Anna Baird Choi

This entire document is a public record. STATE ETHICS COMMISSION 2021 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM ELECTRONIC FILING This entire form must be completed to fulfill your ethics filing obligation. Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Ms. Anna Baird Choi Reason for Filing (Complete all that apply.) State Government Job (Specify agency and position.) Board/Commission (List the complete names of all State boards on which you are serving or are being considered.) Rules Review Commission Judicial Officer (Specify office.) Legislator (Specify House or Senate.) AFFIRMATION The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form Regarding Unemancipated Children public records. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm that I have reviewed my most recently filed 2020 Statement of Economic Interest and that as of December 31, 2020, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 05/03/2021 Signature Date Anna Baird Choi Printed Name

This entire document is a public record. STATE ETHICS COMMISSION 2020 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM This entire form must be completed to fulfill your ethics filing obligation. FOR STAFF USE ONLY Date Received: Checked for completion ______ Scanned _______ Date______ Entered in DB ____by______ Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Ms. Anna Baird Choi Reason for Filing (Complete all that apply.) State Government Job (Specify agency and position.) Board/Commission (List the complete names of all State boards on which you are serving or are being considered.) Rules Review Commission Judicial Officer (Specify office.) Legislator (Specify House or Senate.) AFFIRMATION The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form Regarding Unemancipated Children public records. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm that I have reviewed my most recently filed 2019 Statement of Economic Interest and that as of December 31, 2019, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 05/18/2020 Signature Date Anna Baird Choi Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

FOR STAFF USE OM. wl Rg wd Gia) STATE ETHICS COMMISSION Date Received: ATE JAN 2 4 29 \& alr 2019 STATEMENT OF ECONOMIC INTEREST & NO-CHANGE FORM cnet tor corSAIG ETHGS COUISSI This entire form must be completed to fulfill your scans 35 owe | 24111 ethics filing obligation. ———— Filers Name (First, Miadle, Last) oT oo rote Tm irs Name adie name Losttame | sum | Aaa Ped Cini 3 Reason for Filing (Complete all that apply. I —— | State Government Job (Specify agency and position.) 1 Board/Commission (List the complete names of all State | i 4 boards on which you are serving or are being considered.) | | RC Rules Revs Go mmission, | | Judicial Officer (Spec office.) Legistator (Speciy House or Senate.) 1 | | ET — IE — a 1 | ma ntormation provided in ths Statement of Economic Interest and any attachments ae tru, complet, and accurate to the best of my knowedge 3nd belief. 1 have not transferred, and wil not transfer, any asset, interest, or property for the purpose of concealing i from disclosure while retaining an equitable interest | Lunderstand that my Statement of Economic Interest and any attachments except for the Confidential Form Regarding | Unemancipated Chidren public records. | Sane | nove read and understanc the following statutes | N.C.G.S. § 1634-191. Concealing or failing to disclose material information. A fling person who knowingly conceals or knowinaly fal to disclose information that i required to be disclosed on | Sema eons mar shllo go f 5 Ce§ damon oh Set Sore en | Under G5. 163A415 N.C.G.S. § 1634-192. Penalty for false information. | A fing person who provides flse information on a statement of economic interest... knowing that the information i is fos s guilty of a Class H felony and shai be subject 6 disciplinary schon under 6.5. 1634-415. T affirm that 1 have reviewed my most recently filed 2018 Statement of Economic Interest and that as of | December 31, 2018, my responses continue t be true, correc, and complete to the bet of my knowiedge and belief, 1 affirm under penalty of perjury that the foregoing is true and correct. |__ LL 7 22 49 i | — r— | fron 2 BaD po | Printed Name Submit signed, original documents only. Do not fax or e-mait this form. This entire document is a public record.

COMPLETE THIS FORM AND MAIL SIGNED, ORIGINAL TO STATE ETHICS COMMISSION, 1324 MAIL SERVICE CENTER, RALEIGH, NC 27699-1324 NORTH CAROLINA STATE BOARD OF ELECTIONS AND ETHICS ENFORCEMENT 2018 STATEMENT OF ECONOMIC INTEREST 919-814-3600 www.ncsbe.gov/Ethics/SEI FILER'S NAME (FIRST, MIDDLE, LAST) Prefix First Name Middle Name Last Name Suffix Ms. Anna Baird Choi CURRENT EMPLOYER JOB TITLE Nichols, Choi & Lee, PLLC Attorney NATURE OR TYPE OF BUSINESS Law Firm REASON FOR FILING (SELECT 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) Rules Review Commission; JUDICIAL OFFICER (Specify Office) LEGISLATOR (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 Hunt Kang Choi spouse City of Raleigh Deputy City Attorney Municipality B. List ONLY the initials of all unemancipated minors in your household below. A minor is a child 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. INITIALS FOR UNEMANCIPATED CHILDREN RELATIONSHIP EMPLOYER JOB TITLE NATURE OF BUSINESS CHC Son none none none JLC daughter none none none PROPERTY INTERESTS 1. As of December 31, 2017, 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 Hunt & Anna Choi 100 Raleigh Wake 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 The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 11 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? Yes No Name of Purchaser Name of Seller Type of Property FINANCIAL INTERESTS 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 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) 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 Anna Baird Choi Nichols, Choi & Lee, PLLC 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 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 Nichols, Choi & Lee, PLLC Legal representation of several occupational licensing boards 4. As of December 31, 2017, 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 2017 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 5. As of December 31, 2017, 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 2017. 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 2017. Anna Baird Choi Nichols, Choi & Lee, PLLC law firm salary & dividends Hunt Kang Choi City of Raleigh municipality salary PROFESSIONAL AND CIVIC RELATIONSHIPS 7(a). During 2017, 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 Hunt Kang Choi Board member Urban Ministries of Wake County charitable nonprofit Anna Baird Choi Board member Helene Foundation charitable nonprofit Anna Baird Choi officer NC Society Daughters of the American Revolution charitable nonprofit Anna Baird Choi Board member Wake County Bar Association nonprofit Hunt Kang Choi Board member NC Association of Defense Attorneys nonprofit Anna Baird Choi officer Campbell Law Alumni Association educational nonprofit 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 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: Rules Review Commission 8. During 2017, 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) 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, 2017. Name of Person Relationship to Filer Name of Company Role of Person No Business Associations Anna Baird Choi self Nichols, Choi & Lee, PLLC President/Shareholder 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, 2017, 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 Nichols, Choi & Lee, PLLC Legal counsel to several occupational licensing boards 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 2017. 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 2017, 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: Rules Review Commission 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) 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 2017 (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: Rules Review Commission 15. During 2017 (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: Rules Review Commission 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 2017 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: Rules Review Commission 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 2017 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. Nichols, Choi & Lee represents several occupational licensing boards which, from time to time, appear before the RRC as a statutorily required part of the rulemaking process. I assist some of these boards with rulemaking; others I do not. However, I recuse myself from participating in all matters involving clients of the firm who appear before the RRC. 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 3/14/2018 Signature Date Anna Baird Choi Printed Name The SEI and any attachments, excluding the Confidential Form, are public records. Page 11 of 11

COMPLETE THIS FORM AND MAIL SIGNED, ORIGINAL TO STATE ETHICS COMMISSION, 1324 MAIL SERVICE CENTER, RALEIGH, NC 27699-1324 NORTH CAROLINA STATE ETHICS COMMISSION 2017 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 Ms. Anna Baird Choi CURRENT EMPLOYER JOB TITLE Nichols, Choi & Lee, PLLC Attorney NATURE OR TYPE OF BUSINESS Law Firm REASON FOR FILING (SELECT 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) Rules Review Commission; JUDICIAL OFFICER (Specify Office) LEGISLATOR (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 Hunt Kang Choi spouse City of Raleigh Deputy City Attorney Municipality Sun Ja Choi Mother in Law n/a n/a n/a B. List ONLY the initials of all unemancipated minors in your household below. A minor is a child 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. INITIALS FOR UNEMANCIPATED CHILDREN RELATIONSHIP EMPLOYER JOB TITLE NATURE OF BUSINESS CHC Son none none none JLC daughter none none none 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? Yes No Owner of Real Estate % Ownership Interest Location by City Location by County Hunt & Anna Choi 50 Raleigh Wake 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 The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 11 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 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, 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 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) 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 Anna Baird Choi Nichols, Choi & Lee, PLLC 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 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 Nichols, Choi & Lee, PLLC Legal representation of several occupational licensing boards 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? Do not list assets held in blind trusts. See 2017 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 5. As of December 31, 2016, 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 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 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 2016. Anna Baird Choi Allen & Pinnix, PA law firm salary Anna Baird Choi Nichols, Choi & Lee, PLLC law firm salary & dividends Hunt Kang Choi City of Raleigh municipality salary Sun Ja Choi Nortel Communications/technology pension PROFESSIONAL AND CIVIC RELATIONSHIPS 7(a). 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 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 Hunt Kang Choi Board member Urban Ministries of Wake County charitable nonprofit Anna Baird Choi Board member Helene Foundation charitable nonprofit Anna Baird Choi officer NC Society Daughters of the American Revolution charitable nonprofit Anna Baird Choi Board member Wake County Bar Association nonprofit Hunt Kang Choi Board member NC Association of Defense Attorneys nonprofit Anna Baird Choi officer Campbell Law Alumni Association educational nonprofit The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 11 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 Please answer the following question as it pertains to the following board/agency: Rules Review Commission 8. 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? 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) 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, 2016. Name of Person Relationship to Filer Name of Company Role of Person No Business Associations Anna Baird Choi self Nichols, Choi & Lee, PLLC President/Shareholder 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, 2016, 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 The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 11 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 2016. Administrative Admiralty Corporate Criminal Decedent’s Estates Environmental Insurance Labor Local Government Real Property Securities Tax Tort litigation (including negligence) Utilities Regulation Other category not listed. 11. During 2016, 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: Rules Review Commission 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) The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 11 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 14. During any calendar quarter in 2016 (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 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: Rules Review Commission 15. During 2016 (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 Please answer the following question as it pertains to the following board/agency: Rules Review Commission 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 2016 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: Rules Review Commission 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 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: 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. Nichols, Choi & Lee, PLLC represents several occupational licensing boards which, from time to time, appear before the RRC as a statutorily required part of the rulemaking process. I assist some of these boards with rulemaking matters; others I do not. However, I intend to recuse myself from participating in all matters involving clients of the firm who appear before the RRC. 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 7/7/2017 Signature Date Anna Baird Choi Printed Name The SEI and any attachments, excluding the Confidential Form, are public records. Page 11 of 11

“+ NORTH CAROLINA STATE ETHICS COMMISSION | FOR ETHICS COMMISSION USE ONLY <M I . 2016 STATEMENT OF ECONOMIC INTEREST 1 ate Reotives: 919-814-3600 www ethicscommission.nc.gov | WER ~8 py pe ties tr comstn 2 V7 THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL S YOUR SEI FILING OBLIGATION | mnie ote | incompiete 25 RR Sup. Sent ome by | Supp. pecoted Dare Evesr/ gw 2 | FILER'S NAME (FIRST, MIoDLE, LAST) oo _ a. bret Frsttame | wadienome lasthome [Sutin | Aone Band | Che 1 CURRENT EMPLOYER 08 TITLE | Nechols, Chei & hee, PLLC Ao | Nichole, bee, I (LS ~ {NATURE OR TYPE OF BUSINESS oT oo ole ee. I REASON FOR FILING (SELECT ALL THAT APPLY) — LJ STATE GOVERNMENT JOB (Please specify the agency | 5 BOARD/COMMISSION (Please lst complete name of all | | for which you work or are being considered) | State boards on which you are serving or are being I _— en | considered) ee ————— - | | NC Roles Revise Conndis sion C1 IUDICIAL OFFICER (Please spect the office you hod) |) LEGISLATOR (Please specify House ar Senate) 1 A. Do other Immediate Family members reside in your household? es No When used throughout ths form, the term Immediate Family includes your spouse (unless legally separated). It also includes members of your extended fomily (your and your spouse's children, grandchildren, parents, grandparents, and Siblings, and the spouses of 2ach of these persons) who reside in your household. List the full name of ail adults and emancipated minors in your household. A minar is 8 child under 18 years old. | Minors are emancipate by mariage, enistment in the US miltary or ours order fo emanopation. | FULL NAME OF ADULTS & | RELATIONSHIP EMPLOYER | JOBTITLE | NATUREOF EMANCIPATED MINORS | er | 1 | 'oustmess Wuok €. Choi | spovec | Ulyof Raleigh Bepuy ty Cig iia) | Municipal wa Che woluninlaw | pews nee | new 1 ‘The SET and any attachments, excluding the Confidential Form, are public records. Page 1 of 10 5. st ONLY the nin ofall unemanclpated minors yout hchkd below. A mine 0 chi uncer 1 yeas Note: You must list the full name of each minor child on the Confidential Form available at the endof this docoment. ch miner child or pr ep prem pros p— pga) | | | ! oC Sow | noes none NUR’ | dec | daugdo ARE Ans As ! I [—— ply res [iN overt negate | omnes narst | Location by cy | toca by Coury truer’ Anna Cliot 100 | Rag | Waa ! | [ | i s. Lease or rent real estate or personal property to or from the State of North Carolina with a market value of ftv babu ert OYes No. pr—p— Nama of Lessee | If Real Estate, Location | It Personal property, phils Ci pa | 2. At any time during 2014 or 2015, did you, your spouse, or members of your immediate family sell Lo or buy from the ‘State of North Carolina personal property with a market value of $10,000 or more? Ove Yio Name of Purchaser i © Name of seller Type of Property i | Tie SET amt amy attachments, excluting the Confidential Form, are pubic records. Page 20110 FINANCIAL INTERESTS 3. As of December 31, 2015, did you, your spouse, or members of your immediate family awn any of the following financial | interests valued at $10,000 or more? A Stock in a publicly owned company? _Oves lve . _ _ I _ NE > D6 not list Gatership interests in a widely held investment fund (inching mutual funds, regulated investment companies, or pension or deferred compensation plans) if: () the fund 1s publicly traded of Its assets are widely diversified; and (s) nether you nor an immediate family member are able to control the assets held in the mutual fond, inestment company, or pension or deferred compensation plan. Owner of Interest Full Name of Company (Do not use a ticker symbol) B. Stock Options in a company or business? ] Tres gto | Owner of Stock Option Full Name of Company (Do not use a ticker symbol) i t | C. Interests in a non-publly owned company or business entity (including interests in sole proprietorships, partnerships, limited partnerships, Joint ventures, limited habilty companies, Tmited ability partnerships, and closely held corporations)? Dives No - 1 “No, proceed to question 4 | Owner of Interest Name of Company or Business Entity (1). For cach non-publicty owned company or business entity (the “primary company”) identi n question 3.C about, please lst the names of any other companies or business entities In which the primary company owns securities or equity interests valued at over $10,000, 1 Known, a Non-Publicly Owned Company or Business Entity | Other Companies in which the Primary Company (the Primary Company) Owns Security or Equity Interests | None or Not Known The SEI and any attachments, excluding the Confidential Form, are public records. Page 30f 10 (2). 1 you know that any company or business entity sted in 3.C or 3.C(1) above has any material business esting o boeiness contracts with the State of North Carolin, or regulated oy the State, provide a bret description of thar business activity Name of Company or Business Entity Description of Business Activity with the State More or Not Known i | 4. As of December 31, 2015, were you, your spouse, or members of your immediate fariy the benaficries of @ vested | st witha vali of $10,000 o moe that ws create, etabished, or controled by you? Do not list assets held in blind trusts. See 2016 SE Helpful Tips for the definition of "Vested Trust” and "Blind Trust.” | Dives sno Name and Address of Trustee Description of the Trust Your Relationship to the Trust } | | 5. As of December 31, 2015. did you, your spouse, or members of your immediate family have liabilities of $10,000 or ore, exon Ie FYSAGAGS yout DHMary personal residence? Examples Inch cred card Sebi, aut asns, student loans, personal 103ns and mra-fomiy de. ves xno Name of Debtor (You, Spouse, Immediate Family | Type of Creditor (Commercial Bank, Credit Union, | Member) | Individual, etc) | S— | 6. List ach source of incom (not specific amounts) of more than $5,000 received by You, your spouse, or members of Vou immediate family during 2015. Include. siary, Wages, state/ocal government relrement, professional fecs, Ronoraia ntrast, GWIAend, ronal Icom, DUSIngs income, 3nd othr pes of income required 0 be pore on your State and federal tex returns Do nat include income received from the following sources: | » Capital gains > Federal government retirement i > military retirement > Social security income/SSOX Recipient of Income Name of Source Type of Type of Income Business / Industry 1 had no reportable income aver $5,000 n 2015 braa Cher | Men Pain Nicky | Loss Rem AdJany | \ 2 ned | i Huot Class City of Raless Monioped thy | Salary us Ja Ue Nov ded Jelacommunichun | pasion * | Motel TANGA Quon The SEL and any attachments, excluding the Confidential Form, are public records. Page 4 of 10 PROFESSIONAL AND CIVIC RELATIONSHIPS | 7(2). During 2015, were you, your spouse or members of your immediate family a director, officer, governing board ves [INo- 1 "No," proceed to question 8 | Name of Person | His/Her Position Name of Nonprofit | Nature of Business or i 1 > < Aono. Chast Daod mob on | Ueline Fandaboe | Clanidbe | " * (NC Seek DMR chanbeble | Prot Cher | - Ube Minishies ridaty Chars badole Sta fund, please rovide » bre esenption of he nature of hat business, I Known or with whieh toe dhaonce com Name of Nonprafit Corporation or Organization Describe State Business or State Funding Xone or Not Known | |'8. During 2015, were you, your spouse, or members of your immediate family a director, officer, or governing board Yes Nowe Legislator Judicial Officer - You are not required to complete this question if you are filing because Name of Person Name of Society, Organization Leadership Position or Avoca Group (Director, Officer, Board Member) The SEI and any attachments, excluding the Confidential Form, are public records. Pages of 10 | 9ta). List the name of each company or business with which you were associated where you or a member of your immediate | Name of Person Relationship to Filer | Name of Company |" Role of person 1 [J No Business Associations - If “No,” proceed to question 10 Pero Che | 400 ln Panic} Nehaly | atone | Puck Cha: | mpovad (iby of Raleigh. | aHwaey | . | 500). 1 you know that any company or business entity [sted in (a) sbove hat any material business desings or | Name of Company or Business Entity | Description of Business Activity with the State | LINot applicable (ho ents se on #92) 1No relatos / Not known . v Reguladed bo tie Statn Ban. wads, Blan, Pani 4, Nid (BT edpabionas vi ods. veryolatll E38 | Coty of Petes aici made) buonead dating) Vale ind onal nol | QP 1 10. Ave vou a practicing atomey> Pes (No [Judicial Offcer/State Attorney. legal es of mare han $10,000 Gung 2015 | { Administrative [7] Admiralty [J Corporate [] Crieminal | [) Decedent's Estates. {I Environmental [J Insurance [7 Labor [110cal Government [Real Property [Securities Tax | Tort imation (incluting Lj Utities Reguiaton Other category not sed. venison § | neangence) ~ enplogmact | 11. Dudna 2015, were you a licensed professional (other than an attorney) or did you provide consulting services | Clves Mo | Type of Business } Nature of Services Rendered | The SEX and any attachments, excluding the Confidential Form, are public records. Page sof 10 | 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 * av. ses UO Sate rd lop ny with whch ao il be ied? | (J¥es [No 7] Legislator Judical Officer - Vou are not required to complete this question f you are fing because. Vou are a leqsator or a yudiial officer ("judicial officer is defined in the SE Helpful Tips) o you are Hing as an appointee to those offices. H Name of Person Name of Employer Type of Relationship (if applicable) (Licensing, Regulatory, Business) Png. Chot len, Pov) Wideads (4 cobs, appa before NC eac| y » ia adenakin maken. TT | Nichols, Char {lee | “Fecnde Se Tall { | uc oats 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 month preceding your fing of thi form? Ove pSto | Name of Lobbyist Labbyist’s Principal Dateor | Registration | Registration Expiration i | | | | OTHER DISCLOSURES | 14. During any calendar quarter in 2015 (but only the time period aftr you were appointed, employed or ied or were | nominated a5 » candidate), dd you | + receive any "qit(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 a the time you accepted the is), and + the G(s) were given under circumstances that would ead 3 reasonable person to conclude that they were given for lobbying? ves Mao 50 not report gifts gwen by members of your extended family oT | D0 not report gifts that ave previously been reported by you to the Department of the Secretary of State on the | “Expense Report for Exempted persons.” i. — Date Item Recaived | Name and Address of Donor(s) | Describe Item Received | Estimated Market Value | 1 | | | The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 10 | 15 una 2015 out any the rerio te you wre apse, employes, or lec ere rome 5 a concite) ad you | + accept o “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, 10 attend a conference, meeting, or similar event, including tuition, travel, lodging, meals, and other Similar expenses. }¥es Pio [Judicial Officer Vou are not required to complete this question you are a judicial aficer o you are Pe a oa ae > Da not report its that have previously ben reported by you to the Department of the Secretary of State on the “Expense Report for Exempted Persons.” > Logiators are not required to report scholarships paid by a nonpartisan legislative organization of which the legislator or the General Assembly s a member or partcpant or an afiate of hat ogame ation. 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 appaintiment to a covered board by the Gavernar or another Council of State member? | Counc of state members are ! » Governor » Lt. Governor > Secretary of State i » State Auditor » State Treasurer » Superintendent of Public Instruction ] > Attomey General » Commissioner of Agriculture» Commissioner of Labor | » Commissioner of Insurance ves Mao 1 “Yes", list all contributions you (NOT immediate family members) made during 2015 with a cmulative 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. 163-276.6(6) and include, bu are not imited to, “any advance, conveyance, epost, distribution, transfer of funds, loan, payment, it pledge or subscription of maney or anythin of vale whatsoever.” i Date Amount Contributed to { Ifo contrbution(s) with a cumulative total of more than 1.000 The SEI and any attachments, excluding the Confidential Farm, are public records. Page 8 of 10 | 17. Are you an appointee or prospective appointee to: | a. the head of 2 principal state department (c.. cabinet secretary) appointed by the |b. 2 North Carolina Supreme Court Justice, Court af Appeals, Supenar or District | Count dodge; or | © a member of any of the following boards: | + ABC Commission | + State Board of Education Wes [No | + State Board of Hectans | + Division of Employment Security I “No proceed to | + Environmental Management Commission question 18. | | + industrial Commission | | « Rules Review Commission | + Gourd of Transportation | | | + iidife Resources Commission | 16150. were you sopoited o re you hing considered or appomment 0 that | (Ives Kilo public position Sy a Count of Stake MAmGer? Counc of Ste members re 4c | 11 ono. proceed to e. 1 50, you must indicate whether during 2015 vou (not immediate family members) engaged n any of the following acts wth aspect t or on behalf of the candidate or campaign committee of the Council of State member who | i appointed You to your pul pothan | [Dives [No i. Collected contributions from multiple contributors, took passession of such | | multe contraptions, and tranciered of denercd those coleced | Contributions to the Candidate or committee? Comributians are defined in | Question 16. | i. Mosted a fundrarer at your residence or place of business? [Yes (ino iil volunteered for campaign-related acters, which include, but ae not ited 10, phone banks, event assistance, mings, canvassing, surveying, of any | CJ¥es (]Na other activity tha advances the Campaign of candiates 16, Mave you ever bean convicted of a felony for which you have not received either () a pardon of nmocence; or i) an onder of expungement regarding that comchans ves gio | Ottense Date of Conviction | County of Conviction State of Conviction | | 1 | 4 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 AC [ves [Xo if yes, please provide such information bein. | The SEX and any attachments, excluding the Confidential Form, are public records. Page 9 of 10 AFFIRMATION id accor the bs omy nowlde nd helet | | Talso certify that T have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it | information and N.C G.S. 138A-27 regarding providing false information § 1384-26. Concealing or failing 10 disclose material information | ona Stace of conic niet unde his Article shall be guy of 4 Clas 1 misdemeanor and shall be subjct | I | A Filing person who provides false information on a statement of economic interest as required under this Atticte | hah | | To - Hine LD | Sianatard de | Anna BAMED Cpl | | Submit SIGNED, ORIGINAL documents only. Do not fax or email this form. I

7,7. NORTH CAROLINA STATE ETHICS COMMISSION 2/7 2015 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM FILER'S NAME (FIRST, MIDDLE, LAST) 05 WRTO ATTA First Name [ middieName [| tasthame sum | ANS Brees | wer REASON FOR FILING (SELECT ALL THAT APPLY) STATE GOVERNENT J08 (Pease spect the gency fr | GJ 20ARD/ COMMISSION (Piss It compe nr fa ‘which you work or are being considered) ‘State boards on which you are serving or are being i Consgeres _ NC Rule Rewisw Brwission. JUDICIAL OFFICER (Pease spociy the offic you hold) _| CJ LEGISLATOR (Please spect House or Senate) AFFIRMATION aff tr th information provided in tis Statement of Economic Interest and any Seach ments hereto re ve, comple, nd aceurte a he bes of my knowledge and bee. aso cert that {have ot transferred, and wil nt tansfer, any asset, interest, o property for the purpose of concealing rom disclosure whi reining an equtanie itares understand that my Statement of Economic Interest and any attachments or Supplements thereto (ith the exception of ne Content For regarng Unémancpaced Cadre) re pose record | Y ackroedge tht 1 have rad and understand N.C.G5. 1384-26 regarding concealing or faling to dese motel rtormaton and NCGS. 1585-33 regaing proving se mormon; § 1384.26. Concesing o fing to cisciose mater formation fing person ho knowingly conceals a knowingly ais o isclse informatio tht requ to be disciosed on stim of economist under ts Arce 3hall b GUly of 3 Clas 1 misdemaanct and habe SUbect 10 spina scion unger 6.5. 1308.45. § 1388.27. Penalty for false information A fing person who provides ase formation an statement of conor Inkrest a required under this Arce ow har foraon 1 13545 Gully of 3 aks {lo an Shall 6 Sub rscpinary Sion under rates, hereby affirm that I have reviewed my most recently fled 2014 Statement of Economic Interest and that as of Docamber 31, 3014, my responses continue 1 be tue, correct, and completa 1 the best of my Knowledge Sha bea. 41 Agree Aus Baed Cio afajis — ge ED Submit SIGNED, ORIGINAL documents ony. De not fax or eri thi form: Sonate | This entire document i a public racord.