North Carolina

Archilus L. Hart

12 filings · 2015–2025
Agriculture & Consumer Services, Department of

Filings

2025 Agriculture & Consumer Services, Department of
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Fo STAFF USE OLY Gp STATE ETHICS COMMISSION Oat Received: A - U3) 2025 STATEMENT OF ECONOMIC INTEREST RECEIVED 7 No Change Form This entire form must be completed to fulfill your SEI filing obligation. NC ETHICS COMMISSION File’ Name (First, Midd, Lost Cp ——f Soft Reason for Filing (Complete all that apply.) Sere Government oo lng Fos Sani (Spec 330m and | Board Commission Lis the cet res f Ste ends Poanion) arn You a SIN 0 fo ech yo re Di conser) Corry Soe 5S Tala Oar oF Pos Savi Carty Sri 53 egos o Fil Pos Saves (Spec fice) Spey House ar Sensie) AFFIRMATION 1 have carly reviewed my mt recently ied Statement of Economic Interest Long Form and my responses continue 10 be true, correct, and complete o th best of my knowiedge and belef 1 have not transferred, and wil not transfer, any asse, interest, or property for the purpose of concealing it from disclosure whi reining on equiabe interest. 1 understand that my No Change Form s a public record. nave read and understand the folowing statutes: N.C.G.5. § 138A-26. Conceaing or falling o disclose material information. A fing person who knowingly conceai or knowingly ails to cscose information tht i required o be disclosed on a statement of economic Interest . . hal be uty of & Class 1 misdemeanr and . subject to cscplinary action under G.5. 139A.45. N.C.G.5. § 138A-27. Penalty for aise information A fing person who provides fase information on statement of conomic interest knowing tha the information fale s uiy of Class felony and shal be subject to disciplinary action under G.5. 138A-45. I affirm under penalty of perjury that the foregoing is true and correct. 2 ALL Zl Signature ewe FE ‘Submit signed, original documents only. Do not fax or e-mail this form. “This document s a public record.
2024 Agriculture & Consumer Services, Department of
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This entire document is a public record. STATE ETHICS COMMISSION 2024 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM ELECTRONIC FILING This entire form must be completed to fulfill your ethics filing obligation. Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Mr. archilus Hart Reason for Filing (Complete all that apply.) Are you a CANDIDATE for elected office? ☐ Yes ☒ No If yes, for what position are you seeking election? (Specify name of office seeking in box below.) Do you currently hold this position? ☐ Yes ☐ No 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.) Agriculture & Consumer Services, Department of - Special Assistant to Commissioner of Agriculture Judicial Officer or Filing Post-Service (Specify office.) Legislator or Filing Post-Service (Specify 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. Filed Electronically 04/09/2024 Signature Date archilus Hart Printed Name Submit signed, original documents only. Do not fax or e-mail this form.
2023 Agriculture & Consumer Services, Department of
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This entire document is a public record. STATE ETHICS COMMISSION 2023 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM ELECTRONIC FILING This entire form must be completed to fulfill your ethics filing obligation. Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix archilus Hart Reason for Filing (Complete all that apply.) Are you a CANDIDATE for elected office? ☐ Yes ☒ No If yes, for what position are you seeking election? (Specify name of office seeking in box below.) Do you currently hold this position? ☐ Yes ☐ No 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.) Agriculture & Consumer Services, Department of - Special Assistant to Commissioner of Agriculture Judicial Officer or Filing Post-Service (Specify office.) Legislator or Filing Post-Service (Specify 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. Filed Electronically 04/10/2023 Signature Date archilus Hart Printed Name Submit signed, original documents only. Do not fax or e-mail this form.
2022 Agriculture & Consumer Services, Department of
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This entire document is a public record. STATE ETHICS COMMISSION 2022 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM ELECTRONIC FILING This entire form must be completed to fulfill your ethics filing obligation. Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Mr. Archie Hart Reason for Filing (Complete all that apply.) Are you a CANDIDATE for elected office? ☐ Yes ☒ No If yes, for what position are you seeking election? (Specify name of office seeking in box below.) Do you currently hold this position? ☐ Yes ☐ No 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.) Agriculture & Consumer Services, Department of - Special Assistant to Commissioner of Agriculture Judicial Officer (Specify office.) Legislator (Specify 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. Filed Electronically 04/29/2022 Signature Date Archie Hart Printed Name Submit signed, original documents only. Do not fax or e-mail this form. This entire document is a public record.
2021 Agriculture & Consumer Services, Department of
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This entire document is a public record. STATE ETHICS COMMISSION 2021 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM ELECTRONIC FILING This entire form must be completed to fulfill your ethics filing obligation. Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Ms. archilus lloyd hart 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.) Agriculture & Consumer Services, Department of - Special Assistant to Commissioner of Agriculture Judicial Officer (Specify office.) Legislator (Specify House or Senate.) AFFIRMATION The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form Regarding Unemancipated Children public records. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm that I have reviewed my most recently filed 2020 Statement of Economic Interest and that as of December 31, 2020, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 04/12/2021 Signature Date archilus lloyd hart Printed Name
2020 Agriculture & Consumer Services, Department of
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This entire document is a public record. STATE ETHICS COMMISSION 2020 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM This entire form must be completed to fulfill your ethics filing obligation. FOR STAFF USE ONLY Date Received: Checked for completion ______ Scanned _______ Date______ Entered in DB ____by______ Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Mr. archilus hart 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.) Agriculture & Consumer Services, Department of - Special Assistant to Commissioner of Agriculture Judicial Officer (Specify office.) Legislator (Specify House or Senate.) AFFIRMATION The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form Regarding Unemancipated Children public records. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm that I have reviewed my most recently filed 2019 Statement of Economic Interest and that as of December 31, 2019, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 05/18/2020 Signature Date archilus hart Printed Name Submit signed, original documents only. Do not fax or e-mail this form.
2019 Agriculture & Consumer Services, Department of
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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 Mr. archilus lloyd hart 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.) Agriculture & Consumer Services, Department of - special assistant to Commissioner of Agriculture 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 06/03/2019 Signature Date archilus lloyd hart Printed Name Submit signed, original documents only. Do not fax or e-mail this form.
2019 Agriculture & Consumer Services, Department of
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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 Mr. archie hart 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.) Agriculture & Consumer Services, Department of - agriculture program specialist 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 02/25/2019 Signature Date archie hart Printed Name Submit signed, original documents only. Do not fax or e-mail this form.
2018 Agriculture & Consumer Services, Department of
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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 archilus Lioyd Hart 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) Agriculture & Consumer Services, 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 4/10/2018 Signature Date archilus Lioyd Hart Printed Name The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 2
2017 Agriculture & Consumer Services, Department of
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NORTH CAROLINA STATE ETHICS COMMISSION 2017 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM FILER'S NAME (FIRST, MIDDLE, LAST) Prefix First Name Middle Name Last Name Suffix archilus lloyd hart 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) Agriculture & Consumer Services, 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 2016 Statement of Economic Interest and that as of December 31, 2016, 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 4/19/2017 Signature Date archilus lloyd hart Printed Name The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 2
2016 Agriculture & Consumer Services, Department of
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7, NORTH CAROLINA STATE ETHICS COMMISSION iz: vis Compassion oy ny De Reco: Gl & 2016 STATEMENT OF ECONOMIC INTEREST | 0 CHANGE FORM WL : THIS ENTIRE FORM MUST BE COMPLETED TO scanned Date FULFILL YOUR SEI FILING OBLIGATION y FERS NAME (FIRST, MIDDLE, AST) | Prefix FirstName | Middie Name | Lost Name Suffix (rete Femnems | Sedeewe | ___ terweme. SE Rech, lus Geek) Loyd) Hardt | EASON FOR FILING (SELECT ALL THAT APPLY) ) . | ESTATE GoveRHENT 108 (pease pect the agency for | (]BOARD/COMMISSION (Flease lst complete rome of al | ‘Which you work or are being considered) State boards on which you are serving or are being Leman | Asi enture | UDICIAL OFFICER (Please speci the office you hold) | J LEGISLATOR (lease spec House or Senate) | | AFERMATON fir that the informaion provided in this Statement of Economic Interest and any attachments hereto are true, | compet, ans accurate o the bes of my knawkdae and belt. also corti that 1 have nt transferred, and will not transfer, any asset, interes, o property fo the purpose of concealing Ie rom disclosure while retaing an equtoble terest. | understand that my Statement of Economic Interest and any attochmerts o supplements thereto (ith the eccepton of the Confidential Farm regaring Unemancpated Chidren) are public cord. Lacknoledge that 1 have read and understand N.C.G.5. 1384-26 regarding concealing o fling to disclose material formation and N.C.G.5. 138A-27 regarding providing false information: | § 1384-26. Concealing or failing to disclose material information. A Hing person who knowingly conceals or knawinly ai to disclose information tht is required to be disclosed on Pearman af cconome mierest under this Ace shal be guity of » Class 1 misdemeanar and shal be subject to | dscinary scion under G.5. 136A-45, 8138-27. Penaty for fale information. A fling person who provides false information an a statement of economic Interest a required under this Article Knowing that th Inermation 1 ale 1 Guilty of a Class H felony and shal be subject 1 discipinary action under | pate) T 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 10 pe true, correct, and complete to the best of my knowledge na beter ree 1 / / | A Gad 4sa/mor é | Signature Gate Prehie Hart | | hinted Name Submit SIGNED, ORIGINAL documents only. Do not fox or email this form. | This entire document is a public record.
2015 Agriculture & Consumer Services, Department of
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© 7%. NORTH CAROLINA STATE ETHICS COMMISSION "J: 2015 STATEMENT OF ECONOMIC INTEREST 7 NO CHANGE FORM FILER'S NAME (FIRST, MIDDLE, LAST) | First Name [wide Name Last Name Suffix y Lloyd . far 4 REASON FOR FILING (SELECT ALL THAT APPLY) } STATE GOVERNMENT JO (Please specify the agency for | [] BOARD/COMMISSION (Please ist complete name of all Which you work or ae being considered) State boards on which you are serving or ore being considered) ‘ NE Qh. of Apecotore. {C3 UBICIAL OFFICER (Please specity the office you hold) _| [J LEGISLATOR (Please speciy House or Senate) AFFIRMATION | 1 affirm that the information provided in this Statement of Economic Interest and any attachments hereto are true, Completa, and sccurate to the best of my knowledge and belel. als certify that I have not transferred, and will no cansfer, any asset, interest, or property fo the purpose of concealing irom isclosure whi retaining an equitable Interest. understand that my Statement of Economic Interest and any attachments or supplements thereto (with the exception of | tne Confidential Form regarding Unemancipated Children) are public record {acknowledge that 1 have read and understand N.C.G.S, 1384-26 regarding concealing o failing to disclose material Information and N.C.G.5. 138A-27 regarding providing flse information: § 1384-26. Concealng or falling to disclose material information. A filing person who knowingly conceals ar knowingly fals to disclose information tha is required to be disclosed on 2 Statement of economic interest under this Article shall be gui of » Class 1 misdemeanor and shall be subject to Gscipinary action Under G.5. 136A4S. 5 1384-27. Penalty for false information. A fing person who provides false information on a statement of economic interest as required under this Article Knowing that the Information ¢ false 1 uily of a Class H felony and shall be sublect to disciplinary action under Gs. T38A45. I hereby affirm that 1 have reviewed my most recently filed 2014 Statement of Economic Interest and that as of December $1, 2014, my responses continue to be true, correct, and complete to the best of my knowledge and belief. #1 Agree 2 Hark Yiv/2005 Printed Name Tate Ha / a ‘Submit SIGNED, ORIGINAL documents only. Do not fax or email this form. Sionature This entire document is a public record.