Ann Lewis Vaughn

eT NORTH CAROLINA STATE ETHICS COMMISSION TOR ETc CONISTON VRE OY FES oe es (#8 2017 STATEMENT OF ECONOMIC INTEREST CHANGE FORM ho Check or compieson + IC THIS ENTIRE FORM MUST BE COMPLETED TO [sire oe FULFILL YOUR ETHICS FILING OBLIGATION |" [Fes Ra gr, woos, am, - — ren | rtoame | wade fame Lasthome Suttx Dr. [Hens ews VaueunN } [ reason Fo FILING (coMpLETE ALL AT AsPLY _ LL 1 STATE GOVERNMENT JOB (Specify Agency and Postion) | SOARD/COMMISSION (Lst the complete name of a State L _— a |__ boards on which you are serving or are being considered) | | Farry Community Gellege. 1 — _ i. Chizotwd of vaklees) ©) JUDICIAL OFFICER (Specry Office) LEGISLATOR (spect House or Senste) | tn FRemuikron — io that information provided n this Statement of conor ntrest and any attachments hereto are true, | Compete and acura 1 te bes of my keowieage and bee ais cartity that have nt ransfered, and wil nat transfer, any asst, Interest, or property for th purpose of concealing | | it from disclosure while retaining an suitable Interest, | | 1 understand that my Statement of Economic Interest ang any attachments or supsements there (wih th exception of | | the Confidential Form regarding Unemancipated Children) are public record. | {acknowledge tht hove rea and understand N.C.G.5. 1384-26 regarding concealing or fang to disclose material | | information and N.C.G.S. 138A-27 regarding providing false information: l} § 1398-26. Conceaing or fing to disclose material formation | | Ating persn who knowingly conceals or knowingly fas to cose formation that is reared to be disclosed on 2 statement of economic interest under this Article shall be guilty of a Class 1 misdemeanor and shall be subject to | scipinary con unger .5. 1364.15. | ! A fling person who provides fis information on statement of economic interest 3s required under ths Article row tho tha formation ase I guy of iss felony and nal oe suo to dscpinary acon under | CE unas | nrety aftr hse nove reviewed my most recent led 2036 Sateen of Economic nares nd hat a beater 33. 3016, mu espanses continee to be Hoe, correct, and complete to tn best of my knowledge and beter, i | es = p . | Ws CITED Lasagh A FIRE | Signature Bate pb LCs Yauanw | Frinied Name | | Submit SIGNED, ORIGINAL documents only. Do not fax or e-mail this form. ~ . - This entire document is a public record.

, NORTH CAROLINA STATE ETHICS COMMISSION [ore i LZ t J 2016 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM POR—T THIS ENTIRE FORM MUST BE COMPLETED TO |scamos ote | 7 FULFILL YOUR SEI FILING OBLIGATION [mes i 033%, BE [ons ues we er — — rn | prvane | wannname | TC Del Arn Lewis | VAUGHN L | reason ron puns (seLccT AL Tar py N STATE GOVERNMENT 108 (Pease speciy the agency for oonsorcommssion (Paso lis complete name of ail vom wr wt veel AN - a. | considered) J | [omer pm py mr | — ———] k k AFFIRMATION Nn 0 —] mers erat orovfed ne tara of vuoi shot a1 SEARS HSE av a a IE AO — | it trom disclosure while retaining an equitable terest | understand tnt my Saramant of Economic interest and ay attachments o supplements hreta (with the exception of Ire coment Eom tepmvin Unieanepare codon we ne oes 1 scknowiedge nat {nave read and understand N G3. 138.28 egarcing concen of fir to disclose material information and N.C GS 138A-27 regarding providing false information: | | 6 130m.26.Conceotng o fing to dcoss materia formation ! I ——— LE imamam ot sconam mires as os cn Sah esos f+ Coes bee os ov oa i 0 piri es §13860:27. una for fas frmation | | AW prsan who provides ase infermation on statement of economic tres a required unde is Ave Kn rt th tomo ie poy oF Coe el St oa em ve nth I [Fe 1 Barty afi. that 1 have reviewed my most essay fies 2075 Statement of Economie Intoest and tha 25 BT A SRR | fukn [rae oo | (Lon XK Chola Haale sc 16 (sp " nt i Fined Nae | Submit SIGNED, ORIGINAL documents only. Do not fax or email this form. i. |