Barbara Anne Faison
Sampson Community College Trustees
Filings
2025 Sampson Community College Trustees
Document text
FoR STAFF USE ONLY
Gr) STATE ETHICS COMMISSION Lt
238)
al 7 2025 STATEMENT OF ECONOMIC INTEREST RECEIVED
No Change Form APR 142005
This entire form must be completed to fulfill !
your SEI filing obligation. NC ETHICS COMMISSION
Fler’ Name (Fest, Middle, Last)
[Prefix [Firstname | iddie Name Last Name Suffix
| lporsoree | Ame Faison
Reason for Filing (Complete all that apply.) i
Ss Gover oi Pores Bouchie Comes Lt os mes SATS Bows |
Somtion) 20 Which vou ar Senin or for which you are being considered)
See cy mae
pect ofice) (Specty House orSeote)
AFFIRMATION
1 have careful reviewed my most recenty fled Statement of Economic Interest Long Form and my responses continue
be tru, corect, and comple ta he best of my knowedge and belie, ]
have not transferred, and wil not transfer, any asset, interest, or property for the purpose of concealing i rom
disclosure whi retaining an equitable Interest.
Tunderstand that my No Change Form is » public record.
Ihave read and understand the following statutes:
N.C.GS. § 138A-26. Concealing or fallng to disclose material information.
A fing person who knowingly conceats or knowingly fis to disclose information that i required o be disclosed
n'a Statement of economic interest... shall be GuIky of a Class 1 misdemeanor and . .- Subject to disciplinary
Seton under G.5, 139A45.
NCGS. § 1384-27. Penalty for fel information.
A fling person who provides fae information on a statement of economic interest . . knowing that the
{nformaton i alse 1 Gulky of a Cass i felony and shall be subject t disciplinary action under G.5. 1384-45.
affirm under penalty of perjury that the foregoing is true and correct.
Badr A Freon dio)ros
Signature Bate
_Parhaca A. Calsen
Printed Name.
‘Submit signed, original documents only. Do not fax or e-mail this form. i
This document is a public record.
2024 Sampson Community College Trustees
Document text
STATE ETHICS COMMISSION Date Received
(ry 2024 STATEMENT OF ECONOMIC INTEREST RECEIVED
= No Change Form
This entire form must be completed to fulfill
Your SEI filing obligation. NG ETHICS COMMISSION
TE
[prefix | rrsthame | wiglemame | iestMame | sumx
I Fe FP
Reason for Filing (Complete all that apply.)
Cre To TR oe men Sear CR RE TS
TTT
lL umson comunity Coblege Basra of Trustess
SE ST STE ET Saas cay Cob Tre oeemaatees
‘Are you a CANDIDATE for a covered elected office? If yes, specify office and district/county if applicable:
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Submit signed, orginal documents ony. Do not fx or e-mal his form,
Tinconman iss pera.
2023 Sampson Community College Trustees
Document text
. FOR STAFF USE OLY
RN STATE ETHICS COMMISSION Rises
kdiz) 2023 STATEMENT OF ECONOMIC INTEREST RECEIVED
REL EIVED
Ez No Change Form
This entire form must be completed to fulfill
Your SEX filing obligation. NG ETHICS Commission
Filer's Name (First, Middle, Last)
[Prefix [ Festiame | widdioame | lasthame | sumx |
I PS PS FU
Reason for Filing (Cornpléte all that apply.)
State Government Jab (Specly sgency ond positon.) | Board Commission (Ust the complete names of ol State
boards oh which you are sening or are being considered.)
‘Currently Serving or Served as » Judicial Office n 2022 | Currently Serving or Served as » Legislator n 2022 (Spey
(Specify office .. Jude, clk of court, district attorney.) House or Senate)
AFFIRMATION
Ihave careful reviewed my mst recently fled Statement of Economic Interest Long Form and my responses continue
10 be tr, corect, and complete to the best of my Knowiecge and belle.
1 have not transferred, and wil not transfer, any asset, interest, or property forthe purpose of concealing It rom
disclosure while retaining an equitable terest
understand that my No Change Form i a public record.
have read and understand the following statutes:
N.C.GS. § 1384-26. Concealing o ailing to disclose material informatio.
A fing person who knowingly conceals or knowingly fais to disclose information that is required to be discosed
on a statement of economic intrest .. shall be Quit of & Class 1 misdemeanor and .. subject to clscinary
“on under 6.5. $38.45
NCGS. § 1384.27. Penalty for fase information.
A fling person who provides fase Information on statement of economic Interest... knowin that the
informaon s fis i guity of a Clas H feany and shall be subject to dscplnary scion under GS. 136A-45.
I affirm under penaity of perjury that the foregoing i true and correct.
Bo fra A Fn 34-2023
gnature Bate
Barbara Ame Faison
Fteaame
‘Submit signed, original documents only. Do not fax or e-mall this form.
This document is public record.
2022 Sampson Community College Trustees
Document text
I a—
FED STATE ETHICS COMMISSION | Date Received: |
Kahle
4 IP] 2022 STATEMENT OF ECONOMIC INTEREST RECEIVED |
= No Change Form "
9 wg |
This entire form must be completed to fulfill |
your SEI filing obligation. b NC ETHICS COMMISSION
EC rr —— — —]
roi [__ fs ame Middle Name Last Name Tsun
RE WER BE NS |
| e
Reason for Filng (Complete al that apply)
State Govemment Jb (Specify sgency and postion.) | Board/ Commission (Ls tne complete names of of Suse
J | boards on which you are serving or are being considered.)
Currently Serving as 2 Judical Office (Speci office.) | Currnly Serving 0 a Legisiato (apeciy House or Serate)
Trustee
Are you o CANDIDATE or covered elected ofice? | | If Yes, specty office and ose Couny 1, appliabie
Gtr Sper or rene curs conor |
Cle of Cour, District Attorney, General Assembly)
Oves Jno
AFFIRMATION
$ave caret revioned my mos recently fled tatment of Econmic Interest ang Form ac my espns continue |
| to’ bre,comect, an compet t the best fry knewiadge rd oe
have not transfered, and will rc transfer, any asset, Interest, or property for the purpose of concealing fe from |
disclosure while retaining an equitable Interest. !
Lunderstand that my No Change Form Is a public record. |
Ihave read and understand the following statutes:
N.C.G.5. § 1384-26. Concealing or falling to cisclose materia information.
A fling person who Knowingly conceals or knowingly fis to disclose information that is required to be disciosed
| on a statement of economic interest . . . shall be guilty of 2 Class 1 misdemeanor and . . . subject to disciplinary
Sn er G5. Son |
N.C.G.S. § 1384-27. Penahy for aie information |
A fling person who provides ale Information on a statement of conic Interest... knowing that the
information is ls s uit of a Clas H felony and shall bo sublet to disciplinary action under G.5. 139445. |
affirm under penalty of perjury that the foregoing is true and correct.
Boia frre En) fend? (2 02>
Signature Gate
| Rachie Aone Faison
[Freee |
| submit signed, original documents only. Do not fax or e-mail this form, |
Submit signed, original documents only. Do not fax or e-mail this form. |
This document is a public record
2021 Sampson Community College Trustees
Document text
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
Barbara Anne Faison
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.)
Sampson Community College 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 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 03/02/2021
Signature Date
Barbara Anne Faison
Printed Name
2020 Sampson Community College Trustees
Document text
This entire document is a public record.
STATE ETHICS COMMISSION
2020 STATEMENT OF ECONOMIC INTEREST
NO-CHANGE FORM
This entire form must be completed to fulfill your
ethics filing obligation.
FOR STAFF USE ONLY
Date Received:
Checked for completion ______
Scanned _______ Date______
Entered in DB ____by______
Filer’s Name (First, Middle, Last)
Prefix First Name Middle Name Last Name Suffix
Ms. Barbara Faison
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.)
Community Colleges, State Board of
Sampson Community College 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 02/28/2020
Signature Date
Barbara Faison
Printed Name
Submit signed, original documents only. Do not fax or e-mail this form.
2019 Sampson Community College Trustees
Document text
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
Barbara Faison
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.)
Sampson Community College 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. § 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 03/11/2019
Signature Date
Barbara Faison
Printed Name
Submit signed, original documents only. Do not fax or e-mail this form.
2018 Sampson Community College Trustees
Document text
Re J. NORTH CAROLINA STATE BOARD OF FOR CONPUIANGE LIMIT: USE Sify
4g ELECTIONS AND ETHICS ENFORCEMENT [ove recone
2018 STATEMENT OF ECONOMIC INTEREST |
ARR, 43..04.02:.18
NO CHANGE FORM oy
scames NE cat] 12] 1€
THIS ENTIRE FORM MUST BE COMPLETED TO |... 10s,
FULFILL YOUR ETHICS FILING OBLIGATION _—
FILER'S NAME (FIRST MIDBLE LAST) * Pi JF oT SF aa
prefix [_eirsttame | wiadiemame | Lastname [sum
7 1
_|Baboe Fe | Fig, |
Sey I" boss on whi vei Bie sees oF fie elo considered
Spin Commands, fhge~ Tuck,
AFFIRMATION
1 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 knowieage and beer:
Lalso certify that have not transferred, and will not transfer, any asset, interest, o property for the purpose of |
| concealing it from disclosure while retaining an equitable interest
the Confidential Form regarding Unemancipated Chikiren) are publi record. |
acknowledge that | have read and understand N.C.G., 1364-26 regarding concealing or falling to disclose material
information and N.C.G.5. 138-27 regarding providing false mfarmarion
§ 1388-26. Concealng or failing to disclose material information.
A fling person who knowingly conceals or knowingly fais to discos 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.
A filing person who provides false information on a statement of economic nterest as required under this Article
| Knowing that the information is false 5 quilky of 8 Class H felony and shall be subject t disciplinary action vader
GS. 138Aes.
«
Sete JE 17) 20/F
Signature Bate
Ro fore Ao Fizom |
Printed Name
Submit SIGNED, ORIGINAL documents only. Do not fax or e-mail this form. |
This entire document is a public record.
C—O ci
2017 Sampson Community College Trustees
Document text
, NORTH CAROLINA STATE ETHICS COMMISSION | ro ervics commission use ony
/| }- 2017 STATEMENT OF ECONOMIC INTEREST | Dfe fecsived
&
919-814-3600 www ethicscommission.nc.gov 7 ME 21 PHL 2S
checked for completion
THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL 2 fia
YOUR SEI FILING OBLIGATION (HGsanes Jf) ue
Incompiete 7s -
Sus. Sent te ow
Sup. Reseed me
entoed in doabose [—
{ FILER'S NAME (FIRST, MIDDLE, LAST) ~ ]
Cpr Furstname | middie name | Last Name Tsun |
Ms |Barbiz | Anne Fos } |
comenTemoven |josTme i) i}
Retyed B —
KEASON FOR FILING (COMPLETE ALL THAT APPLY) i} )
STATE GOVERNMENT JOB (pect Agency) BOARD/COMMISSION (List complete name of all tate
l . boards on which you are serving or ae being considered)
N Sampson ty Cally
| JUDICIAL OFFICER (specty Office) I Lecistaron (specy House or Senate) |
A. Do other immediate family members reside in your housenold? 1
Cves @f0
When used throughout this form, the term Immediate family Includes your spouse (unless legally separated). It also
inciudes members of your extended fam (your and your spouse's chdran, grandchildren, parents, randparents, and
| siblings, and the spouses of each of those persons) wha reside in your household.
List the full name of all adults and emancipated minors in your household. A minor is a chi undar 19 years od.
Minors are emancipated by marriage, enistment in the US Miltary, o court order for emancipation )
FULL NAME OF ADULTS & | RELATIONSHIP | EMPLOYER 308 TITLE NATURE OF
EMANCIPATED MINORS | | usiness
NS i
The SET and any attachments, excluding the Confidential Form, are public records. Page 10f10
15. List ONLY the nis of a1 unemonipate miners n your househod below. A minor 8 hid under 18 years ad. |
Note: You must list the full name of each minor child on the Confidential Form available at the
end of this ¢
INITIALS FOR RELATIONSHIP EMPLOYER JOB TITLE NATURE OF
UNEMANCIPATED Business
ons | 1 J |
Nowe = |
—+
PROPERTY INTERESTS
"1. As of December 31. 2016, did you, your spouse, or members of your immediate family:
| "A Have an ownership nerest in North Caroli res estate (including your residence) with a market value of
| $10,000 or more?
or Ore
IC
Owner of Real Estate | % Ownership Interest | Location by City Location by County
Barbar A Facson, 1005 China Sear psin |
ee ————— e—————————————— ze]
|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 fo.
Name of Lessor Name of Lessee | If Real Estate, Location I 1f Personal Property,
| Renter *"5V city & County “vascrive
2. At any time during 2015 or 2016, did you, your spouse, or members of your Immediate femly sell to of buy from the |
State of North Carolina personal property wih a market value of $10,000 or more?
Ove © —
Name of Purchaser Name of Seller _ Type of Property
—— I SE EE
The SEX and any attachments, excluding the Confidential Form, are public records. Page 20f 10
FINANCIAL INTERESTS
3. As of Decarnber 31. 2016, did you, your spouse, or members of your mmedate family own any of the folowing financial
"interests valued st $10,000 or more? LIST EACH COMPANY INDIVIDUALLY. |
— i
"55 ah lt owners Interests in 3 widely Tid investment fund (nding Tukual finds, regulated ivesmert |
|” Companies, or pension or ceferred compensation plane) : (1) the fund is publicly traded or ts asses are widely |
| Giverihed; and (1) nether you nor an Immediate family member ar able to contro the assets nid nthe mutuel und, |
Investment company or pension o defered compensation pan.
‘Owner of Interest Full Name of Company (Do nt use a ticker symbol) |
L S— J EE
8. Stock Options in @ company or business? TTT a me
Oves mee |
- Owner of Stock Option Full Name of Company (Da not use a ticker symbol)
| C ntasastsin a non-public und company or business entity (incuing interests In sole propretorships,
partnerships, mised partnerships, fon ventures, limited laity companies ited labiiy partnerships, and
Gosely eid corporations)?
ves 6 - 1rNo,” proceed to question 4
I Owner of Interest 1 Name of Company or Business Entity
C (1). For each non-publicly owned company or business entity (the “primary company”) identified in question
S12 "Shave, please st the names of any other companies. or business entities in Which the primary company
owns secures or equity interest valved at aver $10,000, known. er
Non-Publicly Owned Company ar Business Entity | Other Companies in which the Primary Company
" th primary Company) “Owns Security or Equity Interests |
fon or Not known
The SEI and any attachments, excluding the Confidential Form, are public records. Page 30 10
(2). 1 you know that any company or business entity sted In 3.C or 3.C(1) above has any material business
dealings or business contracts with the Stata of North Carolina, or is regulated by the State, provide a bref |
description of that business activity. |
‘Name of Company or Business Entity | Description of Business Activity with the State
4. As of December 31, 2016, were you, your spouse, or members of your Immediate fomly the beneficiaries of # vested
trust with value of $10,000 or more that was created, established, o controlled by You?
Do not fst assets held in biind trusts. See 2017 SEI Hefpful Tips for the definition of “Vested Trust” aod “lind Trust.” |
Ove ©% |
‘Name and Address of Trustee Description of the Trust Your Relationship to the Trust
5. As of Dacambar 11, 2018, di you, your spouse, or members of your Immediat, famiy have laiiies of $10,000 or
more, @xsiuding the Mortage on your primary personal residence? Examples include credit card debts, auto loans, student
loans, personal loans and intra-family debt.
| oe Oe }
Name of Debtor (You. Spouse, Immediate Family | Type of Creditor (Commercial Bank, Credit Union,
ember) Individual, et)
Rach em A Fase Tells f= re Beater Sepvices
6. List 0ach source of Income (not specific amounts) of mors than $5,000 received by You, Your spouse, or members of
your immediate forty during. 2016. Include salary, woges, state/local government recirement, professional fess,
honoraria, Inerost, dividends, rental income, business Income, and other typas of Income roared to ba reported on your
State and fodoral tax returns.
Do not Include Income received from the following sources:
» capital gains » Federal government retirement
> Miliary retirement» Social security income/S501
Recipient of Income Name of Source Type of Type of Income.
Business, Industry 1
rm reportable income over $5,000 11 2016. oo 1
i I
The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 10
_ — SE :
PROFESSIONAL AND CIVIC RELATIONSHIPS
7a). During 2016, were you, your spouse or members of your Immediate family a director, officer, governing board
member, employes, independen contrucor, or registered lobyit of nénproft corpatption a. axganizafion operating in
the State of North Carolina primarily for religious, charitable, scientific, iterary, ‘safety, or educational
tes [Ie - If “No,” proceed to question 8.
> Do not it State boards or entities, or entities created by a political 3
|» Do not hist of which are a mere member.
et
Name of Persan Wis Her Position Name of Nonprofit Nature of Business or
Corporation or Organization | Purpose of Organization
Bubs th. ison | bemdmondor | Doplun Sempron Gof ail ee
Lorde A Fore [Fl Sn TES tin
77(b). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive
Stake funds, lease provids » ret Gescnption of the mature of hat business, f known or with which due ciigence could
| reasonably be known. 4
veer Earaton os rpmvastan | Gerres ware en or sven
[None or Not Known
N — TH IPR = Peg ATA Se
Duplin Sempre Cramp Moma [=F Rn 0 al —
['. Diring 2016, were vou, your spouse; of members of your mimediats emi & Grecia, oficer, oF Governing Board |
member of any city, organization, or SINGEACY Group wih a teres n matters over Which your pgency o board may
Pave uriscicton?
[ives [fo [Legislator/Juicil Officer -You are not recuired to complete this question I you are ling because
50 are legilator or 3 judicial officer or ou are Ming #5 an appoints t hose afices.
00 not st organizations of which you ae ony a membes (not serving in leadership role).
Name of Person Name of Society, 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 company or businss with which you were associated whare you or member of your Immediate |
| mv was an Cys, der, ice, Srner Str Omer o anager 8 of Baar JL 214. |
Nome of person | Relationship to Filer Name of Company Role of person
Fo Business Associations
9(b). 1f you know that any company or business enty sted In 9(a) above had ony 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
ref description of that business activity.
Name of Company or Business Entity Description of Business Activity with the State
fet appicane (ho entities sted on #99)
10. Are you s practicing sttomey?
Oves fe uae offcr/Stte Atorney
1 *Yes, check aach category of ge! representation in which you or the law fim with which yol are affated has tarned
legal fees of more than $10,000 during 2016.
Ci aaministrative [ agmiraty Corporate (J Crminat
[7 Decedent's Estates. [0 Environmental Clnsurance Labor
[Local Government. [1 Real Property. [securities OTax
0 Tort gation fincuding 1 Utites Regulation 0) Otner category not iste.
negligence)
11. During 2016, were you 3 licensed professional (other than an attomey) or dd you provide consulting services
individually or 25 a member of 3 professional association for which you charged or were pad over $10,0007
Oves fe
Type of Business Nature of Services Rendered
The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 10
12. Ar you or your employer, your spouse or members of your immediate family, or their employer currently:
+ Licensed by the State board or employing entity with which you are or will be associated or
+ Raguiatad by the State board or employing entity with which you are or wil be associsted or
. SA Si 1 oe Sot bat or rte, yA tr 0
[Yes [No []Legisiator/Judicial Officer - You are not required to Complete this uestion If you ae fling because |
‘you are a legislator or a fudical officer (uciciel officer s defined in the SET Helpful Tis) or you
are fing as an appointee t those offices.
Name of Person Name of Employer Type of Relationship
ar applicable) (Licensing, Regulatory, Business)
13, Are you, your spouse or # member of your Immediate fomily currently registered as a lobbyist or lobbyist principal, or
were you registered as such within the 12 months preceding your filing of this form? |
ves pe. 1
iste r——————_—
Name of Lobbyist Lobbyists Principal Date of Registration
Registration Expiration
i — — 1 _- _
OTHER DISCLOSURES a _ _ |
14. During any calendar quarter in 2016 (but only the time period after you were appointad, employed or fled or were.
Rarinated as s candida) did you
« recive any *git(s)” exceeding $200 per quarter from a persan or group of persons acting together, and.
+ when both you and those persons) were outside North Carolina atthe me you accepted the ois), and
+ the gifs) were given under circumstances that would lead a reasonable person to conclude that they were given |
for lobbying?
Ove 6
50 not report gift given by members of your extended famiy. 1
D0 not report gifts that have previously been reported by you 1 the Department of the Secretary of State on the
“Expense Report for Exempted Persons.”
oat Hem Raceived | Name nd Address of Donor(s) | Describe tom Received | Estimated arket |
Value
| 1 1
The SEX and any attachments, excluding the Confidential Form, are public records. Page 7 of 10
15. Dog 2016 (aor he im eid shar yo wars pala aire, of war rarintnd 3 conde |
oa
a
I « those person(s) were outside North Carolina and
Tae CAA ee AINE ATL SN GEO nich
a Eason we Be Aeros tte dre or Irae
—
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Don ror if tat have previously bon eer by yi 1 the Dapiment of the Secretary of State onthe
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If “Yas”, list all contributions you (NOT immediate family members) made during 2016 with a cumulative
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deposit, distribution, transfer of funds, loan, payment, gift, pledge or subscription of money or anything of vale
one A
| 17. Are you an appointee or prospective appointee to:
[a te head of a princi store department (3. cnet secretary) ppamiod oy te |
| Governor |
| b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District
| ES |
I! . a member of any of the following boards:
| + ABC Commission
© Coutl Resources Commission
~ State Board of ducation Oves (0
© State soara of lchons
Division of Employment Securty I os proceed to
Eneromertal Management Commission Question 16.
Maman Resources Commission
© UNC Board of Governors
~ Unives Commission |
© witte resources Commasen _ I
31 am, were you appunted or re you being conser far sppomtment to vat | (Ives [1a
oc eco Et of See. eam Caan of Stove emer ae 15120 | 18 ohare pvoceed to
awesion 15 | vestion 18.
«sm, you must nde wharnr during 2015 you {nt rmedare fail T
oer) ahgaed 3 1 tong aches wih respec 9 1 1 het of |
re Conde or Caen commit of re Counc of Stare memoer wa |
| appointed you to your public position: |
| PR——
| collected conmbutions fom mutie contrtors, took possession at such |
| Rime Commins, and arsiorod or dover hose caledtes
| Question 16. 1
Hosted 3 fundaier at your residence o poe of sins? ves ne
eve sty tht aovances he camp of 8 CohOmt
16, Hove you eve been convicted of a felony far which you have not received ether: (1) 2 pardon of innocence; o (1) an
ander of oxpungement regarding tt comvician?
Ove mio i
offense Date of Conviction | County of Conviction State of Conviction |
15. Are you aware of ay cine information tat ou beieve may assist the State Ethics Commision in advising you |
once ot compan wit he Sate Government Eins At? |
| Ove [a 11 yes, please provide such information below. |
The SEX and any attachments, excluding the Canfidentia Form, are public records. Pages of 10
| AFFIRMATION
I affirm that the information provided in this Statement of Economic Interest and any attachments hereto are true. complete,
[A
es Hoe Faron sre liz
Backog dane Fiisgn
Bad
‘Submit SIGNED, ORIGINAL documents only. Do not fax or email this form.
2016 Sampson Community College Trustees
Document text
, NORTH CAROLINA STATE ETHICS COMMISSION (rome
HER Date Recened
*'J/' 2016 STATEMENT OF ECONOMIC INTEREST
NO CHANGE FORM y
Checked to completion
THIS ENTIRE FORM MUST BE COMPLETED TO | scyneg 10 © gies 0 1 11
FULFILL YOUR SEI FILING OBLIGATION
Ep
| Fien's nave (rims, MioDLE, LAST) }
prefix First Name Middle Name | T tasthame sux |
Me. | barbara | ratson i
REASON FOR FILING (SELECT ALL THAT APPLY) _ .
| CJ STATE GOVERNMENT 108 (rtease speci the agency for | BOARD/COMMISSION (Please list complete name of all
‘which you work or are being considered) | State boards on which you are serving or are being
| or S| consienen) cm
| E— — . S— —
| CI2UDICIAL OFFICER (Please specify the office you hold) _| [J LEGISLATOR (Please speci House or Senate)
_ _ 1 a
AFFIRMATION
affirm that the information provided in this Statement of Economic Interst and any attachments hereto are true,
complete, and accurate to the best of my knowledge and belier |
1 also certify that I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing
from disclosure wii retaining 2n equitable interest
1 understand that my Statement of Economic Interest and any attochments or supplements thereto (with the exception of
the Confidential Form regarding Unemanciated Children) ae public record.
acknowledge that | nave read and understand N.C.G.S. 138A-26 resarding concealing or fang to disclose material
information and N.C.G.5. 1364-27 regarding providing false formation
§ 1384-26. Concealing or failing to disclose materia information
A ting person who knowingly conceals ar knowingly fais to disclose information that is required to be disclosed on
a statement of economic interest under this Aticie shal be Quilty of a Class 1 misdemeanor and shal be subject fo
disciplinary action under G.5. 138A-45. |
§ 1384-27. Penalty for false information. |
Alling person who provides else information an a statement of econamic interest as required under ths Article
knowing that the information i fase is Guity of a Class H felony and shall be subject to disciplinary action under
GE. ances.
I hereby affirm that { 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
| nate !
11 Agree ; |
T= = |
[AO Ce 3/8016 |
Signature Date |
barbara Faison |
PrmedName |
| Submit SYGNED, ORIGINAL documents only. Do not fax or email this form. _ . |
This entire document is a public record.
2015 Sampson Community College Trustees
Document text
. Si % NORTH CAROLINA STATE ETHICS COMMISSION
Lig 2015 STATEMENT OF ECONOMIC INTEREST
Nadi NO CHANGE FORM
FILER'S NAVE (FIRST, MIDDLE, LAST) a
ane om a.
REASON FOR FILING (SELECT ALL THAT APPL) _
[] STATE GOVERNMENT JOB (Please specify the agency for | [(YBOARD/COMMISSION (Please list complete name of all
which you work or are being considered) ‘State boards on which you are serving or are being.
“ Conered)
pn Covent Gti. Bel gf Toes
[CJ JUDICIAL OFFICER (Please specty the office you hold) _| [J LEGISLATOR (Please specify House or Senate)
aff that the Information provided this Statement of Economic eres and any attachments hereto ar true,
omae, and aceuroe 10 he bet of my Knwiedgs an beer
ais cert thet 1 have not transferred, and wil not transfer, any asst, interes, or propery or the purpose of concealing
or dhschsure whi retaining an equitable Meret
understand that my Statement of Economic nerest ang any attachments or supplements thereto (th the exception of
ne Condon Form regarding Unemancoared Crlaren) are DIE record.
Y acknowiedge tha {hove rea and understand N.C.G.. 1384-26 regarding concealing or fling to disclose material
omarion mC. G.5 36.33 regarding proving alse iormaion:
§ 138A-26. Concealing or failing to disclose material information.
A Hing person who knowingly conceals or knowingly falls to disclose Information that i required tobe disclosed on
mart af economic erent under sis veic shall bs guy of a Clos 1 isgameanr and shall be subject 10
acpinary action under 0.5. 1368.45,
§ 13027. Penalty for ase formation
A lng person who provides ase information on a statement of economic Interest as required under this Arice
Known tot he oration folse gally of a loss. felony and shall be subject to iscplmany action under
rath
X heraby affirm that I have reviewed my mast recently filed 2014 Statement of Economic Interest and that as
Ef Docammor 31, 3014, my responses continue to be Fue, correc, and completa the best of my knowledge
ond batet,
(@f Agree
Barbers Anne Faison 2/10/2015
Fre Name Be
.
1 EN Submit STGNED, ORIGINAL documents only.
= Ars Domot tax or small ths form:
Sas
This antire document I a public record.