North Carolina

Ann B. Goodnight

11 filings · 2015–2023
NC State University TrusteesUNC Board of Governors

Filings

2023 NC State University Trustees
Document text
or staf Use Only ZN STATE ETHICS COMMISSION oate recevedl= CEI V/E[ fv - iy 2023 STATEMENT OF ECONOMIC INTEREST MAR 27 ] This entire form must be completed to fulfill NC ETHICS your ethics filing obligation. CS COMMISSION IE Pe PS = SAS Instiute Inc Serior Director, Community Relations State Govemment Job (specify agency and positon.) Board/Commisson (List the complete names of al State boards on which you are serving or are being considered.) Fost Service Fer (Spec Office Feld In 2027, ©. Judge, legisiator, district attorney, or clerk of court.) "A. 0 any Immediate family members reside I your housenoia? Byes ONo +=*immediate family” includes your spouse (unless legally separated) and unemancipated minor children (under 18), It also includes members of your extended family (your and your spouse's children, grandchiren, parents, grandparents, and sibings, and the spouses of ach of those persons) who reside in your household. List the full name of all immediate family members residing in your househald. List unemanciated minors on separate form. Minors may be emancipated by marriage, enlistment n the US miltary, o court order for emancipation. i We Wa Wa iid fines conan [spousa [onsmtnao ne [onaremonvootin [somare | The SET and any attachments, excluding the Confidential Form, are pubic records Page Tor ‘Unemancipated Owner of Real Estate| % Ownership Interest | Location by City Location by County FEyy— by City & County Describe [tamer | mets | weary [ owneroftmerest | Full Name of Company or ticker symbol Er mE (01 had no reportable income over $5,000 in 2022. Professional and Civic Relationships 76) During 2022, were you or any members of your mediate fam decor, officer, ooverning ard mere, may ce ndesendent contractor, o ager obo of 3 nonprofit corporation o organization out Iori Carolina primary or rlios, hal, cite, ran, UDI heath an safe, or educations purpssess BYes [No - If “No,” proceed to questions. > Do nots tate boards or ents, » 00 not Ist organisations of which you are mere member, Position Name of Rompraft Nature or Corporation or organization | Purpose af rganization soensaces I A EE 11th ronproft corporations or argaiation 51d shove do business wih the Sat of orl Corals of receive Sats nde icy Bec he moar of tha bos, kana win due gence co epson be rom. Name of Nonprofit Corporation or Organization [None or Not Known soe Atacnes rr 1 5 During 2072, were you or amy members of your Immediate family decir, oficar, or governing board member any eh, rsanaaton, or AOVOCRY Group WR 31 ITSrER n mater due WHE your 39h a beard may firsdcions es No Legit cic Offer - You are not required t complete. this question you are fing solely Secaus You a eisai or Jah fhe a 2. CaN sppotes 10 hose aces Wambo 1 yo 18 50 hs SEL 333 mamper of ae boa of a Sts arove, mar eo tt esi: Yor respons Lye roids sadn fom. » 00 not st organizations of which you are any meer and do not seven 3 leadersiprol. Name of Society, Organization, Leadership Poston or Advocacy Group (Director, Officer, Board Member) The SET and any attachments, excluding the Confidentil Form, ae pubic records. Pages ar 10 [omeotrensn | westormparier | Namsareompn | oarrenen | Er EE I EE I EE I EE I EE I EE I I EE E— I EE I EE EE I EE I I EE I EE Oves ENo [)udicial Officer/State Attorney [in House Attoney Administrative [Admiralty Ocorporate Ocriminal [Decedent's Estates. OJ Environmental Oinsurance Oabor DO tocal Government: [Real Property Osecurities Orax I EE EE EE rr] FE Aree era —— + Bese ty the Stte bord ar agency with which you ae or wl be asactedar © uses insist State oar rages wih ich yu ara il beast? es CN LegiftoruciclOffcer You re not ere o completes sto you re fing ecu: vars gator a tS 5 5 CoG pope i CES, MERE Se at avs svn Name of Employer Type of meatonsis appianie (ticansing, Regulatory, Business) soe acres I Tavs you or erie f you ITmedats Trily See egtred 3 oto aby rnc vA 12 ons receding ou ng of SEY ves ate Nam of Lobbyist Covet prince vateor | megitaton nego _| "Straten other Disclosures 14. During 2023, afer yu ware 3999s, emo, edo war noted 3 covets, 44100 + receive any" excoding $200 per uae rom apron rg of persons ackngtogeer, © nen bn you and thos pron) war ice rt Caron, © der crumsances at woul lad 3 reasanable person fo cndud he gts ware sven along? To answer Yeu a thre condtans staph. ves Gite » 00 nt report its given by members of your extended fai, > 55 ot repr ts you ve previous rated n th “Bens Report fir Eee arson te em Rees ames parsons) | pre em seed | cage es | The SEX and an attachment, excluding the Confidential Frm, are public records Page ar 10 Oves ENo {OJNo contribution(s) with a cumulative total of more than $1,000 Ir rey ST 7 ro STR 3 Te pe—T ppp ———Tw 3 orth Carling Supreme Court Justice; or Court of Appel, Supr, o Ss Cont oir Sr A Oves @to +" hec Commision No rece to ues 18. * Ste Bard factions r ———_— Ph — + Sioa mesraan anon © Ruts Review Commision * Soara or Tansporatn Utes Commission © Wide Resouces Commision d. If so, were you appointed or are you being considered for appointment to that | (J Yes (#'No. ion Coun o ats martes re atti Tr you mt cate whether Gung 2022 you engaged n am of re i amt wi a oo Bat of se. sanhont of erp pcs prnebudeba deb At bo Colected contributions ars mull contr, ook posses of such Ce Coton. and amserad 1 adres. rove tected | (Yes CINo Compan 1 he nia o emmneS? ——————— free Rr os Tavs you ver seen cama of a felony fo whch you ve nt received skhr: (1) a pardons or (1 am ard of Oves Eno [ omems | ooeot Conviction] County of conviction | state of conviction Fp OS pT —pe— a vos compan wi oe ats Soren, Es 7 ves @No yes, pease provide that formation below. The SEE and any atachments, excluding the Confidential Form ae public records. Page sor 10 he information provided in this Statement of Economic Interest and any attachments ar true, complete, and secre ie cer of my knowledge and bee 1 ove not rostered, and wil not transfer, any se, interes, o propery for the purpose of concealing i om Gislosu whi rerainng a Gqunable meres. 1 understand tra my Sttament of Economic Interest and any iach ments except for th Confidential Form regording Unemandoates Colgre av posh records. have read and understand the following sates N.C.G.5. § 1384-26, Concesing o fling to disclose material formation. A fing person ho knowingly cancels a knowingly fis 0 discos information tat s required tobe iscosed Gn Seman of stone eres shall 6 Guy of a Clos 1 demesnor ond Sues to Gopi Chom under 65, 15anas NCGS. § 1384.27, Penalty for fle information. A fing person wha provides fase formation ona statement of conic nerest knowin tht he oration 5 ase ity of Clas any 3nd al psu 1s Gscpinay acon under 0.5. 13845, affirm under penalty of perjury tht th foregoing is rue and correct. LY Jovn, ©. Uo [0 b] 202° Signature Pate B._ Goodn Aun B. Goodnahst Printed Name Submit signed, original documents only. Do not fax or e-mail this form. —————————————————————————————————————] The SEE and any attachments, excluding the Confidential Form, are public records. Page 10010
2022 NC State University Trustees
Document text
or staf Use oly Gard) STATE ETHICS COMMISSION ‘Date Received: GAs Kel fi] 2022 STATEMENT OF ECONOMIC INTEREST | RECEIVED | 0 05 202 This entire form must be completed to fulfill | your ethics filing obligation. NOETHICS commission Filer's Name (First, Middle, Last) a [prefix rit Name [Middle Name | Last Name Sut 0 PS FS [rr Current Employer Sob Tle — SAS Institute Inc. Sentor Director, Comunity Relations Nature or Type of Business Computer Softvare Reason for Filing (Complete all that apply.) State Goverment 105 (Spec agency and postion) | Board/Commision (List the complete names of 1 State boarcs on which you are serving or re being considered.) Cre Seving 03 Jl Ofcr (Spchy office) | Carty Seng 3 Lagat (Spcky Howse o erate) Are you a CANDIDATE for a covered elected office? | [If Yes, List Office and District/ County (if applicable) (strict, Superior, or Supreme Court, Court of Appeals, Clerk of Cour, District Attorney, or Genera Assembly) [Yes No A. Do other immediate family members reside in your household? mes Ono on this form, “mediate family” includes your spouse (unless legally separated). I alo induces members of your extended fay (your and yout spouse's chdre, anderen, parents, Grancharents, and ings, and the Spouses ene o ane Sh whe. reside 1 your hossenalo. | Lis the full name of ail adults and emancipated minors in your household. Minors are chidren under 1. They are | emancipated by marriage, enlistment in the US military, or court order for emancipation. Ermancipated Minors Janes H. Goodnight | Spouse Bipf Fpecurive The SEX and any attachments, excluding the Confidential Form, are pubic records. Page 10f10 EE Ee I e — EE I A RE EE EE ER E— Property Interests 1. As of December 31, 2021, did you or any members of your immediate family: TT BYes [No [ownerof reat estate | 9 Ownership Interest | Locationby Clty [Location by County _| cory [oe | 1 1 [1 1 lL 1 6. lease or rent real state or personal property to or rom the State of North Carolina with a market value of $10,000 [Yes [No (Renter) by City & County Describe Nl ,— 2. At any time during 2020 or 2021, did you or any members of your Immediate family sel to or buy from the State of a — rT rr] I EE rr rr] I EE —_— Financial Interests { 3. As of December 31, 2021, 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. [Yes [No —— i [Yes [@No TE re ‘Owner of Interest Name of Company or Business Entity C (2). If you know that any entity listed in 3.C or 3.C(1) above has any material business dealings or business Cotracs with the State of Nor Caran o 1 regohes y te Save, vey esere tht bones acy, Name of Company o Business Entity Description of Business Activity with the Sats [CJ None or Not Known SE See Attached I 4 of Gecomber 31, 2021, were you o ary members of yur rrmedte fal he beneficiaries of a vested tust kn a vaio of $10.00 0 ore ht you crested estaploned, or comralea? > Do nt Ist assets hed n bind trust. eff or Vested Tus and “Bind Trust” can be found an our webs der Ses 1 Heol Tos Wins gov Eyes [No Name and Address of Trustes Your Relationship to th Trust smn Bagsece Goodnight 500 Applecses Lane | 20 Argaeesse I 5. As of December 31, 2021, 8d you any members of your Inmate Tomy hove bites of $10,100 7 re, octing re Tied on Jout Say arson een Svar cote He Cos dete, os oon, oto oa Pert oon. ar ay Se Oves [No Nome of Debtor Type of Creditor (commercial Bank, credit union, fivitimeiein) 6. List each source of income (not specific amounts) of more than $5,000 received by you or any members of your date am aio BOSS reude Sry wane, eee goverian esrenars income, profesional oc Tonerahs, ares, avadends amar com, boss my an ove ype refresh re on Sts ad Tere a a. 7 ation! You must disclose salary or wages received from any governmental or private Shey, including employers that you may have already listed in response to other SEI questions. + On not Include Income recived fom the owing sources: Capa Gals; feral goverment o miltary feestisvbivapidipitmriity Recipient of incom Name of Source Typeol prrr— | Bhainess industry [11 had no reportable income over $5,000 in 2021. -,..S—— © The SEI and any attachments, excluding the Confidential Form, are public records. Page dor 10 Professional and Cvc Relationships 700. Dung 2021, wre you or any members of your red aly dir, fcr, govering rd meer yc, and copa eget eB of © oo sn omnes opine Ro art marty To abou, Sara seni hein bE Fe nd ro Zhan Wes Do 30 proces to ussions. > a ra tse bors a ries. > 50 ott cganiaations of ic sou area mre member. Postion Name of rot arureor Corporate of avpesaton | Purpose of Organization 7 he morro ration or rg ted hav do bine wi Ue Sie of arth Carol a reo Ey co nso Sones eo wv Sn oles ron ‘Name of Nonprofit Corporation or Organization | Describe State Business Coons or ot Known seo Arsachot rr © During 021 wre vou or sn mbar of yur Fmadte rl dor, ocr, o even board eer of rnin, oF ares oy who hora a a ou sven ond ny eo pith Wes IN Clasitor utc] Offa - You sent sre o cit ths cussion our ing sol os on ar ol Sh or onan pots oe Ryo rs he mae of 0 Set po Eps, answer “yes” or “no” to this question. If your response is “yes,” provide additional information. 0 ott crgaaatons of which yu ar ny a mri an ort cre nr le Name of Sadty, organztion, Condes postion oS (Orectn oreus Bout ember) sen Attached The SEE an any attach mnt, axing th Condens For, ar publ cord. age sor1o [emeorveson | neiensmpto rier | omer cmpamy | omormn | FT EO RE Rams of Cron or Ss ry est ies iy wi [0 Not applicable (No entities listed on #9a) [Yes [@No [Judicial Officer/State Attorney legal fees of more than $10,000 during 2021. [0 Administrative 0) Admiralty (0 Corporate [J Criminal [Decedent's Estates Environmental [insurance [Dlabor [J Local Government [J Real Property [0 Securities Ovex J Tort litigation (including [J utilities Regulation (J Other category not listed negligence) 11. During 2021, 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? OvYes No —TTr— rt sees toss he an a aacment cing he Conn Form re ede rsrsatio 12. Are you or your employer, or any members of your Immediate family, or thelr 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 wil be associated or «ina business relationship with the State board or agency with which you are or wil be associated? @Yes [No [J Legislatorludical Officer - You are not required to complete this question if you are fing because: You are a legislator or a judicial officer or as a candidate or appointee to those offices. However, if you are also fing as a member of a State board or as a State employee, please answer "Yes or “io” to this question. If you respond “yes,” provide additonal information. Name of Person Name of Employer Type of Relationship (1 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 filing of this form? Oves Gino Lobbylst's Principal Date of Registration Registration Expiration Other Disclosures 14. During 2021, after you were appointed, employed, or filed or were nominated as a candidate, did you + recelve 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, al three conditions must 2pply. Oves [No > Do not report gits given by members of your extended family. > Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” Name and Address of Donor(s) | Describe Item Received | Estimated Market Value ‘The SEX and any attachments, excluding the Confidential Form, are public records. Page 7 of 10 + when those person(s) were outside North Carolina? Date of Name and Address of Donor(s) ] owe [wow] ET SE and ry atm, cuin he Coteni Form a pbc cr —_—— - [IT —— ] a. the head of principe tate department (e.5, cabinet secretary) appoied By [RE |b. a North Carla Suprema cout ust; or Cour of Asal, Superior, o District Court Judge; or ER —— Oves @Ne 2a Commission Nor proceed to question 1. J — © State Board of Education © State Bord of lctions © ison of Employment Securty | © Environmental Management Commision | + Industrial Commission 1] + Human Resources Commission | Rule Review Commision © Board of Transporation © Utes commision © White Resouces Commission a Tan, wer you app or are you bang cartdered for appar to tht | Yes CJe eon oy Coun of Se mee to austin 16. oI or you st te whether Gung 021 you ananged 0 on of the ei Sas i esac oo Dba of sh con o crpaon roo of to Counc Sats aoe who SPORE You: i. Colca conrbutons from mule contributor, took possession of uh i contostons and arered 3 iver hose oveced | Yes CINo omatons oh enkdinteo SomAREES i. Hosted a drier a your residence a place of business? ves Ove Wh. Volnteered for campareaed scttie, Including shone baie event Te Tg ao, Sues or ony aes wits oak | I¥es CIN Sova ie campaign of 3 congo? To Hove you ovr ben convicted of a felony or Wh you ave nt recaled sr: ) 2 ardor or 1) a adr of psd sud Oves [No | ofewe | oatef Conviction | County of Conviction _| _ state of Conviction 5 Ave you ware of ary ovr formal ht ya belles ay ast th Ei Commis avin vou on vo compares wi to Svs Covina Sones 2 [Yes [No If yes, please provide that information below. The SEX and any attachment, excluding the Confidential orm, ae public records. Pages 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. 1 have read and understand the following statutes: | | N.CG.S. § 1384-26. Concealing or falling to disclose material information. | ‘on 2 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. § 1384-27. Penalty for false information. fling 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. 1384-45. I affirm under penalty of perjury that the foregoing is true and correct. len 8.0 5 ee 52 / .. | eG Groloigt ‘Submit signed, original documents only. Do not fax or e-mail this form. ‘The SEX and any attachments, excluding the Confidential Form, are public records. Page 100f 10
2021 NC State University Trustees
Document text
GT STATE ETHICS COMMISSION [— ET) 2021 STATEMENT OF ECONOMIC INTEREST | | RECEIVED APR 15 2021 This entire form must be completed to fulfill your ethics filing obligation. | NC ETHICS COMMISSION ‘State Government Job (Specify agency and position.) ‘Board/Commission (List the complete names of all State TTL rr —— ave one rT A tri | ee ~ Ta olf | me | |e [een Unemancipated Property Interests [ovneror estate| on owner nares | tocaion oy cy Yes [No [ Wameorpuchaser | Wameofseter | Type of Property Eves [No EE ine B. Stock options in a company or business? - - Oves No Owner of Stock Option Full Name of Company (Do not use a ticker symbol) | Ee re TR names of any other companies or business entities in which the Primary Company owns securities or equity | Ti erans T TEE (I None or not known EE SF C2). If you know that any entity fisted in 3.C or 3.C(1) above has any moteral business dealings or business Contracts with the State of North Caran, of regulated by the State, briefly describe that business actiiy. Name of Company or Business Entity Description of Business Activity with the State None or Not Known | See Attached 4. of December 31, 2020, were yo o any members of your Immediate family the beneficiaries of a vested trust with Value of $10,000 or more hat you created, established, or controled? 00 not lis assets hld In bling trusts. See 2020 SEL Heloh Tip for the defiion of "Vested Trust” and ling Truss” | mves Cno ‘Name and Address of Trustes Description of the Trust Your Relationship to the Trust bem Baggett Goodaisht Recovable Living Trust Trustee 300 Appletree Lane Cary, Rc" 3551 5 , = hr 5. As of December 31, 2020, did you any members of your mmeate family have labiltes of $10,000 or mor, exclucing the mortgage on Your primary personal residence? Examples Include cred card dente, auto oans, student loans, personal loans and mtra family Geo. Oves Tne ‘Name of Debtor Type of Creditor (commercial Bank, credit union, individual atc) 5. List cach source of income (nof specfic amounts) of more than $5,000 received by you or any members of your immediate family during 2020. Include salry, Wages, state/loca government retirement income, professional tes, Ronorria, interest, dividends, rental income, business income, and other types required tbe reported on State and federal tx returns. Please remember o disclose your receipt of saary of wages from any governmental or | private entity. | D0 not include income received from the folowing sources: Capita gins Federal government retirement Miltary retirement Social securty income/SS01 Recipient of Income. Name of Source Type of Type of income. Bleiness/ Industry 12d no reportable Income over 55,000 n 2020. re me — —— See Attached The SEI and any attachments, excluding the Confidential Form, are public records. Page dof 10 Professional and Givic Relationships 7(a). During 2020, were you or any members of your immediate family a director, officer, governing board member, a on ores sel Ro Ct a To got, eae Somme ram Pu en reno eave | purposes? [Yes [J No- If "No," proceed to question 8. TT — borer 8 a a Nome of person boston | Wamwormomsront | mararear oper Sra: sm rime ain F—— ET yr Sy —— oe oe ee gen os ory oe Name of Nonprofit Corporation or Organization | Describe State Business ro Prym— = During 2020 ere ya of av mers er sn Fly 4 Sher, See o gov Sod = ” Sn rms pn; Kies [No [JLegislator/Judicial Officer - You are not required to complete this question if you are filing because | eo set aes ovo we ig on sp 3 os oe aes Nr TI————_—— Warms of person | We oF Saat Sgn Leasarsmp Posen of Rove Grou Girecon oFcen Boers member) see avtaches ] | —r——— eee eed The SE and any attachments, excising the Confidential Farm, are public records. rosersn ETT —————— rp ——] a Ser, ono esto a rags eo Secs Sot, Nameof person tstionship toler _| Name of Company | leaf person (J No Business Associations. [300 yor row rotary cy bed 30) over ary Trl os Seis bs orcs wih Name of Company or Business Evy | oescrpion of susnss Atv with th sate [OJ Not applicable (Ne entities listed on #9a) [ives ENo [Judicial Officer/State Attorney Fer— remy Comoe Gomme [7] Decedent's Estates [7 Environmental [0 Insurance Laver 7) Local Government (OJ Real Property. OJ securities OTex tot gsm rcing nites topton over ty or ts es eh Soe? Oves ENo Dearne] oreo sen Roderd Th SX ant amy tchmnts, axing th Condens Form, ar public records. ragesat1o 12. Ae you or your employer, o any members of your immediate family, or heir employers curently: + licensed by the Sate board or agency with which you are or will be associated or + regulated by the State board or agency with which you are or wil be associated or + in business relationship with the State board or agency with which you are or will b associated? [Yes [No CJ Legsiator/iucical Officer - You are na required to complete this question you ar fing because Vou are legislator or a ciclal offcer or you are ng a5 an appointee to one of those offices. Name of Person Name of Employer Type of Relationship (if applicable) (Licensing, Regulatory, Business) See attached | mail SY rE 13. Have you or a member of your mmedite family been registered as a lobbyist or lobbyist principal with the 12 months preceding your ig of Es form? | Ove mo Name of Lobbyist Lobbyists Principal Date of Registration Registration Expiration Other Disclosures | 14. During 2020, 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? 1 To answer Yes, all three conditions must apply. OYes [ENo > Do not report gifts given by members of your extended family. > Do not report gifts you have previously reported on the “Expense Report fo Exempted Persans.” Date Item Received | Name and Address of Danar(s) | Describe Item Recelved | Estimated Market | Value Ine SE The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 10 15. During 2020, aftr you were appointed, employed, or fled or were nominated as a candidate, did you together, | Ey ee te or or To answer Yes, bath conditions must 2pply. A “scholarship is a grant-in-ald, either direct or indirect, to attend a conference, meeting, or similar event, Including tultion, travel, lodging, meals, and other similar expenses. [Yes [No []ludiclal Officer - You are not required to complete this question if you are a judicial officer or you are fing as a Judicial officer appointee. » Do not repart gifts you have previously reported on the “Expense Report for Exempted Persons.” » Legisiators are not required to report scholarships paid by a nonpartisan legislative organization of which the legislator | | one General Assembly isa member, patcipet, or afate. Date of ‘Name and Address of Donor(s) Describe Event Estimated Market Scholarship Value 16. Have you boen appointed or considered for appointment to a covered board by the Governor or anather 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 Agricutwre » Commissioner of Labor > Commissioner of Insurance Oves Wo 11 Yes,” list all contributions you made In 2020 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.CG.S. 163-278.6(6) and Include “any advance, conveyance, depot, distribution, transfer of funds, loan, payment, af, pledge or subscription of money or anything of value whatsoever. Date Amount Contributed to [INo consrbution(s) with a cumulative total of more than $1,000 rsa are The SEX and any attachments, excluding the Confidential Form, are public records. Page 8.of 10 17. Are you an appointee or prospective appointee as: po a. the head of principal state department (e.5, cabinet secretary) 3ppONted by he Governor; or 5. North Carolina Supreme Court Justice, Court of Appeals, Superior or District Court Judge; or <a member of any of the folowing boares: Oves ENo + ABC Commission No," proceed to question 15. + Coastal Resources Commision | + state sore of Ecucation + State Board of Eectons + Division of Employment Securty + Environmental Management Commission | + industrial Commission + Human Resaurces Commission + Rules Review Commision + Board of Transportation + Utes Commission + Widife Resources Commission G. 50, were you appointed or ae you being considered for appointment to that | (I¥es INo position by » Cound of State member? TR slioniite ©. If 50, you must indicate whether during 2020 you _engaged in any of the following actvities wih respect to or on behalf of the candidate or campaign Commitee of the Counci of tate merber who appointed you: i Collected contributions from multiple contributors, took possession of such maltile. contributions, and transferred or celvered those. calected | (Yes (JNo Contrutions to the candidate or committee? I. Hosted » fundraiser at your residence o piace of business? Oves OiNo i. Volunteered for compaign- related acivites, including phone banks, event assistance, mallngs, canvassing, Surveying, or any other aciwiy that | (1Yes CINo advances the campaign of a candidate? 16. Have you ever been convicted of a feony for which you hove not received either: () a pardon; or (1) an order of expungement? Oves No offense Date of Conviction | County of Conviction | _ state of conviction | 19. Are you aware of any other information that you befeve may SSSst the Ethics Commission in advising you concerming your compliance with the State Goverment Ethics Ac? DYes TNo Ifyes, please provide thet information below. The SEI and any attachments, excluding the Confidential Form, are public records. Pages of 10 fr— TI eH nea 7 3 STE ST Fis Foi vo Li Sogo rad i, 5, SEE STR OR TTR A 55 A A ES Hr TE On ora Ns ig Lio ba SA ER rth Uo SATA BE —————— fits ran ner aie Tt SS a hs, A, \ A io — ) oo od pcli) March 29 797.) Tan we Aww 3. Goodnight et TT —— SRST nt FRAT ring Be Soar Soy am pe rato woah sey
2020 NC State University Trustees
Document text
fost ven OZER STATE ETHICS COMMISSION SA BELEIVED ti 0» APR 15200 x sli y;/ 2020 STATEMENT OF ECONOMIC INTEREST Se) | NG ETHICS COMMISSION This entire form must be completed to fulfill as THESE or compton your ethics filing obligation. —Scatned __Date Incompieets __ __ __ Supp. sen de __ Pap — Fe — Fle’s Nome (First, Middle, Last) 2 [Prefix | First Name Middle Name Last Name Ste Am [moggert | Goodnign Corrent Employer T Job Tike 75 x SAS Institute Inc. oo | Senior Director, Community Relations Nature or Type of Business i Computer Software Reason for Filing (Complete all that apply.) | State Government Jab (Specify agency and positon.) | Board/Commission (List the complete names of all State boards on which you re serving or are being considered.) Soci Oficr Speci office) Coq (Spey House or Senate) | A. Do other immediate family members reside in your household? ves Oo On this form, “immediate family” Includes your spouse (unless legally separated). It aso includes members of your extended far (your and your spose’s chidren, grandchildren, parents, grandoarents. and Abings, and the $pouses of ach of those persons) who reside in your household. Lst the full name of all adults 2nd emancipated minors in your household. Minors are chikiren under 18. They are | emancipated by marriage, entment In the US military, or court order for emancipation | Full names of Adults and | Relationship Employer Job Title. Nature of Business | Emancipated Minors — James H. Goodnight Spouse | sas nc. | Chief Executive Offic Software The SEX and any attachments, excluding the Confidential Form, are public records. Page 10f 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 a the end. | Initalsal | Relationship Nature of Business | ‘Unemancipated Property Interests [1s of December 31, 2015, it you or any members of your immediate fami: A. ove an ownership interes in North Carina rea tate (including your residence) with a market val of $10,000 armore? Qe Ono Owner of Real Estate| 9% Ownership Interest | Location by City Location by County [ames 8 un Goodnight | 100 boone [7a Jeseor ent rel tate or personal property or rom the State o North Crain i marke value of $10,000 or more? | Yes [INo Name of Lessor Name of Lessee | If Real Estate, Location | If Personal Property, | Renter) by City & County ascribe Reedy Creek Iny ts LLC| NC State University Cary, Wake County | [2 Ac any time during 2018 or 2015, dd you or any members of your immediate family sel 1 o buy from the State of | | North Corona personal property worth $10,000 o mare? | DOYes No [ln BS - [Name of Purchaser Name of Saler Type of Property The SE and any attachments, excluding the Confidential Form, are public records. Page 20110 valued at $10,000 or more? List each company individually. an Sec Attached Oves ENo 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, Ea a TATE C(1). For each company or business entity identified in question 3.C. (the “Primary Company”), please lst the names of any other companies or business entities in which the Primary Company owns securities or equity TT rT ns ad — eA AMEN CRTs Se HARA WIPE RE mre pa ————— Contacts withthe tate of Nor Carolina, o Is regulated by the Sate, briefly describe that business act. | Name of Company or Business Entity Description of Business Activity with the State | Cone or Not Known See Attached N sof December 31, 2019, were you or any members of your Immediate family he beneficiaries of vested trust with 2 Value of $10,000 ar more that you created, sstablshed, o controle? Do not st asses hed in bind trusts. See 2020 SEI Helpful Tips fr the dein of “Vested Trust” and "Blind Trust” ves Oe Name and Address of Trustee Description of the Trust Your Relationship tothe Trust an Baggett Goodnight _ Recovable Living Trust Trustee 900 Appletree Lane, Cary, NC 27513 5. As of December 31, 2019, di you any members of your mediate family have lables of $10,000 or mre, excluding | the mortgage on your primary personal resence? Examples include cred card debt, auto oans, hudent loans, | personal ans and ra. amiy eb. | ove mm Name of Debtor Type of Creditor (commercial Bani credit union, individu) atc) B | "6." List cach source of income (ot specific amounts) of more than $5,000 received by you or any members of your | immediate fom during 2015. Include solry, wages, sateiocal government rtrement income, professional foe, | Ronorara, Interest, dividends, énel Income, snes Income, and othr type required t be régoried on Sate and ederl ta returns. lease remember ta disclose your receipt of salary of wages from any Governmental or private enti. Do mot Inchuce Income received from th following sources: > Cantal gains > Foderl overnment retirement > Miltary retirement > Social securty income/SSDI | Fy a: i CE aaa Recipient of Income Name of Source Type of Type of Income Blniness/ Industry [tas mo report came aver 35.600 m 208. | See Attached I The SET and any attachments, excluding the Confidential Form, are public records. Page dof 10 Professional and Civic Relationships N a | 7(e). During 2013, were you or any members of your immediate family a director, officer, governing board member, | employee, independent contractor, or registered lobbyist of a nanproftt corporation or organization operating i | North Carolina primary for religious, charitable, scent, Iterary, pubic health and sofety, or educotiond! | purposes? [Yes CINo- If No,” proceed to question 8. > 00 not fs State boards or nies. > Do ot is organizations of which you are a mere member. Name of Person Position Name of Nonprofit Nature or } - Corporation or Organization | Purpose of Organization See Attached re rr o———————————————— 706). the nonprofit corporations or organizations sted above co business wih the State of North Carolin or receive State fund, briefly describe the nature of that busines, i known or with due diigence could reasonably be known. Name of Nonprofit Corporation or Organization Describe State Business } Ses Asche I 8. During 2015, were you or any members of your immediste fomly a director, officer, or governing bord member of any Society, organization, or 30vocacy Group with an Interest in matters over which your agency ar board may have Jursdction? ®ves [No [J Legisiator/lusicial Office - You are ot required to complete his question f you are fing because You are a legislator or judicial office or you oe fing as an appalntee to ane of those offices. > Do not Ist organizations of which you ar only a member and do nt serve ina leadership roe. Name of Society, Organization, Leadership Position | or Advocacy Group (Director, Officer, Board Member) See Attached The SET and any attachments, excluding the Confidential Form, are public records. Page sf 10 5(a). List the name o each business with which you were associated where you or 2 member of your immediate family | Was an employee, irector, officer, partner, proprietor, or member or manager a5 of December 31, 2015. Name of Person | Relationship to Filer Name of Company Role of person | Io Business Associations ] See Attached | 9(b). If you know that any entity Isted in 9(z) above had any material business dealings or business contracts with the State of North Carolina or was reguated by the State as of December 31, 2019, briefly describe that acuviy. "Name of Company or Business Entity Description of Business Activity with the State [INot applicable (Wo entities lsted on #92) See Attached 10. Are you a practicing attorney? Dves ENo [1Juciil Offcer/State Attorney "Yes", check each category of legal representation In which you or the law firm with which you are affiated has earned legal fees of more than $10,000 during 2015. Ol Acminisrative 0 Admiraty Olcomorate Ocriminal Cloecedents Estates: Environmental Cltnsurance Otabor Dtocal Government CIReal Property DOisecurities Ox | Cover tigation (nciucing J Utites Reguiton Clother category not listed | = negligence) 11. During 2019, were you» lensed professional (other than an attomey) or did you provide consuling services Individually or a5 2 member of & professional sociation for Which you charged of were paid over $10,000 = | Type of Business Nature of Services Rendered The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 10 2 Ar you o your omsloer, or any members of your Immediate fal, or thelr alors cunt: + licensed by the State board or agency with which you are or will be associated or | regulated by th State board o agency with which you re o il be asocated or | + in a business relationship with the State board or agency with which you are or will be associated? 1 ES — Te rs A mr vo ng on pps rn | Nam of person Name of Employer Type of Relationship sppicaner (ticansing. Regulator, Business) See Atiached |] BN 13. Have you or a member of your immediate family been registered 2s a lobbyist or lobbyist principal within the 12 | eect oe of Ove Ge Name of Lobbyist Lobeyits principe ower | Rogimraton Registration Expiration | Other Disclosures 14. During 201, aher ya wre PPARYES, aT, or ed ar wee red 53 cone, 4 You + receie any "Gs" exceuing $200 per quarter rom perso a group of persons acting together, 2 When bath You and thos parse were ote rth Carl inde amtances tha wo 020 essnabe pas to concide the it wre gh or bbring? To answer Ye, all re conditions mus poy. OvYes No | ————————— 00 ot prt ot you ve previ reported an the “Expense Report for Exempted Persons.” [ote ceed | Mame and sn f bonne | scrim secees | tv | The SEL and any attachments, excluding the Confident Form, ars public records Page 7et10 including tuition, travel, lodging, meals, and other similar expenses. | [Yes (XNo [Judicial Officer - You are not required to complete this question if you are a judicial officer or you | » Legislators are not required to report scholarships paid by a nonpartisan legislative organization of which the legislator Date of Name and Address of Donor(s) Describe Event Estimated Market | LC] | | : 16. Have you been appointed or considered for appointment to a covered board by the Governor or another Council of ms OYes KINo Te or a a EC —— cones } {0 No contribution(s) with a cumulative total of more than $1,000 17. Are you an pointe or prospective appointee as: a. the head of a principal state department (e.g., cabinet secretary) appointed by 5.2 North Carolina Supreme Court Justice, Court of Appeals, Super a Distt | Coun sudaer or | a member of any of th folowing boards Oves Ene |" hac commission | "Mor proce to question 18 + Consol Resources Commission + State Bod of Education | + State boar of lectins + Division of Employment Security | + Environmental Management Commision + Industrial Commission | + Human Resources Commission | | + Rules Review Commission + Board of Transportation + Unites Commission + Wide Resources Commission d. If so, were you appointed or are you being considered for appointment to that | [1 Yes [No Foun oY » Coun of State mempers a puttin ite e. 1 30, you must indicate whether during 2013 you_engaged in any of the following aces wh 1e3p6t to or 0 peal of the candiats or campaign Commies of the Counc of State roar who 3pponted ou i Collated contributions rom multiple contributors ook possession of such multe. conioutons, and transfered or aéivered. hose colected (Jes [1No Contbsions fo th canada or commie” I. Hosted a funraser at your residence or place of business” Wh. Vauntesrd for campaig-reated actus, including phone barks, even assistance, mallngs, canvassing, Sueyng, or any ater sciwty tat | CI¥es [INO Sovances th compan of 3 candidate? 16. Hove you ever been convicted of a eony for whieh you have not received er: () 3 pardon or 1) an order of expungement? OvYes No omtense [ Date of Conviction | _ County of Conviction State of Conviction 18. Are you aware of any other information that you believe may assist the Ethics Commission in advising you A] concerning your compliance with the State Government Ethics Act? Dives No If yes, please provide tha information elo. The SET and any attachments, excluding the Confidential Form, are public records. Page sor 10 The information provided in th Statement of Economic nsrest ond ny atchments ae re, complet, and accurate 5 esto my weds and ele. rave rot ansfrad, and wi not nster, any asset, terest, or property or he purse f concealing rom |e Vie retain an awe eee. understand hat my Statement of Economic Interest an any tachment except forth Confidential Form regarding naman Chin rs Gu records Ihave read and understand th flowing statutes: NCGS. § 1308.25. oncening o fling to disclose materalnformaten, fing person ro knowingly concen’ or knowingly fl to discise information ta s requ t be discoed on Statement carom res Shall be Gully fa Clos 1 SGemeandr and sect 1 S50 nary Seen nr 0.5. TAS NCGS. 5139827. Peat for ls formation. A fing person who provides fase formation an» statement of economic terest. knowing tht the omaton ol 5 Qty 1 8 Cov Tony and srl b Sbjct 5 dscipinary aco nde G5. 1384-45 affirm under penalty of perjury tha th foregoing is true and corect. ln Btu da Lit 20 Ann B. Goodnight Printed Name Submit signed, original documents only. Do not fax or e-mall tis form. rrr ——————————————— The Set and any attachments, excluding the Confidential Form, re public records. Page 1001 10
2019 NC State University Trustees
Document text
ro sufdaC EIVED - Bare Recened Gaia STATE ETHICS COMMISSION APR 112019 I 7) Ele) 2019 STATEMENT OF ECONOMIC ‘STATE ETHICS COMMISSION A INTEREST i 45 checked or completion This entire form must be completed to fulfill 5 scanned h2lfloate : your ethics filing obligation. Incomplete Qs. Supp. sentdate by Supp. rocaved date Entored in dtabase [r— Filer's Nome (First, Middle, Last) bre Lam Logger | couoame | | Ee SE | N.Y Reason For Filing (Complete ol that apply.) ‘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. I FE Judicial Officer (Specity office.) Legishator (Spey House or Senate.) A. Do other immediate family members reside in your household? @Yes Ono On this form, "immediate family” includes your spouse (unless legally separated). It aiso 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 nome of all adults and emancipated minors in your household. Minors are children under 16. They are emancipated by marriage, enlistment in the US miltary, or court order for emancipation. EE Be i Cd ‘Emancipated Minors re ess Jos me sd FEE | sos] The SEX and any attachments, excluding the Confidential Form, are public records. Page 10f 10 as Initials of ‘Unemancipated Property Interests $10,000 or more? En owner mes te omnes rear | tacaionby cy | totam couny_| EE PE IEE EE FS OYes [@No raze Loco | Perma es TUTE SR Wm SE Ra TO Sy me a [ emestrwme | wemeotsain | mectrme A, ran zt10 [ ownerotmmeresr | Full Name of Company or ticker symbol C (1). For each company or business entity identified in question 3.C. (the “Primary Company”), please list samen Sr Description of Busines Atty with the stare I Do not list assets held in blind trusts. See 2019 SEI Helpful Tips for the definition of “Vested Trust” and "Blind Trust.” [@Yes [No Description of the Trust Your Relationship tthe Trust on paggete Goodntghe 220, APRESS rr 1 1] mw a oe fcr (amar an rd io, individual, etc.) a rs a [Yes [No - If “No,” proceed to question 8. Ss’ Name npr Nature or Copano on rgemsation | purpose Srenizatin 0] None or Not Known fibre Rama f Sci, orgmzatin ender ositon o ante ou (oreo Soar ember IE I EE EE oscpionof Buses Atty with th se EO I Oves [No [Judicial Officer/State Attorney 1f “Yes”, check each category of legal representation in which you or the law firm with which you are affiliated has earned OYes [@No persons Oves [No Ces [No AZ grits dr ire tone» com ILE FO Rr r—— Tra io SG ah entry mon 01 ith coms el of mr 1.00 a] TT ET LT ey PATTI pe PT ppp ———T— 1. 2 North Coron Supreme Court usc, Gout of Appeals, Superior or Itt Ki a mero ofan f the following boars: oentommin em nesnaas Commision a, Oves mo Sime bord of icons veto of Enployen Secirty I —— a hin enn 18. tuna Common man Restos Commision Rte Reto Comms Demerara nC Bort ofcovarters pvshgbn * Wide Resmres Commision pF re Pepe ———— [TY meter ies Le ot io ester 18. Taoyuan ae ne dat 208 you Saag ay of oe los ned a pe so we syporaed ym \ Collet cntoutons from male contr, Gack oss of such tas sori ssh moon lis TTT ——T— [Ove ow | i Volaetred for campo rated sciies, adn phone ark Ser Er EH LA Sg fritid TS Toran ia on cot oF 2 Hh Yor En Fave oe orl ers Uh won, 7 Ber ti OYes [RNo [meme | owe ot Comicon | County of Comicon | _ stat of Comiction To hr you aware of any air laration you beer may Sth Es Commisan i 38 You Er pS es len Dives No ye, passe provide that formation below. The SEX and any attachments, excluding the Confidential Form, ae public records. FP. 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. 1 have not transferred, and wil not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. 1 understand that my Statement of Economic Interest and any attachments except for the Confidential Form regarding Unemancipated Children are publi records. 1 have read and understand the following statutes: N.C.G.S. § 1634-191. Concealing or ailing 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 guity of a Class 1 misdemeanor and subject to disciplinary action under G.S. 1634-415. N.C.G.S. § 1634-192. Penalty for false Information. A filing 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 GS. 163A-415. affirm that 1 have reviewed my most recently fled 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 belie. T affirm under penalty of perjury that the foregoing is true and correct. 22019 Signature Bate Ann B. Goodnight Printed Name. ‘Submit signed, original documents only. Do not fax or e-mail this form. ee e———————————— ee e— The SET and any attachments, excluding the Confidential Form, are public records. Page 10 of 10
2018 NC State University Trustees
Document text
_—_r_—————————e=———— it, NORTH CAROLINA STATE BOARD OF FOR COMPLIANCE UNIT USE ONLY $i}. ELECTIONS AND ETHICS ENFORCEMENT Date Recaved: 12.@/} 2018 STATEMENT OF ECONOMIC INTEREST 8 APR 27 PH 2: 03 919-814-3600 wa.nesbe. gov/Ethics/SEL eneckea Fifa THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL camel Sl Lb YOUR SEI FILING OBLIGATION Listmania aml Supp. Senoate By Supp. Received Dote erres mamas SII] or XC. FILER'S NAME (FIRST, MIDDLE, LAST) rate [Fist ame [Maio ame | ast tame Tame | CURRENT EMPLOYER 108 TITLE $AS Institute Inc. Sentor Director, Connunity Relations NATURE OR TYPE OF BUSINESS ee — Software REASON FOR FILING (COMPLETE ALL THAT APPLY) GTATE GOVERNMENT 108 (Specify Agency and Position) | BOARD/COMMISSION (Lit complete name of all State Boards on which you are serving or are being considered XC State University Trustees JUDICIAL OFFICER (Specify Office) LEGISLATOR (Specify House or Senate) A Do other immediate family members reside in your household? Eres Oto hen used throughout this form, the term Immediate family includes your spouse (unless legally separated). It also ee our extended fomiy (your and your spouse's children, grandchidren, parents, grandparents, and ins, an the spouses of each of those persons) who reside in your household. Cio the fal name of all adults and emancipated minors in your household. A minor is a child under 18 years old. a e eted by marriage, enlistment in the US military, or court oder for emancipation, EMANCIPATED MINORS Chief _Erecutive Janes Goodnight Spouse AS Tnstitute Inc.|“ “Orficer The SEX and any attachments, excluding the Confidential Form, are public records. Page 1010 sees Note: You must list the full name of each minor child on the Confidential Form available at the ih ee 1. As of December 31, 2017, did you, your spouse, of ‘members of your immediate family: $10,000 or more? ] Elves [INo 8. Lease or rent real estate or personal property. to or from the State of North Carolina with a market value of ®yes [No are eae ain | Pema — pray ppp I 2. At any time during 2016 or 2017, did you, your spouse, or members of your immediate family ‘sell to or buy from the | State of North Carolina personal property with a market value ‘of $10,000 or more? amet tame | wears | ee 3. As of December 31, 2017, did you, your ‘spouse, or members of your immediate family own any of the following financial interests valued at $10,000 or more? LIST EACH COMPANY INDIVIDUALLY. roi EE 1 | 8. Stock Options in a company or business? C. Interests in a non-publicly owned company or business entity (Including interests in ‘sole proprietorships, closely held corporations)? KYes [INo- If "No," proceed to question 4. assesses C2) you know that any company or business entiy ted in 3.C or 3.C(1) above has any materia BUSness ET enna comeact with the State of North Carolia, or is regulated by the State provide a brief escription of that business activity. Nome of Company or Business Entity ‘Description of Business Activity with the State 1 None or Not Known See attached I——— re of Dacember 312017, were you, your spouse, or members of your Immediate family the beneficiaries ofa vested EF £70,000 or more that was created, established, or controlled by you? Senor Ist sects held in blind trusts. ‘See 2017 SEI Helpful Tis ar the definition of "Vested Trust” and “Bind Teust= Mes Oto Name and Address of Trustee Description of the Trust Your Relationship to the Trust 1 Cary, NC 27513 5. pe or December 21,2017, did you, your spouse, or mermbers of your immediate fomily have liabilties of $10,050 5 SO oagags on your primary personal residence? Examples includ credit card debts, auto loans, student Ioan, personal foans and intra-family debt. Oves @No Name of Debtor (You, Spouse, immediate Family | Type of Creditor (Commercial Bank, Credit Union, Member) Individual, etc.) oi aach sauce of meome (not specific amounts) of {ore than $5,000 received by you, Your spouse, of Merbers of ly during. 2017. Tncude salary, wages, satelocal government retirement, professions) (5: Oe idands, ronta income, business income, and other types of income required to be reported on your State and federal tax returns. Do not include income received from the following sources: » Capital gains » Federal government retirement » Military retirement » Social security Income/SSDI Recipient of Income Type of Type of Income Business /Industry C11 hod no reportable income over $5,000 in 2047. A — I——— _— SS The SEX and any attachments, excluding the Confidential Form, are public records. Page 4 of 10 sess PROFESSIONAL AND CIVIC RELATIONSHIPS 7(o). Duin 2017, were you, your spouse or members of your immediate family a director, offer, gover00 board TE ug 20 dependent contractor, or registered lobbyist of a nonprofit corporation of organization operatg EO rumen for rlaious, chantabl, scent, terary, public health and safety, or educational purposes? EiYes [JNo-1f"No," proceed to question 8 5 not it State boards or entities, or entities created by a political subdivision of The State. + Do not list organizations of which you are a mere member. Name of Person His/Her Position Name of Nonprofit Nature of Business or Corporation or Organization | Purpose of Organization EE Em—— (oy. IF a nonprofit corporations or organizations sted above do business with the State of North Carole of fo22ud Ee Fe rove a bret description of the nature of that business, if known or ith which due diligence could reasonably be known. ‘Name of Nonprofit Corporation or Organization Describe State Business or State Funding CJ None or Not Known MN Ca ZTE, ER Vou, Var Sp0usE, or members of your [mmedte ary 3 Grector, officer, of dove Governing board Bung LZ aniation, or Sdvocacy Group with an interest in matters over which your agency or board may have jurisdiction? Hes [No [Jteaisiator/udical Officer - You are not required to complete this question f you are fing because sare a legislator or a Judicial offcer or you are filing as an appointee to those offices. +o not lst organizations of which you are only a member (not serving in a leadership rol). Name of Person ‘Name of Society, Organization Leadership Position or Advocacy Group. (Director, Officer, Board Member) Com ome roms sever | The SEX and any attachments, excluding the Confidential Form, are public records. Page 5 of 10 er family was an employee, director, officer, partner, proprietor, or ‘member or manager as of ‘December 31, 2017. [] No Business Associations business contracts with the State of North Carolina or was regulated by the State as of December 31, 2017, provide a [J Not applicable (No entities listed on #92) | [Yes [ENo [Judicial Officer/State Attorney legal fees of more than $10,000 during 2017. IEEE 12. Are you or your employer, your spouse of members of your immediate family, o their employer currently: Licensed by the State board or employing entity with which you are or wil be associated or Regulated by the State board or employing entity with which you are or will be associated or Hove. 2 business relationship with the State board or employing entity with which you are or wil be associated? ves [No ClLesisator/udicil Officer - You ae not required to complete this question you are fig because a re loisator or judicial officer (judicial officer” Is defined in the SEI Helpful Tps) or you are fling as an appointee to those offices. Name of Person ‘Name of Employer Type of Relationship (if applicable) (Licensing, Regulatory, Business) 13 Are you, your spouse or 8 mermber of your immedute famly curently registered as 2 lobbyist o lobbyist principal, or ere yon registered 35 such within the 12 months preceding your fing of this farm? Qves @No Name of Lobbyist Lobbyist's Principal Date of Registration Registration Expiration OTHER DISCLOSURES _ } +5. During any calendar quarter In 2017 (but only the time period afer you were appointed, employed or filed or were nominated 2s a candidate), did you receive any “gifts)" exceeding $200 per quarter from a person or group of persons acting together, and whan both you and those person(s) were outside North Carolina at the time you accepted the git(s), and the gifts) were given under circumstances that would lead 3 reasonable person to conclude that they were glven for lobbying? Cves EN Go nat report gifts given by members of your extended family. De ot report gifts that have previously been reported by you to the Department of the Secretary of State on the “Expense Report for Exempted Persons.” ‘Name and Address of Donor(s) | Describe Item Received [eomygpens| The SEX and any attachments, excluding the Confidential Form, are public records. Page 7 of 10 TE ————mmmmmmmmmmemeee + those person(s) were outside North Carolina and | » Commissioner of Insurance 1f “Yes”, list all contributions you (NOT immediate family members) made during 2017 with a cumulative ee dg tr — [ERT ———" ov head of pipe ate epariment (3. cabinet secretary) sppoted by the Enviar on bs wr Corin Supreme Cour utc, Cour of Appel Superior o Dstt vino <a member of any o he flowing boar: Tac Commission "Coon pases Commission + State Board of Education OYes [No Sie Beard of lctons © Boinan of Employment Sect 1 “Nos _procesd to] Bnirenmenta Vanagement Commission estion 18. odor Commission "tes Review Commission eardof Transporation SoC Beard of Govemors "niin Comers © Wide Resources Commision or ET We | 2 er oa nt o Shoe members 1229 | 11 oo,” proceed to erin 16. a vo you cae whether during 3017 yau oat media fara tte folowing acc wi respect 1 oon behalf cf a ies of he Counc of Start marber yo ule poston: [Yes [No + Collected contutions fom mall contributors, ook posscssien of such Ce on: ane rained a dears hose coected Te etions 16 the candidate or committee? Contributions re defined in ose a fonder a you residence or pace of bushes? Ove Oe To Vatnteered or campagn-related sie, which include, bt re ot Imied Ee CD wings, coors sumed, or ony | ClYes CINo part voness hmpaig of 3 HRGINET 18. Have you ever been convicted of a felony for which you have not received either: (i) a pardon of innocence; or (ii) an Ove @mwo [omerss | ostaot onviion | County of conviction | _ state of omvition To you aware of any ahr formato ha you bev hay sso th Sate Eihics Commision n adviing You Io nee wit th Ste Goverment Eis A Dives [No yes, pleas provid such information below: me SE and any attachments, excluding the Confidential Form, are public records. pages or 10 AFFIRMATION Contin Form sant Cerna ted Childrens ae publ record Yacknowledg tha ave read an understand N.C.G. 1384-26 regarding concealing or fling 0 disclose material information nd N.C.G.5, 158/27 regarding providing fle information: § 138A-26. Concealing or filing to disclose material information. | A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed | §138A-27, Pena fo alse information. G5 Bias | : ril 6, 018 a fom Submit SIGNED, ORIGINAL documents only. Do not fax or email thi form. AO — Page 100f 10
2017 NC State University Trustees
Document text
+ NORTH CAROLINA STATE ETHICS COMMISSION | for rriics commission use ofr A" Pi 2017 STATEMENT OF ECONOMIC INTEREST | Osi Recenes 919-814-3600 www. ethicscommission.nc.gov . £4 Checked or completion THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL YOUR SEI FILING OBLIGATION . Scomned ote compete 2s | sop. sent ute or Supp. Recawed Oate 4 | Enercon aotoose HY oy EAC FILER'S NAME (FIRST, MIDDLE, LAST) oo Prefix | First Name. Middle Name | Last Name [sum ses. | aun Bagger | Goodnight oo {I CURRENT EMPLOYER 108 TITLE SAS Institute Inc. ~ _ Director, Comunity Relations NATURE OR TYPE OF BUSINESS _ Computer Software - . - REASON FOR FILING (COMPLETE ALL THAT APPLY) | STATE GOVERNMENT JOB (Specify Agency) BOARD/COMMISSION (List complete name of all State | boards on which you are serving or are being considered, _ . _ | sc state Unversity Trustees _— JUDICIAL OFFICER (Specify Office) LEGISLATOR (Speciy House or Senate) A. Do other immediate family members reside in your household? HYes [No when used throughout ths form, the term Immediate family includes your spouse (unless legally separated). It aso includes members of your extended family (your and your spouse's children, orandchidren, parents, grandparents, anc | Sings, and the spouses of each of thase persons) who reside in your household. List the full name of all adults and emancipated minors in your household. A minor is a child under 16 years od Minors are emancipated by marriage, enlistment in the US millary, or court order for emancipation. FULL NAME OF ADULTS & | RELATIONSHIP | EMPLOYER | 108 TITLE NATURE OF EMANCIPATED MINORS on ni ~ BUSINESS janes Goodnight Spouse KAS Institute InciChief Executive Officer Software | SPUR J — — I SE EN EO SO The SEI and any attachments, excluding the Confidential Form, are public records. Page 10f 10 [B. List ONLY the initials of all unemancipated minors in your household below. A minor is @ hid under 18 years old Note: You must list the full name of each minor child on the Confidential Form available at the end of this document. — i. INITIALS FOR | RELATIONSHIP EMPLOYER 08 TITLE NATURE OF UNEMANCIPATED BUSINESS miwors | LL N— _— SE SE SE » S— SE EE — PROPERTY INTERESTS 1. As of December 31, 2016, did you, your spouse, or 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? Bves Oo Owner of Real Estate | % Ownership Interest | Location by City Location by County Janes 1 & dun 8 Goodntgh 100 1 cary ake a— - | _— 8. Lease or rent real estate or personal property to or rom the State of North Caroling with a market value of $10,000 or more? ®Yes ONo | L ~ (Renter) | byCity & County. Describe hesdy Creek Invests EE — 2. At any time during 2015 or 2016, did you, your spouse, or members of your immediate family sell to or buy from the ‘State of North Caroling personal property with a market value of $10,000 or more? OYes No i Name of Purchaser Name ot seller Type of Property The SET and any attachments, excluding the Confidential Form, are public records. Page 20f 10 FINANCIAL INTERESTS 3. As of December 31, 2016, did you, your spouse, or 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 - SE W— >Do not list ownership interests in a widely held investment fund (including mutual funds, regulated mvestment companies, or pension or deferred compensation plans) if: (1) the fund is publicly traded or ts assets are widely diversified; and (i) neither you nor an immediate family member are able to control the assets held In the mutual fund, investment company, or pension or deferred compensation plan. Owner of Interest Full Name of Company (Do nat use a ticker symbol) See attached — _— sore eee — B. Stock Options in a company or business? Clves @No Owner of Stock Option Full Name of Company (Do not use a ticker symbol) C. Interests im a non-publicly owned company or business entity (including interests n sale proprictorships, partnerships, limited partnerships, joint ventures, limited liability companies, limited habilty partnerships, and closely held corporations)? Yes [INo- If No," proceed to question 4. Owner of Interest Name of Company or Business Entity € (1). For each non-publicly owned company or business entity (the “primary company”) identified in question 3.C_above, 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, i known. oo Non-Publicly Owned Company or Business Entity Other Companies in which the Primary Company. (the Primary Company) ‘Owns Security or Equity Interests | Chane rot own fo —— — - ‘The SEI and any attachments, excluding the Confidential Form, are public records. Page 3 of 10 € (2). If you know that any company or business entity listed n 3.C or 3.C(1) sbove has any material business dealings or business contracts with the State of North Carolina, or is regulated by the State, provide a briet description of that business activity. " Name of Company or Business Entity Description of Business Activity with the State CJ None or Not Known } i | TT — TT 4. As of December 31, 2016, Were you, your spouse, or members of your immediate family the beneficiaries of a vested trust with a value of $10,000 or more that was created, established, or controlled by you? D0 not list assats held in blind trusts. Se 2017 SEL Helpful Tips for the definition of "Vested Trust” and “Blind Trust.” [ves Cio Name and Address of Trustee Description of the Trust Your Relationship to the Trust mn Baggece Goodnight _| Revocable Living Trust Truscee mene 900 Appletree Lane T Cary, NC 27513 : SL SP 5. As of December 31, 2016, did you, your spouse, or members of your immediate family have labilties of $10,000 or more, gxcluding the mortgage on your primary persona residence? Examples include credit card debs, auto loans, student loans, personal loans and intra-family debt. Cves [No Name of Debtor (You, Spouse, Immediate Family | Type of Creditor (Commercial Bank, Credit Union, Member) Individual, etc.) 6. List each source of income (not specific amounts) of more than $5,000 received by you, your spouse, or members of your immediate family dung 2016. Include salary, wages, state/local government. retirement, professional fees, honoraria, interest, dividends, rental income, business income, and other types of income required to be reported on your State and federal tax returns Do got include income received from the following sources: » capital gains » Federal government retirement | > Military retirement > Social security income/SSOT Recipient of Income | Name of Source Type of Type of Income i oC __ Business/Industry [11 hd no reportable income over $5,000 in 2016. JL sd sovappniaip iveme oles SECO IIMA, r—— See attached _ oo _ The SEI and any attachments, excluding the Confidential Form, are public records. Page 4.0f 10 PROFESSIONAL AND CIVIC RELATIONSHIPS 7a). During 2016, were you, your spouse or members of your immediate family a director, officer, governing board member, employee, independent contractor, or registered lobbyist of 2 nonprofit corporation of organization operating in the State of North Carolina primarily for religious, charitable, scientific terary, public health and safety, or educational purposes? IK ¥es [INo- If “No,” proceed to question & » Do not list State boards or entities, or entities created by a political subdivision of the State, - > Do not ist organizations of which you are a mere member. Name of Person His/Her Position Name of Nonprofit Nature of Business or Corporation or Organization | Purpose of Organization | see attached _— — IT — i - 1— = 7b). If the nonprofit corporations or organizations listed above do business with the State of North Caralina or receive State funds, please provide a brict description of the nature of that business, if known or with which due diligence coud reasonably be known. Name of Nonprofit Corporation or Organization Describe State Business or State Funding [None or Not Known 6. During 2016, were you, your spouse, or 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? | ves Co Coton ofr vou ret regres coit hs sso ou rt scans | You ave a legislator or a Judicial officer or you are iling a2 an apporntee to those offices. | »Do not lst organizations of which you are only a member (not serving in a leadership role). Name of Person Name of Society, Organization | Leadership Position or Advocacy Group (Director, Officer, Board Member) Ann B._ Goodnight Cary Academy Founding Board Member The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 10 (a). List the name of each company or business with which you were associated where you or a member of your immediate family vas an employee, director, office, partner, proprietor, or member or manager 3s of December 31, 2016, Name of Person Relationship to Filer Name of Company Role of Person No Business Associations — — | — 1 3(b). 1f you know that any company or business entity listed in 9(e) 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, 2016, provide a ref description of that business activty. Name of Company or Business Entity Description of Business Activity with the State CJ Hot applicable (No enttes fisted on #92) [tick apgcatie. u eivusiisied on dos) SE | See attached rere er er——— 10. Are you a practicing attorney? Oves ENo [J udiciel Offcer/State Attorney 11 “Ves, check each category of legal representation in which you or the law firm with which you are affliated has earned legal fees of more than $10,000 during 2016. [J Administrative [) Admiralty [J] Corporate [1 Criminal [Decedent's Estates. [J Environmental [J Insurance [Labor 0) Local Government Real Property [0 securities Oran [Tort tigation (including (J Utities Regulation [J Other category not listed. negligence) 11. DULG 2016, vere you a licensed professional (other than an attorney) or did you provide consulting services individually or as 3 member of a professional association for Which you charged of were paid over $10,007 Oves mNo | Type of Business Nature of Services Rendered The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 10 12. Are yo or your employer, Your spouse of meters of you Inmediats ami, or tht employer curry: License by the State bors r mplying entity with wh you are or wil be associate or * Regulated by the Sate board or employing entity with Which you ar o wil be associated or + Have. business alan wilh the Sat board o employing entity with which you ae or il be associted? es [Mo C]Leoisator/uin Officer You re ot required to complete is uestion you re fig bus ou ar lotr or 0c) Ser (un fier» domes in he SC Hel Toe ovo I ng 55 aes 0 those fc Name of Person I Name of Employer Type of Relationship | Gt appicabie) icensing, Regutatory, Business) ee attached : 55 Are you, your spo o 8 amber of your ymmedt. amily curently 1g stard 0 a obs or abby pcp, or were you registered as such within the 12 months preceding your filing of this form? [Yes [KNo Name of Lobbyist Lobbyiats principal | oateor Regitration Registration | Expianion — 1 S— omHeR p1scLosures. ] 14. During any clea carter 1 Z016 (58 any the Um ped aes you were Sppored, employed or id ar were Roinated 4 5 RGN), 41 You » receive any “gift(s)" exceeding $200 per quarter from a person or group of persons acting together, and + when both you and those person(s) were outside North Carolina at the time you accepted the gift(s), and the IRC) wer gen under circumstances that would lead reasonable peron t conclude ht they were avn for oobi Cives [@No | 50 nt report gis gen by momen of your send amy D0 not report its that hove preveusly ben reported by you 10 the Department of th Secretary of Sate an the gens Report fo Tremp persons Date Tem Received | Name and Address of Danor() | Deserve tam Received | Estimated Market | [ The SEX and any attachments, excluding the Confidential Form, are public records. Page 701 10 15. During 2016 (but only the time period after you were appointed, employed, or fled or were nominated a5 a candidate) did you + accept a “scholarship” exceeding $200 from a person or group of persons acting together and + those person(s) were outside North Carolina and + the scholarship was related to your pubic positon? 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 a judicial officer or you are filing as a judicial officer appointee. » 00 not report ifs that have previously been reported by you to the Department of the Secretary of State on the “Expense Report for Exempted Persons.” > Legislators are not required to report scholarships paid by a nonpartisan legislative organization of which the egisiator | orth General Assembly sa member o arcana a fle of hat organization. Date of Name and Address of Donor(s) | Describe Event Estimated Market Scholarship | Value ] | 16. Were you appointed or are you being considered for an appointment 1 a covered board by the Governor or - 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 Agriculture » Commissioner of Labor » Commissioner of Insurance Oves ho If “Yes, list all contributions you (NOT immediate family members) made during 2016 with a cumulative total of more than $1,000 to the Governor or other Council of State member who appointed you. | > Contributions ae defined in N.C.G.S. 163-278.5(6) and clude, bu a not mea to, “any advance, conveyance, | deposi, distribution, transfer of funds, loan, payment, af, pledge or subscription of money or anything of value | whatsoever.” 1 Date Amount Contributed to (CJ No contribution(s) with a cumulative total of more than $1,000 The SEI and any attachments, excluding the Confidential Form, are public records. Page 8 of 10 17. Are you an appointee or prospective appointee to: 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 . a member of any of the following boards: + ABC Commission « Coastal Resources Commission N + State Board of Education [Yes [No + State Board of Elections « 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 + Utilities Commission « Wide Resources Commission oo oo d. If 50, were you appointed or are you being considered for appointment to that [Clves LiNo public position by a Counci of State member? Council of State members are Isted | 1¢ No, proceed to, in question 16. an, e. If'50, you must indicate whether during 2016 you (not immediate family members) 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 to your public position: [ives [No i. Collected contributions from multiple contributors, took possession of such multiple contributions, and transferred or delivered those collected contributions to the candidate or committee? Contributions are defined in question 16. in. Hosted a fundraiser at your residence or place of business? Lives [INo H li. Volunteered for campaign-related activities, which include, but are not limited to, phone banks, event assistance, mailings, canvassing, surveying, or any | []¥es [No other activity that advances the campaign of a candidate? 18. Have you ever been convicted of a felony for which you have not received either: (1) a pardon of innocence; or (i) an order of expungement regarding that conviction? Clves @No offense Date of Conviction | County of Conviction State of Conviction £9. Are you aware of any other information that you belleve may assist the State Ethics Commission in advising you concerning your compliance with the State Government Ethics Act? [Clves [No If yes, please provide such information below. The SEI and any attachments, excluding the Confidential Form, are public records. Page 9 of 10 AFFIRMATION 1 affirm that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate 0 the best of my Knowledge and elit. 1 also certify that have not transfered. and wil mot transfer, any asset. interest, o propery for the purpose of concealing i from disclosire while retaining an equitable interes. understand that my Statement of Economic Interest and any attachments o supplements theret (ith the exception of the Confidential Form regarding Unemancipated Children) are pubic record | acknowledge tht | hae read and understand N.C... [384-26 regarding concealing or filing to disclose material information and N.C... 1384-27 regarding providing false information: § 1384-26. Concealing or fling to disclose material information. A Fling person wha 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 | misdemeanor and shall be subject to disciplinary action under G.S. 138A. § 138-27. Penalty for false information. A filing person sho provides false information on a statement of cconomic interest as required under this Article Knovwing that the information i fase is guilty of a Class H felony and shall be subject to disciplinary action under GS. 1387-35. 1 Agree 1 i Lo " Z Jf29]¢ Signature Ga bie 5 Gran Name a | Submit SIGNED, ORIGINAL documents only. Do not fax or email this form. The SEL and any attachments, excluding the Confidential Form, are public records. Page 10 of 10 An © Goong Sttement of Economic Interest North Carona tae Eines Commission scl Dacaroar 31.2016 Hem 3A. Intoosts of $10,000 or more in Publicly Owned Companies Owner of rest Name of Company. James H Gosargnt Management Trust Angin LG. James H Goodnigh Managennent Tru: Asani inc Jamas H Gocdngh anagement Trust hie nc James H Goodngn! Managemen Trust 8887 Carp ames H Goodnight Management Trust Ban of Manvel Jama< M Gocangn! Managemen Trust Bovine James H Goodnight Management Trust Brio Myers Squib Jamas H Gocangn: anagenent Trust Contry Inc armas H Goodnan! Management Trt Chemaurs Co James H Gooding Management Trust Cegroup inc Jamas M Gocanan! Managemen Trust Coca ColaCo ‘James H Goodigh! Managemen Trst Disney Wai Go. ames H Goadnght anagem Trust ow Cherseal Co Jama H Gocdngnt Management Trust DuPont (De Nemours Co ames H Gooch Management Trost Duke Energy Corp. Jams H Goan! Management Trust Emerson Eoin Co James H Goocinght Managemant Tnst Ford eter Co Jams H Gooanght Management Trt Glass Soances inc James H Goong! Management Trust Gokiman Sacrs Group Ine ites H Gooangn Management Trust Haleuton Co James H Gocanaht Managemen Trust Home Dag nc James H Gooarigh! Management Trust Honeywell neratonal nc James H Gooanaht Management Trost inter Com ames H Gocanigh Managemen Trst Jetsons Jonnson ames H Goodnghi Management Trust Lockhaca Hota Corp ames H Goodnight Managernent Trst Marck 8 Colne James H Gooanght Management Trost Phaor ine lames H Gooanghi Manager Trust Pros 56 Janes H Goodngh Management Trust iat Diney Co James H Gooanighi Management Trust Worktay ine Arn Gosdnigt Manager Trust Aergan PLC. Aon Goadngn: anagement Trust ATE Ine ‘Ani Gaodnit Management Tost maren om oe ‘Am Goodght Management Trst Bank of America Goro nn Goong anagement Trust Cota Cota Co ‘Arn Gaosriat Management Trust Dow Chemical Co Ann Goadngnt Management Trust Duke Ener Corp. on Gooanan Management Trust Eay ine ‘Aon Goodnign Management Trust Exon losis Corp. Aon Gooangn Management Trust Genral as In “Ann Gaodriat Management Trust Kis Her Co Ann Good: Management Trust Paypal Hokigs inc on Goosnign Management Tt Phos 56 ‘Aan Gosdnit Managers Trist Proctor & Gams Co. Aon Goadnign Management Trust United Heath Group Saves and Ann Goong Brokerage American teratens| Group ames ans Aan Goan: Bakerags mencan Aries Group ne. lames and Ate Goodnight Broxsrae cer Dana and Corp James and An Goodnight Bakersgs ATST ine ares and Aun Gooding Bokerage Brio tiyors Sash, James and Ann Gooding: Sonera Beang Co. James 318 Amn Gooanan: Bokerage ‘Gamgoei Soup Co. ames 3nd Aun Gooanan! Brokerage Carpiar ne James and Aun Goocnght Sokerags Coma Brands ne ates ans Aun Gooan gi Bckeroge Dota A Lines Inc ames 303 Aun Gocanan! rcharage Disney Wa Co ares and Aan Goodnight Brokerage Eolon ance Co Jaros and Arn Goodnah: Brokerage Glead Sconces nc James and Ann Good an! Bckerage Horch 8 Co. ames 378 Aan Gosia Brchersge Nabors industnes LTO. am © Goodnight Statement of Economic Inerest Noh Caroiea Sale Ens Commission cof Dacembar 31 2076 Hem 3A Itarests of 10090 or more n Publicly Owned Companies Owner of interest Name of Company. ames and Aan Gooding! Brokerage przsrine ates and Ann Goon Sckersge Unie Continental Hoings James and Aan Gondght Brokerage Via Disney Go. ames and Ann Gosanah: Brokerage Cncos Fas In James and Ann Goong Bcrerage Daring Ingredients inc: James and Aan Goodnght Brokerage Kindo Heathcare Inc James 3nd Any Gooden Sickarage Moro nc mas and Aon Goodront Brokerage Scent Games Corp James and Ann Goodnghi Brokerage Stbwater Ming Go Jamas and Ann Godin! Bokerage Unied States Stoel Corp. James and Aan Gooinght Brokerage 30S stems Corp ames 3nd Ann Goong Sckerage Mane Technology Gros LTD James and Aan Gosdnght Brokerage JPMorgan Chase & Co Jarhes ans Ann Gooanght wih Rights of Sunivrship Alergan PLC Jamas ana Ann Goadnght wih Fah of Suworshp Adosa Systems ne James and Ann Gooanht wih Rights of Sunivrshi Bank of America Corp ames and Ann Goda wih Ras of Sunworshp Box ne James and Aan Goodnght wih Rights of Sumorsns 5rstl Myers Sub Jarhes 206 Ann Gooding wth Rghts of Surmoreh Cantu nc James and Asn Gordvght wih Rights of Suworship Crevron Corp Janes and Aan Goan wih Fgh of SUNorsh Gico Systems inc James and Ann Goodoght wih Rights of Suvworshp, Cigroup ne Jams and Aan Gooaright wih Rights of Suwon Coca Cola Go Aon 8 Goodnight Stalement of Economic interest North Carola Sse Elves Comission cof Decanter 31 2016 Hem 3G. Financia intrests of $10,000 or more in non-public entities Quner of intrest Name of Business Entity James Gooanght 15.501 Vist LLG. James. Goodnan Aerosai ne James H Goadnignt Prostonmoad Coury Cp, nc. Ban's Goodnight Presionwood County Gib, Inc James 1. Goodnan Captal Groh Group LLC An Goosmant Capt Growth Grous LLC James i Gocdngn SAS Instn nc. James 1. Goodin Apex Oiwe LLC James H Goodnight vaton Parkway Investors LLC James 1. Gooangnt oa Bata Land Partners LLC Samos H Goodnight Butaon Parters 1 LLC James 1 Goacngnt Chatham Development One nc. Lames 1. Goodin hatha Leasing One. nc James 1 Gosanght Cnatnam Park Investors LLC Jaros 1. Gocdngnt cpFUC James H Gooanon oP sou LLC James 4 Goocinght Outham Imperial investors UG James Goodman Fauna Developmen LLC lames Gooanign Flora Development LC James 1. Goodngn Hao nvsiors LC amos 1 Gooanign HS Made GING LLC James 4 Goodnght Mtn 1 Roa Investors LLC James H Goodnion Overock Mokings LLC ames 1 Goodnight Pl horings LLC ames 4 Gooangnt preston Bar LLC James H Goodnight 5 Portharna LG James 1 Goodnight Sourport Acaustons LLC Janes 1 Goodman Fudy Cres Investments LLC James H Gooanght Reco Crook Investments Rockit LLC An 8 Gacanght Staten of Econom intrest Norn Carona State Ethics Commission sof December 31.2016 Hom 3C(1) Other companies owned by "Primary companies” -aquiy interest of $10.00 or more. Primary Company Other companies in which primary company owns. secunties o aquity interest Founa Doveiopment LLC KR Developers LLC Fauna Dovecpment LC Wexlors Development LLC Fauna Doveipront (LC Hol Springs Reskienal Properties LLC. SAS iste nc Datatr Corporation LC. SAS Into ne SAS Federal LAC SAS Insite ne Intsrated Decisions and Systens. In: AS Instite nc AtsgoLLe SAS inte nc SAS Insta IC-DISC Inc. SAS Insti ne BUC Overs nc SAS ins nc. 940 Pariway LLC 545 instite nc Apolo Acqusion LLC SAS iste Ine SAS Gibal Hangs LLC SAS Inte nc Vision Systems & Technoloay. Inc SAS Insti ne Mamer nc SAS instuio nc anich nc 54S into nc Assetink Corporation SAS Inst ne. Campus PLLC SAS Instite nc Nate PLLC SAS Inti nc Research PLUG HS Holdings of NO LLC Four Sar Ventures LC HS Holdings of KC LLC Hosptalty Vanturs LLC HS Holdings of NC LLC NC Culinary Ventures LLC PiHokings LLC Raves Tur and Tractor LLC Southport Acqusions LLC Southport Marna ne Flsady Greek Investments LLG. Cagis Broadband LLC Raed Creak Invesments LLG. Lables Comaration Roy Crook Investments LLC RCI Sequoia Maryand LLC Raed Greok Investments LLC. Wake Pres LLC Foedy Greek Investments Rockule LLG Rocks Mato Plaza LLC Amn 8. Gocongnt Statement of Economic ntrest Nosh Carolina State E#fics Commission As of Docamber 31.2016 Hem 32) ‘Company! Entity f Business Relationshiy Reeay Creek Investments LLC Lease 27 6 acres of and o NC State University Reedy Creek Investmen's LLC Property exchange agreement wih he Sta of North Caroin an North Caroina Stas Unversity for real propery wih 2 vate of $11 650.000 pursuant fo a resolon adopted at September 1s. 2015 Counc of Stats meetng an. 8 Gooanght Staemant of Econom eres Noh Carin Stae Eihcs Commission Date. For he Year Enting December 31.2016 Rem Source of nome Bocpienotincome ent Source ature of Business Type ol inome James H Goadnight SAS nttue ne. Sotware Siar and ders AmB Goodnight SAS ost Inc. Somware sary Ann'B. Goodrigh and Bark of America rokerage secon Inert ans Divcends James i. Gooinant James Goodnight Felt investments Brokerage account ntrest ana Dione An B Goodnight ana Fay Invesiments Brokerage account tres! and Owidonde James. Goadnant AnB Goodnight and JP Morgan Brokerage account otaest and Dividers James Goad Sownga account Ierest James 4. Gosanght Morr Lyrch Brokerage account terest and Dik AmB Goodnght Folly investments Brovecane account Itsest and Dividands James H Goodnign Gokiman Sachs. Bronarage account Ifaest and Dividers ANE il Hi H 2 IE EH 3 i H H Eile A : i PR H § H 13 iy 2 HE LE HIE EH HER HEH HE EHH it H RIHER! i EHH { RHEE LH HEH FEE { z HE H HH HH HH i HEHE HE HHH HHH iH H HHBIHHE slit : IAHHE Hath i HEE 3H i A HH H H 52% Hii T H H HIN HHS 2 i: i E12] 2 1 n HE iF | RHE HH id . Bik Ii £ HHI il 1 HH : H § ann. 8 Goodnight Stern of Economic interest Noth Carol Sta Ethics Commission "As of Decamber 31.2016 Hem S(a) Business Associations person Ruitionship_ Company Rote James H Goodngne Spouse 15.01 vies LLC member James H Ganda: Spouse Aaron. avecoioicer James 4 Gosanght Spouse Prestonwos Court Gi, In: pros AmB Goodnant Prestonwood County CLS, In. snarcholrioicar James H Goodnign Spouse ‘Gaptal Growth Group LLC merbar Am Goosmant ‘Captal Growth Group LLC mame: James H Goodnight Spouse SAS iste In Sicoiocer Aone Goodnont SAS Instule Inc. enpioyeemanager Jams 1 Goodnight Spouse Apex Owe LLC. meme: James H Goodnight Spouse ‘Avan Parkway Investors LLG, meer James H Goodnight Spouse Beta Bea Land Parinersh LLC member Jams H. Goodngh Spouse Bute Partners 1 LLC more: James H Gosanigh Spouse Chatham Development One Ic member James H Goodnight Spouse Chatham Leasing One. nc. member James H Goodnight Spouse Chatham Park Investors LLC member James H Goodnight Spouse CPF LLC maar James H Goodnight Spouse CP Soun uC morber James H Gooding Spouse Outham Ingeril Investors LLG: member ames H Goodngnt Spouse Fauna Development LLC omer James H Goodnight Spouse Flora Development LLC posed Jams H. Gooding Spouse Hero invesiors LLC. memier ames Ht Goodnight Spouse HE Hoings of NG LLC mamoar Jaros H Gooangh Spouse. Michel Mi Roas Investors LLC member James H. Goodnight Spouse. PiHokings LLC mamaer James H. Goodnight Spouse 5 Porttharna LLG posted James W Goosnight Spouse. Sautipont Acqusiions LLC member James H. Gosanght Spouse Reedy Croek Invesiments LLC posted James H Gooanight Spouse. Ready Creek Investments Rocke LLC. member James 4 Goodnight Spouse. veri Hokings LLC momber James H Goodnight Spouse. Preston Babee LLC: floss Am B. Goodright Statement of Economic Interest North Caraina State Etics Commission ‘As of Docamber 31, 2016. tem 3C(2), Hom 9(b), and Item 12. ‘Company Entity Nature of Business Relationship with the State. SAS Instite nc. ‘SAS Instiute Inc. conducts business wih UNG Uniersily System Schools Including sofware licensing. student employment scholarships. folowships, employment recruiting. propery leasing, and consutng. This business included ansactons which generated revenue of $1566 632 during 2016 In 2016 SAS Insitule Inc wransacied sofware lenses wih the State of North Carolina including product revenue of $86 055.473 and Consulting venue of S1770812 In adaiion, uring 2016 SAS Istute nc. mad contract payments of 5306.68 for research projets performed by UNC System schools Reedy Greck Investments LLC Lease of 276 acres of and 1o NC Stale Unversity. Ready Croek Investments LLC Property exchange agreement wih the State of North Carolina and North Carolina Stato Universy, or real properly wih a value of $11 660.000 pursusnt 10 & resolution adopied at September 1st, 2015 Counc of State meeting Chatham Development One Inc. Engaged under December 24th, 2014 agreement o prods third pary constuction Services for baling 1 be leased fo UNC Healthcare.
2016 NC State University Trustees
Document text
COMPLETE THIS FORM AND MAIL SIGNED, ORIGINAL TO STATE ETHICS COMMISSION, 1324 MAIL SERVICE CENTER, RALEIGH, NC 27699-1324 NORTH CAROLINA STATE ETHICS COMMISSION 2016 STATEMENT OF ECONOMIC INTEREST 919-814-3600 www.ethicscommission.nc.gov FILER'S NAME (FIRST, MIDDLE, LAST) Prefix First Name Middle Name Last Name Suffix Mrs. Ann Baggett Goodnight CURRENT EMPLOYER JOB TITLE SAS Institute Inc. Director, Community Relations NATURE OR TYPE OF BUSINESS Computer software 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) NC State University 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 11 A. Do other immediate family members reside in your household? Yes No When used throughout this form, the term Immediate family includes your spouse (unless legally separated). 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. A minor is a child under 18 years old. Minors are emancipated by marriage, enlistment in the US military or court order for emancipation. FULL NAME OF ADULTS & EMANCIPATED MINORS RELATIONSHIP EMPLOYER JOB TITLE NATURE OF BUSINESS James Goodnight Spouse SAS Institute Inc. Chief Executive Officer Software B. List ONLY the initials of all emancipated minors in your household below. A minor is a child under 18 years old. Minors are emancipated by marriage, enlistment in the US military or court order for emancipation. Note: You must list the full name of each minor child on the Confidential Form available at the end of this document. INITIALS FOR UNEMANCIPATED CHILDREN RELATIONSHIP EMPLOYER JOB TITLE NATURE OF BUSINESS PROPERTY INTERESTS 1. As of December 31, 2015, did you, your spouse, or 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 James H & Ann B Goodnight 100 Cary Wake James H & Ann B Goodnight 100 Wilmington New Hanover James H & Ann B Goodnight 100 Boone Watauga County 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 Reedy Creek Investments LLC NC State University Cary, Wake County The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 11 2. At any time during 2014 or 2015 , did you, your spouse, or members of your immediate family sell to or buy from the State of North Carolina personal property with a market value of $10,000 or more? Yes No Name of Purchaser Name of Seller Type of Property FINANCIAL INTERESTS 3. As of December 31, 2015, did you, your spouse, or members of your immediate family own any of the following financial interests valued at $10,000 or more? A. Stock in a publicly owned company? Yes No Do not list ownership interests in a widely held investment fund (including mutual funds, regulated investment companies, or pension or deferred compensation plans) if: (i) the fund is publicly traded or its assets are widely diversified; and (ii) neither you nor an immediate family member are able to control the assets held in the mutual fund, investment company, or pension or deferred compensation plan. Owner of Interest Full Name of Company (Do not use a ticker symbol) See Attached 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 (including 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 See Attached The SEI and any attachments, excluding the Confidential Form, are public records. Page 3 of 11 C (1). For each non-publicly owned company or business entity (the “primary company”) identified in question 3.C above, 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 See Attached C (2). If you know that any company or business 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, provide a brief description of that business activity. Name of Company or Business Entity Description of Business Activity with the State None or Not Known See Attached 4. As of December 31, 2015, were you, your spouse, or members of your immediate family the beneficiaries of a vested trust with a value of $10,000 or more that was created, established, or controlled by you? Do not list assets held in blind trusts. See 2016 SEI Helpful Tips for the definition of “Vested Trust” and “Blind Trust.” Yes No Name and Address of Trustee Description of the Trust Your Relationship to the Trust Ann Baggett Goodnight 900 Appletree Lane Cary, NC 27513-0000 Revocable Living Trust Trustee 5. As of December 31, 2015, did you, your spouse, or 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. Yes No Name of Debtor (You, Spouse, Immediate Family Member) Type of Creditor (Commercial Bank, Credit Union, Individual, etc.) The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 11 6. List each source of income (not specific amounts) of more than $5,000 received by you, your spouse, or members of your immediate family during 2015. Include salary, wages, state/local government retirement, professional fees, honoraria, interest, dividends, rental income, business income, and other types of income required to be reported on your State and federal tax returns. Do not include income received from the following sources: Capital gains Federal government retirement Military retirement Social security income/SSDI Recipient of Income Name of Source Type of Business/Industry Type of Income I had no reportable income over $5,000 in 2015. See Attached PROFESSIONAL AND CIVIC RELATIONSHIPS 7(a). During 2015, were you, your spouse or 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 the State of 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 a political subdivision of the State. Do not list organizations of which you are a mere member. Name of Person His/Her Position Name of Nonprofit Corporation or Organization Nature of Business or Purpose of Organization See Attached 7(b). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive State funds, please provide a brief description of the nature of that business, if known or with which due diligence could reasonably be known. Name of Nonprofit Corporation or Organization Describe State Business or State Funding None or Not Known See Attached The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 11 Please answer the following question as it pertains to the following board/agency: NC State University Trustees 8. During 2015, were you, your spouse, or 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 because you are a legislator or a judicial officer or you are filing as an appointee to those offices. Do not list organizations of which you are only a member (not serving in a leadership role). Name of Person Name of Society, Organization or Advocacy Group Leadership Position (Director, Officer, Board Member) Ann Goodnight Friday Institute for Educational Innovation at NCSU Board of Advisors Member 9(a). List the name of each company or 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, 2015. Name of Person Relationship to Filer Name of Company Role of Person No Business Associations See Attached 9(b). If you know that any company or business 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, 2015, provide a brief description of that business activity. Name of Company or Business Entity Description of Business Activity with the State Not applicable (No entities listed on #9a) No relationship / Not known See Attached 10. Are you a practicing attorney? Yes No Judicial Officer/State 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 2015. 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. The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 11 11. During 2015, 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 Please answer the following question as it pertains to the following board/agency: NC State University Trustees 12. Are you or your employer, your spouse or members of your immediate family, or their employer currently: • Licensed by the State board or employing entity with which you are or will be associated or • Regulated by the State board or employing entity with which you are or will be associated or • Have a business relationship with the State board or employing entity 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 because you are a legislator or a judicial officer (“judicial officer” is defined in the SEI Helpful Tips) or you are filing as an appointee to those offices. Name of Person Name of Employer (if applicable) Type of Relationship (Licensing, Regulatory, Business) See Attached 13. Are you, your spouse, or a member of your immediate family currently registered as a lobbyist or lobbyist principal or were you registered as such 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 The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 11 14. During any calendar quarter in 2015 (but only the time period 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, and • when both you and those person(s) were outside North Carolina at the time you accepted the gift(s), and • the gift(s) were given under circumstances that would lead a reasonable person to conclude that they were given for lobbying? Yes No Do not report gifts given by members of your extended family. Do not report gifts that have previously been reported by you to the Department of the Secretary of State on the "Expense Report for Exempted Persons." Date Item Received Name and Address of Donor(s) Describe Item Received Estimated Market Value Please answer the following question as it pertains to the following board/agency: NC State University Trustees 15. During 2015 (but only the time period after you were appointed, employed, or filed or were nominated as a candidate) did you • accepted a “scholarship” exceeding $200 from a person or group of persons acting together and • those person(s) were outside North Carolina and • the scholarship was related to your public position? 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 a judicial officer or you are filing as a judicial officer appointee. Do not report gifts that have previously been reported by you to the Department of the Secretary of State 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 or participant or an affiliate of that organization. Date of Scholarship Name and Address of Donor(s) Describe Event Estimated Market Value The SEI and any attachments, excluding the Confidential Form, are public records. Page 8 of 11 Please answer the following question as it pertains to the following board/agency: NC State University Trustees 16. Were you appointed or are you being considered for an 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 (NOT immediate family members) made during 2015 with a cumulative total of more than $1,000 to the Governor or other Council of State member who appointed you. Contributions are defined in N.C.G.S. 163-278.6(6) and include, but are not limited to, “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 contribution(s) with a cumulative total of more than $1,000 The SEI and any attachments, excluding the Confidential Form, are public records. Page 9 of 11 Please answer the following question as it pertains to the following board/agency: NC State University Trustees 17. Are you an appointee or prospective appointee to: 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 • UNC Board of Governors • Utilities Commission • Wildlife Resources Commission Yes No If "No", proceed to question 18. d. If so, were you appointed or are you being considered for appointment to that public position by a Council of State member? Council of State members are listed in question 16. Yes No If "No", proceed to question 18. e. If so, you must indicate whether during 2015 you (not immediate family members) 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 to your public position: i. Collected contributions from multiple contributors, took possession of such multiple contributions, and transferred or delivered those collected contributions to the candidate or committee? Contributions are defined in question 16. Yes No ii. Hosted a fundraiser at your residence or place of business? Yes No iii. Volunteered for campaign-related activities, which include, but are not limited to, 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 of innocence; or (ii) an order of expungement regarding that conviction? Yes No Offense Date of Conviction County of Conviction State of Conviction The SEI and any attachments, excluding the Confidential Form, are public records. Page 10 of 11 19. Are you aware of any other information that you believe may assist the State Ethics Commission in advising you concerning your compliance with the State Government Ethics Act? Yes No If yes, please provide such information below. 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 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 4/12/2016 Signature Date Ann Baggett Goodnight Printed Name The SEI and any attachments, excluding the Confidential Form, are public records. Page 11 of 11
2016 NC State University Trustees
Document text
ee ———— SIN NORTH CAROLINA STATE ETHICS COMMISSION Ah 2016 STATEMENT OF ECONOMIC INTEREST, == = |. 5g “| & e 194143000 www ethiscommission.ne gov [FILER NAME (FIRST MIDDLE, LAST) REASON FOR FILING (SELECT ALL THAT APPLY) STATE GOVERNMENT JO (Pease specify he agency for | BOARD COMMISSION (Pese fs omplt ne fll hich you work o ae beng considered) Sint boards on which you are seving rar being considered) —] The SEI and any attachments, excluding the Confidential Form, are public records Page zof 13 |# Yes OINo Reedy Creek Investments LLC |NC State University 3 at any time during 2014 or 2013, did you, your spouse, or menmbers of yout immediate family sell 0 o buy from he Sate of [North Carolin personal property with a market value of $10,000 ar more? Oves No E —— FINANCIAL INTERESTS. 5. As of December 31. 2015, did ou, your spouse, of members of your immediate family own any of the following financial terest [valued at 10,000 or more? A. Stock ina publicly owned company? “ves ON » Do pot Tt owners interests in a widely hed ovesment fund including mutal fonds, egaltedinsiment compris. or pension dette compensation plans) (1) the fd s publ ated os assets are widely diversified: and i) either you mor am immediate nly member ae able 0 control the assets hed in the mutual und. invest company. or peasion or deferred compensation plan. ~ B Owner of Interest Full Name of Company (Do not usc a eker symba) 2 Sex Ariached B. Stock Options ina company or business” Ove @No Owner of Stock Option Full Name of Company (D0 mat use a ticker symbaly C. tnerests in non: publicly owned company or business entity Grsluding interests in sole proprictorships, partnerships imited [artnerships, Joiat ventures, limited laity companies, Hite lability partnerships, and closely held corporations)? Yes [INo_10"No". proceed to question 4. Onner of taterest Name of Company or Business Entity E See Auached The SEI and any attachmnts, excluding the Confidontial Form, are public records. Pago dof 13 Em oo Name of Debtor (You, Spouse. Immediate Family Member) Description of Business Activity with the State. [Please answer the following question as it pertains to the following board agency: [OYes @No [OTHER DISCLOSURES. - Ove No OYes No : phone banks, event assistance, mailings, canvassing. surveying, or any other activity thar [Yes CIN C1Yes No Ifyes, please provide such information below. ~ 0 IN a Wa 8) Upped, An 8 Geadnght Statement of Economie narast Nath Carona State tvs Commission As of Dacamer 31 2015 Hom 3A Interests of 10.000 or more in Publicly Owned Compariss. Own of toast Namo of Company James H Goodght Management Trust Atergun PLC James H Good: Mavagemen Trst Age ne James H Good Managemen Trust 8087 Cop James H Goodngn: Management Trst Bak of Montes! anes H Goong Management Tnst Borne ames H Goodinght Managemen Tris Bros Myos Sau James H Goodngnt Management Trust remus Co James 4 Gooangn: Managemen Trust Cigoup inc ames H Gooangnl Management That Goch Cols Go Jamas H Gooangnt Management Trust Dow Cremica Co James § Gosingnt Management Trat Ou Poni 106 Nemours § Co aves H Good Management Tost Due Energy Corp. James H Gootngn Managemen Trst Emerson Ecc Co “James H Gooanghi Managem Trust Ford Motor Co ames H Godin Management Trust Gisac Seances nc James H Goounght Management Trust Goldman Sachs Group Inc nes M Goong Management Trust Hatton Co James 4 Gosgngnt Management Trust Home Degat ac James H Gooanan Management Trust Honeys neato nc James H Goodngt Management Test nial Corp James H Gosdngn Management Trust Jonson & Jonsson “lames H Goesngnt Management Trust Merck 8 Cone James H Goodnght Management Trust Piaerine James H Gosangn Management Trost: Privos 63 James H Geodon Management Trust WatDaney Co Jes 4 Gosangnt Mnagerment Trust Workday nc An Goong Management rst Alergan PLC. a Gosdnght Management Tost TET ne Am Goong Management Tost Amazon com nc An Goadngnt Management Trust Bone of Arca Coro 30 Goad gh Management Tost aca Cola Co Am Gondngn Management Trust aw Crema Co Ann Gondngh Managemen Trust Dike Every Corp Ann Gosdngn Management Trust Eoay inc Bon Gondgn Management Trust Ect Mabie Corp An Gong: Management Trust Goneraithia ne An God: Management Trt real Heinz Co An Goadnge: Management Tt Payoal Hosings nc 20 Goong Management Tt Philos se An Gosdng Management Trust Procior Gams Co en Gondngh: Management Tust Unted Heath Group anes 4nd Ann Goatngh Brerage Amer Iteratonal Gris Jame: and An Gooangn! Brorerage Amana Arines Group ne Jitnes 303 Ann Gosdnan Boxers Bist Sass, Jams and Ann Gooangn Brokerage Osta Ar Lines xc James an Amn Goodngn Brera Goad Sownces nc Jamon 3d Ann Goodnight Bskaragn Horch Co nc res 308 An Godngm Bcharage Nadars Ingusines LTO Same: 399 Am Goodnant Brokerage Phar inc James 393 Amn Goodngn Broserage nied Contents Hoiangs James 333 Aon Good Brokers Vit Osney Ce James and Ann Gondngh Bixerage Geos Fas ne ames 403 Ann Gosangn Brovorags arog Ingredients inc: ames and Am Gooangn Brokerage Kind aaincare ne James ana Amn Goaanan Brrarage Mortar nc James and Amn Godan Bokersga Scenic Games Cory Janes 30d Ann Goodman Bokersgs SUbwater Wes Go James 335 Ann Gooangnt Bronerage nies States rest Corp aes and Avr Godinot Brokerage 30 Systms Ce Ann 8 Gosgnan Statement of Econom terest Rath Caron Stato Etnies Commission sof Decamber 31. 2015 em 3A Interests of $10,000 of more in Publicly Owned Companies Owner of ntrest Hams of Company James and Ban Goodnight Brokerage Mae Tecnnoogy Graua LTO mes and Ann Gooangn Bonsage JPMorgan Chase 8 Co James 00a Ann Goo ght wih Rts of Survuarsnp Alegan PLC James and Arn Goodngnt wih Rgs of Suuscrsho Ade Systs nc James and Anh Goodnght wih Rghs of Suvorshs Bank of America Coro Jaines and Ann Gooanghtwlh RNa of Sunvcrsnp Bot ine es 970 Ann Goodnant wth Rights of Sunors Brio Mysrs Saud Jaros 3nd Aon Good ght wih RGhs of Suvecrsho Catia in: James and Anh Gaodght wih Rants of Suvaorsha Crevion Corp Jamas and Ann Gooanght win Rg of Survarsn Cisco Systems nc James and Ann Goan gh wih Rts of Sunorsho Cigioap nc ares and Amn Goodnight wih Rh of Surversho Coca Coa Co Aon 6 Gonna Statement of Econom nest Noth Carona Stale ins Commission As of December 31,2015 Mem 3C Financia ntrests of $10,000 or mars in non pubic enties Owner ot nterost Name of Business Entity James 1 Gooangns Aerosat ine James 1 Goosngn prestonwed County Ci, inc A'S Goong Prestonasas Coury Cn, In: James 1 Gosanan! Gaptal Grow Group LLC. nS Gooangn Cantal Growth Group LLC James i Soaangn, SAS latte he James H Gosdngnt Apex Oive LLC James 1 Gosangnt Ivan Parva Investors LLC Jaren H Goosnan Beta Beta Land Paras LLC James H Goodngnt Bulfaios Paters 1LLC James 1 Goaanght Cameron Pons investors LLC James 1 Goosnan Cathar Developmen: 07a nc James H Gooangnt Chatham Leacig One. nc James 1 Coonan Chatham Park Investors 1C James 1 Goognant [lp —— James 4 Gooding Fauna Development LLC ames H Ganga Flora Development LLC James 4 Gondagrt Hahcro Investors LLC. Jaros 4 Covina HS Holdings of NG LLC. James H Gooanght Miche! Wi Roms Investors LC James 1 Gooangnt Ovaroon rings LLC. James 1 Govan: Pi Hoings LLC James H. Gaangnt Preston Baoeo LLG Jimea 1 Goon gn S Port Marna LLC James H Godan Southport Acausions LLC James H Goong Ready Creo nvsiments LLC James H Ganda Reedy Creek Investments Roche LLC Am 8 Gann Sremast of Fama rst Nom Catora Sis Eis Gammsson At Becamonr 1 2015 Wem 361) thar companies owned by “Primary companies” -equty intrest 310000 or more primary Company Omar companies in which primary company owns Fauna Doapmant LLG KCR Dovwopers 4 Founa Ceviuprent LLC Landa ssocones LG Fauna Dovebpme LLG World Devsogment L1G Fama Dovcopman LLG Hoy Spgs Resderta rosaries LUC 5 ttt nc Oust Coporaton UG $08 ite nc SAS Feawm LLC 508 ict oc. nomad Deca aus Systems. nc 3 tte oe Aap iiC SAS ane ne SAS hatte 015 Si aiaeine Bc aware ne Shs ade ne Sapam LC SS te ns oie Acaseton UC 33 mine ne SAS ion Figs U4 SAS tise nc Ven Sars & Tacos. ne $03 bite oc. Vases SAS nat ne Satu ns SAS mint nc praa— SE ate ne Cimon UE She mine ne Vor LLC SS ae re Reseatn 4C HMO INGLE Fou Si Vantin 4G US Homie SING ALS Hosotaty Verse LO HotoumeANGLS NE Cum Venues LG PiHadngs LG Reve Tit as Tractor UG Soumpot Asters LLC Sounoan Maa in Rey Crs esimats LLC Capt Bosshard LG Fesoy Cran Imesimats LLG Logi Copmaton Ready Cook Iemma LLC. RC 303508 Mayan LLG [Re——— Foon Mato Paza 1 LC AmB Googngnt Statement of Econom Interost Notts Caroina State Ethcs Commission ‘As of December 31,2015 tem 3c(2) ‘Company! Entity Nature of Business Relationship with the State. Reedy Creek Investment LLC. Lease 27: acres of and to NG Site Unversity. Am. 8 Gonran Statament of Econom interest Noth Carona Stato Etncs Commission Date For the Yew: Enlng December 31. 2015 lems Source ot income Rapanot income entty Sauce Matus of Busness Type of ogame. James Gonna SAS Insttte ne Sofware Slay ang wens. AmB Gootngn SAS nse nc Sotware savy Ann Goeingn and Sank of mera Brokarage account Interest and Diente James Condon sams Goodnight Feely Investments overage account eres and Ovens An Gocongntand ety Investments Brokerage account ses! and Owns ames H Gaoangn AmB Goong ans JP Morgan Brovarage account Intros and Dir ames Goodman Senge account Inert Jaron 1 Goong Ment Lye Euokersge account tres and Dv oends. AmB Good Faery nvesiments Brokerage account Inerest and Divsends James 1 Gosdngn Goman Sachs Euonersge account Inarest and Dvdr S15] H H . tet. |g HERE Hii i HER IRI IA Ea R HER ERT HIE pl iE] 8 [FF RdEEBER far i? ir [E it HIE in HE HHHHIES BE HiERE EEE FLEA] 7 i adenine RAH FR BEER Ba ERIE i Hn a GE HIRE IRR Eh i HER IERAR HEN ERE RE H Ale [elilel Joe [ds Lo] Ja HELE | 3 LEAL HEIR ARH HH 5 i [HH sith 2 sl 5 ssf els f : lel: f Hig HEE ARERR HII HER HER HERR NEAR REI 20 © Gonngn Stamens of Economic mers! Nor Capon sale Eines Commission Duca 1 2005 em ts) Business Associations James 4 Gounignt Spouse Aosaties aonsontiont Jomestt Covina Soowse Prstomona oun Cs. nc fring m3 Goodngnt Prestornaod Coury G1. nc venation Swmes i opt Soouse Capt Crowh Soup US meme Tons Gocanait Gop Grow Gop LLC meer Sams 1 Cooma Soosse SAB stan Srnaaitcs: Aon® Gostnont SAS tte ne Crsyeaimaniger Somes Goma Spouse AoetOwo LL emer Tames 4 Going Sposa Avan Panay nestor LUC pos Lmertt Gorin Soowie SuaSewLwaPammsipuC member lament Gordian Spose Buflace Parnes 1LLC amor Vomoot) Goadngnt Soom Cameron Pond nueiors UC pinived Jomesh Gouna Spams CravamDmwopmeriOnains manner Vimes 4 Goanght Spouse Chatham Leas One 1c ames imesh Gongs Spouse Cratam Pan imesrs LC puted Tames Gost Spouse Duna impar istos LG remo Timea Gong Spo Fauna Doveepmant Lic jie Viet H Guang Spouse Fra Dovemprani LLG ames Times 1 Comngh Spore Hart mesos LLC Tanoer Uamei Goinght Spouse HSNO NG LLC pli Tomentt Covina Soovse MichaiA Reng inasos UC member lames Gooihgt Spowse Pld LLC neon limes Goran Soovse 5 Pubic ramos: meat Conta Soovit Souhoon Autom LLG si Tomes) Gong Spovse Reet Conk inesinerts UC emer Tomes Gomnght Sposa Ready Cesk InvesmentyRockvte LLG. member Uomes 1 Goninght Spovse Dverook Haange 10 pul James Gonna Spoute ProsionBamen LC Jostint sn B Goodnight Statement of Econom lerest Hoth Carona Sate EDcs Commssin ‘Asof Dacemoer 31.2015. tom 3(0) and tom 12 ‘Company Entity Nature of Business Relationship with the State Shs ste SAS inti In. conducts business wih UNC Uns System Schools Including software consing student employment. chGBSD, elowsnps, employment ucnuting. propery aasing and corsutng This busnoss Inch ansacions whieh generated revenue of $1 186,126 dung 2015 2015 SAS mite ne tansaced softwar [censes wit ne Sate of Not) Cana rcsing produc revs of $9 995 124 and consutng venue of 229298 Roy Creek Ingstmenis LLC Loase of 27 6ocres of and 1a NC Sime Urversly Reedy Crock Investments LLG Property oxchange agreement wih he State of North Caron and Noth Carcina State Unvery. for rl ropedy wih a valu of 311.550 000 pusant 0 3 Testun dope at Setener 1st 2015 Counc of State meetng Chatham Development One Inc. Engaged under Dncomber 24h 2014 pean 0 Srv hd pany Consycton Sein of busing 1 be eased 0 UNC Heolicare
2015 UNC Board of Governors
2015 NC State University Trustees