Anthony M. Copeland

The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 11 STATE ETHICS COMMISSION 2020 STATEMENT OF ECONOMIC INTEREST This entire form must be completed to fulfill your ethics filing obligation. ____ Checked for completion ____Scanned ______Date Incomplete Qs ____ ____ ____ ____ Supp. sent date _______ by _____ Supp. received date _________ Entered in database ______ by ______ Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Anthony Mack Copeland Current Employer Job Title North Carolina Department of Commerce Secretary Nature or Type of Business Economic Development Reason For Filing (Complete all 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.) Commerce, Department of - Secretary Battleship Commission, USS NC Clean Water Management Trust Fund Board Economic Development Partnership of NC Economic Investment Committee Education and Workforce Innovation Commission Food Processing Innovation Center Committee Global Transpark Authority Indian Affairs, Commission of Marine Industrial Park Authority Rural Infrastructure Authority Science, Technology and Innovation, Board of Judicial Officer (Specify office.) Legislator (Specify House or Senate.) A. Do other immediate family members reside in your household? ☒ Yes ☐ No On this form, ”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. Minors are children under 18. They are emancipated by marriage, enlistment in the US military, or court order for emancipation. Full names of Adults and Emancipated Minors Relationship Employer Job Title Nature of Business For Staff Use Only Date Received: The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 11 Monique L. Copeland Spouse Citrix Manager Sales Simon L. Copeland Child N/A N/A N/A The SEI and any attachments, excluding the Confidential Form, are public records. Page 3 of 11 B. List only the initials of all unemancipated minors in your household below. A minor is a child under 18 years old. List the full name of each minor child on the Confidential Form at the end. Initials of Unemancipated Minors Relationship Employer Job Title Nature of Business Property Interests 1. As of December 31, 2019, did you or any members of your immediate family: A. have an ownership interest in North Carolina real estate (including your residence) with a market value of $10,000 or more? ☒ Yes ☐ No Owner of Real Estate % Ownership Interest Location by City Location by County (Self plus Spouse) 100.00% Raleigh Wake Anthony Mack Copeland (Self) 100.00% Hertford Perquimans Anthony Mack Copeland (Self) 100.00% Hertford Perquimans B. lease or rent real estate or personal property to or from the State of North Carolina with a market value of $10,000 or more? ☐ Yes ☒ No Name of Lessor Name of Lessee (Renter) If Real Estate, Location by City & County If Personal Property, Describe 2. At any time during 2018 or 2019, did you or any members of your immediate family sell to or buy from the State of North Carolina personal property worth $10,000 or more? ☐ Yes ☒ No Name of Purchaser Name of Seller Type of Property The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 11 Financial Interests 3. As of December 31, 2019, did you or any members of your immediate family own any of the following financial interests valued at $10,000 or more? List each company individually. A. Stock in a publicly owned company? ☐ Yes ☒ No ►Do not list interests in a widely held investment fund (including mutual funds, regulated investment companies, or pension or deferred compensation plans) if: 1. the fund is publicly traded or its assets are widely diversified; and 2. neither you nor an immediate family member are able to control the underlying assets. Owner of Interest Full Name of Company or ticker symbol B. Stock options in a company or business? ☐ Yes ☒ No Owner of Stock Option Full Name of Company (Do not use a ticker symbol) C. Interests in a non-publicly owned company or business entity? These include interests in sole proprietorships, partnerships, limited partnerships, joint ventures, limited liability companies, limited liability partnerships, and closely held corporations. ☐ Yes ☒ No - If “No,” proceed to question 4. Owner of Interest Name of Company or Business Entity C (1). For each company or business entity identified in question 3.C. (the “Primary Company”), please list the names of any other companies or business entities in which the Primary Company owns securities or equity interests valued at over $10,000, if known. Non-Publicly Owned Company or Business Entity (the Primary Company) Other Companies in which the Primary Company Owns Security or Equity Interests None or Not Known C (2). If you know that any entity listed in 3.C or 3.C(1) above has any material business dealings or business contracts with the State of North Carolina, or is regulated by the State, briefly describe that business activity. Name of Company or Business Entity Description of Business Activity with the State None or Not Known 4. As of December 31, 2019, were you or any members of your immediate family the beneficiaries of a vested trust with a value of $10,000 or more that you created, established, or controlled? Do not list assets held in blind trusts. See 2020 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 The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 11 5. As of December 31, 2019, did you any members of your immediate family have liabilities of $10,000 or more, excluding the mortgage on your primary personal residence? Examples include credit card debts, auto loans, student loans, personal loans and intra-family debt. ☒ Yes ☐ No Name of Debtor Type of Creditor (commercial Bank, credit union, individual, etc.) Anthony Mack Copeland (Self) Commercial Bank Anthony Mack Copeland (Self) Commercial Bank 6. List each source of income (not specific amounts) of more than $5,000 received by you or any members of your immediate family during 2019. Include salary, wages, state/local government retirement income, professional fees, honoraria, interest, dividends, rental income, business income, and other types required to be reported on State and federal tax returns. Please remember to disclose your receipt of salary or wages from any governmental or private entity. 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 Anthony Mack Copeland (Self) North Carolina Department of Commerce State Government Wages Monique L. Copeland (Spouse) Citrix Sales Wages The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 11 Professional and Civic Relationships 7(a). During 2019, were you or any members of your immediate family a director, officer, governing board member, employee, independent contractor, or registered lobbyist of a nonprofit corporation or organization operating in North Carolina primarily for religious, charitable, scientific, literary, public health and safety, or educational purposes? ☐ Yes ☒ No - If “No,” proceed to question 8. ► Do not list State boards or entities. ► Do not list organizations of which you are a mere member. Name of Person Position Name of Nonprofit Corporation or Organization Nature or Purpose of Organization 7(b). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive State funds, briefly describe the nature of that business, if known or with due diligence could reasonably be known. Name of Nonprofit Corporation or Organization Describe State Business None or Not Known 8. During 2019, were you or any members of your immediate family a director, officer, or governing board member of any society, organization, or advocacy group with an interest in matters over which your agency or board may have jurisdiction? ☐ Yes ☒ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing because you are a legislator or judicial officer or you are filing as an appointee to one of those offices. ►Do not list organizations of which you are only a member and do not serve in a leadership role. Name of Person Name of Society, Organization, or Advocacy Group Leadership Position (Director, Officer, Board Member) The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 11 9(a). List the name of each business with which you were associated where you or a member of your immediate family was an employee, director, officer, partner, proprietor, or member or manager as of December 31, 2019. Name of Person Relationship to Filer Name of Company Role of Person Monique L. Copeland Spouse Citrix Manager 9(b). If you know that any entity listed in 9(a) above had any material business dealings or business contracts with the State of North Carolina or was regulated by the State as of December 31, 2019, briefly describe that activity. Name of Company or Business Entity Description of Business Activity with the State Citrix Software supplier 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 2019. ☐ 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 2019, were you a licensed professional (other than an attorney) or did you provide consulting services individually or as a member of a professional association for which you charged or were paid over $10,000? ☐ Yes ☒ No Type of Business Nature of Services Rendered The SEI and any attachments, excluding the Confidential Form, are public records. Page 8 of 11 12. Are you or your employer, or any members of your immediate family, or their employers currently:  licensed by the State board or agency with which you are or will be associated or  regulated by the State board or agency with which you are or will be associated or  in a business relationship with the State board or agency with which you are or will be associated? ☐ Yes ☒ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing because you are a legislator or a judicial officer or you are filing as an appointee to one of those offices. Name of Person Name of Employer (if applicable) Type of Relationship (Licensing, Regulatory, Business) 13. Have you or a member of your immediate family been registered as a lobbyist or lobbyist principal within the 12 months preceding your filing of this form? ☐ Yes ☒ No Name of Lobbyist Lobbyist’s Principal Date of Registration Registration Expiration Other Disclosures 14. During 2019, after you were appointed, employed, or filed or were nominated as a candidate, did you  receive any “gift(s)” exceeding $200 per quarter from a person or group of persons acting together,  when both you and those person(s) were outside North Carolina,  under circumstances that would lead a reasonable person to conclude the gifts were given for lobbying? To answer Yes, all three conditions must apply ☐ Yes ☒ No ► Do not report gifts given by members of your extended family. ► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” Date Item Received Name and Address of Donor(s) Describe Item Received Estimated Market Value The SEI and any attachments, excluding the Confidential Form, are public records. Page 9 of 11 15. During 2019, after you were appointed, employed, or filed or were nominated as a candidate, did you  accept a “scholarship” exceeding $200 related to your public position from a person or group of persons acting together,  when those person(s) were outside North Carolina? To answer Yes, both conditions must apply A “scholarship” is a grant-in-aid, either direct or indirect, to attend a conference, meeting, or similar event, including tuition, travel, lodging, meals, and other similar expenses. ☐ Yes ☒ No ☐ Judicial Officer - You are not required to complete this question if you are a judicial officer or you are filing as a judicial officer appointee. ► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” ► Legislators are not required to report scholarships paid by a nonpartisan legislative organization of which the legislator or the General Assembly is a member, participant, or affiliate. Date of Scholarship Name and Address of Donor(s) Describe Event Estimated Market Value 16. Have you been appointed or considered for appointment to a covered board by the Governor or another Council of State member? Council of State members are: ► Governor ► Lt. Governor ► Secretary of State ► State Auditor ► State Treasurer ► Superintendent of Public Instruction ► Attorney General ► Commissioner of Agriculture ► Commissioner of Labor ► Commissioner of Insurance ☒ Yes ☐ No If “Yes,” list all contributions you made in 2019 with a cumulative total of more than $1,000 to the Council of State member who appointed you. Do not include contributions from immediate family members. ► Contributions are defined broadly in N.C.G.S. 163-278.6(6) and include “any advance, conveyance, deposit, distribution, transfer of funds, loan, payment, gift, pledge or subscription of money or anything of value whatsoever.” Date Amount Contributed to 05/02/2019 $2,000.00 Roy Cooper (Governor) The SEI and any attachments, excluding the Confidential Form, are public records. Page 10 of 11 17. Are you an appointee or prospective appointee as: a. the head of a principal state department (e.g., cabinet secretary) appointed by the Governor; or b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District Court Judge; or c. a member of any of the following boards:  ABC Commission  Coastal Resources Commission  State Board of Education  State Board of Elections  Division of Employment Security  Environmental Management Commission  Industrial Commission  Human Resources Commission  Rules Review Commission  Board of Transportation  Utilities Commission  Wildlife Resources Commission ☒ Yes ☐ No If “No,” proceed to question 18. d. If so, were you appointed or are you being considered for appointment to that position by a Council of State member? ☒ Yes ☐ No If “No,” proceed to question 18. Governor e. If so, you must indicate whether during 2019 you engaged in any of the following activities with respect to or on behalf of the candidate or campaign committee of the Council of State member who appointed you: i. Collected contributions from multiple contributors, took possession of such multiple contributions, and transferred or delivered those collected contributions to the candidate or committee? ☐ Yes ☒ No ii. Hosted a fundraiser at your residence or place of business? ☐ Yes ☒ No iii. Volunteered for campaign-related activities, including phone banks, event assistance, mailings, canvassing, surveying, or any other activity that advances the campaign of a candidate? ☐ Yes ☒ No 18. Have you ever been convicted of a felony for which you have not received either: (i) a pardon; or (ii) an order of expungement? ☐ Yes ☒ No Offense Date of Conviction County of Conviction State of Conviction 19. Are you aware of any other information that you believe may assist the Ethics Commission in advising you concerning your compliance with the State Government Ethics Act? ☐ Yes ☒ No If yes, please provide that information below. The SEI and any attachments, excluding the Confidential Form, are public records. Page 11 of 11 Affirmation The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form regarding Unemancipated Children are public records. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 04/13/2020 Signature Date Anthony Mack Copeland Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 11 STATE ETHICS COMMISSION 2020 STATEMENT OF ECONOMIC INTEREST This entire form must be completed to fulfill your ethics filing obligation. ____ Checked for completion ____Scanned ______Date Incomplete Qs ____ ____ ____ ____ Supp. sent date _______ by _____ Supp. received date _________ Entered in database ______ by ______ Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Anthony Mack Copeland Current Employer Job Title North Carolina Department of Commerce Secretary Nature or Type of Business Economic Development Reason For Filing (Complete all 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.) Commerce, Department of - Secretary Battleship Commission, USS NC Clean Water Management Trust Fund Board Economic Development Partnership of NC Economic Investment Committee Education and Workforce Innovation Commission Food Processing Innovation Center Committee Global Transpark Authority Indian Affairs, Commission of Marine Industrial Park Authority Rural Infrastructure Authority Science, Technology and Innovation, Board of Judicial Officer (Specify office.) Legislator (Specify House or Senate.) A. Do other immediate family members reside in your household? ☒ Yes ☐ No On this form, ”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. Minors are children under 18. They are emancipated by marriage, enlistment in the US military, or court order for emancipation. Full names of Adults and Emancipated Minors Relationship Employer Job Title Nature of Business For Staff Use Only Date Received: The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 11 Monique L. Copeland Spouse Citrix Manager Sales Simon L. Copeland Child N/A N/A N/A The SEI and any attachments, excluding the Confidential Form, are public records. Page 3 of 11 B. List only the initials of all unemancipated minors in your household below. A minor is a child under 18 years old. List the full name of each minor child on the Confidential Form at the end. Initials of Unemancipated Minors Relationship Employer Job Title Nature of Business Property Interests 1. As of December 31, 2019, did you or any members of your immediate family: A. have an ownership interest in North Carolina real estate (including your residence) with a market value of $10,000 or more? ☒ Yes ☐ No Owner of Real Estate % Ownership Interest Location by City Location by County (Self plus Spouse) 100.00% Raleigh Wake Anthony Mack Copeland (Self) 100.00% Hertford Perquimans Anthony Mack Copeland (Self) 100.00% Hertford Perquimans B. lease or rent real estate or personal property to or from the State of North Carolina with a market value of $10,000 or more? ☐ Yes ☒ No Name of Lessor Name of Lessee (Renter) If Real Estate, Location by City & County If Personal Property, Describe 2. At any time during 2018 or 2019, did you or any members of your immediate family sell to or buy from the State of North Carolina personal property worth $10,000 or more? ☐ Yes ☒ No Name of Purchaser Name of Seller Type of Property The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 11 Financial Interests 3. As of December 31, 2019, did you or any members of your immediate family own any of the following financial interests valued at $10,000 or more? List each company individually. A. Stock in a publicly owned company? ☐ Yes ☒ No ►Do not list interests in a widely held investment fund (including mutual funds, regulated investment companies, or pension or deferred compensation plans) if: 1. the fund is publicly traded or its assets are widely diversified; and 2. neither you nor an immediate family member are able to control the underlying assets. Owner of Interest Full Name of Company or ticker symbol B. Stock options in a company or business? ☐ Yes ☒ No Owner of Stock Option Full Name of Company (Do not use a ticker symbol) C. Interests in a non-publicly owned company or business entity? These include interests in sole proprietorships, partnerships, limited partnerships, joint ventures, limited liability companies, limited liability partnerships, and closely held corporations. ☐ Yes ☒ No - If “No,” proceed to question 4. Owner of Interest Name of Company or Business Entity C (1). For each company or business entity identified in question 3.C. (the “Primary Company”), please list the names of any other companies or business entities in which the Primary Company owns securities or equity interests valued at over $10,000, if known. Non-Publicly Owned Company or Business Entity (the Primary Company) Other Companies in which the Primary Company Owns Security or Equity Interests None or Not Known C (2). If you know that any entity listed in 3.C or 3.C(1) above has any material business dealings or business contracts with the State of North Carolina, or is regulated by the State, briefly describe that business activity. Name of Company or Business Entity Description of Business Activity with the State None or Not Known 4. As of December 31, 2019, were you or any members of your immediate family the beneficiaries of a vested trust with a value of $10,000 or more that you created, established, or controlled? Do not list assets held in blind trusts. See 2020 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 The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 11 5. As of December 31, 2019, did you any members of your immediate family have liabilities of $10,000 or more, excluding the mortgage on your primary personal residence? Examples include credit card debts, auto loans, student loans, personal loans and intra-family debt. ☒ Yes ☐ No Name of Debtor Type of Creditor (commercial Bank, credit union, individual, etc.) Anthony Mack Copeland (Self) Commercial Bank Anthony Mack Copeland (Self) Commercial Bank 6. List each source of income (not specific amounts) of more than $5,000 received by you or any members of your immediate family during 2019. Include salary, wages, state/local government retirement income, professional fees, honoraria, interest, dividends, rental income, business income, and other types required to be reported on State and federal tax returns. Please remember to disclose your receipt of salary or wages from any governmental or private entity. 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 Anthony Mack Copeland (Self) North Carolina Department of Commerce State Government Wages Monique L. Copeland (Spouse) Citrix Sales Wages The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 11 Professional and Civic Relationships 7(a). During 2019, were you or any members of your immediate family a director, officer, governing board member, employee, independent contractor, or registered lobbyist of a nonprofit corporation or organization operating in North Carolina primarily for religious, charitable, scientific, literary, public health and safety, or educational purposes? ☐ Yes ☒ No - If “No,” proceed to question 8. ► Do not list State boards or entities. ► Do not list organizations of which you are a mere member. Name of Person Position Name of Nonprofit Corporation or Organization Nature or Purpose of Organization 7(b). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive State funds, briefly describe the nature of that business, if known or with due diligence could reasonably be known. Name of Nonprofit Corporation or Organization Describe State Business None or Not Known 8. During 2019, were you or any members of your immediate family a director, officer, or governing board member of any society, organization, or advocacy group with an interest in matters over which your agency or board may have jurisdiction? ☐ Yes ☒ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing because you are a legislator or judicial officer or you are filing as an appointee to one of those offices. ►Do not list organizations of which you are only a member and do not serve in a leadership role. Name of Person Name of Society, Organization, or Advocacy Group Leadership Position (Director, Officer, Board Member) The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 11 9(a). List the name of each business with which you were associated where you or a member of your immediate family was an employee, director, officer, partner, proprietor, or member or manager as of December 31, 2019. Name of Person Relationship to Filer Name of Company Role of Person Monique L. Copeland Spouse Citrix Manager 9(b). If you know that any entity listed in 9(a) above had any material business dealings or business contracts with the State of North Carolina or was regulated by the State as of December 31, 2019, briefly describe that activity. Name of Company or Business Entity Description of Business Activity with the State Citrix Software supplier 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 2019. ☐ 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 2019, were you a licensed professional (other than an attorney) or did you provide consulting services individually or as a member of a professional association for which you charged or were paid over $10,000? ☐ Yes ☒ No Type of Business Nature of Services Rendered The SEI and any attachments, excluding the Confidential Form, are public records. Page 8 of 11 12. Are you or your employer, or any members of your immediate family, or their employers currently:  licensed by the State board or agency with which you are or will be associated or  regulated by the State board or agency with which you are or will be associated or  in a business relationship with the State board or agency with which you are or will be associated? ☐ Yes ☒ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing because you are a legislator or a judicial officer or you are filing as an appointee to one of those offices. Name of Person Name of Employer (if applicable) Type of Relationship (Licensing, Regulatory, Business) 13. Have you or a member of your immediate family been registered as a lobbyist or lobbyist principal within the 12 months preceding your filing of this form? ☐ Yes ☒ No Name of Lobbyist Lobbyist’s Principal Date of Registration Registration Expiration Other Disclosures 14. During 2019, after you were appointed, employed, or filed or were nominated as a candidate, did you  receive any “gift(s)” exceeding $200 per quarter from a person or group of persons acting together,  when both you and those person(s) were outside North Carolina,  under circumstances that would lead a reasonable person to conclude the gifts were given for lobbying? To answer Yes, all three conditions must apply ☐ Yes ☒ No ► Do not report gifts given by members of your extended family. ► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” Date Item Received Name and Address of Donor(s) Describe Item Received Estimated Market Value The SEI and any attachments, excluding the Confidential Form, are public records. Page 9 of 11 15. During 2019, after you were appointed, employed, or filed or were nominated as a candidate, did you  accept a “scholarship” exceeding $200 related to your public position from a person or group of persons acting together,  when those person(s) were outside North Carolina? To answer Yes, both conditions must apply A “scholarship” is a grant-in-aid, either direct or indirect, to attend a conference, meeting, or similar event, including tuition, travel, lodging, meals, and other similar expenses. ☐ Yes ☒ No ☐ Judicial Officer - You are not required to complete this question if you are a judicial officer or you are filing as a judicial officer appointee. ► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” ► Legislators are not required to report scholarships paid by a nonpartisan legislative organization of which the legislator or the General Assembly is a member, participant, or affiliate. Date of Scholarship Name and Address of Donor(s) Describe Event Estimated Market Value 16. Have you been appointed or considered for appointment to a covered board by the Governor or another Council of State member? Council of State members are: ► Governor ► Lt. Governor ► Secretary of State ► State Auditor ► State Treasurer ► Superintendent of Public Instruction ► Attorney General ► Commissioner of Agriculture ► Commissioner of Labor ► Commissioner of Insurance ☒ Yes ☐ No If “Yes,” list all contributions you made in 2019 with a cumulative total of more than $1,000 to the Council of State member who appointed you. Do not include contributions from immediate family members. ► Contributions are defined broadly in N.C.G.S. 163-278.6(6) and include “any advance, conveyance, deposit, distribution, transfer of funds, loan, payment, gift, pledge or subscription of money or anything of value whatsoever.” Date Amount Contributed to 05/02/2019 $2,000.00 Roy Cooper (Governor) The SEI and any attachments, excluding the Confidential Form, are public records. Page 10 of 11 17. Are you an appointee or prospective appointee as: a. the head of a principal state department (e.g., cabinet secretary) appointed by the Governor; or b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District Court Judge; or c. a member of any of the following boards:  ABC Commission  Coastal Resources Commission  State Board of Education  State Board of Elections  Division of Employment Security  Environmental Management Commission  Industrial Commission  Human Resources Commission  Rules Review Commission  Board of Transportation  Utilities Commission  Wildlife Resources Commission ☒ Yes ☐ No If “No,” proceed to question 18. d. If so, were you appointed or are you being considered for appointment to that position by a Council of State member? ☒ Yes ☐ No If “No,” proceed to question 18. Governor e. If so, you must indicate whether during 2019 you engaged in any of the following activities with respect to or on behalf of the candidate or campaign committee of the Council of State member who appointed you: i. Collected contributions from multiple contributors, took possession of such multiple contributions, and transferred or delivered those collected contributions to the candidate or committee? ☐ Yes ☒ No ii. Hosted a fundraiser at your residence or place of business? ☐ Yes ☒ No iii. Volunteered for campaign-related activities, including phone banks, event assistance, mailings, canvassing, surveying, or any other activity that advances the campaign of a candidate? ☐ Yes ☒ No 18. Have you ever been convicted of a felony for which you have not received either: (i) a pardon; or (ii) an order of expungement? ☐ Yes ☒ No Offense Date of Conviction County of Conviction State of Conviction 19. Are you aware of any other information that you believe may assist the Ethics Commission in advising you concerning your compliance with the State Government Ethics Act? ☐ Yes ☒ No If yes, please provide that information below. The SEI and any attachments, excluding the Confidential Form, are public records. Page 11 of 11 Affirmation The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form regarding Unemancipated Children are public records. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 04/13/2020 Signature Date Anthony Mack Copeland Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 11 STATE ETHICS COMMISSION 2020 STATEMENT OF ECONOMIC INTEREST This entire form must be completed to fulfill your ethics filing obligation. ____ Checked for completion ____Scanned ______Date Incomplete Qs ____ ____ ____ ____ Supp. sent date _______ by _____ Supp. received date _________ Entered in database ______ by ______ Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Anthony Mack Copeland Current Employer Job Title North Carolina Department of Commerce Secretary Nature or Type of Business Economic Development Reason For Filing (Complete all 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.) Commerce, Department of - Secretary Battleship Commission, USS NC Clean Water Management Trust Fund Board Economic Development Partnership of NC Economic Investment Committee Education and Workforce Innovation Commission Food Processing Innovation Center Committee Global Transpark Authority Indian Affairs, Commission of Marine Industrial Park Authority Rural Infrastructure Authority Science, Technology and Innovation, Board of Judicial Officer (Specify office.) Legislator (Specify House or Senate.) A. Do other immediate family members reside in your household? ☒ Yes ☐ No On this form, ”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. Minors are children under 18. They are emancipated by marriage, enlistment in the US military, or court order for emancipation. Full names of Adults and Emancipated Minors Relationship Employer Job Title Nature of Business For Staff Use Only Date Received: The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 11 Monique L. Copeland Spouse Citrix Manager Sales Simon L. Copeland Child N/A N/A N/A The SEI and any attachments, excluding the Confidential Form, are public records. Page 3 of 11 B. List only the initials of all unemancipated minors in your household below. A minor is a child under 18 years old. List the full name of each minor child on the Confidential Form at the end. Initials of Unemancipated Minors Relationship Employer Job Title Nature of Business Property Interests 1. As of December 31, 2019, did you or any members of your immediate family: A. have an ownership interest in North Carolina real estate (including your residence) with a market value of $10,000 or more? ☒ Yes ☐ No Owner of Real Estate % Ownership Interest Location by City Location by County (Self plus Spouse) 100.00% Raleigh Wake Anthony Mack Copeland (Self) 100.00% Hertford Perquimans Anthony Mack Copeland (Self) 100.00% Hertford Perquimans B. lease or rent real estate or personal property to or from the State of North Carolina with a market value of $10,000 or more? ☐ Yes ☒ No Name of Lessor Name of Lessee (Renter) If Real Estate, Location by City & County If Personal Property, Describe 2. At any time during 2018 or 2019, did you or any members of your immediate family sell to or buy from the State of North Carolina personal property worth $10,000 or more? ☐ Yes ☒ No Name of Purchaser Name of Seller Type of Property The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 11 Financial Interests 3. As of December 31, 2019, did you or any members of your immediate family own any of the following financial interests valued at $10,000 or more? List each company individually. A. Stock in a publicly owned company? ☐ Yes ☒ No ►Do not list interests in a widely held investment fund (including mutual funds, regulated investment companies, or pension or deferred compensation plans) if: 1. the fund is publicly traded or its assets are widely diversified; and 2. neither you nor an immediate family member are able to control the underlying assets. Owner of Interest Full Name of Company or ticker symbol B. Stock options in a company or business? ☐ Yes ☒ No Owner of Stock Option Full Name of Company (Do not use a ticker symbol) C. Interests in a non-publicly owned company or business entity? These include interests in sole proprietorships, partnerships, limited partnerships, joint ventures, limited liability companies, limited liability partnerships, and closely held corporations. ☐ Yes ☒ No - If “No,” proceed to question 4. Owner of Interest Name of Company or Business Entity C (1). For each company or business entity identified in question 3.C. (the “Primary Company”), please list the names of any other companies or business entities in which the Primary Company owns securities or equity interests valued at over $10,000, if known. Non-Publicly Owned Company or Business Entity (the Primary Company) Other Companies in which the Primary Company Owns Security or Equity Interests None or Not Known C (2). If you know that any entity listed in 3.C or 3.C(1) above has any material business dealings or business contracts with the State of North Carolina, or is regulated by the State, briefly describe that business activity. Name of Company or Business Entity Description of Business Activity with the State None or Not Known 4. As of December 31, 2019, were you or any members of your immediate family the beneficiaries of a vested trust with a value of $10,000 or more that you created, established, or controlled? Do not list assets held in blind trusts. See 2020 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 The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 11 5. As of December 31, 2019, did you any members of your immediate family have liabilities of $10,000 or more, excluding the mortgage on your primary personal residence? Examples include credit card debts, auto loans, student loans, personal loans and intra-family debt. ☒ Yes ☐ No Name of Debtor Type of Creditor (commercial Bank, credit union, individual, etc.) Anthony Mack Copeland (Self) Commercial Bank Anthony Mack Copeland (Self) Commercial Bank 6. List each source of income (not specific amounts) of more than $5,000 received by you or any members of your immediate family during 2019. Include salary, wages, state/local government retirement income, professional fees, honoraria, interest, dividends, rental income, business income, and other types required to be reported on State and federal tax returns. Please remember to disclose your receipt of salary or wages from any governmental or private entity. 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 Anthony Mack Copeland (Self) North Carolina Department of Commerce State Government Wages Monique L. Copeland (Spouse) Citrix Sales Wages The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 11 Professional and Civic Relationships 7(a). During 2019, were you or any members of your immediate family a director, officer, governing board member, employee, independent contractor, or registered lobbyist of a nonprofit corporation or organization operating in North Carolina primarily for religious, charitable, scientific, literary, public health and safety, or educational purposes? ☐ Yes ☒ No - If “No,” proceed to question 8. ► Do not list State boards or entities. ► Do not list organizations of which you are a mere member. Name of Person Position Name of Nonprofit Corporation or Organization Nature or Purpose of Organization 7(b). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive State funds, briefly describe the nature of that business, if known or with due diligence could reasonably be known. Name of Nonprofit Corporation or Organization Describe State Business None or Not Known 8. During 2019, were you or any members of your immediate family a director, officer, or governing board member of any society, organization, or advocacy group with an interest in matters over which your agency or board may have jurisdiction? ☐ Yes ☒ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing because you are a legislator or judicial officer or you are filing as an appointee to one of those offices. ►Do not list organizations of which you are only a member and do not serve in a leadership role. Name of Person Name of Society, Organization, or Advocacy Group Leadership Position (Director, Officer, Board Member) The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 11 9(a). List the name of each business with which you were associated where you or a member of your immediate family was an employee, director, officer, partner, proprietor, or member or manager as of December 31, 2019. Name of Person Relationship to Filer Name of Company Role of Person Monique L. Copeland Spouse Citrix Manager 9(b). If you know that any entity listed in 9(a) above had any material business dealings or business contracts with the State of North Carolina or was regulated by the State as of December 31, 2019, briefly describe that activity. Name of Company or Business Entity Description of Business Activity with the State Citrix Software supplier 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 2019. ☐ 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 2019, were you a licensed professional (other than an attorney) or did you provide consulting services individually or as a member of a professional association for which you charged or were paid over $10,000? ☐ Yes ☒ No Type of Business Nature of Services Rendered The SEI and any attachments, excluding the Confidential Form, are public records. Page 8 of 11 12. Are you or your employer, or any members of your immediate family, or their employers currently:  licensed by the State board or agency with which you are or will be associated or  regulated by the State board or agency with which you are or will be associated or  in a business relationship with the State board or agency with which you are or will be associated? ☐ Yes ☒ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing because you are a legislator or a judicial officer or you are filing as an appointee to one of those offices. Name of Person Name of Employer (if applicable) Type of Relationship (Licensing, Regulatory, Business) 13. Have you or a member of your immediate family been registered as a lobbyist or lobbyist principal within the 12 months preceding your filing of this form? ☐ Yes ☒ No Name of Lobbyist Lobbyist’s Principal Date of Registration Registration Expiration Other Disclosures 14. During 2019, after you were appointed, employed, or filed or were nominated as a candidate, did you  receive any “gift(s)” exceeding $200 per quarter from a person or group of persons acting together,  when both you and those person(s) were outside North Carolina,  under circumstances that would lead a reasonable person to conclude the gifts were given for lobbying? To answer Yes, all three conditions must apply ☐ Yes ☒ No ► Do not report gifts given by members of your extended family. ► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” Date Item Received Name and Address of Donor(s) Describe Item Received Estimated Market Value The SEI and any attachments, excluding the Confidential Form, are public records. Page 9 of 11 15. During 2019, after you were appointed, employed, or filed or were nominated as a candidate, did you  accept a “scholarship” exceeding $200 related to your public position from a person or group of persons acting together,  when those person(s) were outside North Carolina? To answer Yes, both conditions must apply A “scholarship” is a grant-in-aid, either direct or indirect, to attend a conference, meeting, or similar event, including tuition, travel, lodging, meals, and other similar expenses. ☐ Yes ☒ No ☐ Judicial Officer - You are not required to complete this question if you are a judicial officer or you are filing as a judicial officer appointee. ► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” ► Legislators are not required to report scholarships paid by a nonpartisan legislative organization of which the legislator or the General Assembly is a member, participant, or affiliate. Date of Scholarship Name and Address of Donor(s) Describe Event Estimated Market Value 16. Have you been appointed or considered for appointment to a covered board by the Governor or another Council of State member? Council of State members are: ► Governor ► Lt. Governor ► Secretary of State ► State Auditor ► State Treasurer ► Superintendent of Public Instruction ► Attorney General ► Commissioner of Agriculture ► Commissioner of Labor ► Commissioner of Insurance ☒ Yes ☐ No If “Yes,” list all contributions you made in 2019 with a cumulative total of more than $1,000 to the Council of State member who appointed you. Do not include contributions from immediate family members. ► Contributions are defined broadly in N.C.G.S. 163-278.6(6) and include “any advance, conveyance, deposit, distribution, transfer of funds, loan, payment, gift, pledge or subscription of money or anything of value whatsoever.” Date Amount Contributed to 05/02/2019 $2,000.00 Roy Cooper (Governor) The SEI and any attachments, excluding the Confidential Form, are public records. Page 10 of 11 17. Are you an appointee or prospective appointee as: a. the head of a principal state department (e.g., cabinet secretary) appointed by the Governor; or b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District Court Judge; or c. a member of any of the following boards:  ABC Commission  Coastal Resources Commission  State Board of Education  State Board of Elections  Division of Employment Security  Environmental Management Commission  Industrial Commission  Human Resources Commission  Rules Review Commission  Board of Transportation  Utilities Commission  Wildlife Resources Commission ☒ Yes ☐ No If “No,” proceed to question 18. d. If so, were you appointed or are you being considered for appointment to that position by a Council of State member? ☒ Yes ☐ No If “No,” proceed to question 18. Governor e. If so, you must indicate whether during 2019 you engaged in any of the following activities with respect to or on behalf of the candidate or campaign committee of the Council of State member who appointed you: i. Collected contributions from multiple contributors, took possession of such multiple contributions, and transferred or delivered those collected contributions to the candidate or committee? ☐ Yes ☒ No ii. Hosted a fundraiser at your residence or place of business? ☐ Yes ☒ No iii. Volunteered for campaign-related activities, including phone banks, event assistance, mailings, canvassing, surveying, or any other activity that advances the campaign of a candidate? ☐ Yes ☒ No 18. Have you ever been convicted of a felony for which you have not received either: (i) a pardon; or (ii) an order of expungement? ☐ Yes ☒ No Offense Date of Conviction County of Conviction State of Conviction 19. Are you aware of any other information that you believe may assist the Ethics Commission in advising you concerning your compliance with the State Government Ethics Act? ☐ Yes ☒ No If yes, please provide that information below. The SEI and any attachments, excluding the Confidential Form, are public records. Page 11 of 11 Affirmation The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form regarding Unemancipated Children are public records. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 04/13/2020 Signature Date Anthony Mack Copeland Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 11 STATE ETHICS COMMISSION 2020 STATEMENT OF ECONOMIC INTEREST This entire form must be completed to fulfill your ethics filing obligation. ____ Checked for completion ____Scanned ______Date Incomplete Qs ____ ____ ____ ____ Supp. sent date _______ by _____ Supp. received date _________ Entered in database ______ by ______ Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Anthony Mack Copeland Current Employer Job Title North Carolina Department of Commerce Secretary Nature or Type of Business Economic Development Reason For Filing (Complete all 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.) Commerce, Department of - Secretary Battleship Commission, USS NC Clean Water Management Trust Fund Board Economic Development Partnership of NC Economic Investment Committee Education and Workforce Innovation Commission Food Processing Innovation Center Committee Global Transpark Authority Indian Affairs, Commission of Marine Industrial Park Authority Rural Infrastructure Authority Science, Technology and Innovation, Board of Judicial Officer (Specify office.) Legislator (Specify House or Senate.) A. Do other immediate family members reside in your household? ☒ Yes ☐ No On this form, ”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. Minors are children under 18. They are emancipated by marriage, enlistment in the US military, or court order for emancipation. Full names of Adults and Emancipated Minors Relationship Employer Job Title Nature of Business For Staff Use Only Date Received: The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 11 Monique L. Copeland Spouse Citrix Manager Sales Simon L. Copeland Child N/A N/A N/A The SEI and any attachments, excluding the Confidential Form, are public records. Page 3 of 11 B. List only the initials of all unemancipated minors in your household below. A minor is a child under 18 years old. List the full name of each minor child on the Confidential Form at the end. Initials of Unemancipated Minors Relationship Employer Job Title Nature of Business Property Interests 1. As of December 31, 2019, did you or any members of your immediate family: A. have an ownership interest in North Carolina real estate (including your residence) with a market value of $10,000 or more? ☒ Yes ☐ No Owner of Real Estate % Ownership Interest Location by City Location by County (Self plus Spouse) 100.00% Raleigh Wake Anthony Mack Copeland (Self) 100.00% Hertford Perquimans Anthony Mack Copeland (Self) 100.00% Hertford Perquimans B. lease or rent real estate or personal property to or from the State of North Carolina with a market value of $10,000 or more? ☐ Yes ☒ No Name of Lessor Name of Lessee (Renter) If Real Estate, Location by City & County If Personal Property, Describe 2. At any time during 2018 or 2019, did you or any members of your immediate family sell to or buy from the State of North Carolina personal property worth $10,000 or more? ☐ Yes ☒ No Name of Purchaser Name of Seller Type of Property The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 11 Financial Interests 3. As of December 31, 2019, did you or any members of your immediate family own any of the following financial interests valued at $10,000 or more? List each company individually. A. Stock in a publicly owned company? ☐ Yes ☒ No ►Do not list interests in a widely held investment fund (including mutual funds, regulated investment companies, or pension or deferred compensation plans) if: 1. the fund is publicly traded or its assets are widely diversified; and 2. neither you nor an immediate family member are able to control the underlying assets. Owner of Interest Full Name of Company or ticker symbol B. Stock options in a company or business? ☐ Yes ☒ No Owner of Stock Option Full Name of Company (Do not use a ticker symbol) C. Interests in a non-publicly owned company or business entity? These include interests in sole proprietorships, partnerships, limited partnerships, joint ventures, limited liability companies, limited liability partnerships, and closely held corporations. ☐ Yes ☒ No - If “No,” proceed to question 4. Owner of Interest Name of Company or Business Entity C (1). For each company or business entity identified in question 3.C. (the “Primary Company”), please list the names of any other companies or business entities in which the Primary Company owns securities or equity interests valued at over $10,000, if known. Non-Publicly Owned Company or Business Entity (the Primary Company) Other Companies in which the Primary Company Owns Security or Equity Interests None or Not Known C (2). If you know that any entity listed in 3.C or 3.C(1) above has any material business dealings or business contracts with the State of North Carolina, or is regulated by the State, briefly describe that business activity. Name of Company or Business Entity Description of Business Activity with the State None or Not Known 4. As of December 31, 2019, were you or any members of your immediate family the beneficiaries of a vested trust with a value of $10,000 or more that you created, established, or controlled? Do not list assets held in blind trusts. See 2020 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 The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 11 5. As of December 31, 2019, did you any members of your immediate family have liabilities of $10,000 or more, excluding the mortgage on your primary personal residence? Examples include credit card debts, auto loans, student loans, personal loans and intra-family debt. ☒ Yes ☐ No Name of Debtor Type of Creditor (commercial Bank, credit union, individual, etc.) Anthony Mack Copeland (Self) Commercial Bank Anthony Mack Copeland (Self) Commercial Bank 6. List each source of income (not specific amounts) of more than $5,000 received by you or any members of your immediate family during 2019. Include salary, wages, state/local government retirement income, professional fees, honoraria, interest, dividends, rental income, business income, and other types required to be reported on State and federal tax returns. Please remember to disclose your receipt of salary or wages from any governmental or private entity. 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 Anthony Mack Copeland (Self) North Carolina Department of Commerce State Government Wages Monique L. Copeland (Spouse) Citrix Sales Wages The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 11 Professional and Civic Relationships 7(a). During 2019, were you or any members of your immediate family a director, officer, governing board member, employee, independent contractor, or registered lobbyist of a nonprofit corporation or organization operating in North Carolina primarily for religious, charitable, scientific, literary, public health and safety, or educational purposes? ☐ Yes ☒ No - If “No,” proceed to question 8. ► Do not list State boards or entities. ► Do not list organizations of which you are a mere member. Name of Person Position Name of Nonprofit Corporation or Organization Nature or Purpose of Organization 7(b). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive State funds, briefly describe the nature of that business, if known or with due diligence could reasonably be known. Name of Nonprofit Corporation or Organization Describe State Business None or Not Known 8. During 2019, were you or any members of your immediate family a director, officer, or governing board member of any society, organization, or advocacy group with an interest in matters over which your agency or board may have jurisdiction? ☐ Yes ☒ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing because you are a legislator or judicial officer or you are filing as an appointee to one of those offices. ►Do not list organizations of which you are only a member and do not serve in a leadership role. Name of Person Name of Society, Organization, or Advocacy Group Leadership Position (Director, Officer, Board Member) The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 11 9(a). List the name of each business with which you were associated where you or a member of your immediate family was an employee, director, officer, partner, proprietor, or member or manager as of December 31, 2019. Name of Person Relationship to Filer Name of Company Role of Person Monique L. Copeland Spouse Citrix Manager 9(b). If you know that any entity listed in 9(a) above had any material business dealings or business contracts with the State of North Carolina or was regulated by the State as of December 31, 2019, briefly describe that activity. Name of Company or Business Entity Description of Business Activity with the State Citrix Software supplier 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 2019. ☐ 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 2019, were you a licensed professional (other than an attorney) or did you provide consulting services individually or as a member of a professional association for which you charged or were paid over $10,000? ☐ Yes ☒ No Type of Business Nature of Services Rendered The SEI and any attachments, excluding the Confidential Form, are public records. Page 8 of 11 12. Are you or your employer, or any members of your immediate family, or their employers currently:  licensed by the State board or agency with which you are or will be associated or  regulated by the State board or agency with which you are or will be associated or  in a business relationship with the State board or agency with which you are or will be associated? ☐ Yes ☒ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing because you are a legislator or a judicial officer or you are filing as an appointee to one of those offices. Name of Person Name of Employer (if applicable) Type of Relationship (Licensing, Regulatory, Business) 13. Have you or a member of your immediate family been registered as a lobbyist or lobbyist principal within the 12 months preceding your filing of this form? ☐ Yes ☒ No Name of Lobbyist Lobbyist’s Principal Date of Registration Registration Expiration Other Disclosures 14. During 2019, after you were appointed, employed, or filed or were nominated as a candidate, did you  receive any “gift(s)” exceeding $200 per quarter from a person or group of persons acting together,  when both you and those person(s) were outside North Carolina,  under circumstances that would lead a reasonable person to conclude the gifts were given for lobbying? To answer Yes, all three conditions must apply ☐ Yes ☒ No ► Do not report gifts given by members of your extended family. ► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” Date Item Received Name and Address of Donor(s) Describe Item Received Estimated Market Value The SEI and any attachments, excluding the Confidential Form, are public records. Page 9 of 11 15. During 2019, after you were appointed, employed, or filed or were nominated as a candidate, did you  accept a “scholarship” exceeding $200 related to your public position from a person or group of persons acting together,  when those person(s) were outside North Carolina? To answer Yes, both conditions must apply A “scholarship” is a grant-in-aid, either direct or indirect, to attend a conference, meeting, or similar event, including tuition, travel, lodging, meals, and other similar expenses. ☐ Yes ☒ No ☐ Judicial Officer - You are not required to complete this question if you are a judicial officer or you are filing as a judicial officer appointee. ► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” ► Legislators are not required to report scholarships paid by a nonpartisan legislative organization of which the legislator or the General Assembly is a member, participant, or affiliate. Date of Scholarship Name and Address of Donor(s) Describe Event Estimated Market Value 16. Have you been appointed or considered for appointment to a covered board by the Governor or another Council of State member? Council of State members are: ► Governor ► Lt. Governor ► Secretary of State ► State Auditor ► State Treasurer ► Superintendent of Public Instruction ► Attorney General ► Commissioner of Agriculture ► Commissioner of Labor ► Commissioner of Insurance ☒ Yes ☐ No If “Yes,” list all contributions you made in 2019 with a cumulative total of more than $1,000 to the Council of State member who appointed you. Do not include contributions from immediate family members. ► Contributions are defined broadly in N.C.G.S. 163-278.6(6) and include “any advance, conveyance, deposit, distribution, transfer of funds, loan, payment, gift, pledge or subscription of money or anything of value whatsoever.” Date Amount Contributed to 05/02/2019 $2,000.00 Roy Cooper (Governor) The SEI and any attachments, excluding the Confidential Form, are public records. Page 10 of 11 17. Are you an appointee or prospective appointee as: a. the head of a principal state department (e.g., cabinet secretary) appointed by the Governor; or b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District Court Judge; or c. a member of any of the following boards:  ABC Commission  Coastal Resources Commission  State Board of Education  State Board of Elections  Division of Employment Security  Environmental Management Commission  Industrial Commission  Human Resources Commission  Rules Review Commission  Board of Transportation  Utilities Commission  Wildlife Resources Commission ☒ Yes ☐ No If “No,” proceed to question 18. d. If so, were you appointed or are you being considered for appointment to that position by a Council of State member? ☒ Yes ☐ No If “No,” proceed to question 18. Governor e. If so, you must indicate whether during 2019 you engaged in any of the following activities with respect to or on behalf of the candidate or campaign committee of the Council of State member who appointed you: i. Collected contributions from multiple contributors, took possession of such multiple contributions, and transferred or delivered those collected contributions to the candidate or committee? ☐ Yes ☒ No ii. Hosted a fundraiser at your residence or place of business? ☐ Yes ☒ No iii. Volunteered for campaign-related activities, including phone banks, event assistance, mailings, canvassing, surveying, or any other activity that advances the campaign of a candidate? ☐ Yes ☒ No 18. Have you ever been convicted of a felony for which you have not received either: (i) a pardon; or (ii) an order of expungement? ☐ Yes ☒ No Offense Date of Conviction County of Conviction State of Conviction 19. Are you aware of any other information that you believe may assist the Ethics Commission in advising you concerning your compliance with the State Government Ethics Act? ☐ Yes ☒ No If yes, please provide that information below. The SEI and any attachments, excluding the Confidential Form, are public records. Page 11 of 11 Affirmation The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form regarding Unemancipated Children are public records. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 04/13/2020 Signature Date Anthony Mack Copeland Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 11 STATE ETHICS COMMISSION 2020 STATEMENT OF ECONOMIC INTEREST This entire form must be completed to fulfill your ethics filing obligation. ____ Checked for completion ____Scanned ______Date Incomplete Qs ____ ____ ____ ____ Supp. sent date _______ by _____ Supp. received date _________ Entered in database ______ by ______ Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Anthony Mack Copeland Current Employer Job Title North Carolina Department of Commerce Secretary Nature or Type of Business Economic Development Reason For Filing (Complete all 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.) Commerce, Department of - Secretary Battleship Commission, USS NC Clean Water Management Trust Fund Board Economic Development Partnership of NC Economic Investment Committee Education and Workforce Innovation Commission Food Processing Innovation Center Committee Global Transpark Authority Indian Affairs, Commission of Marine Industrial Park Authority Rural Infrastructure Authority Science, Technology and Innovation, Board of Judicial Officer (Specify office.) Legislator (Specify House or Senate.) A. Do other immediate family members reside in your household? ☒ Yes ☐ No On this form, ”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. Minors are children under 18. They are emancipated by marriage, enlistment in the US military, or court order for emancipation. Full names of Adults and Emancipated Minors Relationship Employer Job Title Nature of Business For Staff Use Only Date Received: The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 11 Monique L. Copeland Spouse Citrix Manager Sales Simon L. Copeland Child N/A N/A N/A The SEI and any attachments, excluding the Confidential Form, are public records. Page 3 of 11 B. List only the initials of all unemancipated minors in your household below. A minor is a child under 18 years old. List the full name of each minor child on the Confidential Form at the end. Initials of Unemancipated Minors Relationship Employer Job Title Nature of Business Property Interests 1. As of December 31, 2019, did you or any members of your immediate family: A. have an ownership interest in North Carolina real estate (including your residence) with a market value of $10,000 or more? ☒ Yes ☐ No Owner of Real Estate % Ownership Interest Location by City Location by County (Self plus Spouse) 100.00% Raleigh Wake Anthony Mack Copeland (Self) 100.00% Hertford Perquimans Anthony Mack Copeland (Self) 100.00% Hertford Perquimans B. lease or rent real estate or personal property to or from the State of North Carolina with a market value of $10,000 or more? ☐ Yes ☒ No Name of Lessor Name of Lessee (Renter) If Real Estate, Location by City & County If Personal Property, Describe 2. At any time during 2018 or 2019, did you or any members of your immediate family sell to or buy from the State of North Carolina personal property worth $10,000 or more? ☐ Yes ☒ No Name of Purchaser Name of Seller Type of Property The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 11 Financial Interests 3. As of December 31, 2019, did you or any members of your immediate family own any of the following financial interests valued at $10,000 or more? List each company individually. A. Stock in a publicly owned company? ☐ Yes ☒ No ►Do not list interests in a widely held investment fund (including mutual funds, regulated investment companies, or pension or deferred compensation plans) if: 1. the fund is publicly traded or its assets are widely diversified; and 2. neither you nor an immediate family member are able to control the underlying assets. Owner of Interest Full Name of Company or ticker symbol B. Stock options in a company or business? ☐ Yes ☒ No Owner of Stock Option Full Name of Company (Do not use a ticker symbol) C. Interests in a non-publicly owned company or business entity? These include interests in sole proprietorships, partnerships, limited partnerships, joint ventures, limited liability companies, limited liability partnerships, and closely held corporations. ☐ Yes ☒ No - If “No,” proceed to question 4. Owner of Interest Name of Company or Business Entity C (1). For each company or business entity identified in question 3.C. (the “Primary Company”), please list the names of any other companies or business entities in which the Primary Company owns securities or equity interests valued at over $10,000, if known. Non-Publicly Owned Company or Business Entity (the Primary Company) Other Companies in which the Primary Company Owns Security or Equity Interests None or Not Known C (2). If you know that any entity listed in 3.C or 3.C(1) above has any material business dealings or business contracts with the State of North Carolina, or is regulated by the State, briefly describe that business activity. Name of Company or Business Entity Description of Business Activity with the State None or Not Known 4. As of December 31, 2019, were you or any members of your immediate family the beneficiaries of a vested trust with a value of $10,000 or more that you created, established, or controlled? Do not list assets held in blind trusts. See 2020 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 The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 11 5. As of December 31, 2019, did you any members of your immediate family have liabilities of $10,000 or more, excluding the mortgage on your primary personal residence? Examples include credit card debts, auto loans, student loans, personal loans and intra-family debt. ☒ Yes ☐ No Name of Debtor Type of Creditor (commercial Bank, credit union, individual, etc.) Anthony Mack Copeland (Self) Commercial Bank Anthony Mack Copeland (Self) Commercial Bank 6. List each source of income (not specific amounts) of more than $5,000 received by you or any members of your immediate family during 2019. Include salary, wages, state/local government retirement income, professional fees, honoraria, interest, dividends, rental income, business income, and other types required to be reported on State and federal tax returns. Please remember to disclose your receipt of salary or wages from any governmental or private entity. 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 Anthony Mack Copeland (Self) North Carolina Department of Commerce State Government Wages Monique L. Copeland (Spouse) Citrix Sales Wages The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 11 Professional and Civic Relationships 7(a). During 2019, were you or any members of your immediate family a director, officer, governing board member, employee, independent contractor, or registered lobbyist of a nonprofit corporation or organization operating in North Carolina primarily for religious, charitable, scientific, literary, public health and safety, or educational purposes? ☐ Yes ☒ No - If “No,” proceed to question 8. ► Do not list State boards or entities. ► Do not list organizations of which you are a mere member. Name of Person Position Name of Nonprofit Corporation or Organization Nature or Purpose of Organization 7(b). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive State funds, briefly describe the nature of that business, if known or with due diligence could reasonably be known. Name of Nonprofit Corporation or Organization Describe State Business None or Not Known 8. During 2019, were you or any members of your immediate family a director, officer, or governing board member of any society, organization, or advocacy group with an interest in matters over which your agency or board may have jurisdiction? ☐ Yes ☒ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing because you are a legislator or judicial officer or you are filing as an appointee to one of those offices. ►Do not list organizations of which you are only a member and do not serve in a leadership role. Name of Person Name of Society, Organization, or Advocacy Group Leadership Position (Director, Officer, Board Member) The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 11 9(a). List the name of each business with which you were associated where you or a member of your immediate family was an employee, director, officer, partner, proprietor, or member or manager as of December 31, 2019. Name of Person Relationship to Filer Name of Company Role of Person Monique L. Copeland Spouse Citrix Manager 9(b). If you know that any entity listed in 9(a) above had any material business dealings or business contracts with the State of North Carolina or was regulated by the State as of December 31, 2019, briefly describe that activity. Name of Company or Business Entity Description of Business Activity with the State Citrix Software supplier 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 2019. ☐ 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 2019, were you a licensed professional (other than an attorney) or did you provide consulting services individually or as a member of a professional association for which you charged or were paid over $10,000? ☐ Yes ☒ No Type of Business Nature of Services Rendered The SEI and any attachments, excluding the Confidential Form, are public records. Page 8 of 11 12. Are you or your employer, or any members of your immediate family, or their employers currently:  licensed by the State board or agency with which you are or will be associated or  regulated by the State board or agency with which you are or will be associated or  in a business relationship with the State board or agency with which you are or will be associated? ☐ Yes ☒ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing because you are a legislator or a judicial officer or you are filing as an appointee to one of those offices. Name of Person Name of Employer (if applicable) Type of Relationship (Licensing, Regulatory, Business) 13. Have you or a member of your immediate family been registered as a lobbyist or lobbyist principal within the 12 months preceding your filing of this form? ☐ Yes ☒ No Name of Lobbyist Lobbyist’s Principal Date of Registration Registration Expiration Other Disclosures 14. During 2019, after you were appointed, employed, or filed or were nominated as a candidate, did you  receive any “gift(s)” exceeding $200 per quarter from a person or group of persons acting together,  when both you and those person(s) were outside North Carolina,  under circumstances that would lead a reasonable person to conclude the gifts were given for lobbying? To answer Yes, all three conditions must apply ☐ Yes ☒ No ► Do not report gifts given by members of your extended family. ► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” Date Item Received Name and Address of Donor(s) Describe Item Received Estimated Market Value The SEI and any attachments, excluding the Confidential Form, are public records. Page 9 of 11 15. During 2019, after you were appointed, employed, or filed or were nominated as a candidate, did you  accept a “scholarship” exceeding $200 related to your public position from a person or group of persons acting together,  when those person(s) were outside North Carolina? To answer Yes, both conditions must apply A “scholarship” is a grant-in-aid, either direct or indirect, to attend a conference, meeting, or similar event, including tuition, travel, lodging, meals, and other similar expenses. ☐ Yes ☒ No ☐ Judicial Officer - You are not required to complete this question if you are a judicial officer or you are filing as a judicial officer appointee. ► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” ► Legislators are not required to report scholarships paid by a nonpartisan legislative organization of which the legislator or the General Assembly is a member, participant, or affiliate. Date of Scholarship Name and Address of Donor(s) Describe Event Estimated Market Value 16. Have you been appointed or considered for appointment to a covered board by the Governor or another Council of State member? Council of State members are: ► Governor ► Lt. Governor ► Secretary of State ► State Auditor ► State Treasurer ► Superintendent of Public Instruction ► Attorney General ► Commissioner of Agriculture ► Commissioner of Labor ► Commissioner of Insurance ☒ Yes ☐ No If “Yes,” list all contributions you made in 2019 with a cumulative total of more than $1,000 to the Council of State member who appointed you. Do not include contributions from immediate family members. ► Contributions are defined broadly in N.C.G.S. 163-278.6(6) and include “any advance, conveyance, deposit, distribution, transfer of funds, loan, payment, gift, pledge or subscription of money or anything of value whatsoever.” Date Amount Contributed to 05/02/2019 $2,000.00 Roy Cooper (Governor) The SEI and any attachments, excluding the Confidential Form, are public records. Page 10 of 11 17. Are you an appointee or prospective appointee as: a. the head of a principal state department (e.g., cabinet secretary) appointed by the Governor; or b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District Court Judge; or c. a member of any of the following boards:  ABC Commission  Coastal Resources Commission  State Board of Education  State Board of Elections  Division of Employment Security  Environmental Management Commission  Industrial Commission  Human Resources Commission  Rules Review Commission  Board of Transportation  Utilities Commission  Wildlife Resources Commission ☒ Yes ☐ No If “No,” proceed to question 18. d. If so, were you appointed or are you being considered for appointment to that position by a Council of State member? ☒ Yes ☐ No If “No,” proceed to question 18. Governor e. If so, you must indicate whether during 2019 you engaged in any of the following activities with respect to or on behalf of the candidate or campaign committee of the Council of State member who appointed you: i. Collected contributions from multiple contributors, took possession of such multiple contributions, and transferred or delivered those collected contributions to the candidate or committee? ☐ Yes ☒ No ii. Hosted a fundraiser at your residence or place of business? ☐ Yes ☒ No iii. Volunteered for campaign-related activities, including phone banks, event assistance, mailings, canvassing, surveying, or any other activity that advances the campaign of a candidate? ☐ Yes ☒ No 18. Have you ever been convicted of a felony for which you have not received either: (i) a pardon; or (ii) an order of expungement? ☐ Yes ☒ No Offense Date of Conviction County of Conviction State of Conviction 19. Are you aware of any other information that you believe may assist the Ethics Commission in advising you concerning your compliance with the State Government Ethics Act? ☐ Yes ☒ No If yes, please provide that information below. The SEI and any attachments, excluding the Confidential Form, are public records. Page 11 of 11 Affirmation The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form regarding Unemancipated Children are public records. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 04/13/2020 Signature Date Anthony Mack Copeland Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 11 STATE ETHICS COMMISSION 2020 STATEMENT OF ECONOMIC INTEREST This entire form must be completed to fulfill your ethics filing obligation. ____ Checked for completion ____Scanned ______Date Incomplete Qs ____ ____ ____ ____ Supp. sent date _______ by _____ Supp. received date _________ Entered in database ______ by ______ Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Anthony Mack Copeland Current Employer Job Title North Carolina Department of Commerce Secretary Nature or Type of Business Economic Development Reason For Filing (Complete all 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.) Commerce, Department of - Secretary Battleship Commission, USS NC Clean Water Management Trust Fund Board Economic Development Partnership of NC Economic Investment Committee Education and Workforce Innovation Commission Food Processing Innovation Center Committee Global Transpark Authority Indian Affairs, Commission of Marine Industrial Park Authority Rural Infrastructure Authority Science, Technology and Innovation, Board of Judicial Officer (Specify office.) Legislator (Specify House or Senate.) A. Do other immediate family members reside in your household? ☒ Yes ☐ No On this form, ”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. Minors are children under 18. They are emancipated by marriage, enlistment in the US military, or court order for emancipation. Full names of Adults and Emancipated Minors Relationship Employer Job Title Nature of Business For Staff Use Only Date Received: The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 11 Monique L. Copeland Spouse Citrix Manager Sales Simon L. Copeland Child N/A N/A N/A The SEI and any attachments, excluding the Confidential Form, are public records. Page 3 of 11 B. List only the initials of all unemancipated minors in your household below. A minor is a child under 18 years old. List the full name of each minor child on the Confidential Form at the end. Initials of Unemancipated Minors Relationship Employer Job Title Nature of Business Property Interests 1. As of December 31, 2019, did you or any members of your immediate family: A. have an ownership interest in North Carolina real estate (including your residence) with a market value of $10,000 or more? ☒ Yes ☐ No Owner of Real Estate % Ownership Interest Location by City Location by County (Self plus Spouse) 100.00% Raleigh Wake Anthony Mack Copeland (Self) 100.00% Hertford Perquimans Anthony Mack Copeland (Self) 100.00% Hertford Perquimans B. lease or rent real estate or personal property to or from the State of North Carolina with a market value of $10,000 or more? ☐ Yes ☒ No Name of Lessor Name of Lessee (Renter) If Real Estate, Location by City & County If Personal Property, Describe 2. At any time during 2018 or 2019, did you or any members of your immediate family sell to or buy from the State of North Carolina personal property worth $10,000 or more? ☐ Yes ☒ No Name of Purchaser Name of Seller Type of Property The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 11 Financial Interests 3. As of December 31, 2019, did you or any members of your immediate family own any of the following financial interests valued at $10,000 or more? List each company individually. A. Stock in a publicly owned company? ☐ Yes ☒ No ►Do not list interests in a widely held investment fund (including mutual funds, regulated investment companies, or pension or deferred compensation plans) if: 1. the fund is publicly traded or its assets are widely diversified; and 2. neither you nor an immediate family member are able to control the underlying assets. Owner of Interest Full Name of Company or ticker symbol B. Stock options in a company or business? ☐ Yes ☒ No Owner of Stock Option Full Name of Company (Do not use a ticker symbol) C. Interests in a non-publicly owned company or business entity? These include interests in sole proprietorships, partnerships, limited partnerships, joint ventures, limited liability companies, limited liability partnerships, and closely held corporations. ☐ Yes ☒ No - If “No,” proceed to question 4. Owner of Interest Name of Company or Business Entity C (1). For each company or business entity identified in question 3.C. (the “Primary Company”), please list the names of any other companies or business entities in which the Primary Company owns securities or equity interests valued at over $10,000, if known. Non-Publicly Owned Company or Business Entity (the Primary Company) Other Companies in which the Primary Company Owns Security or Equity Interests None or Not Known C (2). If you know that any entity listed in 3.C or 3.C(1) above has any material business dealings or business contracts with the State of North Carolina, or is regulated by the State, briefly describe that business activity. Name of Company or Business Entity Description of Business Activity with the State None or Not Known 4. As of December 31, 2019, were you or any members of your immediate family the beneficiaries of a vested trust with a value of $10,000 or more that you created, established, or controlled? Do not list assets held in blind trusts. See 2020 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 The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 11 5. As of December 31, 2019, did you any members of your immediate family have liabilities of $10,000 or more, excluding the mortgage on your primary personal residence? Examples include credit card debts, auto loans, student loans, personal loans and intra-family debt. ☒ Yes ☐ No Name of Debtor Type of Creditor (commercial Bank, credit union, individual, etc.) Anthony Mack Copeland (Self) Commercial Bank Anthony Mack Copeland (Self) Commercial Bank 6. List each source of income (not specific amounts) of more than $5,000 received by you or any members of your immediate family during 2019. Include salary, wages, state/local government retirement income, professional fees, honoraria, interest, dividends, rental income, business income, and other types required to be reported on State and federal tax returns. Please remember to disclose your receipt of salary or wages from any governmental or private entity. 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 Anthony Mack Copeland (Self) North Carolina Department of Commerce State Government Wages Monique L. Copeland (Spouse) Citrix Sales Wages The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 11 Professional and Civic Relationships 7(a). During 2019, were you or any members of your immediate family a director, officer, governing board member, employee, independent contractor, or registered lobbyist of a nonprofit corporation or organization operating in North Carolina primarily for religious, charitable, scientific, literary, public health and safety, or educational purposes? ☐ Yes ☒ No - If “No,” proceed to question 8. ► Do not list State boards or entities. ► Do not list organizations of which you are a mere member. Name of Person Position Name of Nonprofit Corporation or Organization Nature or Purpose of Organization 7(b). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive State funds, briefly describe the nature of that business, if known or with due diligence could reasonably be known. Name of Nonprofit Corporation or Organization Describe State Business None or Not Known 8. During 2019, were you or any members of your immediate family a director, officer, or governing board member of any society, organization, or advocacy group with an interest in matters over which your agency or board may have jurisdiction? ☐ Yes ☒ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing because you are a legislator or judicial officer or you are filing as an appointee to one of those offices. ►Do not list organizations of which you are only a member and do not serve in a leadership role. Name of Person Name of Society, Organization, or Advocacy Group Leadership Position (Director, Officer, Board Member) The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 11 9(a). List the name of each business with which you were associated where you or a member of your immediate family was an employee, director, officer, partner, proprietor, or member or manager as of December 31, 2019. Name of Person Relationship to Filer Name of Company Role of Person Monique L. Copeland Spouse Citrix Manager 9(b). If you know that any entity listed in 9(a) above had any material business dealings or business contracts with the State of North Carolina or was regulated by the State as of December 31, 2019, briefly describe that activity. Name of Company or Business Entity Description of Business Activity with the State Citrix Software supplier 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 2019. ☐ 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 2019, were you a licensed professional (other than an attorney) or did you provide consulting services individually or as a member of a professional association for which you charged or were paid over $10,000? ☐ Yes ☒ No Type of Business Nature of Services Rendered The SEI and any attachments, excluding the Confidential Form, are public records. Page 8 of 11 12. Are you or your employer, or any members of your immediate family, or their employers currently:  licensed by the State board or agency with which you are or will be associated or  regulated by the State board or agency with which you are or will be associated or  in a business relationship with the State board or agency with which you are or will be associated? ☐ Yes ☒ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing because you are a legislator or a judicial officer or you are filing as an appointee to one of those offices. Name of Person Name of Employer (if applicable) Type of Relationship (Licensing, Regulatory, Business) 13. Have you or a member of your immediate family been registered as a lobbyist or lobbyist principal within the 12 months preceding your filing of this form? ☐ Yes ☒ No Name of Lobbyist Lobbyist’s Principal Date of Registration Registration Expiration Other Disclosures 14. During 2019, after you were appointed, employed, or filed or were nominated as a candidate, did you  receive any “gift(s)” exceeding $200 per quarter from a person or group of persons acting together,  when both you and those person(s) were outside North Carolina,  under circumstances that would lead a reasonable person to conclude the gifts were given for lobbying? To answer Yes, all three conditions must apply ☐ Yes ☒ No ► Do not report gifts given by members of your extended family. ► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” Date Item Received Name and Address of Donor(s) Describe Item Received Estimated Market Value The SEI and any attachments, excluding the Confidential Form, are public records. Page 9 of 11 15. During 2019, after you were appointed, employed, or filed or were nominated as a candidate, did you  accept a “scholarship” exceeding $200 related to your public position from a person or group of persons acting together,  when those person(s) were outside North Carolina? To answer Yes, both conditions must apply A “scholarship” is a grant-in-aid, either direct or indirect, to attend a conference, meeting, or similar event, including tuition, travel, lodging, meals, and other similar expenses. ☐ Yes ☒ No ☐ Judicial Officer - You are not required to complete this question if you are a judicial officer or you are filing as a judicial officer appointee. ► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” ► Legislators are not required to report scholarships paid by a nonpartisan legislative organization of which the legislator or the General Assembly is a member, participant, or affiliate. Date of Scholarship Name and Address of Donor(s) Describe Event Estimated Market Value 16. Have you been appointed or considered for appointment to a covered board by the Governor or another Council of State member? Council of State members are: ► Governor ► Lt. Governor ► Secretary of State ► State Auditor ► State Treasurer ► Superintendent of Public Instruction ► Attorney General ► Commissioner of Agriculture ► Commissioner of Labor ► Commissioner of Insurance ☒ Yes ☐ No If “Yes,” list all contributions you made in 2019 with a cumulative total of more than $1,000 to the Council of State member who appointed you. Do not include contributions from immediate family members. ► Contributions are defined broadly in N.C.G.S. 163-278.6(6) and include “any advance, conveyance, deposit, distribution, transfer of funds, loan, payment, gift, pledge or subscription of money or anything of value whatsoever.” Date Amount Contributed to 05/02/2019 $2,000.00 Roy Cooper (Governor) The SEI and any attachments, excluding the Confidential Form, are public records. Page 10 of 11 17. Are you an appointee or prospective appointee as: a. the head of a principal state department (e.g., cabinet secretary) appointed by the Governor; or b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District Court Judge; or c. a member of any of the following boards:  ABC Commission  Coastal Resources Commission  State Board of Education  State Board of Elections  Division of Employment Security  Environmental Management Commission  Industrial Commission  Human Resources Commission  Rules Review Commission  Board of Transportation  Utilities Commission  Wildlife Resources Commission ☒ Yes ☐ No If “No,” proceed to question 18. d. If so, were you appointed or are you being considered for appointment to that position by a Council of State member? ☒ Yes ☐ No If “No,” proceed to question 18. Governor e. If so, you must indicate whether during 2019 you engaged in any of the following activities with respect to or on behalf of the candidate or campaign committee of the Council of State member who appointed you: i. Collected contributions from multiple contributors, took possession of such multiple contributions, and transferred or delivered those collected contributions to the candidate or committee? ☐ Yes ☒ No ii. Hosted a fundraiser at your residence or place of business? ☐ Yes ☒ No iii. Volunteered for campaign-related activities, including phone banks, event assistance, mailings, canvassing, surveying, or any other activity that advances the campaign of a candidate? ☐ Yes ☒ No 18. Have you ever been convicted of a felony for which you have not received either: (i) a pardon; or (ii) an order of expungement? ☐ Yes ☒ No Offense Date of Conviction County of Conviction State of Conviction 19. Are you aware of any other information that you believe may assist the Ethics Commission in advising you concerning your compliance with the State Government Ethics Act? ☐ Yes ☒ No If yes, please provide that information below. The SEI and any attachments, excluding the Confidential Form, are public records. Page 11 of 11 Affirmation The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form regarding Unemancipated Children are public records. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 04/13/2020 Signature Date Anthony Mack Copeland Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 11 STATE ETHICS COMMISSION 2020 STATEMENT OF ECONOMIC INTEREST This entire form must be completed to fulfill your ethics filing obligation. ____ Checked for completion ____Scanned ______Date Incomplete Qs ____ ____ ____ ____ Supp. sent date _______ by _____ Supp. received date _________ Entered in database ______ by ______ Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Anthony Mack Copeland Current Employer Job Title North Carolina Department of Commerce Secretary Nature or Type of Business Economic Development Reason For Filing (Complete all 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.) Commerce, Department of - Secretary Battleship Commission, USS NC Clean Water Management Trust Fund Board Economic Development Partnership of NC Economic Investment Committee Education and Workforce Innovation Commission Food Processing Innovation Center Committee Global Transpark Authority Indian Affairs, Commission of Marine Industrial Park Authority Rural Infrastructure Authority Science, Technology and Innovation, Board of Judicial Officer (Specify office.) Legislator (Specify House or Senate.) A. Do other immediate family members reside in your household? ☒ Yes ☐ No On this form, ”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. Minors are children under 18. They are emancipated by marriage, enlistment in the US military, or court order for emancipation. Full names of Adults and Emancipated Minors Relationship Employer Job Title Nature of Business For Staff Use Only Date Received: The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 11 Monique L. Copeland Spouse Citrix Manager Sales Simon L. Copeland Child N/A N/A N/A The SEI and any attachments, excluding the Confidential Form, are public records. Page 3 of 11 B. List only the initials of all unemancipated minors in your household below. A minor is a child under 18 years old. List the full name of each minor child on the Confidential Form at the end. Initials of Unemancipated Minors Relationship Employer Job Title Nature of Business Property Interests 1. As of December 31, 2019, did you or any members of your immediate family: A. have an ownership interest in North Carolina real estate (including your residence) with a market value of $10,000 or more? ☒ Yes ☐ No Owner of Real Estate % Ownership Interest Location by City Location by County (Self plus Spouse) 100.00% Raleigh Wake Anthony Mack Copeland (Self) 100.00% Hertford Perquimans Anthony Mack Copeland (Self) 100.00% Hertford Perquimans B. lease or rent real estate or personal property to or from the State of North Carolina with a market value of $10,000 or more? ☐ Yes ☒ No Name of Lessor Name of Lessee (Renter) If Real Estate, Location by City & County If Personal Property, Describe 2. At any time during 2018 or 2019, did you or any members of your immediate family sell to or buy from the State of North Carolina personal property worth $10,000 or more? ☐ Yes ☒ No Name of Purchaser Name of Seller Type of Property The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 11 Financial Interests 3. As of December 31, 2019, did you or any members of your immediate family own any of the following financial interests valued at $10,000 or more? List each company individually. A. Stock in a publicly owned company? ☐ Yes ☒ No ►Do not list interests in a widely held investment fund (including mutual funds, regulated investment companies, or pension or deferred compensation plans) if: 1. the fund is publicly traded or its assets are widely diversified; and 2. neither you nor an immediate family member are able to control the underlying assets. Owner of Interest Full Name of Company or ticker symbol B. Stock options in a company or business? ☐ Yes ☒ No Owner of Stock Option Full Name of Company (Do not use a ticker symbol) C. Interests in a non-publicly owned company or business entity? These include interests in sole proprietorships, partnerships, limited partnerships, joint ventures, limited liability companies, limited liability partnerships, and closely held corporations. ☐ Yes ☒ No - If “No,” proceed to question 4. Owner of Interest Name of Company or Business Entity C (1). For each company or business entity identified in question 3.C. (the “Primary Company”), please list the names of any other companies or business entities in which the Primary Company owns securities or equity interests valued at over $10,000, if known. Non-Publicly Owned Company or Business Entity (the Primary Company) Other Companies in which the Primary Company Owns Security or Equity Interests None or Not Known C (2). If you know that any entity listed in 3.C or 3.C(1) above has any material business dealings or business contracts with the State of North Carolina, or is regulated by the State, briefly describe that business activity. Name of Company or Business Entity Description of Business Activity with the State None or Not Known 4. As of December 31, 2019, were you or any members of your immediate family the beneficiaries of a vested trust with a value of $10,000 or more that you created, established, or controlled? Do not list assets held in blind trusts. See 2020 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 The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 11 5. As of December 31, 2019, did you any members of your immediate family have liabilities of $10,000 or more, excluding the mortgage on your primary personal residence? Examples include credit card debts, auto loans, student loans, personal loans and intra-family debt. ☒ Yes ☐ No Name of Debtor Type of Creditor (commercial Bank, credit union, individual, etc.) Anthony Mack Copeland (Self) Commercial Bank Anthony Mack Copeland (Self) Commercial Bank 6. List each source of income (not specific amounts) of more than $5,000 received by you or any members of your immediate family during 2019. Include salary, wages, state/local government retirement income, professional fees, honoraria, interest, dividends, rental income, business income, and other types required to be reported on State and federal tax returns. Please remember to disclose your receipt of salary or wages from any governmental or private entity. 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 Anthony Mack Copeland (Self) North Carolina Department of Commerce State Government Wages Monique L. Copeland (Spouse) Citrix Sales Wages The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 11 Professional and Civic Relationships 7(a). During 2019, were you or any members of your immediate family a director, officer, governing board member, employee, independent contractor, or registered lobbyist of a nonprofit corporation or organization operating in North Carolina primarily for religious, charitable, scientific, literary, public health and safety, or educational purposes? ☐ Yes ☒ No - If “No,” proceed to question 8. ► Do not list State boards or entities. ► Do not list organizations of which you are a mere member. Name of Person Position Name of Nonprofit Corporation or Organization Nature or Purpose of Organization 7(b). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive State funds, briefly describe the nature of that business, if known or with due diligence could reasonably be known. Name of Nonprofit Corporation or Organization Describe State Business None or Not Known 8. During 2019, were you or any members of your immediate family a director, officer, or governing board member of any society, organization, or advocacy group with an interest in matters over which your agency or board may have jurisdiction? ☐ Yes ☒ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing because you are a legislator or judicial officer or you are filing as an appointee to one of those offices. ►Do not list organizations of which you are only a member and do not serve in a leadership role. Name of Person Name of Society, Organization, or Advocacy Group Leadership Position (Director, Officer, Board Member) The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 11 9(a). List the name of each business with which you were associated where you or a member of your immediate family was an employee, director, officer, partner, proprietor, or member or manager as of December 31, 2019. Name of Person Relationship to Filer Name of Company Role of Person Monique L. Copeland Spouse Citrix Manager 9(b). If you know that any entity listed in 9(a) above had any material business dealings or business contracts with the State of North Carolina or was regulated by the State as of December 31, 2019, briefly describe that activity. Name of Company or Business Entity Description of Business Activity with the State Citrix Software supplier 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 2019. ☐ 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 2019, were you a licensed professional (other than an attorney) or did you provide consulting services individually or as a member of a professional association for which you charged or were paid over $10,000? ☐ Yes ☒ No Type of Business Nature of Services Rendered The SEI and any attachments, excluding the Confidential Form, are public records. Page 8 of 11 12. Are you or your employer, or any members of your immediate family, or their employers currently:  licensed by the State board or agency with which you are or will be associated or  regulated by the State board or agency with which you are or will be associated or  in a business relationship with the State board or agency with which you are or will be associated? ☐ Yes ☒ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing because you are a legislator or a judicial officer or you are filing as an appointee to one of those offices. Name of Person Name of Employer (if applicable) Type of Relationship (Licensing, Regulatory, Business) 13. Have you or a member of your immediate family been registered as a lobbyist or lobbyist principal within the 12 months preceding your filing of this form? ☐ Yes ☒ No Name of Lobbyist Lobbyist’s Principal Date of Registration Registration Expiration Other Disclosures 14. During 2019, after you were appointed, employed, or filed or were nominated as a candidate, did you  receive any “gift(s)” exceeding $200 per quarter from a person or group of persons acting together,  when both you and those person(s) were outside North Carolina,  under circumstances that would lead a reasonable person to conclude the gifts were given for lobbying? To answer Yes, all three conditions must apply ☐ Yes ☒ No ► Do not report gifts given by members of your extended family. ► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” Date Item Received Name and Address of Donor(s) Describe Item Received Estimated Market Value The SEI and any attachments, excluding the Confidential Form, are public records. Page 9 of 11 15. During 2019, after you were appointed, employed, or filed or were nominated as a candidate, did you  accept a “scholarship” exceeding $200 related to your public position from a person or group of persons acting together,  when those person(s) were outside North Carolina? To answer Yes, both conditions must apply A “scholarship” is a grant-in-aid, either direct or indirect, to attend a conference, meeting, or similar event, including tuition, travel, lodging, meals, and other similar expenses. ☐ Yes ☒ No ☐ Judicial Officer - You are not required to complete this question if you are a judicial officer or you are filing as a judicial officer appointee. ► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” ► Legislators are not required to report scholarships paid by a nonpartisan legislative organization of which the legislator or the General Assembly is a member, participant, or affiliate. Date of Scholarship Name and Address of Donor(s) Describe Event Estimated Market Value 16. Have you been appointed or considered for appointment to a covered board by the Governor or another Council of State member? Council of State members are: ► Governor ► Lt. Governor ► Secretary of State ► State Auditor ► State Treasurer ► Superintendent of Public Instruction ► Attorney General ► Commissioner of Agriculture ► Commissioner of Labor ► Commissioner of Insurance ☒ Yes ☐ No If “Yes,” list all contributions you made in 2019 with a cumulative total of more than $1,000 to the Council of State member who appointed you. Do not include contributions from immediate family members. ► Contributions are defined broadly in N.C.G.S. 163-278.6(6) and include “any advance, conveyance, deposit, distribution, transfer of funds, loan, payment, gift, pledge or subscription of money or anything of value whatsoever.” Date Amount Contributed to 05/02/2019 $2,000.00 Roy Cooper (Governor) The SEI and any attachments, excluding the Confidential Form, are public records. Page 10 of 11 17. Are you an appointee or prospective appointee as: a. the head of a principal state department (e.g., cabinet secretary) appointed by the Governor; or b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District Court Judge; or c. a member of any of the following boards:  ABC Commission  Coastal Resources Commission  State Board of Education  State Board of Elections  Division of Employment Security  Environmental Management Commission  Industrial Commission  Human Resources Commission  Rules Review Commission  Board of Transportation  Utilities Commission  Wildlife Resources Commission ☒ Yes ☐ No If “No,” proceed to question 18. d. If so, were you appointed or are you being considered for appointment to that position by a Council of State member? ☒ Yes ☐ No If “No,” proceed to question 18. Governor e. If so, you must indicate whether during 2019 you engaged in any of the following activities with respect to or on behalf of the candidate or campaign committee of the Council of State member who appointed you: i. Collected contributions from multiple contributors, took possession of such multiple contributions, and transferred or delivered those collected contributions to the candidate or committee? ☐ Yes ☒ No ii. Hosted a fundraiser at your residence or place of business? ☐ Yes ☒ No iii. Volunteered for campaign-related activities, including phone banks, event assistance, mailings, canvassing, surveying, or any other activity that advances the campaign of a candidate? ☐ Yes ☒ No 18. Have you ever been convicted of a felony for which you have not received either: (i) a pardon; or (ii) an order of expungement? ☐ Yes ☒ No Offense Date of Conviction County of Conviction State of Conviction 19. Are you aware of any other information that you believe may assist the Ethics Commission in advising you concerning your compliance with the State Government Ethics Act? ☐ Yes ☒ No If yes, please provide that information below. The SEI and any attachments, excluding the Confidential Form, are public records. Page 11 of 11 Affirmation The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form regarding Unemancipated Children are public records. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 04/13/2020 Signature Date Anthony Mack Copeland Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 11 STATE ETHICS COMMISSION 2020 STATEMENT OF ECONOMIC INTEREST This entire form must be completed to fulfill your ethics filing obligation. ____ Checked for completion ____Scanned ______Date Incomplete Qs ____ ____ ____ ____ Supp. sent date _______ by _____ Supp. received date _________ Entered in database ______ by ______ Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Anthony Mack Copeland Current Employer Job Title North Carolina Department of Commerce Secretary Nature or Type of Business Economic Development Reason For Filing (Complete all 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.) Commerce, Department of - Secretary Battleship Commission, USS NC Clean Water Management Trust Fund Board Economic Development Partnership of NC Economic Investment Committee Education and Workforce Innovation Commission Food Processing Innovation Center Committee Global Transpark Authority Indian Affairs, Commission of Marine Industrial Park Authority Rural Infrastructure Authority Science, Technology and Innovation, Board of Judicial Officer (Specify office.) Legislator (Specify House or Senate.) A. Do other immediate family members reside in your household? ☒ Yes ☐ No On this form, ”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. Minors are children under 18. They are emancipated by marriage, enlistment in the US military, or court order for emancipation. Full names of Adults and Emancipated Minors Relationship Employer Job Title Nature of Business For Staff Use Only Date Received: The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 11 Monique L. Copeland Spouse Citrix Manager Sales Simon L. Copeland Child N/A N/A N/A The SEI and any attachments, excluding the Confidential Form, are public records. Page 3 of 11 B. List only the initials of all unemancipated minors in your household below. A minor is a child under 18 years old. List the full name of each minor child on the Confidential Form at the end. Initials of Unemancipated Minors Relationship Employer Job Title Nature of Business Property Interests 1. As of December 31, 2019, did you or any members of your immediate family: A. have an ownership interest in North Carolina real estate (including your residence) with a market value of $10,000 or more? ☒ Yes ☐ No Owner of Real Estate % Ownership Interest Location by City Location by County (Self plus Spouse) 100.00% Raleigh Wake Anthony Mack Copeland (Self) 100.00% Hertford Perquimans Anthony Mack Copeland (Self) 100.00% Hertford Perquimans B. lease or rent real estate or personal property to or from the State of North Carolina with a market value of $10,000 or more? ☐ Yes ☒ No Name of Lessor Name of Lessee (Renter) If Real Estate, Location by City & County If Personal Property, Describe 2. At any time during 2018 or 2019, did you or any members of your immediate family sell to or buy from the State of North Carolina personal property worth $10,000 or more? ☐ Yes ☒ No Name of Purchaser Name of Seller Type of Property The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 11 Financial Interests 3. As of December 31, 2019, did you or any members of your immediate family own any of the following financial interests valued at $10,000 or more? List each company individually. A. Stock in a publicly owned company? ☐ Yes ☒ No ►Do not list interests in a widely held investment fund (including mutual funds, regulated investment companies, or pension or deferred compensation plans) if: 1. the fund is publicly traded or its assets are widely diversified; and 2. neither you nor an immediate family member are able to control the underlying assets. Owner of Interest Full Name of Company or ticker symbol B. Stock options in a company or business? ☐ Yes ☒ No Owner of Stock Option Full Name of Company (Do not use a ticker symbol) C. Interests in a non-publicly owned company or business entity? These include interests in sole proprietorships, partnerships, limited partnerships, joint ventures, limited liability companies, limited liability partnerships, and closely held corporations. ☐ Yes ☒ No - If “No,” proceed to question 4. Owner of Interest Name of Company or Business Entity C (1). For each company or business entity identified in question 3.C. (the “Primary Company”), please list the names of any other companies or business entities in which the Primary Company owns securities or equity interests valued at over $10,000, if known. Non-Publicly Owned Company or Business Entity (the Primary Company) Other Companies in which the Primary Company Owns Security or Equity Interests None or Not Known C (2). If you know that any entity listed in 3.C or 3.C(1) above has any material business dealings or business contracts with the State of North Carolina, or is regulated by the State, briefly describe that business activity. Name of Company or Business Entity Description of Business Activity with the State None or Not Known 4. As of December 31, 2019, were you or any members of your immediate family the beneficiaries of a vested trust with a value of $10,000 or more that you created, established, or controlled? Do not list assets held in blind trusts. See 2020 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 The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 11 5. As of December 31, 2019, did you any members of your immediate family have liabilities of $10,000 or more, excluding the mortgage on your primary personal residence? Examples include credit card debts, auto loans, student loans, personal loans and intra-family debt. ☒ Yes ☐ No Name of Debtor Type of Creditor (commercial Bank, credit union, individual, etc.) Anthony Mack Copeland (Self) Commercial Bank Anthony Mack Copeland (Self) Commercial Bank 6. List each source of income (not specific amounts) of more than $5,000 received by you or any members of your immediate family during 2019. Include salary, wages, state/local government retirement income, professional fees, honoraria, interest, dividends, rental income, business income, and other types required to be reported on State and federal tax returns. Please remember to disclose your receipt of salary or wages from any governmental or private entity. 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 Anthony Mack Copeland (Self) North Carolina Department of Commerce State Government Wages Monique L. Copeland (Spouse) Citrix Sales Wages The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 11 Professional and Civic Relationships 7(a). During 2019, were you or any members of your immediate family a director, officer, governing board member, employee, independent contractor, or registered lobbyist of a nonprofit corporation or organization operating in North Carolina primarily for religious, charitable, scientific, literary, public health and safety, or educational purposes? ☐ Yes ☒ No - If “No,” proceed to question 8. ► Do not list State boards or entities. ► Do not list organizations of which you are a mere member. Name of Person Position Name of Nonprofit Corporation or Organization Nature or Purpose of Organization 7(b). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive State funds, briefly describe the nature of that business, if known or with due diligence could reasonably be known. Name of Nonprofit Corporation or Organization Describe State Business None or Not Known 8. During 2019, were you or any members of your immediate family a director, officer, or governing board member of any society, organization, or advocacy group with an interest in matters over which your agency or board may have jurisdiction? ☐ Yes ☒ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing because you are a legislator or judicial officer or you are filing as an appointee to one of those offices. ►Do not list organizations of which you are only a member and do not serve in a leadership role. Name of Person Name of Society, Organization, or Advocacy Group Leadership Position (Director, Officer, Board Member) The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 11 9(a). List the name of each business with which you were associated where you or a member of your immediate family was an employee, director, officer, partner, proprietor, or member or manager as of December 31, 2019. Name of Person Relationship to Filer Name of Company Role of Person Monique L. Copeland Spouse Citrix Manager 9(b). If you know that any entity listed in 9(a) above had any material business dealings or business contracts with the State of North Carolina or was regulated by the State as of December 31, 2019, briefly describe that activity. Name of Company or Business Entity Description of Business Activity with the State Citrix Software supplier 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 2019. ☐ 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 2019, were you a licensed professional (other than an attorney) or did you provide consulting services individually or as a member of a professional association for which you charged or were paid over $10,000? ☐ Yes ☒ No Type of Business Nature of Services Rendered The SEI and any attachments, excluding the Confidential Form, are public records. Page 8 of 11 12. Are you or your employer, or any members of your immediate family, or their employers currently:  licensed by the State board or agency with which you are or will be associated or  regulated by the State board or agency with which you are or will be associated or  in a business relationship with the State board or agency with which you are or will be associated? ☐ Yes ☒ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing because you are a legislator or a judicial officer or you are filing as an appointee to one of those offices. Name of Person Name of Employer (if applicable) Type of Relationship (Licensing, Regulatory, Business) 13. Have you or a member of your immediate family been registered as a lobbyist or lobbyist principal within the 12 months preceding your filing of this form? ☐ Yes ☒ No Name of Lobbyist Lobbyist’s Principal Date of Registration Registration Expiration Other Disclosures 14. During 2019, after you were appointed, employed, or filed or were nominated as a candidate, did you  receive any “gift(s)” exceeding $200 per quarter from a person or group of persons acting together,  when both you and those person(s) were outside North Carolina,  under circumstances that would lead a reasonable person to conclude the gifts were given for lobbying? To answer Yes, all three conditions must apply ☐ Yes ☒ No ► Do not report gifts given by members of your extended family. ► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” Date Item Received Name and Address of Donor(s) Describe Item Received Estimated Market Value The SEI and any attachments, excluding the Confidential Form, are public records. Page 9 of 11 15. During 2019, after you were appointed, employed, or filed or were nominated as a candidate, did you  accept a “scholarship” exceeding $200 related to your public position from a person or group of persons acting together,  when those person(s) were outside North Carolina? To answer Yes, both conditions must apply A “scholarship” is a grant-in-aid, either direct or indirect, to attend a conference, meeting, or similar event, including tuition, travel, lodging, meals, and other similar expenses. ☐ Yes ☒ No ☐ Judicial Officer - You are not required to complete this question if you are a judicial officer or you are filing as a judicial officer appointee. ► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” ► Legislators are not required to report scholarships paid by a nonpartisan legislative organization of which the legislator or the General Assembly is a member, participant, or affiliate. Date of Scholarship Name and Address of Donor(s) Describe Event Estimated Market Value 16. Have you been appointed or considered for appointment to a covered board by the Governor or another Council of State member? Council of State members are: ► Governor ► Lt. Governor ► Secretary of State ► State Auditor ► State Treasurer ► Superintendent of Public Instruction ► Attorney General ► Commissioner of Agriculture ► Commissioner of Labor ► Commissioner of Insurance ☒ Yes ☐ No If “Yes,” list all contributions you made in 2019 with a cumulative total of more than $1,000 to the Council of State member who appointed you. Do not include contributions from immediate family members. ► Contributions are defined broadly in N.C.G.S. 163-278.6(6) and include “any advance, conveyance, deposit, distribution, transfer of funds, loan, payment, gift, pledge or subscription of money or anything of value whatsoever.” Date Amount Contributed to 05/02/2019 $2,000.00 Roy Cooper (Governor) The SEI and any attachments, excluding the Confidential Form, are public records. Page 10 of 11 17. Are you an appointee or prospective appointee as: a. the head of a principal state department (e.g., cabinet secretary) appointed by the Governor; or b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District Court Judge; or c. a member of any of the following boards:  ABC Commission  Coastal Resources Commission  State Board of Education  State Board of Elections  Division of Employment Security  Environmental Management Commission  Industrial Commission  Human Resources Commission  Rules Review Commission  Board of Transportation  Utilities Commission  Wildlife Resources Commission ☒ Yes ☐ No If “No,” proceed to question 18. d. If so, were you appointed or are you being considered for appointment to that position by a Council of State member? ☒ Yes ☐ No If “No,” proceed to question 18. Governor e. If so, you must indicate whether during 2019 you engaged in any of the following activities with respect to or on behalf of the candidate or campaign committee of the Council of State member who appointed you: i. Collected contributions from multiple contributors, took possession of such multiple contributions, and transferred or delivered those collected contributions to the candidate or committee? ☐ Yes ☒ No ii. Hosted a fundraiser at your residence or place of business? ☐ Yes ☒ No iii. Volunteered for campaign-related activities, including phone banks, event assistance, mailings, canvassing, surveying, or any other activity that advances the campaign of a candidate? ☐ Yes ☒ No 18. Have you ever been convicted of a felony for which you have not received either: (i) a pardon; or (ii) an order of expungement? ☐ Yes ☒ No Offense Date of Conviction County of Conviction State of Conviction 19. Are you aware of any other information that you believe may assist the Ethics Commission in advising you concerning your compliance with the State Government Ethics Act? ☐ Yes ☒ No If yes, please provide that information below. The SEI and any attachments, excluding the Confidential Form, are public records. Page 11 of 11 Affirmation The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form regarding Unemancipated Children are public records. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 04/13/2020 Signature Date Anthony Mack Copeland Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

This entire document is a public record. STATE ETHICS COMMISSION 2019 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM This entire form must be completed to fulfill your ethics filing obligation. FOR STAFF USE ONLY Date Received: Checked for completion ______ Scanned _______ Date______ Entered in DB ____by______ Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Anthony M. Copeland 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.) Commerce, Department of - Secretary Judicial Officer (Specify office.) Legislator (Specify House or Senate.) AFFIRMATION The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form Regarding Unemancipated Children public records. I have read and understand the following statutes: N.C.G.S. § 163A-191. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary action under G.S. 163A-415. N.C.G.S. § 163A-192. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 163A-415. I affirm that I have reviewed my most recently filed 2018 Statement of Economic Interest and that as of December 31, 2018, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 02/12/2019 Signature Date Anthony M. Copeland Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

This entire document is a public record. STATE ETHICS COMMISSION 2019 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM This entire form must be completed to fulfill your ethics filing obligation. FOR STAFF USE ONLY Date Received: Checked for completion ______ Scanned _______ Date______ Entered in DB ____by______ Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Anthony M. Copeland 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.) Commerce, Department of - Secretary Judicial Officer (Specify office.) Legislator (Specify House or Senate.) AFFIRMATION The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form Regarding Unemancipated Children public records. I have read and understand the following statutes: N.C.G.S. § 163A-191. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary action under G.S. 163A-415. N.C.G.S. § 163A-192. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 163A-415. I affirm that I have reviewed my most recently filed 2018 Statement of Economic Interest and that as of December 31, 2018, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 02/12/2019 Signature Date Anthony M. Copeland Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

This entire document is a public record. STATE ETHICS COMMISSION 2019 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM This entire form must be completed to fulfill your ethics filing obligation. FOR STAFF USE ONLY Date Received: Checked for completion ______ Scanned _______ Date______ Entered in DB ____by______ Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Anthony M. Copeland 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.) Commerce, Department of - Secretary Judicial Officer (Specify office.) Legislator (Specify House or Senate.) AFFIRMATION The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form Regarding Unemancipated Children public records. I have read and understand the following statutes: N.C.G.S. § 163A-191. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary action under G.S. 163A-415. N.C.G.S. § 163A-192. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 163A-415. I affirm that I have reviewed my most recently filed 2018 Statement of Economic Interest and that as of December 31, 2018, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 02/12/2019 Signature Date Anthony M. Copeland Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

This entire document is a public record. STATE ETHICS COMMISSION 2019 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM This entire form must be completed to fulfill your ethics filing obligation. FOR STAFF USE ONLY Date Received: Checked for completion ______ Scanned _______ Date______ Entered in DB ____by______ Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Anthony M. Copeland 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.) Commerce, Department of - Secretary Judicial Officer (Specify office.) Legislator (Specify House or Senate.) AFFIRMATION The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form Regarding Unemancipated Children public records. I have read and understand the following statutes: N.C.G.S. § 163A-191. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary action under G.S. 163A-415. N.C.G.S. § 163A-192. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 163A-415. I affirm that I have reviewed my most recently filed 2018 Statement of Economic Interest and that as of December 31, 2018, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 02/12/2019 Signature Date Anthony M. Copeland Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

This entire document is a public record. STATE ETHICS COMMISSION 2019 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM This entire form must be completed to fulfill your ethics filing obligation. FOR STAFF USE ONLY Date Received: Checked for completion ______ Scanned _______ Date______ Entered in DB ____by______ Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Anthony M. Copeland 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.) Commerce, Department of - Secretary Judicial Officer (Specify office.) Legislator (Specify House or Senate.) AFFIRMATION The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form Regarding Unemancipated Children public records. I have read and understand the following statutes: N.C.G.S. § 163A-191. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary action under G.S. 163A-415. N.C.G.S. § 163A-192. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 163A-415. I affirm that I have reviewed my most recently filed 2018 Statement of Economic Interest and that as of December 31, 2018, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 02/12/2019 Signature Date Anthony M. Copeland Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

This entire document is a public record. STATE ETHICS COMMISSION 2019 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM This entire form must be completed to fulfill your ethics filing obligation. FOR STAFF USE ONLY Date Received: Checked for completion ______ Scanned _______ Date______ Entered in DB ____by______ Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Anthony M. Copeland 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.) Commerce, Department of - Secretary Judicial Officer (Specify office.) Legislator (Specify House or Senate.) AFFIRMATION The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form Regarding Unemancipated Children public records. I have read and understand the following statutes: N.C.G.S. § 163A-191. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary action under G.S. 163A-415. N.C.G.S. § 163A-192. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 163A-415. I affirm that I have reviewed my most recently filed 2018 Statement of Economic Interest and that as of December 31, 2018, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 02/12/2019 Signature Date Anthony M. Copeland Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

This entire document is a public record. STATE ETHICS COMMISSION 2019 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM This entire form must be completed to fulfill your ethics filing obligation. FOR STAFF USE ONLY Date Received: Checked for completion ______ Scanned _______ Date______ Entered in DB ____by______ Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Anthony M. Copeland 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.) Commerce, Department of - Secretary Judicial Officer (Specify office.) Legislator (Specify House or Senate.) AFFIRMATION The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form Regarding Unemancipated Children public records. I have read and understand the following statutes: N.C.G.S. § 163A-191. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary action under G.S. 163A-415. N.C.G.S. § 163A-192. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 163A-415. I affirm that I have reviewed my most recently filed 2018 Statement of Economic Interest and that as of December 31, 2018, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 02/12/2019 Signature Date Anthony M. Copeland Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

This entire document is a public record. STATE ETHICS COMMISSION 2019 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM This entire form must be completed to fulfill your ethics filing obligation. FOR STAFF USE ONLY Date Received: Checked for completion ______ Scanned _______ Date______ Entered in DB ____by______ Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Anthony M. Copeland 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.) Commerce, Department of - Secretary Judicial Officer (Specify office.) Legislator (Specify House or Senate.) AFFIRMATION The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form Regarding Unemancipated Children public records. I have read and understand the following statutes: N.C.G.S. § 163A-191. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary action under G.S. 163A-415. N.C.G.S. § 163A-192. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 163A-415. I affirm that I have reviewed my most recently filed 2018 Statement of Economic Interest and that as of December 31, 2018, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 02/12/2019 Signature Date Anthony M. Copeland Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

This entire document is a public record. STATE ETHICS COMMISSION 2019 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM This entire form must be completed to fulfill your ethics filing obligation. FOR STAFF USE ONLY Date Received: Checked for completion ______ Scanned _______ Date______ Entered in DB ____by______ Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Anthony M. Copeland 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.) Commerce, Department of - Secretary Judicial Officer (Specify office.) Legislator (Specify House or Senate.) AFFIRMATION The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form Regarding Unemancipated Children public records. I have read and understand the following statutes: N.C.G.S. § 163A-191. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary action under G.S. 163A-415. N.C.G.S. § 163A-192. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 163A-415. I affirm that I have reviewed my most recently filed 2018 Statement of Economic Interest and that as of December 31, 2018, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 02/12/2019 Signature Date Anthony M. Copeland Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

This entire document is a public record. STATE ETHICS COMMISSION 2019 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM This entire form must be completed to fulfill your ethics filing obligation. FOR STAFF USE ONLY Date Received: Checked for completion ______ Scanned _______ Date______ Entered in DB ____by______ Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Anthony M. Copeland 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.) Commerce, Department of - Secretary Judicial Officer (Specify office.) Legislator (Specify House or Senate.) AFFIRMATION The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form Regarding Unemancipated Children public records. I have read and understand the following statutes: N.C.G.S. § 163A-191. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary action under G.S. 163A-415. N.C.G.S. § 163A-192. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 163A-415. I affirm that I have reviewed my most recently filed 2018 Statement of Economic Interest and that as of December 31, 2018, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 02/12/2019 Signature Date Anthony M. Copeland Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

NORTH CAROLINA STATE ETHICS COMMISSION 2018 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM FILER'S NAME (FIRST, MIDDLE, LAST) Prefix First Name Middle Name Last Name Suffix Anthony Mack Copeland REASON FOR FILING (SELECT ALL THAT APPLY) STATE GOVERNMENT JOB (Specify the agency for which you work or are being considered) BOARD/COMMISSION (List complete name of all State boards on which you are serving or are being considered) Commerce, Department of JUDICIAL OFFICER (Specify the office you hold) LEGISLATOR (Specify House or Senate) The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 2 AFFIRMATION I affirm that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate to the best of my knowledge and belief. I also certify that I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments or supplements thereto (with the exception of the Confidential Form regarding Unemancipated Children) are public record. I acknowledge that I have read and understand N.C.G.S. 138A-26 regarding concealing or failing to disclose material information and N.C.G.S. 138A-27 regarding providing false information: § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest under this Article shall be guilty of a Class 1 misdemeanor and shall be subject to disciplinary action under G.S. 138A-45. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest as required under this Article knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I hereby affirm that I have reviewed my most recently filed 2017 Statement of Economic Interest and that as of December 31, 2017, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I Agree. It is my intention that this check box constitutes my electronic signature. By checking this box I certify that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate to the best of my knowledge and belief. Filed Electronically 3/14/2018 Signature Date Anthony Mack Copeland Printed Name The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 2

NORTH CAROLINA STATE ETHICS COMMISSION 2018 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM FILER'S NAME (FIRST, MIDDLE, LAST) Prefix First Name Middle Name Last Name Suffix Anthony Mack Copeland REASON FOR FILING (SELECT ALL THAT APPLY) STATE GOVERNMENT JOB (Specify the agency for which you work or are being considered) BOARD/COMMISSION (List complete name of all State boards on which you are serving or are being considered) Commerce, Department of JUDICIAL OFFICER (Specify the office you hold) LEGISLATOR (Specify House or Senate) The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 2 AFFIRMATION I affirm that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate to the best of my knowledge and belief. I also certify that I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments or supplements thereto (with the exception of the Confidential Form regarding Unemancipated Children) are public record. I acknowledge that I have read and understand N.C.G.S. 138A-26 regarding concealing or failing to disclose material information and N.C.G.S. 138A-27 regarding providing false information: § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest under this Article shall be guilty of a Class 1 misdemeanor and shall be subject to disciplinary action under G.S. 138A-45. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest as required under this Article knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I hereby affirm that I have reviewed my most recently filed 2017 Statement of Economic Interest and that as of December 31, 2017, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I Agree. It is my intention that this check box constitutes my electronic signature. By checking this box I certify that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate to the best of my knowledge and belief. Filed Electronically 3/14/2018 Signature Date Anthony Mack Copeland Printed Name The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 2

NORTH CAROLINA STATE ETHICS COMMISSION 2018 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM FILER'S NAME (FIRST, MIDDLE, LAST) Prefix First Name Middle Name Last Name Suffix Anthony Mack Copeland REASON FOR FILING (SELECT ALL THAT APPLY) STATE GOVERNMENT JOB (Specify the agency for which you work or are being considered) BOARD/COMMISSION (List complete name of all State boards on which you are serving or are being considered) Commerce, Department of JUDICIAL OFFICER (Specify the office you hold) LEGISLATOR (Specify House or Senate) The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 2 AFFIRMATION I affirm that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate to the best of my knowledge and belief. I also certify that I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments or supplements thereto (with the exception of the Confidential Form regarding Unemancipated Children) are public record. I acknowledge that I have read and understand N.C.G.S. 138A-26 regarding concealing or failing to disclose material information and N.C.G.S. 138A-27 regarding providing false information: § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest under this Article shall be guilty of a Class 1 misdemeanor and shall be subject to disciplinary action under G.S. 138A-45. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest as required under this Article knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I hereby affirm that I have reviewed my most recently filed 2017 Statement of Economic Interest and that as of December 31, 2017, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I Agree. It is my intention that this check box constitutes my electronic signature. By checking this box I certify that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate to the best of my knowledge and belief. Filed Electronically 3/14/2018 Signature Date Anthony Mack Copeland Printed Name The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 2

NORTH CAROLINA STATE ETHICS COMMISSION 2018 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM FILER'S NAME (FIRST, MIDDLE, LAST) Prefix First Name Middle Name Last Name Suffix Anthony Mack Copeland REASON FOR FILING (SELECT ALL THAT APPLY) STATE GOVERNMENT JOB (Specify the agency for which you work or are being considered) BOARD/COMMISSION (List complete name of all State boards on which you are serving or are being considered) Commerce, Department of JUDICIAL OFFICER (Specify the office you hold) LEGISLATOR (Specify House or Senate) The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 2 AFFIRMATION I affirm that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate to the best of my knowledge and belief. I also certify that I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments or supplements thereto (with the exception of the Confidential Form regarding Unemancipated Children) are public record. I acknowledge that I have read and understand N.C.G.S. 138A-26 regarding concealing or failing to disclose material information and N.C.G.S. 138A-27 regarding providing false information: § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest under this Article shall be guilty of a Class 1 misdemeanor and shall be subject to disciplinary action under G.S. 138A-45. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest as required under this Article knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I hereby affirm that I have reviewed my most recently filed 2017 Statement of Economic Interest and that as of December 31, 2017, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I Agree. It is my intention that this check box constitutes my electronic signature. By checking this box I certify that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate to the best of my knowledge and belief. Filed Electronically 3/14/2018 Signature Date Anthony Mack Copeland Printed Name The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 2

NORTH CAROLINA STATE ETHICS COMMISSION 2018 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM FILER'S NAME (FIRST, MIDDLE, LAST) Prefix First Name Middle Name Last Name Suffix Anthony Mack Copeland REASON FOR FILING (SELECT ALL THAT APPLY) STATE GOVERNMENT JOB (Specify the agency for which you work or are being considered) BOARD/COMMISSION (List complete name of all State boards on which you are serving or are being considered) Commerce, Department of JUDICIAL OFFICER (Specify the office you hold) LEGISLATOR (Specify House or Senate) The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 2 AFFIRMATION I affirm that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate to the best of my knowledge and belief. I also certify that I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments or supplements thereto (with the exception of the Confidential Form regarding Unemancipated Children) are public record. I acknowledge that I have read and understand N.C.G.S. 138A-26 regarding concealing or failing to disclose material information and N.C.G.S. 138A-27 regarding providing false information: § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest under this Article shall be guilty of a Class 1 misdemeanor and shall be subject to disciplinary action under G.S. 138A-45. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest as required under this Article knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I hereby affirm that I have reviewed my most recently filed 2017 Statement of Economic Interest and that as of December 31, 2017, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I Agree. It is my intention that this check box constitutes my electronic signature. By checking this box I certify that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate to the best of my knowledge and belief. Filed Electronically 3/14/2018 Signature Date Anthony Mack Copeland Printed Name The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 2

NORTH CAROLINA STATE ETHICS COMMISSION 2018 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM FILER'S NAME (FIRST, MIDDLE, LAST) Prefix First Name Middle Name Last Name Suffix Anthony Mack Copeland REASON FOR FILING (SELECT ALL THAT APPLY) STATE GOVERNMENT JOB (Specify the agency for which you work or are being considered) BOARD/COMMISSION (List complete name of all State boards on which you are serving or are being considered) Commerce, Department of JUDICIAL OFFICER (Specify the office you hold) LEGISLATOR (Specify House or Senate) The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 2 AFFIRMATION I affirm that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate to the best of my knowledge and belief. I also certify that I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments or supplements thereto (with the exception of the Confidential Form regarding Unemancipated Children) are public record. I acknowledge that I have read and understand N.C.G.S. 138A-26 regarding concealing or failing to disclose material information and N.C.G.S. 138A-27 regarding providing false information: § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest under this Article shall be guilty of a Class 1 misdemeanor and shall be subject to disciplinary action under G.S. 138A-45. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest as required under this Article knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I hereby affirm that I have reviewed my most recently filed 2017 Statement of Economic Interest and that as of December 31, 2017, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I Agree. It is my intention that this check box constitutes my electronic signature. By checking this box I certify that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate to the best of my knowledge and belief. Filed Electronically 3/14/2018 Signature Date Anthony Mack Copeland Printed Name The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 2

NORTH CAROLINA STATE ETHICS COMMISSION 2018 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM FILER'S NAME (FIRST, MIDDLE, LAST) Prefix First Name Middle Name Last Name Suffix Anthony Mack Copeland REASON FOR FILING (SELECT ALL THAT APPLY) STATE GOVERNMENT JOB (Specify the agency for which you work or are being considered) BOARD/COMMISSION (List complete name of all State boards on which you are serving or are being considered) Commerce, Department of JUDICIAL OFFICER (Specify the office you hold) LEGISLATOR (Specify House or Senate) The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 2 AFFIRMATION I affirm that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate to the best of my knowledge and belief. I also certify that I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments or supplements thereto (with the exception of the Confidential Form regarding Unemancipated Children) are public record. I acknowledge that I have read and understand N.C.G.S. 138A-26 regarding concealing or failing to disclose material information and N.C.G.S. 138A-27 regarding providing false information: § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest under this Article shall be guilty of a Class 1 misdemeanor and shall be subject to disciplinary action under G.S. 138A-45. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest as required under this Article knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I hereby affirm that I have reviewed my most recently filed 2017 Statement of Economic Interest and that as of December 31, 2017, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I Agree. It is my intention that this check box constitutes my electronic signature. By checking this box I certify that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate to the best of my knowledge and belief. Filed Electronically 3/14/2018 Signature Date Anthony Mack Copeland Printed Name The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 2

This contact information page is a public record. a NORTH CAROLINA STATE ETHICS | or eTuics commission ust ory IE COMMISSION | Ot Received: & 2017 STATEMENT OF ECONOMIC INTEREST 919-814-3600 WW. mis RIX g CARICSCOMMISSION-NC-80Y | erected or completion I Scanned Date THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL | I"ompete?s "YOUR SEI FILING OBLIGATION Supp. Sent Date By Sup. Recaved Date _ Enters in coraonse U7 ey [41s [FueRs name (riRsT, MIDDLE USD a pa | Prefix | First Name TMiddie Nome | LastName suffix | we Anthony Mack | Copeland | coRmeNTEMPOYER [oes mE a NC Department of Commerce 2 5 — 1 iii SO . I iii | | Economic Development REASON FOR FILING (COMPLETE ALLTRAT APPLY) Ba SHAE SOVRRRNENY. 556 LE J 'BOARD/COMMISSION (List complete name of all State JE — | boards on which you are serving or are being considered) _| |" Commerce, Departmen ot | | 1 Co I " UDICIAL OFFICER (Specify Office) | LEGISLATOR (Specify House or Senate) = "A. Do other immediate family members reside in your household? oo xves [INo ‘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 chidren, grandchidren, parents, grandparents, and | Siblings, and the spouses of each of those persons) who reside In your household. “List the full name of ail adults and emancipated minors in your household. A minor is 3 chid under 18 years od. | Minors are emancipated by marriage, enlistment in the US miltary, or court order for emancipation. | FULL NAME OF ADULTS & VER JosTIie | NATURE OF | "eMANCIPATED MINORS | REWATIONSHIP EMPLO | | susiness L — — | | EE The SEI and any attachments, excluding the Confidential Form, are public records. Page 10f 10 B. List ONLY the initials of ail 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. _ fe Er canes trp e——— rg e— RELATIONSHIP | | trmas ror EMPLOYER 308 TITLE NATURE OF UNEMANCIPATED BUSINESS | miNoRs | | I wll SLC Son Cantina 18 H Waiter Restaurant > J Sane iid | r 1 1 i — | 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 Caralina real estate (Including your residence) with a market value of $10,000 or more? x Yes [No Owner of Real Estate Tem Ownership Interest | Location by City | Location by County I Anthony Copeland 100 Raleigh Wake Anthony Copeland 100 Hertord Perquimans Anthony Copeland 100 Hertfora Perquimans } B. Lease or rent real estate or personal property to or from the State of North Caroling with a market value of $10,000 or more? 1 | Ove xno 7 Nameofiessor | NameofLessce | if Real Estate, Location | if Personal Property, (Renter) | everyacoumy | Describe | 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 Carciing personal property with a market value of $10,000 or more? 1Ves ~ X No I Name of Purchaser TT Nemeofseller | Type of Property | The SET and any attachments, excluding the Confidential Form, are public records. Page 20 10 - EE _ - — [Financia mvTerests 3. AS of December 31 2016, did you, your spouse, or members of your {Eat family own any of the following financial interest valued at $10,000 or more? LIST EACH COMPANY INDIVIDUALLY. A. Stock in a pubicly owned company? Loves xNe I 50 (ot lst ownership interests in a widely held investment fund (including mutual funds, requiated investment companies, or pension or deferred compensation plans) f: () the fund 15 publicly traded of ts assets arc widely diversified; and (1) neither you nar an Immediate family member are able to control the assets held in the mutual fund, investment company, o pension or efermod compensation plan. ‘Guner of Interest Full Name of Company (85 not use @ ieker symbaD) | | — in ii | | | i — _— EE — - I”. stock Options in a company or business? Ces xo Owner of Stock Option Full Name of Company (Do not use a ticker symbol) |" interests n 2 non-public owned company ar business entity (including nerests in sole roprietorships, Dartnershig, Imied parthersiigs, sont ventures, mted Nabil companies, ited Habity partnerships, and | closely held corporations)? | ves x No 11No," proceed to question 4. or Owner of Interest Name of Company or Business Entity | SE C (1). For each non-publicly owned company or business entity (the “primary company”) identified in question SE “Shove, lease nt the names of any abner companies of Business entities m which the primary company ans Secures of SHUR interests valued at over $10,005, 7 known. Non-Publicly Owned Company or Business Entity Other Companies in which the Primary Company i (the Primary Company) Owns Security or Equity Interests x None or Not Known The SET and any attachments, excluding the Confidential Form, are public records. Page 30110 I C (2). 1f 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 s regulated by the State, provide a brief description of that business activity. I Name of Company or Business Entity | Description of Business Activity with the State | [Non ar Not known Se 1 i a i Se emeseseseeeee————— | i | tt + mf | EU — - |. o pscember 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 mare that was created, established, or controlled by you? | 00 not st assets held in blind trusts. See 2017 SEI Helpful Tis for the definition of “Vested Trust and “Blind Trust.” | |OYes x ho | | 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 immegiate family have liabilties of $10,000 or | more, excluding the mortgage an your primary personal residence? Examples include credit card debs, auto loans, student loans, personal ans and Intra-family debt. x Yes [INo ] Name of Debtor (You, Spouse, Immediate Family | Type of Creditor (Commercial Bank, Credit Union, Member) Individual, ete.) T 1 Anthony Copeland Commercial Bank | Anthony Copeland Commercial Bank | 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, satellocal 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 fax returns. | Da nat 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 “| Typeof Income Business/ Industry | [TIThad mo reportable income aver $5,000 in 2016 — “Anthony M. Copeland "7 Williams Mullen Law Wages. oo Monique L. Copeland |Stayonine | Technology Wages i} { { The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 10 I — PROFESSIONAL AND CIVIC RELATIONSHIPS. _ I ! 7(2). 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 primary for religous, charitable, scientific literary, public health and safety, or educational purposes? | X 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 Nature of Business or | Corporation or Organization Purpose of Organization | Anthony M. Copeland Boara Member MENG Broadband | 7(b). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive State funds, piease provide a brief description of the nature of that business, ff Known or with which due dilgence could reasonably be known. Name of Nonprofit Corporation or Organization | Describe State Business or State Funding _ 1 Hone or Not Known mene North Carolina leases fiber ©. During 2016, were you, your spouse, or members of your immediate family 3 director, officer, or governing board member of any Society, organization, or Advocacy roup With an Interest in matters over which your agency or board may have jurisdiction? ClYes x No [JLegislator/udicial Officer - You are not required to complete this question if you are filing because ‘You are a legislator or a Judicial officer ar you are filing as an appointee to those offices. » D0 not list organizations of which you are only a member (not serving in a leadership role). I Name of Person | Name of Society, Organization or Leadership Position (Director, Advocacy Group ‘Officer, Board Member) The SET and any attachments, excluding the Confidential Form, are public records. Page 5 of 10 9(2). List the name of each company or business with which you were associated where you or a member of your — Tarai was ar empha: dracon, SVT, pooc, BrapRRor, 5 emer or moter eo aco 3h, JAE Name of Person Relationship to Filer Name of Company Ii Role of person Monique L. Copan wie | stayonine Sates ! 500. 1 you know that any company or business ent sed n (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 Set ansenpto oom esas cy ! Name of Company or Business Entity Description of Business Activity with the State Witams Hton Represented cients who applied for grants rom the State 70. Arye posting tomy? xX Yes [No []ludicial Officer/State Attorney I Ves, check exch catogay flogal representation i WhGh you or the lw fr wits which you are ffated has armed legal fees of more than $10,000 during 2016. 11. During 2016, were you a lensed professional (other than an atomey) ar dd you prove consulting services iho of 22 2 meer 5 pretessonal sseeetion fo WHER yo. Sharan wor port ave S600 “vex ae Tyne of Business Nature of Services Rendered The SET and any attachments, excluding the Confidential Form, are public records. J A SE . _ J 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 wil be associated or - Regulated by the State board or employing ent with which you are or will be associated or + Have a business relationship with the State board or employing entity with which you re or wil be associated? | [ves xNo [I Legistator/udical Officer - You are not required to compiete this question if you are fing because Jou are a legiiaor or 3 dic officer (Sudical oficer = defined in the SE1 Helphul Tos) o you Are fing as an appointee to those offices. Name of Person Name of Employer Type of Relationship (Licensing, (it applicable) | Regulatory, Business) i | | 13. Are you, your spouse or a member of your immediate family currently registered as a lobbyist o lobbyist principal, or were you registered as such witin the 12 months preceding your fing of this form? ~~ [1¥es. x No “Name of Lobbyist 7 Lobbyist's Principal © dateot | Registration | { Registration Expiration — | | | oTHERDISCLOSURES — 14. During any calendar quarter in 2016 (but only the time period after you were appointed, employed or ied or were nominated a5 & candidate), di you + receive any "9if(s)” exceeding $200 per quarter from a person or group of persons acting together, and | + when both you and those person(s) were ouside North Carolina at the time you accepted the G(s), and | + the gii(s) were given under circumstances that would ead a reasanable person to conclude that they were given | for lobbying? | ves x No | Ld | 00 not report gifts ven by members of your extended family. 00 not report gifs that have previously been reported by you t the Department of the Secretary of State on the “Expens Report for Exempted Persons Date Item Received | Name and Address of Donor(s) | Describe Item Received | Estimated Market Value The SET and any attachments, excluding the Confidential Form, are public records. Page 7 of 10 15. During 2016 (but onl the tim perod after you were appointed, employed, or fled or were nominated 3s > rasa 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 public positon? A "scholarship s a grant-in-aid, either direct or indirect, to attend a conference, meeting, or similar event, Inchuding tition, ravel, lodging, meals, and other Similar expenses. [es x No [] ual Officer - You a mot required to complete tis question f you are a judicial officer or you are | ing a5 2 Juical officer appomtee. D0 not report gifts that have previously been reparted by you to the Department of the Secretary of State on the Expense Report fo Exempted Persons. | > Legisiators are not required to report scholarships paid by a nonpartisan legislative organization of which the legisiat | or the General Assembly 1s a mentoer or participant o an afte of tht organization. Date of Name and Address of Donor(s) | Describe Event Estimated Market Scholarship | | | Value | | | | | li I __l I SE 16. Were you appointed ar are you being considered for an appointment t a covered board by the Governor or anather Counciof 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 Agricuture ~~» Commissioner of Labor » Commissioner of Insurance xves No If “Yes”, list all contributions you (NOT immediate family members) made during 2016 with a cumulative total of more than $1,000 ta the Governor or other Counc of State member wh appointed you. i » Contributions are defined n N.C.G.5. 163-278.6(6) and include, but are no limited to, “any advance, conveyance, | deposit, distribution, transfer of funds, 10a, payment, Gf, ledge or subscription of money or anything of value whatsoever.” LC SS 0 7] No contribution(s) with a cumulative total of more than $1,000 | 10/01/2016 52,500.00 ] Roy Cooper ! The SEX and any attachments, excluding the Confidential Form, are public records. Page 8 of 10 17. Ars you an appontee of prospective appoint to: | a the head of a principal state department (e.g. cabinet secretary) apponted by the | Governor o |b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District | Sood or <. a member of any ofthe following boards: | + ABC Commission | Conte Resources Commission i ~ Stare Board of Educanon Sk oa on esos [xves In | Dowson of Emplovman Securty JA —- No proceed | instal Commasion Question 18. PN — Bot of Transportation | © URC Bord of overmrs | | de resences Commssion | Et W—")| position by a Council of State member? Council of State members are listed in " 'No,” proceed { question 16. question 18. wo oI 20, you rust indicate whether during 2016 you (nat immediate family members) I amet mv oft flo actles Wh ect 1 or On Bere of he | ae of Camis comes oi the Counc Sate member whe SERIE You ta your pbc past | x Yes INo | | Collected contributions from multiple contributors, took possession of uch | | multiple contributions, and transferred or delivered those collected Contin 1 1h cate o Commies? Contribution are defined in | question 16. | EP Oves xno | iii. Volunteered for campaign-related activities, which include, but are not limited 1 ene ates a vanes The CHP of 8 Canam 18. Have you ever been canvicted of a felony for which you have not received either: (i) a "don Of innocence; or i) an cndar of expunge regain Sat comeAon? | OYes xNo ottense Date of Conviction | County of Conviction | State of Conviction 19. Ave you aware of any other information that yo bellve may assist the State. EYCS Commission n ais you Concern vous comphancs wih the Stats Goverment Eins AT [Cl¥es x No If yes, please provide such information below. | The SEE and any attachments, excluding the Confidential Form, are public records. Page sof 10 AFFIRMATION | and accurate 10 he bes of my Knowledge and ble Yat erty that have no ansferrd. and wil nou raster, any asset. rest, or prope for the pups of concen i from disclose while reunion quiable cre | understand that my Statement of Economie Interest and any attachments or supplements thereto (with the exception of the | | Confidential For regarding Uncmancipated Children are publ record Yacknowlede that have red and understand NC. 8. 1382.26 regarding concealing or filing 0 disclose materia information and N.C.G.5. 138-27 regarding providing fase information 3 139A26 Concening or filing 0 diclo materi information To diniplinary action under G5. 1384-45 §139A.27. Penalty for fa information GS. 138A X 1 agree / y LUC avs B 1 bt i V. ‘oS { Signature [3 . Date EE NN ON ines | Rome t | | Submit SIGNED, ORIGINAL documents only. 00 not fax or email ths form. :

This contact information page is a public record. a NORTH CAROLINA STATE ETHICS | or eTuics commission ust ory IE COMMISSION | Ot Received: & 2017 STATEMENT OF ECONOMIC INTEREST 919-814-3600 WW. mis RIX g CARICSCOMMISSION-NC-80Y | erected or completion I Scanned Date THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL | I"ompete?s "YOUR SEI FILING OBLIGATION Supp. Sent Date By Sup. Recaved Date _ Enters in coraonse U7 ey [41s [FueRs name (riRsT, MIDDLE USD a pa | Prefix | First Name TMiddie Nome | LastName suffix | we Anthony Mack | Copeland | coRmeNTEMPOYER [oes mE a NC Department of Commerce 2 5 — 1 iii SO . I iii | | Economic Development REASON FOR FILING (COMPLETE ALLTRAT APPLY) Ba SHAE SOVRRRNENY. 556 LE J 'BOARD/COMMISSION (List complete name of all State JE — | boards on which you are serving or are being considered) _| |" Commerce, Departmen ot | | 1 Co I " UDICIAL OFFICER (Specify Office) | LEGISLATOR (Specify House or Senate) = "A. Do other immediate family members reside in your household? oo xves [INo ‘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 chidren, grandchidren, parents, grandparents, and | Siblings, and the spouses of each of those persons) who reside In your household. “List the full name of ail adults and emancipated minors in your household. A minor is 3 chid under 18 years od. | Minors are emancipated by marriage, enlistment in the US miltary, or court order for emancipation. | FULL NAME OF ADULTS & VER JosTIie | NATURE OF | "eMANCIPATED MINORS | REWATIONSHIP EMPLO | | susiness L — — | | EE The SEI and any attachments, excluding the Confidential Form, are public records. Page 10f 10 B. List ONLY the initials of ail 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. _ fe Er canes trp e——— rg e— RELATIONSHIP | | trmas ror EMPLOYER 308 TITLE NATURE OF UNEMANCIPATED BUSINESS | miNoRs | | I wll SLC Son Cantina 18 H Waiter Restaurant > J Sane iid | r 1 1 i — | 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 Caralina real estate (Including your residence) with a market value of $10,000 or more? x Yes [No Owner of Real Estate Tem Ownership Interest | Location by City | Location by County I Anthony Copeland 100 Raleigh Wake Anthony Copeland 100 Hertord Perquimans Anthony Copeland 100 Hertfora Perquimans } B. Lease or rent real estate or personal property to or from the State of North Caroling with a market value of $10,000 or more? 1 | Ove xno 7 Nameofiessor | NameofLessce | if Real Estate, Location | if Personal Property, (Renter) | everyacoumy | Describe | 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 Carciing personal property with a market value of $10,000 or more? 1Ves ~ X No I Name of Purchaser TT Nemeofseller | Type of Property | The SET and any attachments, excluding the Confidential Form, are public records. Page 20 10 - EE _ - — [Financia mvTerests 3. AS of December 31 2016, did you, your spouse, or members of your {Eat family own any of the following financial interest valued at $10,000 or more? LIST EACH COMPANY INDIVIDUALLY. A. Stock in a pubicly owned company? Loves xNe I 50 (ot lst ownership interests in a widely held investment fund (including mutual funds, requiated investment companies, or pension or deferred compensation plans) f: () the fund 15 publicly traded of ts assets arc widely diversified; and (1) neither you nar an Immediate family member are able to control the assets held in the mutual fund, investment company, o pension or efermod compensation plan. ‘Guner of Interest Full Name of Company (85 not use @ ieker symbaD) | | — in ii | | | i — _— EE — - I”. stock Options in a company or business? Ces xo Owner of Stock Option Full Name of Company (Do not use a ticker symbol) |" interests n 2 non-public owned company ar business entity (including nerests in sole roprietorships, Dartnershig, Imied parthersiigs, sont ventures, mted Nabil companies, ited Habity partnerships, and | closely held corporations)? | ves x No 11No," proceed to question 4. or Owner of Interest Name of Company or Business Entity | SE C (1). For each non-publicly owned company or business entity (the “primary company”) identified in question SE “Shove, lease nt the names of any abner companies of Business entities m which the primary company ans Secures of SHUR interests valued at over $10,005, 7 known. Non-Publicly Owned Company or Business Entity Other Companies in which the Primary Company i (the Primary Company) Owns Security or Equity Interests x None or Not Known The SET and any attachments, excluding the Confidential Form, are public records. Page 30110 I C (2). 1f 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 s regulated by the State, provide a brief description of that business activity. I Name of Company or Business Entity | Description of Business Activity with the State | [Non ar Not known Se 1 i a i Se emeseseseeeee————— | i | tt + mf | EU — - |. o pscember 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 mare that was created, established, or controlled by you? | 00 not st assets held in blind trusts. See 2017 SEI Helpful Tis for the definition of “Vested Trust and “Blind Trust.” | |OYes x ho | | 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 immegiate family have liabilties of $10,000 or | more, excluding the mortgage an your primary personal residence? Examples include credit card debs, auto loans, student loans, personal ans and Intra-family debt. x Yes [INo ] Name of Debtor (You, Spouse, Immediate Family | Type of Creditor (Commercial Bank, Credit Union, Member) Individual, ete.) T 1 Anthony Copeland Commercial Bank | Anthony Copeland Commercial Bank | 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, satellocal 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 fax returns. | Da nat 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 “| Typeof Income Business/ Industry | [TIThad mo reportable income aver $5,000 in 2016 — “Anthony M. Copeland "7 Williams Mullen Law Wages. oo Monique L. Copeland |Stayonine | Technology Wages i} { { The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 10 I — PROFESSIONAL AND CIVIC RELATIONSHIPS. _ I ! 7(2). 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 primary for religous, charitable, scientific literary, public health and safety, or educational purposes? | X 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 Nature of Business or | Corporation or Organization Purpose of Organization | Anthony M. Copeland Boara Member MENG Broadband | 7(b). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive State funds, piease provide a brief description of the nature of that business, ff Known or with which due dilgence could reasonably be known. Name of Nonprofit Corporation or Organization | Describe State Business or State Funding _ 1 Hone or Not Known mene North Carolina leases fiber ©. During 2016, were you, your spouse, or members of your immediate family 3 director, officer, or governing board member of any Society, organization, or Advocacy roup With an Interest in matters over which your agency or board may have jurisdiction? ClYes x No [JLegislator/udicial Officer - You are not required to complete this question if you are filing because ‘You are a legislator or a Judicial officer ar you are filing as an appointee to those offices. » D0 not list organizations of which you are only a member (not serving in a leadership role). I Name of Person | Name of Society, Organization or Leadership Position (Director, Advocacy Group ‘Officer, Board Member) The SET and any attachments, excluding the Confidential Form, are public records. Page 5 of 10 9(2). List the name of each company or business with which you were associated where you or a member of your — Tarai was ar empha: dracon, SVT, pooc, BrapRRor, 5 emer or moter eo aco 3h, JAE Name of Person Relationship to Filer Name of Company Ii Role of person Monique L. Copan wie | stayonine Sates ! 500. 1 you know that any company or business ent sed n (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 Set ansenpto oom esas cy ! Name of Company or Business Entity Description of Business Activity with the State Witams Hton Represented cients who applied for grants rom the State 70. Arye posting tomy? xX Yes [No []ludicial Officer/State Attorney I Ves, check exch catogay flogal representation i WhGh you or the lw fr wits which you are ffated has armed legal fees of more than $10,000 during 2016. 11. During 2016, were you a lensed professional (other than an atomey) ar dd you prove consulting services iho of 22 2 meer 5 pretessonal sseeetion fo WHER yo. Sharan wor port ave S600 “vex ae Tyne of Business Nature of Services Rendered The SET and any attachments, excluding the Confidential Form, are public records. J A SE . _ J 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 wil be associated or - Regulated by the State board or employing ent with which you are or will be associated or + Have a business relationship with the State board or employing entity with which you re or wil be associated? | [ves xNo [I Legistator/udical Officer - You are not required to compiete this question if you are fing because Jou are a legiiaor or 3 dic officer (Sudical oficer = defined in the SE1 Helphul Tos) o you Are fing as an appointee to those offices. Name of Person Name of Employer Type of Relationship (Licensing, (it applicable) | Regulatory, Business) i | | 13. Are you, your spouse or a member of your immediate family currently registered as a lobbyist o lobbyist principal, or were you registered as such witin the 12 months preceding your fing of this form? ~~ [1¥es. x No “Name of Lobbyist 7 Lobbyist's Principal © dateot | Registration | { Registration Expiration — | | | oTHERDISCLOSURES — 14. During any calendar quarter in 2016 (but only the time period after you were appointed, employed or ied or were nominated a5 & candidate), di you + receive any "9if(s)” exceeding $200 per quarter from a person or group of persons acting together, and | + when both you and those person(s) were ouside North Carolina at the time you accepted the G(s), and | + the gii(s) were given under circumstances that would ead a reasanable person to conclude that they were given | for lobbying? | ves x No | Ld | 00 not report gifts ven by members of your extended family. 00 not report gifs that have previously been reported by you t the Department of the Secretary of State on the “Expens Report for Exempted Persons Date Item Received | Name and Address of Donor(s) | Describe Item Received | Estimated Market Value The SET and any attachments, excluding the Confidential Form, are public records. Page 7 of 10 15. During 2016 (but onl the tim perod after you were appointed, employed, or fled or were nominated 3s > rasa 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 public positon? A "scholarship s a grant-in-aid, either direct or indirect, to attend a conference, meeting, or similar event, Inchuding tition, ravel, lodging, meals, and other Similar expenses. [es x No [] ual Officer - You a mot required to complete tis question f you are a judicial officer or you are | ing a5 2 Juical officer appomtee. D0 not report gifts that have previously been reparted by you to the Department of the Secretary of State on the Expense Report fo Exempted Persons. | > Legisiators are not required to report scholarships paid by a nonpartisan legislative organization of which the legisiat | or the General Assembly 1s a mentoer or participant o an afte of tht organization. Date of Name and Address of Donor(s) | Describe Event Estimated Market Scholarship | | | Value | | | | | li I __l I SE 16. Were you appointed ar are you being considered for an appointment t a covered board by the Governor or anather Counciof 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 Agricuture ~~» Commissioner of Labor » Commissioner of Insurance xves No If “Yes”, list all contributions you (NOT immediate family members) made during 2016 with a cumulative total of more than $1,000 ta the Governor or other Counc of State member wh appointed you. i » Contributions are defined n N.C.G.5. 163-278.6(6) and include, but are no limited to, “any advance, conveyance, | deposit, distribution, transfer of funds, 10a, payment, Gf, ledge or subscription of money or anything of value whatsoever.” LC SS 0 7] No contribution(s) with a cumulative total of more than $1,000 | 10/01/2016 52,500.00 ] Roy Cooper ! The SEX and any attachments, excluding the Confidential Form, are public records. Page 8 of 10 17. Ars you an appontee of prospective appoint to: | a the head of a principal state department (e.g. cabinet secretary) apponted by the | Governor o |b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District | Sood or <. a member of any ofthe following boards: | + ABC Commission | Conte Resources Commission i ~ Stare Board of Educanon Sk oa on esos [xves In | Dowson of Emplovman Securty JA —- No proceed | instal Commasion Question 18. PN — Bot of Transportation | © URC Bord of overmrs | | de resences Commssion | Et W—")| position by a Council of State member? Council of State members are listed in " 'No,” proceed { question 16. question 18. wo oI 20, you rust indicate whether during 2016 you (nat immediate family members) I amet mv oft flo actles Wh ect 1 or On Bere of he | ae of Camis comes oi the Counc Sate member whe SERIE You ta your pbc past | x Yes INo | | Collected contributions from multiple contributors, took possession of uch | | multiple contributions, and transferred or delivered those collected Contin 1 1h cate o Commies? Contribution are defined in | question 16. | EP Oves xno | iii. Volunteered for campaign-related activities, which include, but are not limited 1 ene ates a vanes The CHP of 8 Canam 18. Have you ever been canvicted of a felony for which you have not received either: (i) a "don Of innocence; or i) an cndar of expunge regain Sat comeAon? | OYes xNo ottense Date of Conviction | County of Conviction | State of Conviction 19. Ave you aware of any other information that yo bellve may assist the State. EYCS Commission n ais you Concern vous comphancs wih the Stats Goverment Eins AT [Cl¥es x No If yes, please provide such information below. | The SEE and any attachments, excluding the Confidential Form, are public records. Page sof 10 AFFIRMATION | and accurate 10 he bes of my Knowledge and ble Yat erty that have no ansferrd. and wil nou raster, any asset. rest, or prope for the pups of concen i from disclose while reunion quiable cre | understand that my Statement of Economie Interest and any attachments or supplements thereto (with the exception of the | | Confidential For regarding Uncmancipated Children are publ record Yacknowlede that have red and understand NC. 8. 1382.26 regarding concealing or filing 0 disclose materia information and N.C.G.5. 138-27 regarding providing fase information 3 139A26 Concening or filing 0 diclo materi information To diniplinary action under G5. 1384-45 §139A.27. Penalty for fa information GS. 138A X 1 agree / y LUC avs B 1 bt i V. ‘oS { Signature [3 . Date EE NN ON ines | Rome t | | Submit SIGNED, ORIGINAL documents only. 00 not fax or email ths form. :

This contact information page is a public record. a NORTH CAROLINA STATE ETHICS | or eTuics commission ust ory IE COMMISSION | Ot Received: & 2017 STATEMENT OF ECONOMIC INTEREST 919-814-3600 WW. mis RIX g CARICSCOMMISSION-NC-80Y | erected or completion I Scanned Date THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL | I"ompete?s "YOUR SEI FILING OBLIGATION Supp. Sent Date By Sup. Recaved Date _ Enters in coraonse U7 ey [41s [FueRs name (riRsT, MIDDLE USD a pa | Prefix | First Name TMiddie Nome | LastName suffix | we Anthony Mack | Copeland | coRmeNTEMPOYER [oes mE a NC Department of Commerce 2 5 — 1 iii SO . I iii | | Economic Development REASON FOR FILING (COMPLETE ALLTRAT APPLY) Ba SHAE SOVRRRNENY. 556 LE J 'BOARD/COMMISSION (List complete name of all State JE — | boards on which you are serving or are being considered) _| |" Commerce, Departmen ot | | 1 Co I " UDICIAL OFFICER (Specify Office) | LEGISLATOR (Specify House or Senate) = "A. Do other immediate family members reside in your household? oo xves [INo ‘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 chidren, grandchidren, parents, grandparents, and | Siblings, and the spouses of each of those persons) who reside In your household. “List the full name of ail adults and emancipated minors in your household. A minor is 3 chid under 18 years od. | Minors are emancipated by marriage, enlistment in the US miltary, or court order for emancipation. | FULL NAME OF ADULTS & VER JosTIie | NATURE OF | "eMANCIPATED MINORS | REWATIONSHIP EMPLO | | susiness L — — | | EE The SEI and any attachments, excluding the Confidential Form, are public records. Page 10f 10 B. List ONLY the initials of ail 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. _ fe Er canes trp e——— rg e— RELATIONSHIP | | trmas ror EMPLOYER 308 TITLE NATURE OF UNEMANCIPATED BUSINESS | miNoRs | | I wll SLC Son Cantina 18 H Waiter Restaurant > J Sane iid | r 1 1 i — | 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 Caralina real estate (Including your residence) with a market value of $10,000 or more? x Yes [No Owner of Real Estate Tem Ownership Interest | Location by City | Location by County I Anthony Copeland 100 Raleigh Wake Anthony Copeland 100 Hertord Perquimans Anthony Copeland 100 Hertfora Perquimans } B. Lease or rent real estate or personal property to or from the State of North Caroling with a market value of $10,000 or more? 1 | Ove xno 7 Nameofiessor | NameofLessce | if Real Estate, Location | if Personal Property, (Renter) | everyacoumy | Describe | 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 Carciing personal property with a market value of $10,000 or more? 1Ves ~ X No I Name of Purchaser TT Nemeofseller | Type of Property | The SET and any attachments, excluding the Confidential Form, are public records. Page 20 10 - EE _ - — [Financia mvTerests 3. AS of December 31 2016, did you, your spouse, or members of your {Eat family own any of the following financial interest valued at $10,000 or more? LIST EACH COMPANY INDIVIDUALLY. A. Stock in a pubicly owned company? Loves xNe I 50 (ot lst ownership interests in a widely held investment fund (including mutual funds, requiated investment companies, or pension or deferred compensation plans) f: () the fund 15 publicly traded of ts assets arc widely diversified; and (1) neither you nar an Immediate family member are able to control the assets held in the mutual fund, investment company, o pension or efermod compensation plan. ‘Guner of Interest Full Name of Company (85 not use @ ieker symbaD) | | — in ii | | | i — _— EE — - I”. stock Options in a company or business? Ces xo Owner of Stock Option Full Name of Company (Do not use a ticker symbol) |" interests n 2 non-public owned company ar business entity (including nerests in sole roprietorships, Dartnershig, Imied parthersiigs, sont ventures, mted Nabil companies, ited Habity partnerships, and | closely held corporations)? | ves x No 11No," proceed to question 4. or Owner of Interest Name of Company or Business Entity | SE C (1). For each non-publicly owned company or business entity (the “primary company”) identified in question SE “Shove, lease nt the names of any abner companies of Business entities m which the primary company ans Secures of SHUR interests valued at over $10,005, 7 known. Non-Publicly Owned Company or Business Entity Other Companies in which the Primary Company i (the Primary Company) Owns Security or Equity Interests x None or Not Known The SET and any attachments, excluding the Confidential Form, are public records. Page 30110 I C (2). 1f 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 s regulated by the State, provide a brief description of that business activity. I Name of Company or Business Entity | Description of Business Activity with the State | [Non ar Not known Se 1 i a i Se emeseseseeeee————— | i | tt + mf | EU — - |. o pscember 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 mare that was created, established, or controlled by you? | 00 not st assets held in blind trusts. See 2017 SEI Helpful Tis for the definition of “Vested Trust and “Blind Trust.” | |OYes x ho | | 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 immegiate family have liabilties of $10,000 or | more, excluding the mortgage an your primary personal residence? Examples include credit card debs, auto loans, student loans, personal ans and Intra-family debt. x Yes [INo ] Name of Debtor (You, Spouse, Immediate Family | Type of Creditor (Commercial Bank, Credit Union, Member) Individual, ete.) T 1 Anthony Copeland Commercial Bank | Anthony Copeland Commercial Bank | 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, satellocal 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 fax returns. | Da nat 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 “| Typeof Income Business/ Industry | [TIThad mo reportable income aver $5,000 in 2016 — “Anthony M. Copeland "7 Williams Mullen Law Wages. oo Monique L. Copeland |Stayonine | Technology Wages i} { { The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 10 I — PROFESSIONAL AND CIVIC RELATIONSHIPS. _ I ! 7(2). 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 primary for religous, charitable, scientific literary, public health and safety, or educational purposes? | X 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 Nature of Business or | Corporation or Organization Purpose of Organization | Anthony M. Copeland Boara Member MENG Broadband | 7(b). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive State funds, piease provide a brief description of the nature of that business, ff Known or with which due dilgence could reasonably be known. Name of Nonprofit Corporation or Organization | Describe State Business or State Funding _ 1 Hone or Not Known mene North Carolina leases fiber ©. During 2016, were you, your spouse, or members of your immediate family 3 director, officer, or governing board member of any Society, organization, or Advocacy roup With an Interest in matters over which your agency or board may have jurisdiction? ClYes x No [JLegislator/udicial Officer - You are not required to complete this question if you are filing because ‘You are a legislator or a Judicial officer ar you are filing as an appointee to those offices. » D0 not list organizations of which you are only a member (not serving in a leadership role). I Name of Person | Name of Society, Organization or Leadership Position (Director, Advocacy Group ‘Officer, Board Member) The SET and any attachments, excluding the Confidential Form, are public records. Page 5 of 10 9(2). List the name of each company or business with which you were associated where you or a member of your — Tarai was ar empha: dracon, SVT, pooc, BrapRRor, 5 emer or moter eo aco 3h, JAE Name of Person Relationship to Filer Name of Company Ii Role of person Monique L. Copan wie | stayonine Sates ! 500. 1 you know that any company or business ent sed n (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 Set ansenpto oom esas cy ! Name of Company or Business Entity Description of Business Activity with the State Witams Hton Represented cients who applied for grants rom the State 70. Arye posting tomy? xX Yes [No []ludicial Officer/State Attorney I Ves, check exch catogay flogal representation i WhGh you or the lw fr wits which you are ffated has armed legal fees of more than $10,000 during 2016. 11. During 2016, were you a lensed professional (other than an atomey) ar dd you prove consulting services iho of 22 2 meer 5 pretessonal sseeetion fo WHER yo. Sharan wor port ave S600 “vex ae Tyne of Business Nature of Services Rendered The SET and any attachments, excluding the Confidential Form, are public records. J A SE . _ J 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 wil be associated or - Regulated by the State board or employing ent with which you are or will be associated or + Have a business relationship with the State board or employing entity with which you re or wil be associated? | [ves xNo [I Legistator/udical Officer - You are not required to compiete this question if you are fing because Jou are a legiiaor or 3 dic officer (Sudical oficer = defined in the SE1 Helphul Tos) o you Are fing as an appointee to those offices. Name of Person Name of Employer Type of Relationship (Licensing, (it applicable) | Regulatory, Business) i | | 13. Are you, your spouse or a member of your immediate family currently registered as a lobbyist o lobbyist principal, or were you registered as such witin the 12 months preceding your fing of this form? ~~ [1¥es. x No “Name of Lobbyist 7 Lobbyist's Principal © dateot | Registration | { Registration Expiration — | | | oTHERDISCLOSURES — 14. During any calendar quarter in 2016 (but only the time period after you were appointed, employed or ied or were nominated a5 & candidate), di you + receive any "9if(s)” exceeding $200 per quarter from a person or group of persons acting together, and | + when both you and those person(s) were ouside North Carolina at the time you accepted the G(s), and | + the gii(s) were given under circumstances that would ead a reasanable person to conclude that they were given | for lobbying? | ves x No | Ld | 00 not report gifts ven by members of your extended family. 00 not report gifs that have previously been reported by you t the Department of the Secretary of State on the “Expens Report for Exempted Persons Date Item Received | Name and Address of Donor(s) | Describe Item Received | Estimated Market Value The SET and any attachments, excluding the Confidential Form, are public records. Page 7 of 10 15. During 2016 (but onl the tim perod after you were appointed, employed, or fled or were nominated 3s > rasa 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 public positon? A "scholarship s a grant-in-aid, either direct or indirect, to attend a conference, meeting, or similar event, Inchuding tition, ravel, lodging, meals, and other Similar expenses. [es x No [] ual Officer - You a mot required to complete tis question f you are a judicial officer or you are | ing a5 2 Juical officer appomtee. D0 not report gifts that have previously been reparted by you to the Department of the Secretary of State on the Expense Report fo Exempted Persons. | > Legisiators are not required to report scholarships paid by a nonpartisan legislative organization of which the legisiat | or the General Assembly 1s a mentoer or participant o an afte of tht organization. Date of Name and Address of Donor(s) | Describe Event Estimated Market Scholarship | | | Value | | | | | li I __l I SE 16. Were you appointed ar are you being considered for an appointment t a covered board by the Governor or anather Counciof 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 Agricuture ~~» Commissioner of Labor » Commissioner of Insurance xves No If “Yes”, list all contributions you (NOT immediate family members) made during 2016 with a cumulative total of more than $1,000 ta the Governor or other Counc of State member wh appointed you. i » Contributions are defined n N.C.G.5. 163-278.6(6) and include, but are no limited to, “any advance, conveyance, | deposit, distribution, transfer of funds, 10a, payment, Gf, ledge or subscription of money or anything of value whatsoever.” LC SS 0 7] No contribution(s) with a cumulative total of more than $1,000 | 10/01/2016 52,500.00 ] Roy Cooper ! The SEX and any attachments, excluding the Confidential Form, are public records. Page 8 of 10 17. Ars you an appontee of prospective appoint to: | a the head of a principal state department (e.g. cabinet secretary) apponted by the | Governor o |b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District | Sood or <. a member of any ofthe following boards: | + ABC Commission | Conte Resources Commission i ~ Stare Board of Educanon Sk oa on esos [xves In | Dowson of Emplovman Securty JA —- No proceed | instal Commasion Question 18. PN — Bot of Transportation | © URC Bord of overmrs | | de resences Commssion | Et W—")| position by a Council of State member? Council of State members are listed in " 'No,” proceed { question 16. question 18. wo oI 20, you rust indicate whether during 2016 you (nat immediate family members) I amet mv oft flo actles Wh ect 1 or On Bere of he | ae of Camis comes oi the Counc Sate member whe SERIE You ta your pbc past | x Yes INo | | Collected contributions from multiple contributors, took possession of uch | | multiple contributions, and transferred or delivered those collected Contin 1 1h cate o Commies? Contribution are defined in | question 16. | EP Oves xno | iii. Volunteered for campaign-related activities, which include, but are not limited 1 ene ates a vanes The CHP of 8 Canam 18. Have you ever been canvicted of a felony for which you have not received either: (i) a "don Of innocence; or i) an cndar of expunge regain Sat comeAon? | OYes xNo ottense Date of Conviction | County of Conviction | State of Conviction 19. Ave you aware of any other information that yo bellve may assist the State. EYCS Commission n ais you Concern vous comphancs wih the Stats Goverment Eins AT [Cl¥es x No If yes, please provide such information below. | The SEE and any attachments, excluding the Confidential Form, are public records. Page sof 10 AFFIRMATION | and accurate 10 he bes of my Knowledge and ble Yat erty that have no ansferrd. and wil nou raster, any asset. rest, or prope for the pups of concen i from disclose while reunion quiable cre | understand that my Statement of Economie Interest and any attachments or supplements thereto (with the exception of the | | Confidential For regarding Uncmancipated Children are publ record Yacknowlede that have red and understand NC. 8. 1382.26 regarding concealing or filing 0 disclose materia information and N.C.G.5. 138-27 regarding providing fase information 3 139A26 Concening or filing 0 diclo materi information To diniplinary action under G5. 1384-45 §139A.27. Penalty for fa information GS. 138A X 1 agree / y LUC avs B 1 bt i V. ‘oS { Signature [3 . Date EE NN ON ines | Rome t | | Submit SIGNED, ORIGINAL documents only. 00 not fax or email ths form. :

This contact information page is a public record. a NORTH CAROLINA STATE ETHICS | or eTuics commission ust ory IE COMMISSION | Ot Received: & 2017 STATEMENT OF ECONOMIC INTEREST 919-814-3600 WW. mis RIX g CARICSCOMMISSION-NC-80Y | erected or completion I Scanned Date THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL | I"ompete?s "YOUR SEI FILING OBLIGATION Supp. Sent Date By Sup. Recaved Date _ Enters in coraonse U7 ey [41s [FueRs name (riRsT, MIDDLE USD a pa | Prefix | First Name TMiddie Nome | LastName suffix | we Anthony Mack | Copeland | coRmeNTEMPOYER [oes mE a NC Department of Commerce 2 5 — 1 iii SO . I iii | | Economic Development REASON FOR FILING (COMPLETE ALLTRAT APPLY) Ba SHAE SOVRRRNENY. 556 LE J 'BOARD/COMMISSION (List complete name of all State JE — | boards on which you are serving or are being considered) _| |" Commerce, Departmen ot | | 1 Co I " UDICIAL OFFICER (Specify Office) | LEGISLATOR (Specify House or Senate) = "A. Do other immediate family members reside in your household? oo xves [INo ‘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 chidren, grandchidren, parents, grandparents, and | Siblings, and the spouses of each of those persons) who reside In your household. “List the full name of ail adults and emancipated minors in your household. A minor is 3 chid under 18 years od. | Minors are emancipated by marriage, enlistment in the US miltary, or court order for emancipation. | FULL NAME OF ADULTS & VER JosTIie | NATURE OF | "eMANCIPATED MINORS | REWATIONSHIP EMPLO | | susiness L — — | | EE The SEI and any attachments, excluding the Confidential Form, are public records. Page 10f 10 B. List ONLY the initials of ail 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. _ fe Er canes trp e——— rg e— RELATIONSHIP | | trmas ror EMPLOYER 308 TITLE NATURE OF UNEMANCIPATED BUSINESS | miNoRs | | I wll SLC Son Cantina 18 H Waiter Restaurant > J Sane iid | r 1 1 i — | 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 Caralina real estate (Including your residence) with a market value of $10,000 or more? x Yes [No Owner of Real Estate Tem Ownership Interest | Location by City | Location by County I Anthony Copeland 100 Raleigh Wake Anthony Copeland 100 Hertord Perquimans Anthony Copeland 100 Hertfora Perquimans } B. Lease or rent real estate or personal property to or from the State of North Caroling with a market value of $10,000 or more? 1 | Ove xno 7 Nameofiessor | NameofLessce | if Real Estate, Location | if Personal Property, (Renter) | everyacoumy | Describe | 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 Carciing personal property with a market value of $10,000 or more? 1Ves ~ X No I Name of Purchaser TT Nemeofseller | Type of Property | The SET and any attachments, excluding the Confidential Form, are public records. Page 20 10 - EE _ - — [Financia mvTerests 3. AS of December 31 2016, did you, your spouse, or members of your {Eat family own any of the following financial interest valued at $10,000 or more? LIST EACH COMPANY INDIVIDUALLY. A. Stock in a pubicly owned company? Loves xNe I 50 (ot lst ownership interests in a widely held investment fund (including mutual funds, requiated investment companies, or pension or deferred compensation plans) f: () the fund 15 publicly traded of ts assets arc widely diversified; and (1) neither you nar an Immediate family member are able to control the assets held in the mutual fund, investment company, o pension or efermod compensation plan. ‘Guner of Interest Full Name of Company (85 not use @ ieker symbaD) | | — in ii | | | i — _— EE — - I”. stock Options in a company or business? Ces xo Owner of Stock Option Full Name of Company (Do not use a ticker symbol) |" interests n 2 non-public owned company ar business entity (including nerests in sole roprietorships, Dartnershig, Imied parthersiigs, sont ventures, mted Nabil companies, ited Habity partnerships, and | closely held corporations)? | ves x No 11No," proceed to question 4. or Owner of Interest Name of Company or Business Entity | SE C (1). For each non-publicly owned company or business entity (the “primary company”) identified in question SE “Shove, lease nt the names of any abner companies of Business entities m which the primary company ans Secures of SHUR interests valued at over $10,005, 7 known. Non-Publicly Owned Company or Business Entity Other Companies in which the Primary Company i (the Primary Company) Owns Security or Equity Interests x None or Not Known The SET and any attachments, excluding the Confidential Form, are public records. Page 30110 I C (2). 1f 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 s regulated by the State, provide a brief description of that business activity. I Name of Company or Business Entity | Description of Business Activity with the State | [Non ar Not known Se 1 i a i Se emeseseseeeee————— | i | tt + mf | EU — - |. o pscember 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 mare that was created, established, or controlled by you? | 00 not st assets held in blind trusts. See 2017 SEI Helpful Tis for the definition of “Vested Trust and “Blind Trust.” | |OYes x ho | | 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 immegiate family have liabilties of $10,000 or | more, excluding the mortgage an your primary personal residence? Examples include credit card debs, auto loans, student loans, personal ans and Intra-family debt. x Yes [INo ] Name of Debtor (You, Spouse, Immediate Family | Type of Creditor (Commercial Bank, Credit Union, Member) Individual, ete.) T 1 Anthony Copeland Commercial Bank | Anthony Copeland Commercial Bank | 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, satellocal 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 fax returns. | Da nat 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 “| Typeof Income Business/ Industry | [TIThad mo reportable income aver $5,000 in 2016 — “Anthony M. Copeland "7 Williams Mullen Law Wages. oo Monique L. Copeland |Stayonine | Technology Wages i} { { The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 10 I — PROFESSIONAL AND CIVIC RELATIONSHIPS. _ I ! 7(2). 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 primary for religous, charitable, scientific literary, public health and safety, or educational purposes? | X 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 Nature of Business or | Corporation or Organization Purpose of Organization | Anthony M. Copeland Boara Member MENG Broadband | 7(b). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive State funds, piease provide a brief description of the nature of that business, ff Known or with which due dilgence could reasonably be known. Name of Nonprofit Corporation or Organization | Describe State Business or State Funding _ 1 Hone or Not Known mene North Carolina leases fiber ©. During 2016, were you, your spouse, or members of your immediate family 3 director, officer, or governing board member of any Society, organization, or Advocacy roup With an Interest in matters over which your agency or board may have jurisdiction? ClYes x No [JLegislator/udicial Officer - You are not required to complete this question if you are filing because ‘You are a legislator or a Judicial officer ar you are filing as an appointee to those offices. » D0 not list organizations of which you are only a member (not serving in a leadership role). I Name of Person | Name of Society, Organization or Leadership Position (Director, Advocacy Group ‘Officer, Board Member) The SET and any attachments, excluding the Confidential Form, are public records. Page 5 of 10 9(2). List the name of each company or business with which you were associated where you or a member of your — Tarai was ar empha: dracon, SVT, pooc, BrapRRor, 5 emer or moter eo aco 3h, JAE Name of Person Relationship to Filer Name of Company Ii Role of person Monique L. Copan wie | stayonine Sates ! 500. 1 you know that any company or business ent sed n (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 Set ansenpto oom esas cy ! Name of Company or Business Entity Description of Business Activity with the State Witams Hton Represented cients who applied for grants rom the State 70. Arye posting tomy? xX Yes [No []ludicial Officer/State Attorney I Ves, check exch catogay flogal representation i WhGh you or the lw fr wits which you are ffated has armed legal fees of more than $10,000 during 2016. 11. During 2016, were you a lensed professional (other than an atomey) ar dd you prove consulting services iho of 22 2 meer 5 pretessonal sseeetion fo WHER yo. Sharan wor port ave S600 “vex ae Tyne of Business Nature of Services Rendered The SET and any attachments, excluding the Confidential Form, are public records. J A SE . _ J 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 wil be associated or - Regulated by the State board or employing ent with which you are or will be associated or + Have a business relationship with the State board or employing entity with which you re or wil be associated? | [ves xNo [I Legistator/udical Officer - You are not required to compiete this question if you are fing because Jou are a legiiaor or 3 dic officer (Sudical oficer = defined in the SE1 Helphul Tos) o you Are fing as an appointee to those offices. Name of Person Name of Employer Type of Relationship (Licensing, (it applicable) | Regulatory, Business) i | | 13. Are you, your spouse or a member of your immediate family currently registered as a lobbyist o lobbyist principal, or were you registered as such witin the 12 months preceding your fing of this form? ~~ [1¥es. x No “Name of Lobbyist 7 Lobbyist's Principal © dateot | Registration | { Registration Expiration — | | | oTHERDISCLOSURES — 14. During any calendar quarter in 2016 (but only the time period after you were appointed, employed or ied or were nominated a5 & candidate), di you + receive any "9if(s)” exceeding $200 per quarter from a person or group of persons acting together, and | + when both you and those person(s) were ouside North Carolina at the time you accepted the G(s), and | + the gii(s) were given under circumstances that would ead a reasanable person to conclude that they were given | for lobbying? | ves x No | Ld | 00 not report gifts ven by members of your extended family. 00 not report gifs that have previously been reported by you t the Department of the Secretary of State on the “Expens Report for Exempted Persons Date Item Received | Name and Address of Donor(s) | Describe Item Received | Estimated Market Value The SET and any attachments, excluding the Confidential Form, are public records. Page 7 of 10 15. During 2016 (but onl the tim perod after you were appointed, employed, or fled or were nominated 3s > rasa 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 public positon? A "scholarship s a grant-in-aid, either direct or indirect, to attend a conference, meeting, or similar event, Inchuding tition, ravel, lodging, meals, and other Similar expenses. [es x No [] ual Officer - You a mot required to complete tis question f you are a judicial officer or you are | ing a5 2 Juical officer appomtee. D0 not report gifts that have previously been reparted by you to the Department of the Secretary of State on the Expense Report fo Exempted Persons. | > Legisiators are not required to report scholarships paid by a nonpartisan legislative organization of which the legisiat | or the General Assembly 1s a mentoer or participant o an afte of tht organization. Date of Name and Address of Donor(s) | Describe Event Estimated Market Scholarship | | | Value | | | | | li I __l I SE 16. Were you appointed ar are you being considered for an appointment t a covered board by the Governor or anather Counciof 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 Agricuture ~~» Commissioner of Labor » Commissioner of Insurance xves No If “Yes”, list all contributions you (NOT immediate family members) made during 2016 with a cumulative total of more than $1,000 ta the Governor or other Counc of State member wh appointed you. i » Contributions are defined n N.C.G.5. 163-278.6(6) and include, but are no limited to, “any advance, conveyance, | deposit, distribution, transfer of funds, 10a, payment, Gf, ledge or subscription of money or anything of value whatsoever.” LC SS 0 7] No contribution(s) with a cumulative total of more than $1,000 | 10/01/2016 52,500.00 ] Roy Cooper ! The SEX and any attachments, excluding the Confidential Form, are public records. Page 8 of 10 17. Ars you an appontee of prospective appoint to: | a the head of a principal state department (e.g. cabinet secretary) apponted by the | Governor o |b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District | Sood or <. a member of any ofthe following boards: | + ABC Commission | Conte Resources Commission i ~ Stare Board of Educanon Sk oa on esos [xves In | Dowson of Emplovman Securty JA —- No proceed | instal Commasion Question 18. PN — Bot of Transportation | © URC Bord of overmrs | | de resences Commssion | Et W—")| position by a Council of State member? Council of State members are listed in " 'No,” proceed { question 16. question 18. wo oI 20, you rust indicate whether during 2016 you (nat immediate family members) I amet mv oft flo actles Wh ect 1 or On Bere of he | ae of Camis comes oi the Counc Sate member whe SERIE You ta your pbc past | x Yes INo | | Collected contributions from multiple contributors, took possession of uch | | multiple contributions, and transferred or delivered those collected Contin 1 1h cate o Commies? Contribution are defined in | question 16. | EP Oves xno | iii. Volunteered for campaign-related activities, which include, but are not limited 1 ene ates a vanes The CHP of 8 Canam 18. Have you ever been canvicted of a felony for which you have not received either: (i) a "don Of innocence; or i) an cndar of expunge regain Sat comeAon? | OYes xNo ottense Date of Conviction | County of Conviction | State of Conviction 19. Ave you aware of any other information that yo bellve may assist the State. EYCS Commission n ais you Concern vous comphancs wih the Stats Goverment Eins AT [Cl¥es x No If yes, please provide such information below. | The SEE and any attachments, excluding the Confidential Form, are public records. Page sof 10 AFFIRMATION | and accurate 10 he bes of my Knowledge and ble Yat erty that have no ansferrd. and wil nou raster, any asset. rest, or prope for the pups of concen i from disclose while reunion quiable cre | understand that my Statement of Economie Interest and any attachments or supplements thereto (with the exception of the | | Confidential For regarding Uncmancipated Children are publ record Yacknowlede that have red and understand NC. 8. 1382.26 regarding concealing or filing 0 disclose materia information and N.C.G.5. 138-27 regarding providing fase information 3 139A26 Concening or filing 0 diclo materi information To diniplinary action under G5. 1384-45 §139A.27. Penalty for fa information GS. 138A X 1 agree / y LUC avs B 1 bt i V. ‘oS { Signature [3 . Date EE NN ON ines | Rome t | | Submit SIGNED, ORIGINAL documents only. 00 not fax or email ths form. :

This contact information page is a public record. a NORTH CAROLINA STATE ETHICS | or eTuics commission ust ory IE COMMISSION | Ot Received: & 2017 STATEMENT OF ECONOMIC INTEREST 919-814-3600 WW. mis RIX g CARICSCOMMISSION-NC-80Y | erected or completion I Scanned Date THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL | I"ompete?s "YOUR SEI FILING OBLIGATION Supp. Sent Date By Sup. Recaved Date _ Enters in coraonse U7 ey [41s [FueRs name (riRsT, MIDDLE USD a pa | Prefix | First Name TMiddie Nome | LastName suffix | we Anthony Mack | Copeland | coRmeNTEMPOYER [oes mE a NC Department of Commerce 2 5 — 1 iii SO . I iii | | Economic Development REASON FOR FILING (COMPLETE ALLTRAT APPLY) Ba SHAE SOVRRRNENY. 556 LE J 'BOARD/COMMISSION (List complete name of all State JE — | boards on which you are serving or are being considered) _| |" Commerce, Departmen ot | | 1 Co I " UDICIAL OFFICER (Specify Office) | LEGISLATOR (Specify House or Senate) = "A. Do other immediate family members reside in your household? oo xves [INo ‘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 chidren, grandchidren, parents, grandparents, and | Siblings, and the spouses of each of those persons) who reside In your household. “List the full name of ail adults and emancipated minors in your household. A minor is 3 chid under 18 years od. | Minors are emancipated by marriage, enlistment in the US miltary, or court order for emancipation. | FULL NAME OF ADULTS & VER JosTIie | NATURE OF | "eMANCIPATED MINORS | REWATIONSHIP EMPLO | | susiness L — — | | EE The SEI and any attachments, excluding the Confidential Form, are public records. Page 10f 10 B. List ONLY the initials of ail 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. _ fe Er canes trp e——— rg e— RELATIONSHIP | | trmas ror EMPLOYER 308 TITLE NATURE OF UNEMANCIPATED BUSINESS | miNoRs | | I wll SLC Son Cantina 18 H Waiter Restaurant > J Sane iid | r 1 1 i — | 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 Caralina real estate (Including your residence) with a market value of $10,000 or more? x Yes [No Owner of Real Estate Tem Ownership Interest | Location by City | Location by County I Anthony Copeland 100 Raleigh Wake Anthony Copeland 100 Hertord Perquimans Anthony Copeland 100 Hertfora Perquimans } B. Lease or rent real estate or personal property to or from the State of North Caroling with a market value of $10,000 or more? 1 | Ove xno 7 Nameofiessor | NameofLessce | if Real Estate, Location | if Personal Property, (Renter) | everyacoumy | Describe | 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 Carciing personal property with a market value of $10,000 or more? 1Ves ~ X No I Name of Purchaser TT Nemeofseller | Type of Property | The SET and any attachments, excluding the Confidential Form, are public records. Page 20 10 - EE _ - — [Financia mvTerests 3. AS of December 31 2016, did you, your spouse, or members of your {Eat family own any of the following financial interest valued at $10,000 or more? LIST EACH COMPANY INDIVIDUALLY. A. Stock in a pubicly owned company? Loves xNe I 50 (ot lst ownership interests in a widely held investment fund (including mutual funds, requiated investment companies, or pension or deferred compensation plans) f: () the fund 15 publicly traded of ts assets arc widely diversified; and (1) neither you nar an Immediate family member are able to control the assets held in the mutual fund, investment company, o pension or efermod compensation plan. ‘Guner of Interest Full Name of Company (85 not use @ ieker symbaD) | | — in ii | | | i — _— EE — - I”. stock Options in a company or business? Ces xo Owner of Stock Option Full Name of Company (Do not use a ticker symbol) |" interests n 2 non-public owned company ar business entity (including nerests in sole roprietorships, Dartnershig, Imied parthersiigs, sont ventures, mted Nabil companies, ited Habity partnerships, and | closely held corporations)? | ves x No 11No," proceed to question 4. or Owner of Interest Name of Company or Business Entity | SE C (1). For each non-publicly owned company or business entity (the “primary company”) identified in question SE “Shove, lease nt the names of any abner companies of Business entities m which the primary company ans Secures of SHUR interests valued at over $10,005, 7 known. Non-Publicly Owned Company or Business Entity Other Companies in which the Primary Company i (the Primary Company) Owns Security or Equity Interests x None or Not Known The SET and any attachments, excluding the Confidential Form, are public records. Page 30110 I C (2). 1f 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 s regulated by the State, provide a brief description of that business activity. I Name of Company or Business Entity | Description of Business Activity with the State | [Non ar Not known Se 1 i a i Se emeseseseeeee————— | i | tt + mf | EU — - |. o pscember 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 mare that was created, established, or controlled by you? | 00 not st assets held in blind trusts. See 2017 SEI Helpful Tis for the definition of “Vested Trust and “Blind Trust.” | |OYes x ho | | 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 immegiate family have liabilties of $10,000 or | more, excluding the mortgage an your primary personal residence? Examples include credit card debs, auto loans, student loans, personal ans and Intra-family debt. x Yes [INo ] Name of Debtor (You, Spouse, Immediate Family | Type of Creditor (Commercial Bank, Credit Union, Member) Individual, ete.) T 1 Anthony Copeland Commercial Bank | Anthony Copeland Commercial Bank | 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, satellocal 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 fax returns. | Da nat 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 “| Typeof Income Business/ Industry | [TIThad mo reportable income aver $5,000 in 2016 — “Anthony M. Copeland "7 Williams Mullen Law Wages. oo Monique L. Copeland |Stayonine | Technology Wages i} { { The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 10 I — PROFESSIONAL AND CIVIC RELATIONSHIPS. _ I ! 7(2). 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 primary for religous, charitable, scientific literary, public health and safety, or educational purposes? | X 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 Nature of Business or | Corporation or Organization Purpose of Organization | Anthony M. Copeland Boara Member MENG Broadband | 7(b). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive State funds, piease provide a brief description of the nature of that business, ff Known or with which due dilgence could reasonably be known. Name of Nonprofit Corporation or Organization | Describe State Business or State Funding _ 1 Hone or Not Known mene North Carolina leases fiber ©. During 2016, were you, your spouse, or members of your immediate family 3 director, officer, or governing board member of any Society, organization, or Advocacy roup With an Interest in matters over which your agency or board may have jurisdiction? ClYes x No [JLegislator/udicial Officer - You are not required to complete this question if you are filing because ‘You are a legislator or a Judicial officer ar you are filing as an appointee to those offices. » D0 not list organizations of which you are only a member (not serving in a leadership role). I Name of Person | Name of Society, Organization or Leadership Position (Director, Advocacy Group ‘Officer, Board Member) The SET and any attachments, excluding the Confidential Form, are public records. Page 5 of 10 9(2). List the name of each company or business with which you were associated where you or a member of your — Tarai was ar empha: dracon, SVT, pooc, BrapRRor, 5 emer or moter eo aco 3h, JAE Name of Person Relationship to Filer Name of Company Ii Role of person Monique L. Copan wie | stayonine Sates ! 500. 1 you know that any company or business ent sed n (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 Set ansenpto oom esas cy ! Name of Company or Business Entity Description of Business Activity with the State Witams Hton Represented cients who applied for grants rom the State 70. Arye posting tomy? xX Yes [No []ludicial Officer/State Attorney I Ves, check exch catogay flogal representation i WhGh you or the lw fr wits which you are ffated has armed legal fees of more than $10,000 during 2016. 11. During 2016, were you a lensed professional (other than an atomey) ar dd you prove consulting services iho of 22 2 meer 5 pretessonal sseeetion fo WHER yo. Sharan wor port ave S600 “vex ae Tyne of Business Nature of Services Rendered The SET and any attachments, excluding the Confidential Form, are public records. J A SE . _ J 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 wil be associated or - Regulated by the State board or employing ent with which you are or will be associated or + Have a business relationship with the State board or employing entity with which you re or wil be associated? | [ves xNo [I Legistator/udical Officer - You are not required to compiete this question if you are fing because Jou are a legiiaor or 3 dic officer (Sudical oficer = defined in the SE1 Helphul Tos) o you Are fing as an appointee to those offices. Name of Person Name of Employer Type of Relationship (Licensing, (it applicable) | Regulatory, Business) i | | 13. Are you, your spouse or a member of your immediate family currently registered as a lobbyist o lobbyist principal, or were you registered as such witin the 12 months preceding your fing of this form? ~~ [1¥es. x No “Name of Lobbyist 7 Lobbyist's Principal © dateot | Registration | { Registration Expiration — | | | oTHERDISCLOSURES — 14. During any calendar quarter in 2016 (but only the time period after you were appointed, employed or ied or were nominated a5 & candidate), di you + receive any "9if(s)” exceeding $200 per quarter from a person or group of persons acting together, and | + when both you and those person(s) were ouside North Carolina at the time you accepted the G(s), and | + the gii(s) were given under circumstances that would ead a reasanable person to conclude that they were given | for lobbying? | ves x No | Ld | 00 not report gifts ven by members of your extended family. 00 not report gifs that have previously been reported by you t the Department of the Secretary of State on the “Expens Report for Exempted Persons Date Item Received | Name and Address of Donor(s) | Describe Item Received | Estimated Market Value The SET and any attachments, excluding the Confidential Form, are public records. Page 7 of 10 15. During 2016 (but onl the tim perod after you were appointed, employed, or fled or were nominated 3s > rasa 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 public positon? A "scholarship s a grant-in-aid, either direct or indirect, to attend a conference, meeting, or similar event, Inchuding tition, ravel, lodging, meals, and other Similar expenses. [es x No [] ual Officer - You a mot required to complete tis question f you are a judicial officer or you are | ing a5 2 Juical officer appomtee. D0 not report gifts that have previously been reparted by you to the Department of the Secretary of State on the Expense Report fo Exempted Persons. | > Legisiators are not required to report scholarships paid by a nonpartisan legislative organization of which the legisiat | or the General Assembly 1s a mentoer or participant o an afte of tht organization. Date of Name and Address of Donor(s) | Describe Event Estimated Market Scholarship | | | Value | | | | | li I __l I SE 16. Were you appointed ar are you being considered for an appointment t a covered board by the Governor or anather Counciof 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 Agricuture ~~» Commissioner of Labor » Commissioner of Insurance xves No If “Yes”, list all contributions you (NOT immediate family members) made during 2016 with a cumulative total of more than $1,000 ta the Governor or other Counc of State member wh appointed you. i » Contributions are defined n N.C.G.5. 163-278.6(6) and include, but are no limited to, “any advance, conveyance, | deposit, distribution, transfer of funds, 10a, payment, Gf, ledge or subscription of money or anything of value whatsoever.” LC SS 0 7] No contribution(s) with a cumulative total of more than $1,000 | 10/01/2016 52,500.00 ] Roy Cooper ! The SEX and any attachments, excluding the Confidential Form, are public records. Page 8 of 10 17. Ars you an appontee of prospective appoint to: | a the head of a principal state department (e.g. cabinet secretary) apponted by the | Governor o |b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District | Sood or <. a member of any ofthe following boards: | + ABC Commission | Conte Resources Commission i ~ Stare Board of Educanon Sk oa on esos [xves In | Dowson of Emplovman Securty JA —- No proceed | instal Commasion Question 18. PN — Bot of Transportation | © URC Bord of overmrs | | de resences Commssion | Et W—")| position by a Council of State member? Council of State members are listed in " 'No,” proceed { question 16. question 18. wo oI 20, you rust indicate whether during 2016 you (nat immediate family members) I amet mv oft flo actles Wh ect 1 or On Bere of he | ae of Camis comes oi the Counc Sate member whe SERIE You ta your pbc past | x Yes INo | | Collected contributions from multiple contributors, took possession of uch | | multiple contributions, and transferred or delivered those collected Contin 1 1h cate o Commies? Contribution are defined in | question 16. | EP Oves xno | iii. Volunteered for campaign-related activities, which include, but are not limited 1 ene ates a vanes The CHP of 8 Canam 18. Have you ever been canvicted of a felony for which you have not received either: (i) a "don Of innocence; or i) an cndar of expunge regain Sat comeAon? | OYes xNo ottense Date of Conviction | County of Conviction | State of Conviction 19. Ave you aware of any other information that yo bellve may assist the State. EYCS Commission n ais you Concern vous comphancs wih the Stats Goverment Eins AT [Cl¥es x No If yes, please provide such information below. | The SEE and any attachments, excluding the Confidential Form, are public records. Page sof 10 AFFIRMATION | and accurate 10 he bes of my Knowledge and ble Yat erty that have no ansferrd. and wil nou raster, any asset. rest, or prope for the pups of concen i from disclose while reunion quiable cre | understand that my Statement of Economie Interest and any attachments or supplements thereto (with the exception of the | | Confidential For regarding Uncmancipated Children are publ record Yacknowlede that have red and understand NC. 8. 1382.26 regarding concealing or filing 0 disclose materia information and N.C.G.5. 138-27 regarding providing fase information 3 139A26 Concening or filing 0 diclo materi information To diniplinary action under G5. 1384-45 §139A.27. Penalty for fa information GS. 138A X 1 agree / y LUC avs B 1 bt i V. ‘oS { Signature [3 . Date EE NN ON ines | Rome t | | Submit SIGNED, ORIGINAL documents only. 00 not fax or email ths form. :

This contact information page is a public record. a NORTH CAROLINA STATE ETHICS | or eTuics commission ust ory IE COMMISSION | Ot Received: & 2017 STATEMENT OF ECONOMIC INTEREST 919-814-3600 WW. mis RIX g CARICSCOMMISSION-NC-80Y | erected or completion I Scanned Date THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL | I"ompete?s "YOUR SEI FILING OBLIGATION Supp. Sent Date By Sup. Recaved Date _ Enters in coraonse U7 ey [41s [FueRs name (riRsT, MIDDLE USD a pa | Prefix | First Name TMiddie Nome | LastName suffix | we Anthony Mack | Copeland | coRmeNTEMPOYER [oes mE a NC Department of Commerce 2 5 — 1 iii SO . I iii | | Economic Development REASON FOR FILING (COMPLETE ALLTRAT APPLY) Ba SHAE SOVRRRNENY. 556 LE J 'BOARD/COMMISSION (List complete name of all State JE — | boards on which you are serving or are being considered) _| |" Commerce, Departmen ot | | 1 Co I " UDICIAL OFFICER (Specify Office) | LEGISLATOR (Specify House or Senate) = "A. Do other immediate family members reside in your household? oo xves [INo ‘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 chidren, grandchidren, parents, grandparents, and | Siblings, and the spouses of each of those persons) who reside In your household. “List the full name of ail adults and emancipated minors in your household. A minor is 3 chid under 18 years od. | Minors are emancipated by marriage, enlistment in the US miltary, or court order for emancipation. | FULL NAME OF ADULTS & VER JosTIie | NATURE OF | "eMANCIPATED MINORS | REWATIONSHIP EMPLO | | susiness L — — | | EE The SEI and any attachments, excluding the Confidential Form, are public records. Page 10f 10 B. List ONLY the initials of ail 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. _ fe Er canes trp e——— rg e— RELATIONSHIP | | trmas ror EMPLOYER 308 TITLE NATURE OF UNEMANCIPATED BUSINESS | miNoRs | | I wll SLC Son Cantina 18 H Waiter Restaurant > J Sane iid | r 1 1 i — | 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 Caralina real estate (Including your residence) with a market value of $10,000 or more? x Yes [No Owner of Real Estate Tem Ownership Interest | Location by City | Location by County I Anthony Copeland 100 Raleigh Wake Anthony Copeland 100 Hertord Perquimans Anthony Copeland 100 Hertfora Perquimans } B. Lease or rent real estate or personal property to or from the State of North Caroling with a market value of $10,000 or more? 1 | Ove xno 7 Nameofiessor | NameofLessce | if Real Estate, Location | if Personal Property, (Renter) | everyacoumy | Describe | 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 Carciing personal property with a market value of $10,000 or more? 1Ves ~ X No I Name of Purchaser TT Nemeofseller | Type of Property | The SET and any attachments, excluding the Confidential Form, are public records. Page 20 10 - EE _ - — [Financia mvTerests 3. AS of December 31 2016, did you, your spouse, or members of your {Eat family own any of the following financial interest valued at $10,000 or more? LIST EACH COMPANY INDIVIDUALLY. A. Stock in a pubicly owned company? Loves xNe I 50 (ot lst ownership interests in a widely held investment fund (including mutual funds, requiated investment companies, or pension or deferred compensation plans) f: () the fund 15 publicly traded of ts assets arc widely diversified; and (1) neither you nar an Immediate family member are able to control the assets held in the mutual fund, investment company, o pension or efermod compensation plan. ‘Guner of Interest Full Name of Company (85 not use @ ieker symbaD) | | — in ii | | | i — _— EE — - I”. stock Options in a company or business? Ces xo Owner of Stock Option Full Name of Company (Do not use a ticker symbol) |" interests n 2 non-public owned company ar business entity (including nerests in sole roprietorships, Dartnershig, Imied parthersiigs, sont ventures, mted Nabil companies, ited Habity partnerships, and | closely held corporations)? | ves x No 11No," proceed to question 4. or Owner of Interest Name of Company or Business Entity | SE C (1). For each non-publicly owned company or business entity (the “primary company”) identified in question SE “Shove, lease nt the names of any abner companies of Business entities m which the primary company ans Secures of SHUR interests valued at over $10,005, 7 known. Non-Publicly Owned Company or Business Entity Other Companies in which the Primary Company i (the Primary Company) Owns Security or Equity Interests x None or Not Known The SET and any attachments, excluding the Confidential Form, are public records. Page 30110 I C (2). 1f 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 s regulated by the State, provide a brief description of that business activity. I Name of Company or Business Entity | Description of Business Activity with the State | [Non ar Not known Se 1 i a i Se emeseseseeeee————— | i | tt + mf | EU — - |. o pscember 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 mare that was created, established, or controlled by you? | 00 not st assets held in blind trusts. See 2017 SEI Helpful Tis for the definition of “Vested Trust and “Blind Trust.” | |OYes x ho | | 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 immegiate family have liabilties of $10,000 or | more, excluding the mortgage an your primary personal residence? Examples include credit card debs, auto loans, student loans, personal ans and Intra-family debt. x Yes [INo ] Name of Debtor (You, Spouse, Immediate Family | Type of Creditor (Commercial Bank, Credit Union, Member) Individual, ete.) T 1 Anthony Copeland Commercial Bank | Anthony Copeland Commercial Bank | 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, satellocal 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 fax returns. | Da nat 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 “| Typeof Income Business/ Industry | [TIThad mo reportable income aver $5,000 in 2016 — “Anthony M. Copeland "7 Williams Mullen Law Wages. oo Monique L. Copeland |Stayonine | Technology Wages i} { { The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 10 I — PROFESSIONAL AND CIVIC RELATIONSHIPS. _ I ! 7(2). 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 primary for religous, charitable, scientific literary, public health and safety, or educational purposes? | X 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 Nature of Business or | Corporation or Organization Purpose of Organization | Anthony M. Copeland Boara Member MENG Broadband | 7(b). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive State funds, piease provide a brief description of the nature of that business, ff Known or with which due dilgence could reasonably be known. Name of Nonprofit Corporation or Organization | Describe State Business or State Funding _ 1 Hone or Not Known mene North Carolina leases fiber ©. During 2016, were you, your spouse, or members of your immediate family 3 director, officer, or governing board member of any Society, organization, or Advocacy roup With an Interest in matters over which your agency or board may have jurisdiction? ClYes x No [JLegislator/udicial Officer - You are not required to complete this question if you are filing because ‘You are a legislator or a Judicial officer ar you are filing as an appointee to those offices. » D0 not list organizations of which you are only a member (not serving in a leadership role). I Name of Person | Name of Society, Organization or Leadership Position (Director, Advocacy Group ‘Officer, Board Member) The SET and any attachments, excluding the Confidential Form, are public records. Page 5 of 10 9(2). List the name of each company or business with which you were associated where you or a member of your — Tarai was ar empha: dracon, SVT, pooc, BrapRRor, 5 emer or moter eo aco 3h, JAE Name of Person Relationship to Filer Name of Company Ii Role of person Monique L. Copan wie | stayonine Sates ! 500. 1 you know that any company or business ent sed n (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 Set ansenpto oom esas cy ! Name of Company or Business Entity Description of Business Activity with the State Witams Hton Represented cients who applied for grants rom the State 70. Arye posting tomy? xX Yes [No []ludicial Officer/State Attorney I Ves, check exch catogay flogal representation i WhGh you or the lw fr wits which you are ffated has armed legal fees of more than $10,000 during 2016. 11. During 2016, were you a lensed professional (other than an atomey) ar dd you prove consulting services iho of 22 2 meer 5 pretessonal sseeetion fo WHER yo. Sharan wor port ave S600 “vex ae Tyne of Business Nature of Services Rendered The SET and any attachments, excluding the Confidential Form, are public records. J A SE . _ J 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 wil be associated or - Regulated by the State board or employing ent with which you are or will be associated or + Have a business relationship with the State board or employing entity with which you re or wil be associated? | [ves xNo [I Legistator/udical Officer - You are not required to compiete this question if you are fing because Jou are a legiiaor or 3 dic officer (Sudical oficer = defined in the SE1 Helphul Tos) o you Are fing as an appointee to those offices. Name of Person Name of Employer Type of Relationship (Licensing, (it applicable) | Regulatory, Business) i | | 13. Are you, your spouse or a member of your immediate family currently registered as a lobbyist o lobbyist principal, or were you registered as such witin the 12 months preceding your fing of this form? ~~ [1¥es. x No “Name of Lobbyist 7 Lobbyist's Principal © dateot | Registration | { Registration Expiration — | | | oTHERDISCLOSURES — 14. During any calendar quarter in 2016 (but only the time period after you were appointed, employed or ied or were nominated a5 & candidate), di you + receive any "9if(s)” exceeding $200 per quarter from a person or group of persons acting together, and | + when both you and those person(s) were ouside North Carolina at the time you accepted the G(s), and | + the gii(s) were given under circumstances that would ead a reasanable person to conclude that they were given | for lobbying? | ves x No | Ld | 00 not report gifts ven by members of your extended family. 00 not report gifs that have previously been reported by you t the Department of the Secretary of State on the “Expens Report for Exempted Persons Date Item Received | Name and Address of Donor(s) | Describe Item Received | Estimated Market Value The SET and any attachments, excluding the Confidential Form, are public records. Page 7 of 10 15. During 2016 (but onl the tim perod after you were appointed, employed, or fled or were nominated 3s > rasa 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 public positon? A "scholarship s a grant-in-aid, either direct or indirect, to attend a conference, meeting, or similar event, Inchuding tition, ravel, lodging, meals, and other Similar expenses. [es x No [] ual Officer - You a mot required to complete tis question f you are a judicial officer or you are | ing a5 2 Juical officer appomtee. D0 not report gifts that have previously been reparted by you to the Department of the Secretary of State on the Expense Report fo Exempted Persons. | > Legisiators are not required to report scholarships paid by a nonpartisan legislative organization of which the legisiat | or the General Assembly 1s a mentoer or participant o an afte of tht organization. Date of Name and Address of Donor(s) | Describe Event Estimated Market Scholarship | | | Value | | | | | li I __l I SE 16. Were you appointed ar are you being considered for an appointment t a covered board by the Governor or anather Counciof 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 Agricuture ~~» Commissioner of Labor » Commissioner of Insurance xves No If “Yes”, list all contributions you (NOT immediate family members) made during 2016 with a cumulative total of more than $1,000 ta the Governor or other Counc of State member wh appointed you. i » Contributions are defined n N.C.G.5. 163-278.6(6) and include, but are no limited to, “any advance, conveyance, | deposit, distribution, transfer of funds, 10a, payment, Gf, ledge or subscription of money or anything of value whatsoever.” LC SS 0 7] No contribution(s) with a cumulative total of more than $1,000 | 10/01/2016 52,500.00 ] Roy Cooper ! The SEX and any attachments, excluding the Confidential Form, are public records. Page 8 of 10 17. Ars you an appontee of prospective appoint to: | a the head of a principal state department (e.g. cabinet secretary) apponted by the | Governor o |b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District | Sood or <. a member of any ofthe following boards: | + ABC Commission | Conte Resources Commission i ~ Stare Board of Educanon Sk oa on esos [xves In | Dowson of Emplovman Securty JA —- No proceed | instal Commasion Question 18. PN — Bot of Transportation | © URC Bord of overmrs | | de resences Commssion | Et W—")| position by a Council of State member? Council of State members are listed in " 'No,” proceed { question 16. question 18. wo oI 20, you rust indicate whether during 2016 you (nat immediate family members) I amet mv oft flo actles Wh ect 1 or On Bere of he | ae of Camis comes oi the Counc Sate member whe SERIE You ta your pbc past | x Yes INo | | Collected contributions from multiple contributors, took possession of uch | | multiple contributions, and transferred or delivered those collected Contin 1 1h cate o Commies? Contribution are defined in | question 16. | EP Oves xno | iii. Volunteered for campaign-related activities, which include, but are not limited 1 ene ates a vanes The CHP of 8 Canam 18. Have you ever been canvicted of a felony for which you have not received either: (i) a "don Of innocence; or i) an cndar of expunge regain Sat comeAon? | OYes xNo ottense Date of Conviction | County of Conviction | State of Conviction 19. Ave you aware of any other information that yo bellve may assist the State. EYCS Commission n ais you Concern vous comphancs wih the Stats Goverment Eins AT [Cl¥es x No If yes, please provide such information below. | The SEE and any attachments, excluding the Confidential Form, are public records. Page sof 10 AFFIRMATION | and accurate 10 he bes of my Knowledge and ble Yat erty that have no ansferrd. and wil nou raster, any asset. rest, or prope for the pups of concen i from disclose while reunion quiable cre | understand that my Statement of Economie Interest and any attachments or supplements thereto (with the exception of the | | Confidential For regarding Uncmancipated Children are publ record Yacknowlede that have red and understand NC. 8. 1382.26 regarding concealing or filing 0 disclose materia information and N.C.G.5. 138-27 regarding providing fase information 3 139A26 Concening or filing 0 diclo materi information To diniplinary action under G5. 1384-45 §139A.27. Penalty for fa information GS. 138A X 1 agree / y LUC avs B 1 bt i V. ‘oS { Signature [3 . Date EE NN ON ines | Rome t | | Submit SIGNED, ORIGINAL documents only. 00 not fax or email ths form. :

This contact information page is a public record. a NORTH CAROLINA STATE ETHICS | or eTuics commission ust ory IE COMMISSION | Ot Received: & 2017 STATEMENT OF ECONOMIC INTEREST 919-814-3600 WW. mis RIX g CARICSCOMMISSION-NC-80Y | erected or completion I Scanned Date THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL | I"ompete?s "YOUR SEI FILING OBLIGATION Supp. Sent Date By Sup. Recaved Date _ Enters in coraonse U7 ey [41s [FueRs name (riRsT, MIDDLE USD a pa | Prefix | First Name TMiddie Nome | LastName suffix | we Anthony Mack | Copeland | coRmeNTEMPOYER [oes mE a NC Department of Commerce 2 5 — 1 iii SO . I iii | | Economic Development REASON FOR FILING (COMPLETE ALLTRAT APPLY) Ba SHAE SOVRRRNENY. 556 LE J 'BOARD/COMMISSION (List complete name of all State JE — | boards on which you are serving or are being considered) _| |" Commerce, Departmen ot | | 1 Co I " UDICIAL OFFICER (Specify Office) | LEGISLATOR (Specify House or Senate) = "A. Do other immediate family members reside in your household? oo xves [INo ‘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 chidren, grandchidren, parents, grandparents, and | Siblings, and the spouses of each of those persons) who reside In your household. “List the full name of ail adults and emancipated minors in your household. A minor is 3 chid under 18 years od. | Minors are emancipated by marriage, enlistment in the US miltary, or court order for emancipation. | FULL NAME OF ADULTS & VER JosTIie | NATURE OF | "eMANCIPATED MINORS | REWATIONSHIP EMPLO | | susiness L — — | | EE The SEI and any attachments, excluding the Confidential Form, are public records. Page 10f 10 B. List ONLY the initials of ail 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. _ fe Er canes trp e——— rg e— RELATIONSHIP | | trmas ror EMPLOYER 308 TITLE NATURE OF UNEMANCIPATED BUSINESS | miNoRs | | I wll SLC Son Cantina 18 H Waiter Restaurant > J Sane iid | r 1 1 i — | 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 Caralina real estate (Including your residence) with a market value of $10,000 or more? x Yes [No Owner of Real Estate Tem Ownership Interest | Location by City | Location by County I Anthony Copeland 100 Raleigh Wake Anthony Copeland 100 Hertord Perquimans Anthony Copeland 100 Hertfora Perquimans } B. Lease or rent real estate or personal property to or from the State of North Caroling with a market value of $10,000 or more? 1 | Ove xno 7 Nameofiessor | NameofLessce | if Real Estate, Location | if Personal Property, (Renter) | everyacoumy | Describe | 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 Carciing personal property with a market value of $10,000 or more? 1Ves ~ X No I Name of Purchaser TT Nemeofseller | Type of Property | The SET and any attachments, excluding the Confidential Form, are public records. Page 20 10 - EE _ - — [Financia mvTerests 3. AS of December 31 2016, did you, your spouse, or members of your {Eat family own any of the following financial interest valued at $10,000 or more? LIST EACH COMPANY INDIVIDUALLY. A. Stock in a pubicly owned company? Loves xNe I 50 (ot lst ownership interests in a widely held investment fund (including mutual funds, requiated investment companies, or pension or deferred compensation plans) f: () the fund 15 publicly traded of ts assets arc widely diversified; and (1) neither you nar an Immediate family member are able to control the assets held in the mutual fund, investment company, o pension or efermod compensation plan. ‘Guner of Interest Full Name of Company (85 not use @ ieker symbaD) | | — in ii | | | i — _— EE — - I”. stock Options in a company or business? Ces xo Owner of Stock Option Full Name of Company (Do not use a ticker symbol) |" interests n 2 non-public owned company ar business entity (including nerests in sole roprietorships, Dartnershig, Imied parthersiigs, sont ventures, mted Nabil companies, ited Habity partnerships, and | closely held corporations)? | ves x No 11No," proceed to question 4. or Owner of Interest Name of Company or Business Entity | SE C (1). For each non-publicly owned company or business entity (the “primary company”) identified in question SE “Shove, lease nt the names of any abner companies of Business entities m which the primary company ans Secures of SHUR interests valued at over $10,005, 7 known. Non-Publicly Owned Company or Business Entity Other Companies in which the Primary Company i (the Primary Company) Owns Security or Equity Interests x None or Not Known The SET and any attachments, excluding the Confidential Form, are public records. Page 30110 I C (2). 1f 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 s regulated by the State, provide a brief description of that business activity. I Name of Company or Business Entity | Description of Business Activity with the State | [Non ar Not known Se 1 i a i Se emeseseseeeee————— | i | tt + mf | EU — - |. o pscember 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 mare that was created, established, or controlled by you? | 00 not st assets held in blind trusts. See 2017 SEI Helpful Tis for the definition of “Vested Trust and “Blind Trust.” | |OYes x ho | | 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 immegiate family have liabilties of $10,000 or | more, excluding the mortgage an your primary personal residence? Examples include credit card debs, auto loans, student loans, personal ans and Intra-family debt. x Yes [INo ] Name of Debtor (You, Spouse, Immediate Family | Type of Creditor (Commercial Bank, Credit Union, Member) Individual, ete.) T 1 Anthony Copeland Commercial Bank | Anthony Copeland Commercial Bank | 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, satellocal 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 fax returns. | Da nat 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 “| Typeof Income Business/ Industry | [TIThad mo reportable income aver $5,000 in 2016 — “Anthony M. Copeland "7 Williams Mullen Law Wages. oo Monique L. Copeland |Stayonine | Technology Wages i} { { The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 10 I — PROFESSIONAL AND CIVIC RELATIONSHIPS. _ I ! 7(2). 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 primary for religous, charitable, scientific literary, public health and safety, or educational purposes? | X 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 Nature of Business or | Corporation or Organization Purpose of Organization | Anthony M. Copeland Boara Member MENG Broadband | 7(b). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive State funds, piease provide a brief description of the nature of that business, ff Known or with which due dilgence could reasonably be known. Name of Nonprofit Corporation or Organization | Describe State Business or State Funding _ 1 Hone or Not Known mene North Carolina leases fiber ©. During 2016, were you, your spouse, or members of your immediate family 3 director, officer, or governing board member of any Society, organization, or Advocacy roup With an Interest in matters over which your agency or board may have jurisdiction? ClYes x No [JLegislator/udicial Officer - You are not required to complete this question if you are filing because ‘You are a legislator or a Judicial officer ar you are filing as an appointee to those offices. » D0 not list organizations of which you are only a member (not serving in a leadership role). I Name of Person | Name of Society, Organization or Leadership Position (Director, Advocacy Group ‘Officer, Board Member) The SET and any attachments, excluding the Confidential Form, are public records. Page 5 of 10 9(2). List the name of each company or business with which you were associated where you or a member of your — Tarai was ar empha: dracon, SVT, pooc, BrapRRor, 5 emer or moter eo aco 3h, JAE Name of Person Relationship to Filer Name of Company Ii Role of person Monique L. Copan wie | stayonine Sates ! 500. 1 you know that any company or business ent sed n (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 Set ansenpto oom esas cy ! Name of Company or Business Entity Description of Business Activity with the State Witams Hton Represented cients who applied for grants rom the State 70. Arye posting tomy? xX Yes [No []ludicial Officer/State Attorney I Ves, check exch catogay flogal representation i WhGh you or the lw fr wits which you are ffated has armed legal fees of more than $10,000 during 2016. 11. During 2016, were you a lensed professional (other than an atomey) ar dd you prove consulting services iho of 22 2 meer 5 pretessonal sseeetion fo WHER yo. Sharan wor port ave S600 “vex ae Tyne of Business Nature of Services Rendered The SET and any attachments, excluding the Confidential Form, are public records. J A SE . _ J 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 wil be associated or - Regulated by the State board or employing ent with which you are or will be associated or + Have a business relationship with the State board or employing entity with which you re or wil be associated? | [ves xNo [I Legistator/udical Officer - You are not required to compiete this question if you are fing because Jou are a legiiaor or 3 dic officer (Sudical oficer = defined in the SE1 Helphul Tos) o you Are fing as an appointee to those offices. Name of Person Name of Employer Type of Relationship (Licensing, (it applicable) | Regulatory, Business) i | | 13. Are you, your spouse or a member of your immediate family currently registered as a lobbyist o lobbyist principal, or were you registered as such witin the 12 months preceding your fing of this form? ~~ [1¥es. x No “Name of Lobbyist 7 Lobbyist's Principal © dateot | Registration | { Registration Expiration — | | | oTHERDISCLOSURES — 14. During any calendar quarter in 2016 (but only the time period after you were appointed, employed or ied or were nominated a5 & candidate), di you + receive any "9if(s)” exceeding $200 per quarter from a person or group of persons acting together, and | + when both you and those person(s) were ouside North Carolina at the time you accepted the G(s), and | + the gii(s) were given under circumstances that would ead a reasanable person to conclude that they were given | for lobbying? | ves x No | Ld | 00 not report gifts ven by members of your extended family. 00 not report gifs that have previously been reported by you t the Department of the Secretary of State on the “Expens Report for Exempted Persons Date Item Received | Name and Address of Donor(s) | Describe Item Received | Estimated Market Value The SET and any attachments, excluding the Confidential Form, are public records. Page 7 of 10 15. During 2016 (but onl the tim perod after you were appointed, employed, or fled or were nominated 3s > rasa 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 public positon? A "scholarship s a grant-in-aid, either direct or indirect, to attend a conference, meeting, or similar event, Inchuding tition, ravel, lodging, meals, and other Similar expenses. [es x No [] ual Officer - You a mot required to complete tis question f you are a judicial officer or you are | ing a5 2 Juical officer appomtee. D0 not report gifts that have previously been reparted by you to the Department of the Secretary of State on the Expense Report fo Exempted Persons. | > Legisiators are not required to report scholarships paid by a nonpartisan legislative organization of which the legisiat | or the General Assembly 1s a mentoer or participant o an afte of tht organization. Date of Name and Address of Donor(s) | Describe Event Estimated Market Scholarship | | | Value | | | | | li I __l I SE 16. Were you appointed ar are you being considered for an appointment t a covered board by the Governor or anather Counciof 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 Agricuture ~~» Commissioner of Labor » Commissioner of Insurance xves No If “Yes”, list all contributions you (NOT immediate family members) made during 2016 with a cumulative total of more than $1,000 ta the Governor or other Counc of State member wh appointed you. i » Contributions are defined n N.C.G.5. 163-278.6(6) and include, but are no limited to, “any advance, conveyance, | deposit, distribution, transfer of funds, 10a, payment, Gf, ledge or subscription of money or anything of value whatsoever.” LC SS 0 7] No contribution(s) with a cumulative total of more than $1,000 | 10/01/2016 52,500.00 ] Roy Cooper ! The SEX and any attachments, excluding the Confidential Form, are public records. Page 8 of 10 17. Ars you an appontee of prospective appoint to: | a the head of a principal state department (e.g. cabinet secretary) apponted by the | Governor o |b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District | Sood or <. a member of any ofthe following boards: | + ABC Commission | Conte Resources Commission i ~ Stare Board of Educanon Sk oa on esos [xves In | Dowson of Emplovman Securty JA —- No proceed | instal Commasion Question 18. PN — Bot of Transportation | © URC Bord of overmrs | | de resences Commssion | Et W—")| position by a Council of State member? Council of State members are listed in " 'No,” proceed { question 16. question 18. wo oI 20, you rust indicate whether during 2016 you (nat immediate family members) I amet mv oft flo actles Wh ect 1 or On Bere of he | ae of Camis comes oi the Counc Sate member whe SERIE You ta your pbc past | x Yes INo | | Collected contributions from multiple contributors, took possession of uch | | multiple contributions, and transferred or delivered those collected Contin 1 1h cate o Commies? Contribution are defined in | question 16. | EP Oves xno | iii. Volunteered for campaign-related activities, which include, but are not limited 1 ene ates a vanes The CHP of 8 Canam 18. Have you ever been canvicted of a felony for which you have not received either: (i) a "don Of innocence; or i) an cndar of expunge regain Sat comeAon? | OYes xNo ottense Date of Conviction | County of Conviction | State of Conviction 19. Ave you aware of any other information that yo bellve may assist the State. EYCS Commission n ais you Concern vous comphancs wih the Stats Goverment Eins AT [Cl¥es x No If yes, please provide such information below. | The SEE and any attachments, excluding the Confidential Form, are public records. Page sof 10 AFFIRMATION | and accurate 10 he bes of my Knowledge and ble Yat erty that have no ansferrd. and wil nou raster, any asset. rest, or prope for the pups of concen i from disclose while reunion quiable cre | understand that my Statement of Economie Interest and any attachments or supplements thereto (with the exception of the | | Confidential For regarding Uncmancipated Children are publ record Yacknowlede that have red and understand NC. 8. 1382.26 regarding concealing or filing 0 disclose materia information and N.C.G.5. 138-27 regarding providing fase information 3 139A26 Concening or filing 0 diclo materi information To diniplinary action under G5. 1384-45 §139A.27. Penalty for fa information GS. 138A X 1 agree / y LUC avs B 1 bt i V. ‘oS { Signature [3 . Date EE NN ON ines | Rome t | | Submit SIGNED, ORIGINAL documents only. 00 not fax or email ths form. :