Archibald Frederick McCoy, Jr.

FoR STAFF SE OLY GT STATE ETHICS COMMISSION DateRIEL: yo w Se tdi) 2023 STATEMENT OF ECONOMIC INTEREST RECEIVEL &¥ No Change Form This entire form must be completed to fulfill your SEI filing obligation. \C ETHICS COMMISSIO! Firs Name (Fist, Middle, Lost) | lating Levedomse | moy 5 || Reason for Filing (Complete all that dpply.) State Government Job (Specify agency and position.) | Board/ Commission (Lt the complete names of al Sate boards on which you are serving o are being considered.) Currently Serving or Served as » Judicial Officer n 2022 | Currently Serving ar Served a3 Legislator in 2022 (Speci (Spey office e.. Judge, clark of court, district attorney.) House or Senate.) “AFFIRMATION have carefully reviewed my most recently fled Statement of Economic Interest Long Form and my responses continue ob true, correct, and complete to the best of my knawledge and belle. Ihave not transferred, and will nt transfer, any asset, Interest, or propery forthe purpose of concealing t from disclosure while retaining an equitable Interest Tunderstand that my No Change Form is 2 public record. have read and understand the following statutes: N.C.6.S. § 1384-26. Conceaing or failing to disclose material information A fing person who knowingly conceals or knowingly ais to disclose information that s required to be disclosed on a statement of economic Interest. shal be Quilty of lass 1 misdemeanor and . . subject to disciplinary action under G.5. 130A-45, N.CG.S. § 1384-27. Penalty for fale Information. A fling person who provide false Information on statement of economic Interest . . Knowing that the Informeton 5 false 5 Quit of a Class H felony and shal be subject to disciplinary action under G.5. 1384-45. 1 affirm under penalty of perjury that the foregoing is true and correct. Sansturs oa Z f Lut) Freleriee. uly Tr fei Nam ‘Submit signed, original documents only. Do not fax or e-mail this form. This document is a public record.

- FOR STAFF USE ONLY ,.-STAI?;-,.. STATE ETHICS COMMISSION Date Received: 1{fi 2023 STATEMENT OF ECONOMIC INTEREST - No Change Form This entire form must be completed to fulfill your SEI filing obligation. ' Filer's Name (First, Middle, Last ) Prefix First Name Middle Name Last Name Suffix Ar� p.,/ f.....,1,J Fn,_� o-.-,rlr M=�✓ �- Reason for Filing {Complete all that appW.) 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.) CZIPe_ Fe;t-r R PD Currently Serving or Served as a Judicial Officer in 2022 Currently s"erving or Served as a Legislator in 2022 (Specify (Specify office, e.g. judge, clerk of court, district attorney.) House or Senate.) AFFIRMATION I have carefully reviewed my most recently filed Statement of Economic Interest Long Form and my responses continue to be true, correct, and complete to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my No Change Form is a public record. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest ... shall be guilty of a Class 1 misdemeanor and ... subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest ... knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G,S. 138A-45. I affirm under penalty of perjury that the foregoing is true and correct. a cl...i' JaJ� Signatur� 8:rr. b: h ;1 Ld Printed Name kt�l 1Nf Cx1 1� rTe<Qe..r-idC .NI 1 Cov I l1lcnL Date x.,r. Submit signed, original documents only. Do not fax or e-mail this form. This document is a public record. 7 J U) 2$ March 13, 2023

TORSTAFF SE ONY = a STATE ETHICS COMMISSION O3te Rasaived: Lidl 5) 2022 STATEMENT OF ECONOMIC INTEREST | | RECEIVED | & No Change Form | owmisan | This entire form must be completed to fulfill Your SEI filing obligation. NCETHICS Commission Erle Gy Reason for Filing (Complete al that apply) State Government Job (Speciy agency and postion) | Boara/Commission (st the complete names of of Ste Boards on which you are serving or are being considered.) Currently Serving 25 2 Juda Office (Speci office) | Currents Serving as Legislator (spec House or Senate) ‘Are you a CANDIDATE for a covered elected office? | | 11 Yes, spec office and District County 1, spplcabier (District, Superior o Supreme Court, Cour of Clerk of Court, District Attorney, General Assembly) Oves [mo RFTIRMATION Ihave careful reviewed my most recently filed Statement of Economic Interest Long Form and my responses continue to be true, corect, and complete the best of my knowiedae and beet have not transferred, end wi not transfer, any asset, interes, or property fo the purpose of concealing t from disclosure while retaining on equitable Interest. Funderstand that my No Change Form is a pubic record. Ihave read and understand the following statutes: N.C.GS. § 1384-26. Conceaing or failing to disclose material information. A ilng person who knowingly conceals o knowingly falls to disclose information tht is required to be discosed on 3 Statement of economic nest - hal be gut of 3 Cass 1 misdemeanor and subject to dscptnery action under G.5. 138-45. N.C.G.5. § 1384-27. Penaty fo fis Information. A fing person who provides false information an statement of economic interest. knowing tat the information i fase 1s gi of a Cass felony and shal be subject 1 dScplnary action under 6.5. 1364-45. tf unde anaty of perry tha he forging rus an comet : “ly ditteh to zoz ngtire Bate : ue MEGYy Tv Printed Name Submit signed, original documents only. Do not fax or &-mall this form. This document is a public record

For Staff Use Only. a CZAR STATE ETHICS COMMISSION gy Fr as 4 br 2021 STATEMENT OF ECONOMIC INTEREST = NO CHANGE FORM RECEIVED This entire form must be completed to fulfill _— your SEI filing obligation. MAR 35 202 | NC ETHICS COMMISSION Filer's Name (First, Middle, Last) ~ _ [Flere ame rot Mito log _______ prefix | Firstname widale Name Last Name Sufix g fete £ Iv Reason fo Filing (Complete all ht apply.) Stee Government 103 (Speci agency and povion | Board Commissar (Ls he commie mamas o 31 Sie i Sard an whch you ae Serv of ae being cons dered.) | SE — _— Ec R Sil Office (Spec fice) Cesar (Specty Hous or Senate.) AFFIRRATION 1 have carefully reviewed my most recently fled Statement of Economic Interest Long Form and my responses continue 9b true, correct, and comple 3 the bet of my moniecie and sl 1 have not transferred, and wil not trarster, any asst, interes, or property forthe purpose of cancesing i rom Clslosurs whit retaining an €quRabis mies: understand that my No Change Form is a pubic record. hove read and understand th follwing statutes N.C.G.5.§ 1384-26. Concealing o faking to disclose material information. A Ming person ho knowinly concer knowingly fal o disclose information thts reaured to be dscioses Gn Saterment of economic mrss. shal be GUlky of Class | Misdemeanor nd... subject to SOpINSTY Seton under G.5. 1388.45. NCGS. § 1388.27. penaty for false Information. A fling person wha provides fie information on 8 EatemGnt of conor nterest rowing it he Information 3 150 = guy of Case felony nd Shall be Subset vc rary acon ander G5. 394-45. 1 atte under penaity of perjury that the foregoing is true and correct. YY, i . par (1 zoz pias Fediad wt Bey | 2 = MToy 5. Finted Narn Submit signed, original documents only. Do not fax or s-mall thi form. This entire document is 2 public record.

Tore GR STATE ETHICS COMMISSION ore Rec CP 2020 STATEMENT OF ECONOMIC INTEREST R150 NE NO CHANGE FORM N= NGETHIGS COMMISSION This entire form must be completed to fulfill your SEI filing obligation. RN Samos ___owe__ enersainde by ET Fealeriy ry TE Ste Goverment 19 (Spey agency and potion) | Beord Commision (Us ie complete ames of a Sate Soarcs on which you ae serving or ae being consigers.) Fe a] er RPO Sodcl Officer (Speci office) Toit (Spey House or Seno.) RFFIRRATION have careful reviewed my mst recently fed Statement of Economic Interest Long Form and my responses continue 1b tre, corte, and comple 3 the DO of my Knowledge and belt. Lave not transfered, and wil not raster, any asst, terest, or propery or the purpose of concealing it from scone whe reaning an equkabl terest understand that my No Change Form is publi recrd. have read and understand th following statutes: NCGS. § 138826. Concalng a alin to disclose mater information. A fling person who knowingly conceals or knowingly ato dslos informatn tha s required o be disclosed on ramen: of economic eres shall bs gully of Class 1 iScemeanar and subject to dscnary Son nae 6.5. 30A-5: NC... § 1308-27, Penaty or alse information. A fling person who provides fie information on a statement of economic interest knowing tat the Information 5 fas + guy of Cis felony and shall be Suc 1 Ascnary acon une G.5. 1364-45 afm under panaity of perjury tht th foregoing is true and correct. A = “ ES Nn March ie Zero sllalibatd Flim Bate frechibald Frefecik M5Coy T° Printed Name 4 Submit signed, orginal documents only. Do not fax or e-mail this form. This antire document s public record.

RECEIVED ZN For STaF Use o ; irs RY STATE ETHICS COMMISSION Dove comes: WIR 22 2013 Karey . Wo 49 5 2019 STATEMENT OF ECONOMIC INTEREST STATE ETHICS COMMISSION = NO-CHANGE FORM cnecked or completion. This entire form must be completed to fulfill your samea_A_ome_2laz] 0 ethics filing obligation. A Fllr's Nome (Fst, Middle Last) [Profi | rirsthame | wigdtename | iasthame | sum Reason fo Filing (Complete al that apo. State Government Job (Specify agency and position.) | Boara/Commision (Lit the complete names of ll State boards on which you are serving o are being considered.) I y=, Legislator (Specify House or Senate.) evr i The information provided in thi Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and beer 1 have na transferred, an will not transfer, any asset interest, or propery for the purpose of concealing i rom disclosure while retaining on equitable Interest. understand that my Statement of Economic Interest and any attachments except or the Confdentil Form Regarding Unemancipted Chidren publ recor. have read and understand the following statutes: N.C.GS. § 1634-151. Conceaiing or faling to disclose materia information A fing person who knowingly conceals or knowingly falls o disclose information that I required to be disclosed on 2 statement of economic interes -. shall be uty of 3 Cass 1 misdemeanor and... SuB)ect 0 dsciplinans action Onder GS. 1634415 N.C.G.S. § 1634192. Penaty for fase information. A fing person who provides false information on statement of economic interest... knowing tha the information is folse is guity of a Class H feony and shall be subject to disciplinary action under .5. 1634-415. I affirm that I have reviewed my most recently fied 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 knowieage and belier, affirm under penalty of perjury that the foregoing is true and correct. : leg § Zz Slansture 3 0 ‘ i 5 Sly sv Prinked Name. Submit signed, original documents only. Do not fax or e-mail this form. This entire document is a public record.

aR in 1 NORTH CAROLINA STATE BOARD OF 15 DAE NT bss che Wg ELECTIONS AND ETHICS ENFORCEMENT [oats feces 2018 STATEMENT OF ECONOMIC INTEREST MIB FEB 22 MH 11: 09 | for completion NO CHANGE FORM Checked for como! cannes oot. THIS ENTIRE FORM MUST BE COMPLETED TO Entereain 0 __by FULFILL YOUR ETHICS FILING OBLIGATION REASON FOR FILING (COMPLETE ALL THAT APPLY) STATE GOVERNMENT J08 (Specify Agency and Postion) | BOARD/COMMISSION (List the complete name ofall tate boards on which you are serving or re being considered | pene mre | JUDICIAL OFFICER (speci Office) LEGISLATOR (Speclty House or Senate) AFFIRMATION Laff that th information provided in tis Statement of Economic Interest and any attachments hereto ae true, complete, and accurate to the bes of my Knowledge and belief also certy that 1 ave not transferred, and will nt ransfr, any asse, interes, or property for the purpose of concealing i from disclosure while retaining an equtable terest understand that my Statement of Economic Interest and any attachments o supplements thereto (wth the exception of the Confidential Form regarding Unemancipated Children) are public record. acknowledge that have read and understand N.C.G.5. 1384-26 regarding concealing o failing to disclose material information and N.C.G.5. 1384-27 regarding providing false information: § 1384-26. Concealing or failing to disclose material information. A filng person who knowingly conceals or knowingly fais to disclose information that i réquird to be disclosed an a statement of economic teres under this Artic shall be Gully of a Class 1 misdemeanor and shall be Sibjec t dsciinoy acon under G.5. 13045. 5 1384.27. Penalty for fase information. A fing person who proviges foie Information an statement of economic Interest a required under this Artice Knowing that the information 1 alse 5 ity of & las H felony and shall be subject ta disciplinary acon under [gt ery Siknature Bae Archibald Frederic. MG rT Finted Name ‘Submit SIGNED, ORIGINAL documents only. Do not fox or e-mail this form, This entire document is a public record.

A R NORTH CAROLINA STATE ETHICS COMMISSION Fon ETHICS COMMISSION Uog ONLY Pa ones & 2017 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM y s Checked Tor completion 1: J THIS ENTIRE FORM MUST BE COMPLETED TO | sconnea pate. FULFILL YOUR ETHICS FILING OBLIGATION [aij] Entered in DB" by 8K FILER’ NAME (FIRST, MIDOLE, LAST) 1 prem | Firstname | Middle Name Last Name sun — renbad | Freflevie. | MEGoy Te a REASON FOR FILING (COMPLETE ALL THAT APPLY) _ or a | STATE GOVERNMENT JOB (Spey Agency and Fosion] | BOARD/COMMISSION (Lit the complete name of i state | Rares sh youre srr bo sine) SE — Cipe Foor RPO | [worn orrices (spec ttc) rscruiron pect House or Senate) _— | AFFIRMATION TT oo oT So oT a 7 | complete, and accurate to the best of my knowledge and belief. acknowledge that have read an understand N.C. 5. 136A. 26 regarding concealing or (ing to tiscose material | ER hereby affirm that I have reviewed my most recently filed 2016 Statement of Economic Interest and that as A BL SL SRA SR EE | oni bet. UX Agree 7] zl) md ) | sell end eee FRAT — | chk £ ApS Tv |b elite i Cp Ham ; | Submit SIGNED, ORIGINAL documents ony. Do not fax or e-mail this form. . This enti document 5 2 public record.

” FE NORTH CAROLINA STATE ETHICS COMMISSION FOR ETHICS COMMISSION USE ONLY RA Date Racor 4 & 2016 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM N . [Ad CHAR coped, 53 THIS ENTIRE FORM MUST BE COMPLETED TO |sconned Date___ FULFILL YOUR SEI FILING OBLIGATION BC Entered in 08 4/7 by & FILER'S NAME (FIRST, MIDDLE, LAST) } _ [pret |__ ris ame Middle Name Last Name _ | sux | Arehivalel 1 _Frederige | wl Coy Ir | REASON FOR FILING (SELECT ALL THAT APPLY) | [1 STATE GOVERNMENT 108 (Please specify the agency for | ([GARD/COMMISSION (Please list complete name of al hich You war or ove hav consiteredy State boards on sch you aré serving or are bong | considered) oe - Cape Fear RPO LJUDICIAL OFFICER (Please spect the office you hod) | [] LEGISLATOR (Please spect House or Senate) Tlf that te information provided i ths Statement of Economic Interest and any attachments hereto are tue, Complete, and accurate to the best of my knowlege and belie, 1 ao certify tha © have not transferred, and will ot transfer, any asset, interest, o property forthe purpose of concealing {it from disclosure while retaining an equitable interest. understand that my Statement of Economic Itcrest and any attachments o supplements thereto (with the exception of 1 acknowtedg that | have rea and understand N.C.G.5. 13626 reqarding concealing o faking to disclose materia information and N.C.G.5. 138.37 regarding providing fase mormation: § 136A 26. Concealing or failing to disclose materia formation. 3 tancment of economic inerest under ths Arica shall be uiy of a Class 1 misdemeanor and shall be subject to Gnciphnary action under G.5. 136A-45. § 1384-27. Penalty for false information. A filing person who provides fatse information on a statement of economic interest 5 required under this Article Know tha the formation 15 alse 1 Guilty of & lass fey and shal 2 subject to Grscanary action under | pte |X horeby affirm that T have reviewed my most recently filed 2015 Statement of Economic Interest and that as | of Decomier 31, 2015, my responses continue £6 be true, correct, and complete to the best of my knowledge | and belie. | [JX Agree N , i 4 ii / ) 2 {tats gfe ¢ EIRNLUA Sains Bate Ire Fredepioe mM Coy Tr Flinted Name Submit SIGNED, ORIGINAL documents only. Do not fax or mail this form. This entire document is 2 public record.

+7, NORTH CAROLINA STATE ETHICS COMMISSION (reece ou SH Date Receved: <4 #/; 2016 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM Checked for completion 2PM THIS ENTIRE FORM MUST BE COMPLETED TO |sai6cti'R =7 Bilied: 25 R SEI FILING OBLIGATION FULFILL YOUR S comes FILER'S NAME (FIRST, MIDDLE, LAST) | lluchibaid | Freleviex. MECoy To. | | REASON FOR FILING (SELECT ALL THAT APPLY) - i CJ STATE GOVERNMENT JOB (Please spec the agency for | [YBOARD/COMMISSION (Please list complete name of ll Which you work or are being considered) State boards an which you are serving or are being considered I Cape. Fear RPO CJ JUDICIAL OFFICER (Please specly the office you hold) | [J LEGISLATOR (Please speafy House or Senate) AFFIRMATION T affirm that the information provided in ths Statement of Economic Interest and any attachments hereto are true, | complete, and accurate to the best of my knowledge and belief. also certify that 1 have ot transferred, and will not transfer, any asset, nterest, or property for the purpose of concealing | it from disclosure while retaining an equitable interest 1 understand that my Statement of Economic Interest and any attachments or supplements thereto (with the exception of the Confidential Form regarding Unemancizated Chidren) are public record. 1 acknowledge that T have read and understand N.C.G.S. 138A-26 regarding concealing o falling to disclose material Information and N.C.G.5. 138A-27 regarding providing false information: 5 1384-26. Concealing or failing to Gisclose material information. A fling person who knowingly conceals or knowingly fais to disclose information that s 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.5. 138A-45. § 1387-27. Penalty for false information. A fing person who provides false information on 2 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 GS. 1388.35. 1 hereby affirm that I have reviewed my most recently filed 2015 Statement of Economic Interest and that as ‘of December 31, 2015, my responses continue to be true, correct, and complete to the best of my knowledge per ‘Agree . : $y Signature o% y E 2 Jr Printed Name Submit SIGNED, ORIGINAL documents only. Do not fax or mail this form. ~~ This entire document is a public record.