/a A | [AFFIRMATION 1 have carefully reviews my most recently filed Statement of Economic Interest Lang Form and my responses continue to be true, correct, and complete to the bast of my knowledge and belie, | | 1 have nox arsfered, and will not transfer, any asset, Interest, or property for the pursase of concealing it from cisclosure whi retaining an eauitable Interest. | 1 understand thet my to Change Form is o public recor have read and understand the folowing statutes: N.C.G.5. § 1384-25. Concealing or fling to d'sclose material information | | A fling person who knawingly conceals or knowingly fails to disclose information that is required o be disclosed on a Statement of economic interest... shall be uity of a Class 1 misdemeanor and... subject to dsclnary action under G.5. 1384-45. N.C.G.5. 5 1384-27. Penalty for faise information. A ing person who provides false Informetien on 3 statement of economic interest... knowing that the informatio is flse 1s uit of Class felony and shal be subject o ciscplinary action under G.5. 1384-45. | | afc under penalty of perjury tha the foregoing s rue and correct | . T_Appu 202] Signature Bate | | Andes MPerins, Name } | | submit signed, original documents only. Do not fax or e-mail this form. This entire document is a public record.

CE CR) STATE ETHICS COMMISSION | —— g ;) 2021 STATEMENT OF ECONOMIC INTEREST | RECEIVED Ra NO CHANGE FORM | 49R 15 2001 This entire form must be completed to fulfil your SEI filing obligation. | | NCETHICS COMMISSION Fes Name (Fist, iad, Las) ] prefix Frottame | Wiase ame Last Name suffix Me. Andus MeCegunnd Peeking Te. Reason for Filing (Complate al tha apply.) State Government Job (Speciy agency and positon) | Board/Commission (LSt the complete names of al State i“ | boards on which you are serving or ae being considered.) NC. Boned of TRaustoersTion | Housing Aornoery or Vinson Satem Judicial Offcer (specy office.) Looms Rech Mosse oF done N/a A | [AFFIRMATION 1 have carefully reviews my most recently filed Statement of Economic Interest Lang Form and my responses continue to be true, correct, and complete to the bast of my knowledge and belie, | | 1 have nox arsfered, and will not transfer, any asset, Interest, or property for the pursase of concealing it from cisclosure whi retaining an eauitable Interest. | 1 understand thet my to Change Form is o public recor have read and understand the folowing statutes: N.C.G.5. § 1384-25. Concealing or fling to d'sclose material information | | A fling person who knawingly conceals or knowingly fails to disclose information that is required o be disclosed on a Statement of economic interest... shall be uity of a Class 1 misdemeanor and... subject to dsclnary action under G.5. 1384-45. N.C.G.5. 5 1384-27. Penalty for faise information. A ing person who provides false Informetien on 3 statement of economic interest... knowing that the informatio is flse 1s uit of Class felony and shal be subject o ciscplinary action under G.5. 1384-45. | | afc under penalty of perjury tha the foregoing s rue and correct | . T_Appu 202] Signature Bate | | Andes MPerins, Name } | | submit signed, original documents only. Do not fax or e-mail this form. This entire document is a public record.

CE CR) STATE ETHICS COMMISSION | —— g ;) 2021 STATEMENT OF ECONOMIC INTEREST | RECEIVED Ra NO CHANGE FORM | 49R 15 2001 This entire form must be completed to fulfil your SEI filing obligation. | | NCETHICS COMMISSION Fes Name (Fist, iad, Las) ] prefix Frottame | Wiase ame Last Name suffix Me. Andus MeCegunnd Peeking Te. Reason for Filing (Complate al tha apply.) State Government Job (Speciy agency and positon) | Board/Commission (LSt the complete names of al State i“ | boards on which you are serving or ae being considered.) NC. Boned of TRaustoersTion | Housing Aornoery or Vinson Satem Judicial Offcer (specy office.) Looms Rech Mosse oF done N/a A | [AFFIRMATION 1 have carefully reviews my most recently filed Statement of Economic Interest Lang Form and my responses continue to be true, correct, and complete to the bast of my knowledge and belie, | | 1 have nox arsfered, and will not transfer, any asset, Interest, or property for the pursase of concealing it from cisclosure whi retaining an eauitable Interest. | 1 understand thet my to Change Form is o public recor have read and understand the folowing statutes: N.C.G.5. § 1384-25. Concealing or fling to d'sclose material information | | A fling person who knawingly conceals or knowingly fails to disclose information that is required o be disclosed on a Statement of economic interest... shall be uity of a Class 1 misdemeanor and... subject to dsclnary action under G.5. 1384-45. N.C.G.5. 5 1384-27. Penalty for faise information. A ing person who provides false Informetien on 3 statement of economic interest... knowing that the informatio is flse 1s uit of Class felony and shal be subject o ciscplinary action under G.5. 1384-45. | | afc under penalty of perjury tha the foregoing s rue and correct | . T_Appu 202] Signature Bate | | Andes MPerins, Name } | | submit signed, original documents only. Do not fax or e-mail this form. This entire document is a public record.

FOR STAFF USE ONLY GD) STATE ETHICS COMMISSION Date Recent CE |\/ED alr 2020 STATEMENT OF ECONOMIC INTEREST WR 3200 \&& NO CHANGE FORM This entire form must be completed to fulfill NC ETHICS COMMISSION your SEI filing obligation. Checked for completion Scammed ote Entered in 0B _by. [vr [anorEw MeCLELAND PERKINS State Government Job (Specify agency and postin.) | Board/Commission (List the complete names of al State boards on which you are serving or are being considered.) Susiealotcy (Spey oes.) AFFIRMATION 1 have carefully reviewed my most recently fled Statement of Economic Interest Long Form and my responses continue tobe rue, coect, and complete to the best of my knowledge and belief. have not transferred, and wil not transfer, any asset, interest, or property for the purpose of concealing I from disclosure while retaining an equitabe Interest. Tunderstand that my No Change Form is public record. have read and understand the following statutes: N.C.G.5. § 1384-26. Concealing o failing to disclose material information. A fling person who knowingly conceais or knowingly fais to disclose information that is required to be disclosed on a statement of economic Interest ... shal be guily of a Class 1 misdemeanor and ... subject to iscipinary action under G.S. 138-45. N.C.G.S. § 138A-27. Penalty for alse information. A fling person who provides alse information on a statement of economic interest ... knowing that the information is fale 5 Quilty of a Clas H felony and shall be subject to disciplinary action under G.5. 136A-45. Taffirm under penalty of perjury that the foregoing is true and correct. AY 2020 Signature Gate Adee Mepis Se 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 ONLY GD) STATE ETHICS COMMISSION Date Recent CE |\/ED alr 2020 STATEMENT OF ECONOMIC INTEREST WR 3200 \&& NO CHANGE FORM This entire form must be completed to fulfill NC ETHICS COMMISSION your SEI filing obligation. Checked for completion Scammed ote Entered in 0B _by. [vr [anorEw MeCLELAND PERKINS State Government Job (Specify agency and postin.) | Board/Commission (List the complete names of al State boards on which you are serving or are being considered.) Susiealotcy (Spey oes.) AFFIRMATION 1 have carefully reviewed my most recently fled Statement of Economic Interest Long Form and my responses continue tobe rue, coect, and complete to the best of my knowledge and belief. have not transferred, and wil not transfer, any asset, interest, or property for the purpose of concealing I from disclosure while retaining an equitabe Interest. Tunderstand that my No Change Form is public record. have read and understand the following statutes: N.C.G.5. § 1384-26. Concealing o failing to disclose material information. A fling person who knowingly conceais or knowingly fais to disclose information that is required to be disclosed on a statement of economic Interest ... shal be guily of a Class 1 misdemeanor and ... subject to iscipinary action under G.S. 138-45. N.C.G.S. § 138A-27. Penalty for alse information. A fling person who provides alse information on a statement of economic interest ... knowing that the information is fale 5 Quilty of a Clas H felony and shall be subject to disciplinary action under G.5. 136A-45. Taffirm under penalty of perjury that the foregoing is true and correct. AY 2020 Signature Gate Adee Mepis Se 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 ONLY GD) STATE ETHICS COMMISSION Date Recent CE |\/ED alr 2020 STATEMENT OF ECONOMIC INTEREST WR 3200 \&& NO CHANGE FORM This entire form must be completed to fulfill NC ETHICS COMMISSION your SEI filing obligation. Checked for completion Scammed ote Entered in 0B _by. [vr [anorEw MeCLELAND PERKINS State Government Job (Specify agency and postin.) | Board/Commission (List the complete names of al State boards on which you are serving or are being considered.) Susiealotcy (Spey oes.) AFFIRMATION 1 have carefully reviewed my most recently fled Statement of Economic Interest Long Form and my responses continue tobe rue, coect, and complete to the best of my knowledge and belief. have not transferred, and wil not transfer, any asset, interest, or property for the purpose of concealing I from disclosure while retaining an equitabe Interest. Tunderstand that my No Change Form is public record. have read and understand the following statutes: N.C.G.5. § 1384-26. Concealing o failing to disclose material information. A fling person who knowingly conceais or knowingly fais to disclose information that is required to be disclosed on a statement of economic Interest ... shal be guily of a Class 1 misdemeanor and ... subject to iscipinary action under G.S. 138-45. N.C.G.S. § 138A-27. Penalty for alse information. A fling person who provides alse information on a statement of economic interest ... knowing that the information is fale 5 Quilty of a Clas H felony and shall be subject to disciplinary action under G.5. 136A-45. Taffirm under penalty of perjury that the foregoing is true and correct. AY 2020 Signature Gate Adee Mepis Se 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 ONLY GD) STATE ETHICS COMMISSION Date Recent CE |\/ED alr 2020 STATEMENT OF ECONOMIC INTEREST WR 3200 \&& NO CHANGE FORM This entire form must be completed to fulfill NC ETHICS COMMISSION your SEI filing obligation. Checked for completion Scammed ote Entered in 0B _by. [vr [anorEw MeCLELAND PERKINS State Government Job (Specify agency and postin.) | Board/Commission (List the complete names of al State boards on which you are serving or are being considered.) Susiealotcy (Spey oes.) AFFIRMATION 1 have carefully reviewed my most recently fled Statement of Economic Interest Long Form and my responses continue tobe rue, coect, and complete to the best of my knowledge and belief. have not transferred, and wil not transfer, any asset, interest, or property for the purpose of concealing I from disclosure while retaining an equitabe Interest. Tunderstand that my No Change Form is public record. have read and understand the following statutes: N.C.G.5. § 1384-26. Concealing o failing to disclose material information. A fling person who knowingly conceais or knowingly fais to disclose information that is required to be disclosed on a statement of economic Interest ... shal be guily of a Class 1 misdemeanor and ... subject to iscipinary action under G.S. 138-45. N.C.G.S. § 138A-27. Penalty for alse information. A fling person who provides alse information on a statement of economic interest ... knowing that the information is fale 5 Quilty of a Clas H felony and shall be subject to disciplinary action under G.5. 136A-45. Taffirm under penalty of perjury that the foregoing is true and correct. AY 2020 Signature Gate Adee Mepis Se Printed Name Submit signed, original 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 Andrew M. Perkins 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.) A&T State University Employees - Associate Vice Chancellor Transportation, Board of 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 02/11/2019 Signature Date Andrew M. Perkins Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

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 Andrew M. Perkins 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.) A&T State University Employees - Associate Vice Chancellor Transportation, Board of 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 02/11/2019 Signature Date Andrew M. Perkins Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

{I NORTH CAROLINA STATE BOARD OF 72R GOMLRCE UNIT, se ONY Ex] Pa ELECTIONS AND ETHICS ENFORCEMENT Date Received: 12018 STATEMENT OF ECONOMIC INTERES™ ' pep (VED. JUN ( 1 2018 AE Creches tor completion NO CHANGE FORM Ny THIS ENTIRE FORM MUST BE COMPLETED TO |c.. iinos by. Ww FULFILL YOUR ETHICS FILING OBLIGATION 772 ‘STATE GOVERNMENT JOB (Specify Agency and Fusion) | BOARD/COMMISSION (List the complete name of al State hoards on whieh you ar serving or are being considered) | NC Bond of Tens pogTaTIoN | Piomoy Tend Bro Tag 1 JUDICIAL OFFICER (Specify Office) LEGISLATOR (spect House or Senate) AFFIRMATION afm tha th information proved inthis Statement of Economic Interest and any attachments hereto ae true, Complete, and accurat to the best of my knowedge and belle. ako certy that 1 have not transfered, and will not transfer, any asset, interes, or property forthe purpose of Conceaing from disclosure whi retaining 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 Unemancipated Chidren) are public record. 1 acknowledge that have read and understand N.C.G:S. 138A-26 regarding concealing o falling to disclose material Information and N.C.G.5. 138-27 regarding providing fase Informations § 1384-26. Concealing or falling to discose material information A fing person who knowingly conceals or knowingly fall to disclose information tha i required to be disclosed | na setement of economic Interest under ths Arice hal be gulty of 2 Class 1 misdemeanor and shall be Subject to discpinary action under G.5. 1384.45. § 138A-27. Penalty for false Information. A filng person who provides false information on statement of conamic Interest as required under this Article Knowing that the Information fos 15 Gly of 3 Class H felony and shall be subject to disciplinary acton under ten Cladis On Chui ve 29 Way 2018 Signature Bate Musee M Prowse Se Printed Name. Submit SIGNED, ORIGINAL documents only. Do not fax or e-mal this form. This entire document is a public record.

SPE, NORTH CAROLINA STATE ETHICS COMMISSION FOR ETHICS COMMISSION USE ONLY TRE Date Receives fel Py 2017 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM 7 - ParYY Checked for dompletion = = THIS ENTIRE FORM MUST BE COMPLETED TO [scanned pote. FULFILL YOUR ETHICS FILING OBLIGATION Z Entered in 08 2 zoy, ZU. | Me.| Aworew | Medielowo | Prerims 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 NC Boar o Trowspor e708 JUDICIAL OFFICER (Specify Office) LEGISLATOR (Speciy Holle or Senate) AFFIRMATION - affirm that the Information provided in this Statement of Economic Interest an any attachments hereto are true, Complete, and accurate to the best of my knowledge and belle. 1 aso cert that I ave not transferred, and will ot transfer, any asset, interest, or propery for the purpose of concealing irom disclosure whi retaining an equitable terest. I understand that my Statement of Econamic Interest and any attachments or supplements threto (with the exception of the Confidential Farm regarding Unemancipated Chidren) are public record. 1 acknowledge that 1 have read and understand N.C.G.S. 138A-26 regarding conceaing or fang to disclose material Information and N.C... 138A-27 regarding proviing fise Information: § 13826. Concealing or fling to disclose material information. A fing person who knowingly conceals or knowingly fi to disclose information tha s required o be discosed on Statement of economic interest under this rice Shall be Guity of 3 Class 1 misdemeanor and shall be subject to scpinary action under G.S. 1383.45. § 1384-27. penaiy for fase information. A fling person who provides fase information on a statement of economic interest a required under £5 Article Knowing the the Information 5 fase 15 Quilty of a Class H felony and shal be subject to disciplinary action under GS 130A 45. 2 hereby affirm that I have reviewed my most recently filed 2016 Statement of Economic Interest and that as of Decamber 31, 3016, my responses continue to be true, correct, and complete to the best of my knowledge and belief, I Agree an \: | March 20/7 Signature E— Auoeew M Rens 2. Frinted Name ‘Submit SIGNED, ORIGINAL documents only. Do not fax or e-mail this form. This entire document is » public record.

SPE, NORTH CAROLINA STATE ETHICS COMMISSION FOR ETHICS COMMISSION USE ONLY TRE Date Receives fel Py 2017 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM 7 - ParYY Checked for dompletion = = THIS ENTIRE FORM MUST BE COMPLETED TO [scanned pote. FULFILL YOUR ETHICS FILING OBLIGATION Z Entered in 08 2 zoy, ZU. | Me.| Aworew | Medielowo | Prerims 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 NC Boar o Trowspor e708 JUDICIAL OFFICER (Specify Office) LEGISLATOR (Speciy Holle or Senate) AFFIRMATION - affirm that the Information provided in this Statement of Economic Interest an any attachments hereto are true, Complete, and accurate to the best of my knowledge and belle. 1 aso cert that I ave not transferred, and will ot transfer, any asset, interest, or propery for the purpose of concealing irom disclosure whi retaining an equitable terest. I understand that my Statement of Econamic Interest and any attachments or supplements threto (with the exception of the Confidential Farm regarding Unemancipated Chidren) are public record. 1 acknowledge that 1 have read and understand N.C.G.S. 138A-26 regarding conceaing or fang to disclose material Information and N.C... 138A-27 regarding proviing fise Information: § 13826. Concealing or fling to disclose material information. A fing person who knowingly conceals or knowingly fi to disclose information tha s required o be discosed on Statement of economic interest under this rice Shall be Guity of 3 Class 1 misdemeanor and shall be subject to scpinary action under G.S. 1383.45. § 1384-27. penaiy for fase information. A fling person who provides fase information on a statement of economic interest a required under £5 Article Knowing the the Information 5 fase 15 Quilty of a Class H felony and shal be subject to disciplinary action under GS 130A 45. 2 hereby affirm that I have reviewed my most recently filed 2016 Statement of Economic Interest and that as of Decamber 31, 3016, my responses continue to be true, correct, and complete to the best of my knowledge and belief, I Agree an \: | March 20/7 Signature E— Auoeew M Rens 2. Frinted Name ‘Submit SIGNED, ORIGINAL documents only. Do not fax or e-mail this form. This entire document is » public record.

7%, NORTH CAROLINA STATE ETHICS COMMISSION frome LAN] Care Racenes {8'/ 2016 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM B A Checked for Ehipfeficn. 7 206 THIS ENTIRE FORM MUST BE COMPLETED TO |scamed ote FULFILL YOUR SEI FILING OBLIGATION pit A nerd in 00 7 vy = FILER'S NAME (FIRST, MIDDLE, LAST) | (FIRST, MIODL A prefix | First Name widdie Name | Last Name [sume | Me | Amore | McCieuand Perums Te | REASON FOR FILING (SELECT ALL THAT APPLY) I STATE GOVERNMENT 108 (Please specily the agency for | [BOARD/COMMISSION (Please st complete name of oll ‘which you work or are being considered) State boards on which you are serving or are being B | enweees TTT | J Nour Carounwn Board or Tenuspor | CI2UDICIAL OFFICER (tease speci the afc you hold) | [LEGISLATOR (Pease specify House or Sete) | Taf that the information provided in this Statement of Economic Interest an any attachments hereto ae tre, | comes rs cree tn st of Kneis on bela | 1 ais certify that I ne not transferred, and will nt transfer, any asset, interest, or property for the purpose of concealing irom disclosure while retiring an equitable terest. | Coen er ering ramancpted Crier) ar ise rec | acknowiecge tht 1 have reat and understand N.C.G.5. 1384-26 regarding concealing or fling to disclose material | information ana N.C.G.5. 1524-27 regarding providing fis formation: i | § 1388-26. Concealing or filing to cisclose material information. | A fling person wh knowingly conceals or knowingly fais to discos information tht is required to be cisclosed on | | % atom of ccanomic intereet under this Arce all be Gui of 8 Cless 1 misdemaanar and shal be subject to | | Gacioinary action under G5. 139A45. EN —— | | | | A fing person who provides fase information on a statement of economic Interest as required under tis Article | Knowing that the information i fae i Gully of a Cass H felony and shall be subject to Gscilinary action under | Gs 1 hereby affirm that I have reviewed my most recently filed 2015 Statement of Economic Interest and that as | | of December 33, 3015, my rospanses continue t be tue, correc and complet a he best of my knowiads | and beter, | RI Agr H Om. ay 2 2oll | Signature Bate | Anveew M. Terns Sy | Printed Noms | Submit SIGNED, ORIGINAL documents only. Do not fax or mail this form. oo This entire document is public record.

7%, NORTH CAROLINA STATE ETHICS COMMISSION frome LAN] Care Racenes {8'/ 2016 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM B A Checked for Ehipfeficn. 7 206 THIS ENTIRE FORM MUST BE COMPLETED TO |scamed ote FULFILL YOUR SEI FILING OBLIGATION pit A nerd in 00 7 vy = FILER'S NAME (FIRST, MIDDLE, LAST) | (FIRST, MIODL A prefix | First Name widdie Name | Last Name [sume | Me | Amore | McCieuand Perums Te | REASON FOR FILING (SELECT ALL THAT APPLY) I STATE GOVERNMENT 108 (Please specily the agency for | [BOARD/COMMISSION (Please st complete name of oll ‘which you work or are being considered) State boards on which you are serving or are being B | enweees TTT | J Nour Carounwn Board or Tenuspor | CI2UDICIAL OFFICER (tease speci the afc you hold) | [LEGISLATOR (Pease specify House or Sete) | Taf that the information provided in this Statement of Economic Interest an any attachments hereto ae tre, | comes rs cree tn st of Kneis on bela | 1 ais certify that I ne not transferred, and will nt transfer, any asset, interest, or property for the purpose of concealing irom disclosure while retiring an equitable terest. | Coen er ering ramancpted Crier) ar ise rec | acknowiecge tht 1 have reat and understand N.C.G.5. 1384-26 regarding concealing or fling to disclose material | information ana N.C.G.5. 1524-27 regarding providing fis formation: i | § 1388-26. Concealing or filing to cisclose material information. | A fling person wh knowingly conceals or knowingly fais to discos information tht is required to be cisclosed on | | % atom of ccanomic intereet under this Arce all be Gui of 8 Cless 1 misdemaanar and shal be subject to | | Gacioinary action under G5. 139A45. EN —— | | | | A fing person who provides fase information on a statement of economic Interest as required under tis Article | Knowing that the information i fae i Gully of a Cass H felony and shall be subject to Gscilinary action under | Gs 1 hereby affirm that I have reviewed my most recently filed 2015 Statement of Economic Interest and that as | | of December 33, 3015, my rospanses continue t be tue, correc and complet a he best of my knowiads | and beter, | RI Agr H Om. ay 2 2oll | Signature Bate | Anveew M. Terns Sy | Printed Noms | Submit SIGNED, ORIGINAL documents only. Do not fax or mail this form. oo This entire document is public record.