Arthur Caswell Tillett

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. Arthur Caswell Tillett 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.) College of the Albemarle Trustees 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 01/24/2020 Signature Date Arthur Caswell Tillett Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

: or sorolECEIVED Dore Received (aig STATE ETHICS COMMISSION FEB 0 8 2019 ry 2019 STATEMENT OF ECONOMIC | STATE ETHICS COMMISSION INTEREST | gs | 5¥ checked for completion ‘This entire form must be completed to fulfill Lf scanned 2 1lfioate Your ethics filing obligation. Incomplete Qs Supp. sent date or Supp. recived date Entered in database. oy Filer's Name (First, Middle, Last) | | ARTHUR | Chsweu | TiiLeTr ore DARE County StHool, ASSISTANT SUPERINTENDENT | Nature or Type of Business PuBlic Schools Reason For Filing (Complete al that apply.) re 750 on which you are serving or are being considered. | Bom couser we asgmmne Legislator (Spec House or Senate.) A. Do other immediate family members reside in your household? oh Ow 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. emancipated by marriage, enlistment in the US miltary, or court order for emancipation Emancipated Minors Tm ina z Pamein P. Tiuterr Wire | Dhes Coustysengly Sha Foam p Lie cotantr Downturn Refoil Svan Tillett Son Gest Sales mae. sal. [Mecy TTA | Dughdea HESS | so Lele The SEI and any attachments, excluding the Confidential Form, are public records. Page 10f 10 B. List only the ntiats of al unemancipted minors in your ovsenald beow. A mina is 3 cd under 18 years List the full name of each minor child on the Confidential Form a the end. | nial or [| remem] Employer 30b Title Nature of Business | Unemancipated Property Interests 1. As of December 31, 2018, dd you or any members of your mediate fry: A. Rave an ownership interest in North Carolina rea state (including you residence) with a market value of |" sit000 or mare? fes amo Owner of Real Estate | % Ownership Interest Arthua § Gemece Tick (0% Aathun § Ponda Tid 100% Hill desi Hills, NC | Dare. Coy, MC 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? Oves ifs Name of Lessor Name of Lessee | If Real Estate, Location | If Persona Property, (Renter) by City & County Describe I EE 2. AC any me during 2017 o 2018, 6d you o any members of your immediate fami 32 Ko or buy from the Sate of North Carin, persona rapery worth $10,000 or more? Oves oo i — ————— — — The SET and any attachments, excluding the Canfidentia Form, are public records. Page 201 10 Financial Interests 3. AS of December 31, 2018, 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? [lve [flo Do nat lst interests in 3 widely held investment fund (induding mutual funds, regulated Investment companies, or pension or deferred compensation plans) I: 1. the fund is publicly trade or ts assets are widely diversified; and 2. neither you'nor an immediate family member ore able to contra the underlying assets. TT owerotmees | Fuame of Company or taker ener 5. Stock options in 3 company or business? Oves yg ll Name o Company (95 ot ure Sekar symbol) C. Interests ina non-publicly owned company or business entity? These include interests in sol proprietorships, partnerships, limited portnerships, Joint ventures, imited lability companies, limited labilty partnerships, and Gosely held corporations. [ClYes BHWG- 1f “No,” proceed to question 4. DC owerstmeret | amsot Company ores eniy C1). For each company or business entity identified in question 3.C. (the “Primary Company”, please ist the names of any other companies or business entities in which the Primary Company one secures or equity Interests valued af over $10,000, f known. Non-Publicly Owned Company or Business Entity | Other Companies in which the Primary Company (the Primary Company) ‘Owns Security or Equity Interests The SEI and any attachments, excluding the Confidential Form, are public records. Page 3 of 10 € (2): 11 you know that any entity sted in 3.C o 3.C(1) above has any material business deaings or business contracts with the State of North Cardin, o is raguated by he Stat, biel describe that business actvty. Name of Company or Business Entity Description of Business Activity with the State C) None or Not Known 4. As of December 31, 2018, were you ar any members of your immediate fami the beneficiaries of a vested rust with value of $10,000 or more that you created, estabished, or controlled? Do not list assets held in blind trusts. See 2019 SEI Helpful Tips for the definition of "Vested Trust” and “Blind Trust.” | ov mo Name and Address of Trustee Your Relationship to the Trust 5. AS of December 31, 2018, did you any members of your immediate far have abilities of $10,000 or more, excluding the mortgage on your primary personal residence? Exampes include creat card debs, auta Ioan, student loans, personal toans and intra fami Gabe. Oves wf Name of Debtor Type of Creditor (commercial Bank, credit union, individual, etc) 6. List each source of income (not specific amounts) of more than $5,000 received by you or any members of your | immediate fay Gung S015. Inca Slay, wages, Sate ocl garermment retement nome, profession ee, Ronorara, interest, dividends, rental income, business income, and ather types required to be repored on State and federal tax returns. 00 not incude income received from the folowing sources: » Captal gains > Federal government retirement > Miltary retirement > Social securty income/SsDI Recipient of Income. Name of Source Type of Type of Income Business/ Industry C11 had no reportable income over $5,000 in 2018. Dave Conny Soke | cist PLE) | Galery Ponds P. Tie “ hl “ Salar | Svan co Tie | Downhon Rusk Retwil Seles Wages . Macy c. TIAL Slechiic Beak Taamng Thnniiy Salon [re The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 10 Professional and Civic Relationships 7(2). During 2018, were you or any members of your immediate family directo, officer, governing board member, employee, independant contractor, or registered lobbyist of a nonprofit corporation or organization operating in North Carolina primary for religious, charitable, scientific teary, public health and safety, or educational purposes? es [No "No, proceed to questo [> not ft tate boards o entities. > D0 not it organizations o which you are a mere member. Name of Person Position Name of Nonprofit Nature or Corporation or Organization | Purpose of Organization J = ad jong — thee C. Tillett Board medal COMRL Fagily | | Pelion | 7(0). Ifthe 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 digence could reasonably be known. 5 During 2018, were you or any members of your immediate family 3 director, oficer, or Governing board member of any Society, orgagization, or GdoGacy group with an interest in matters over which your agency or board may have Junsdiction’ Ces [Ao [3 Legisiator/udicial Office - You are not required to complete this question f you are fing because Vou are a legisiator or Judicial officer or you are fling 2s an appointee to one of those offices Do nt st organizations of which you ae only a member and do not serve ina leadership roe. Name of Person Name of Saciety, Organization, Leadership position " or Advocacy Group (Director, Officer, Board Member) The SEX and any attachments, excluding the Confidential Form, are public records. Page Sof 10 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, office, partner, proprietor, or member or manager as of December 31, 2018. (Ro Business Assaciations (0). 1f you know that any entity sted in 9(a) above had any material business dealings or business contracts with the State of North Carolina or was regulated by the State of December 31, 2018, briefly describe that activity. (Kot applicable (No entiies sted on #9a) 10. Are you a practicing attorney? ET TI — Yess, check each category of legal representation in which you or the law firm with which you are afated has eared legal fees of more than $10,000 during 2018. [J Administrative [J Admiralty [J Corporate J Criminal [0 Decedent's Estates 0 Environmental Oinsurance Dtator [J Local Government [Real Property [J Securities OTax (0 Tort litigation (including [0 utilities Regulation [0] Other category not listed negligence) 11. During 2018, were you a licensed professional (other than an attorney) or did you provide consulting services individually of as a member of a professional association for which you charged or were paid over $10,007 Ove fe The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 10 12. Are you or your employer, or any members of your immediate family, or thir employers currently: + licensed by the State board or agency with which you are or willbe associated or + regulated by the State board or agency with which you are or willbe associated or + in business relationship with the State board or agency with which you are or wil be associated? [I¥es EINo [J Legislator Judicial Officer - You are not required to complete this question if you are fling because. You are a legislator or a Judicial officer or you are fling 25 an appointee to one of those offices Name of Person Name of Employer Type of Relationship (if applicable) (Licensing, Regulatory, Business) A C. Tle | Dace Comnty Sehals Aurl naslinadt With COR — — 13. Have you or a member of your immediate family been registered as a lobbyist or lobbyist principal within the 12 months preceding your ling of this form? Oves Name of Lobbyist Lobbyist's Principal Date of Registration | Registration Expiration Other Disclosures 14. During 2018, after you were appointed, employed, or fled or were nominated as a candidate, dd 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 mr three conditions must apply. Oves : > 5 not report gifs 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 SEX and any attachments, excluding the Confidential Form, are public records. Page 7 of 10 15. During 2018, after you were appointed, employed, or fled or were nominated as a candidate, dd you + accept a “scholarship” exceeding $200 relate to your publi positon from a person or group of persons acting togeiner, + when those person(s) were outside North Carolina? To answer Yes, both conditions must appl. | acne id sams inertia or iui bon miibiens, sig or duiin | event, fing tuition, travel, lodging, meals, and other similar expenses. [Dyes [No [J] Judicial Officer - You are not required to complete this question if you are a judicial officer or you are fling 55 2 judic! office appoimce. > Do not report ifs 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 fs a member, participant, o aflate. Date of Name and Address of Danor(s) Describe Event Scholarship | | 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 Instiuction » Attorney General » Commissioner of Agriculture » Commissioner of Labor : | > Commissioner of Insurance Oves G6 16 “Yes,” lst all contributions you made in 2018 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.5. § 163A-1411(13) and include “any advance, conveyance, deposit, | triton; transfer of funds, oa, payment, i, ledge or subscriion of money a ann of vale whatsoever.” | Date Amount oo Contributed to [&fRo contribution(s) with a cumulative total of more than $1,000 HE a re ar 0 | The SEI and any attachments, excluding the Confidential Form, are public records. Page 8.of 10 TL TT a the head of a principal sate department (e.5., cabinet secretary) sppanted by the tet 0 GR en gO EA Co NERS, SUS IR Ei Kon © marry A SOS? borin inl ea san ~ State Boo of Educoon Oves whe State ord of Eecions Doi of Empiopons Secirty I No proceed to Pe —ten ester 18. Mery soon | ai © its ~ Board of Trarsporaton © ONC Bore of Governors + rites Gaia MEH FE NS PI ———— [LY Poin Cou of evs mer a ese 0 weston 18. PT ————— rT [an pot sat eran wom ad | an I. Coles comibutions fram mull contributors, took possesion of such | (Ives (IN Foi RS Ar ee Se TTT [ove oe] LT ——— EO a TE es vee Tye ar aR 15. Fave you ever been convicted of a felony for whch you have not received othr: ) 3 pardon; ar (am order of oes Oves a6 Offense | Date of Conviction | County of Conviction ‘State of Conviction SR .o TS 19.2 you aware of any other information tht you beleve may 25st the SEs Commission 2 26g you sis ss [les [96 If yes, please provide that information below. The SEL and any atachments, excluding the Confidantin Form, ave public records. Page sot 10 [atematon a he information povided n this Statement of Economic Interest nd oy attachments ar ru, compete, and accurate Jitter iin Lhe vt tanserad, and wil nt ante, any asst tees, a rapaty for th purpose of cnceaing I om er I derstand tha my Statement of Ecanaic interest and ny tachment except forth Confidential For regarding rmamciton Shreve sama have rest and understand the following statues NC... § 163A 191. Canceling or fain t disclose materia formation, or memento Sham He pS aS lotr tht Tord 1 be dicks eo nar seam NCGS. § 1630152. Panay for fate formation, FT ———— fama 5 (be gu fo Clos eons rt Sr sc a sco oS 2 1s afr that 1 have reviewed my mos rectly fed 2018 Statement of Economic Intres an ta a of December 31, LOTS, oy rspamees comm ee Ire ang et a 1 afm under penalty of perjury tha th foregoing i true and correct, a-s-/9 2 we Aether c. Tired Printed Name Submit signed, originat documents ony. Do not fa or e-mail this form, The SEX and any attachments, excluding the Confidential Form, are public records. Page 100110

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 Mr. Arthur Caswell Tillett NR 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) College of the Albemarle Trustees; 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 3/5/2018 Signature Date Arthur Caswell Tillett, NR 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 Mr. Arthur Caswell Tillett 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) College of the Albemarle Trustees; 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 1/3/2018 Signature Date Arthur Caswell Tillett Printed Name The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 2

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 Mr. Arthur Caswell Tillett 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) College of the Albemarle Trustees; 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 1/4/2017 Signature Date Arthur Caswell Tillett Printed Name The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 2

NORTH CAROLINA STATE ETHICS COMMISSION 2016 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM FILER'S NAME (FIRST, MIDDLE, LAST) Prefix First Name Middle Name Last Name Suffix Mr. Arthur C Tillett REASON FOR FILING (SELECT ALL THAT APPLY) STATE GOVERNMENT JOB (Please specify the agency for which you work or are being considered) BOARD/COMMISSION (Please list complete name of all State boards on which you are serving or are being considered) College of the Albemarle Trustees; JUDICIAL OFFICER (Please specify the office you hold) LEGISLATOR (Please 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 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 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 1/27/2016 Signature Date Arthur C Tillett Printed Name The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 2

NORTH CAROLINA STATE ETHICS COMMISSION 2015 STATEMENT OF ECONOMIC INTEREST No-Change Form FILER'S NAME (FIRST, MIDDLE, LAST) First Name Middle Name Last Name Suffix Arthur Caswell Tillett REASON FOR FILING (SELECT ALL THAT APPLY) STATE GOVERNMENT JOB (Please specify the agency for which you work or are being considered) BOARD/COMMISSION (Please list complete name of all State boards on which you are serving or are being considered) College of the Albemarle Trustees; JUDICIAL OFFICER (Please specify the office you hold) LEGISLATOR (Please 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 2014 Statement of Economic Interest and that as of December 31, 2014, 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. Arthur Caswell Tillett Printed Name Filed Electronically 2/11/2015 Signature Date The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 2