Barbara B. Weyher

7 NORTH CAROLINA STATE ETHICS COMMISSION | ror ence commission use owt 7, 2016 STATEMENT OF ECONOMIC INTEREST | Oot feceves 7 SPR ECE 1% 919-814-3600 wow ethicscommission.nc.gov | 70% 1° = 1:05 THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL A compen YOUR SEI FILING OBLIGATION ; i. ate — Sup. Sen Date o Supp Reseed te B Co oo oo oo I FILER'S WAME (FIRST, MIDDLE, LAST) - —] Prefix First Name Widdie Name Last Name suttc| Ms IC. [7 Brandon Wehr | consent emmioren woe ) | Yoles, Helens &luegher LP | Aflorney oo } | NATURE OR TYPE OF BUSINESS | Loe Fife | REASON FOR FILING (SELECT ALL THAT AY) BN [STATE GOVERNMENT 108 (Please spect the agency | (6GARD/COMMISSION (Picase Ist complete name of ai or en in wort or re put 1 | Sate touts on vn you we mr revo | — FoR PIT yeas rra Disc any orng GomonsSien | CJ JUDICIAL OFFICER (Please specty th office you hold) | eotsaron en ear House or Senate) BN | | | A. Bo oer med Fay members side in vou hss? (Hes [No When used trvoughout (is form, the term Immediate Family includes your spouse (unless legally separated). It sso includes members of your ectenied fami (Your ang your Spouse's CRI3ten, -andehidren, parents, sandoarants, snd S0ings, and the spouses of Coch of those persone) wh raside in your household. Ust the full name of all adults and emancipated minors in your housencld. A minor is chid under 18 years old Hina are mancipsed by martiogs, enment 1 the US mary or cour order 10 emancision N FULL NAME OF AQULTS & | RELATIONSHIP | oven Jo8 TITLE NATURE OF EMANCIPATED MINORS usinEss HANCIEATED tions | Yates, tetany SUSINESS_| [Dees Tohnsors_Melods, Hood) Clsyhed te Mor Law Frm | EN ES S— —— SNE SS SE SE The SEX and any attachments, excluding the Confidential Form, are public records. Page 1 of 10 List ONLY the intiats of al unemancipated minors (1 your Nousehod below. Amino 5 2 chid under 18 years oe mis en th 3 Pa of Cor ore fo mango. Note: You must lst the full name of each minor child on the Confidential Form available at the “nd of this document. emer " 8 RT pe me | meer | ABARCIPATED | i Weiss | EE SE E— EE SS ——— 1. As of December 31, 2015, did you, your spouse, or members of your immediate family: A. Have an ownership interest in North Carolina real estate (including your residence) with a market value of Sipe er Owner of Real Estate |_% Ownership Interest Location by City Location by County [Presi | wo | Rip eke | oa Bathe r oo | Bute Hews Tl Bresuek | jor 2 _we yh Ee Plow Rocke | Wedmogen | % [Dos T.Hetand | sD | Benson { TohnStow | 8. Lease or rent real estate or personal property to or from the Stale of North Cargling with a market value of Si0i300o mo | ows ve li Renter) | by City & County Describe — Cp Ceenen™ | Tee i —— y | 2 Atay tie dor 20140 2015, 64 you, yur spouse, or members of you Etats amy sl 0. ba nthe ve personal property with a market value of $10,000 or more? ves No emer | seen met % Daw T-Melomb | 25% sue ld] Cugbare | Pies The 56 and any attachments, excluding the Confidential Form, are public records. Page zor 10 — {FINANCIAL INTERESTS 1 3. As of December 31. 2015, 6 you, your spouse, or members of your Immediate family own any of the followin financial Interests valued at $10,000 or more? A. Stag in 0 publicly owned company? > 50 0a Ist owners interests in a widely held investment fund (nduding mutual funds, regulated investment companies, or pension or deferred compentation plans) f: (1) the fund 5 publicly traded or is 255ets are widely (iver; and (1) either you har an Immediate. family member are abe to control the assets ned 1 the mutual unc investment company, or pension or deferred compensation plan. Owner of Interest Full Name of Company (Da not use a ticker symbol) — treme Full Name of Company (Do not use a ticker symbol i Please See atfuchomed - SE - EE EE I ©. Stock Options in a company or business? Oves (fio - Owner of Stack Option Full Name of Company (Do not use a ticker symbol) | —_— SE I C. Interests 0.8 non-oublicly aioad company or business entity (nciucing interests n sol progristorships, partnerships, MILed partnerships, font ventures, imted Habiity Companies, Imes 1aiity partners, and Closely held corporations)? [3s Clo - 1 No," proceed to question ownerot Interest Name of Company or Business Entity I = pe. EE A — Hons Fooly Loc SN EE - JE (1). For each non-publicly owned company or business entity (the “primary company”) identified In question 3.C above, please Ist the names of any other companies of Business entries 1 which (ne primary company owns Securities or ecuty eres valuta a over $10,000, 4 known. " Non-Publicly Owned Company or Business Entity | Other Companies in which the Primary Company LT ve primary Company) 1 owns Security or Equity Interests | fone o rot Keown The SEI and any attachments, excluding the Confidential Form, are public records. Page 30f 10 2015 Statement of Economic Interest Addendum) 3 A Page 1of2 Owner of Interest Company Name Barbara 8. Weyher & Dan J. McLamb JTWROS Ghewion Corp Duke Energy Corp Exon Mobi Corp Genuine Parts Co Merck & Co Inc Proctor & Gamble Co Barbara 8 Woyher (Individual) Accenture PLC AFLAC Inc American Express Co Annaly Coptal Management Inc Baxter International. Inc Baxala Inc Bed Bath & Beyond, Inc 8ozing Company Biilsh American Tobacco PLC Chevron Corp Chubb Corp Cisco Systems. Inc Coca Cola Co Colgate Palmolive Co ConocoPhillips Crane Co CVS Health Corp Diageo PLC Diamond Offshore Diiling Inc Dominion Resources Inc. Or Pepper Snapple Group, Inc Ebay. Inc Emerson Electric Inc: Eversource Energy Exelon Corp Express Scripts Hidg Co Exxon Mobil Corp Frankin Resources Inc Glaxo Smithkine PLC Home Depot Inc Honda Motor Co. ADR. Hinois Tool Works Inc. intel Corp Invesco Ltd Jonson Controls Inc Johnson & Jonson Mack. Cali Realty Corp. 2016 Statement of Economic Interest Addendum 5(a) Pago 2012 Marsh & Mclennan Cos, McDonalds Corp. Medtronic PLC. Microsoft Corp Maison Coors Brewing Co Nextera Energy Inc. Nordstrom Inc Northeast Utities Novartis AG. Occigental Petroleum Corp Pearson PLC Pepsico Inc PNC Financial Services Group Procter § Gamble Co Qualcomm Inc Roche Hidg Ltd Rockwell Automation Inc. Schlumberger Ltd. Southwestern Energy Co Stanley Black & Dacker Inc Suntrust Banks Inc. T Rowe Price Group, Inc. Taman Semiconductor Mig Go Target Corp Texas Instruments Torchmark Corp. Toronto Dominion Bk Travelers Cos. Union Pacific Corp United Parcel Service Inc. United Technologies Corp. US Bancorp. VF Corp. Walmart Stores, Inc Wels Fargo & Co Whole Foods Market Inc YUM! Brand Inc. Owner of Intorest Company Name Dan J.McLamb (Individual) None [7 C0. ou know tha ony company or business ent ted in 3.C a 3.CL1) above ha, ary matarl business area ans ve ve of Wor oral 8 FAIS Bh Sete, owes» oT ome of Company or Business Enity | Description of Business Activity with the Sate | 4. As of December 31. 2015, were you, your spouse, or members of your immediate family the beneficiaries of a vested van smn esses or Sees 36 D0 rot list assets held in blind trusts. See 2016 SEL Helpful Tips for the definition of "Vested Trust” ang "Blind Trust.” Qves Se ome ano Assessor Tree | besrpion oe Test | Your Station toh To_| EE I 5. As of December 21, 2045, did you, your spouse, or members of your immediate family have liabilities of $10,000 or more, excluding the mortgage on your primary personal residence? Examples include credit card debts, auto loans, student to RA ea Owes he Tame of Debtor (Yau, Spouse, immediate amily | Type of Creditor (Commercial Bank, Credit Union, | Member) Individual, etc.) | Becton Biegler fas He los | Cormmercsca Book — | FTES YY FT rp ST p— EE S0Ln cote A eveumars ivemen pitaoral es PE Ria TE lk pide ond TP —— + Capital gains v fatartigotermast retirement Miltory retirement + Socios cori income? S51 Recent of income [romps Type of Fp — reo ” stm [3 ee mame oe 55.000 2015 - es, Helach = (Rurtocat. wegler ki leyher tip law Fem | Se 5, [Yedes 4 bo € = 2, on 5: Helomin /=45 apse So) Jeo = Selary C 1 1 The SET and any attachments, excluding the Confidential Form, are public records. Page 4 of 10 A —— | PROFESSIONAL AND CIVIC RELATIONSHIPS [7a During 2015, were you, your spouse or members of your immediate family a directar, officer, Governing board | member, amployee, dependent contactor, o resend BBY of 2 ROTO Corptraton of organization operating | the State of North Carola primarily for religious, chartable, scent Iecary, uc heath and safety, or educational i — [M0 - 1 No proceed to question 5. 0 ho Fs Stat boards or ents, or ene created by & potical subd of the State. oo 00 not at crganizatons of which you are a mere member, _ - I Name of Person Wis/ er position Name of Nonprofit Nature of Business or Corporation or Organization | Purpose of Organization | — = PS EE TR — (Butore 8 Wehr | Vir fas etl one mn Aesi_frse. | [Bun J. Helawmb ty Gant WiSuel Acts Sel Ac . Bote 8 hehe Bent Fema Joe Stuer Fa Sept Stock By i SE — | . | 706). 1 the nonprofit corporations or organizations sed above do business with the State of North Caroling or receive Stat funds, pease orovde a brief description of the nature of hat business, f known or with which due diigonce could reasonably be know, | 7 Name of Nonprofit Corporation or Organization | Describe State Business or State Funding | | Rone o Not Kaown 6. During 2015, were you, your spouse, or members of your [mimedate family a director, officer, or governing board | member of any Society, organ 2aton, SAVOCAEY Group wih an Lees I Maters over whch our uy of Boars ey Have Jarisdicton’ Lives (ifio [J Legislator/ Judicial Officer - You are not required to complete this question if you are filing because i 700 are a leislator or judicial officer a you are 110g 95 an appomee to ioe ofces. | Do not list organizations of which you are only a member (not serving in a leadership role). Name of Person Name of Society, Organization Leadership Position or Advocacy Group. (Director, Officer, Board Member) L EE — I J I. SE — The SET and any attachments, excluding the Confidential Form, are public records. Page sof 10 5a). List the name of each company o business with which you were associated where vou or a member of your mediate family was an employee, director, officer, partner, proprietor, or member or manager as of December 31, 2015. a Name of Person Relationship to Filer Name of Company Role of Person [0 Buses Assacations - 1 “Na” proceed to question 10 DE on A 7 " YS fast Flore. pi - bes, Me toumb € Dans Helumb| Spouse: Ri Cera | Employee “Dons Spr Mein Truamly LC eonbe | | 50). 1 you know that any company or business entity ited in 9(a) abave had any material business dealings or bekines contracts withthe State of North Carola o was requated by the Stat a5 of Deemer 31. 2015, provide a rit descnphon of Tat business AAY “Name of Company or Business Entity I" Description of Business Activity with the State af ape tien tan 507 [on Fo me 10. Are you practicing attorney? ve No. (Judicial Offcer/State Attorney 1 Ves, check each category of legal representation i which you othe aw fh wih which you ae afte has aed legal fees of more than $10,000 during 2035 [amr Cnamicay corporate Comat [JtogatGavernment 2) heal Property 0 sequrities Ova for tigation Gncucing Justis Regulation ver category no ses nesigence) 11. During 2015, were you a lensed professions! (other than an attorney) or dd you Provide consulting Services ihn 1 Ss Momber of 8 professional assoioton of WHCh You charged or were pad over 10,0007 Yes Oto Type of Business. Nature of Services Rendered Ceetbea Mediator | Mectiahon - — The SEX and any attachments, excluding the Confidential Form, are pubic records. page sof 10 15. Are you a your apap, you pees af mes of you sada omy, or le emplyes cent | « Licensed by the State board or employing entity with which you are or will be associated or + Ragulatad by the State board or employing entity with which you are or wil be associated or |. he tte oar o employing ety wits which fou ave wil be asocted? | Yes [No []Legisiator/Judicial Officer - You are not required to complete this question if you are filing because oss epi ors cal mite Coda cm i Sones he Error so vou | I va 5 monte vo hoe ees: LL ills prvmprra— premprr—— prerr—— Wt apvticanie) (Licensing, Reguiatory, Business) Babare & Weyhe~ Yokes, Hetont € lnghyothe lems Regplodoy 1 Oo T. Hoch 5S He Coenls « Viger 007 Regulates | EP Php Tp | were you register ‘such within the 12 months preceding your filing of this form? [Yes No me]. pprrpro— prevwe— west wonton | [ region | “Shoenon. | I I SE SU omer disclosures 14. uring any colendar uae In 2015 (but any th Sr pred oar you were pond, amiss or ido ware | ne ar ence Sue | » receive any "gift(s)" exceeding $200 per quarter from a person or group of persons acting together, and | | + when both you and those person(s) were outside North Carolina at the time you accepted the gift(s), and | tn lt) wars hen ander cvcumatances tt wo los resonate srs concent ha wire en | de Ove the EL rr 0a nt reper 3s thr hve previo See repos 70 0 the Department of the Secretary of State on the | “Expense Report for Exempted Persons.” Pow rp ———r—) | Sescriv Toem Recerved | Estimated Woret i BR Mi The SEI and any attachment, excluding the Confidential Form, re public records. Page 7010 [= During 2015 (but only the time period after you were appointed, employed, or filed or were nominated 25 a candidate) aa vou ! = accept a “scholarship” exceeding $200 from a person or group of persons acting together and. || «ose prsonts were ure orn coroiosand | tne scholars was reece fo your pubic postion? A "scholarship is a grant-n-aid,ather direct o indirect, To attend 3 contarance, meeting, or Similar event, cluding tutioh travel, 1643ing, meats, and other Similar expenses. i Fig as dil cer appotes. | 00 not er gt tht move greviusiy been repre by you oth Deparment of te Secretary of Sate on TE cpense Raper or Exempted Persons. > Legato ae no recuied to report scholarships pid by 3 nonpartisan legate organization of which th legisator o tc General Reser 5 8 meme o parvpant of an aT Hare of tht gam: | Date of Name and Address of Donor(s) Describe Event Estimated Market | schatarship Vase | TT . . ive | — —— | 16. Were you appointed or are you being considered for an appointment to a covered board by the Governor or another | Cound of Swe members | Council of state members are » Governor > ix. Governor » Secretary of State | i » Attorney General » Commissioner of Agriculture » Commissioner of Labor » Commissioner of Insurance Cives ve If “Yes”, list all contributions you (NOT immediate family members) made during 2015 with a cumulative Lota of more than $1,000 1 the Governor or sthes Counch of State member whe appointed you. | | Contributions are defined in N.C.G.S. 163-278.6(6) and include, but are not limited to, “any advance, conveyance, 1 | deposit, distribution, transfer of funds, loan, payment, gift, pledge or subscription of money or anything of value ome mom | Combureato | £2 Mo contributions) with a cumulative total of more than $1,000 I - TT TT — The SE1 and any attachments, excluding the Confidential Form, are public records. Page sof 10 [[17. are you an appointee or prospective appointee to: a. the head of a principal state department (e.9. cabinet secretary) appointed by the Governor; or b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District 1 Court Judge; or } ©. a member of any of the following boards. + ABC Commission | + Coastal Resources Commission — + State Boora of Education Lives [No i + State Board of Elections i + Division of Employment Security I No” proceed ta + Environmental Management Comision question 15. | + Industrial Commision | + Human Resources Commission i | « Rules Review Commission | | | + Board of Transportation | | | + UNC Board of Governors | + Utilities Commission | { L + Widife Resources Commission | 4 If 50, were you appointed or arc you being considered for appointment to that | (Yes [INo | ol pony Counce Ste member? Counc of tae Members ore ES | 14 wo” proceed to | ouestion 1 | Hern’. i Questions. [a 1 20, you must indicate whether during 2015 you (not immediate family mermiers) engaged In any of the following act ities with respect to or on behalf of the candidate ar campaign committee of the Counc of State member who appointed you to your public positon: | Lives [INo | I. Calected contributions from multiple contributors, took possession of such | ! muiple contributions, and transiered or delwered those calected | i Contrinations tthe canada o Commitee? Contributions are defined in | I avestion 16. 1 | [ ii. Hosted a fundraiser at your residence or place of business? [Dives [No | [7 Vlotoered fo cama lated ctw, ch inca, ut are nat ed | 0, phone banks, event assstance, mailings, canvassing, surveying, or any | [I¥es No i | other actu that advances the Gam pai of a candiate | | 18, Hast vou ever pe comicte of a elamy for which you ave nt recived ees ) a pardon of cence: a an | order of expungemént regarding that conviction” | Ove ofve { Offense 1 Date of Conviction | County of Conviction f State of Conviction 19. Are you aware of any other information tha you belleve may assist the State Ethics Commission in adising you concerning your gimplance wi the State Goverrmens Eins ALT | [les isfNo If yes, please provide such information below. | | i | | The SET and any attachments, excluding the Confidential Form, are public records. Pages of 10 [ aerramation ee [abso certify that | have not transtierred. and will not transfer. any asset. interest, or property for the purpose of concealing it | | acknowl thar hase read and understand NCGS. 138A-26 regarding concealing or fling to disclose material | | 10 disciplinary action under GS. 1384-43. | 1 § 138A-27. Penalty for false information. | Ailing person io provides fabs information on a statement oF economic infers! as required under this Article | | GS RAS | | nary’ A | \ are 8 \o— | Printed Name. | - SIGNED, ORIGINAL documents anly. Do not fox or email his form. | The SEX and any attachments, excluding the Confidential Form, ae public records. Page 10018

N FE NORTH CAROLINA STATE ETHICS COMMISSION S— Jen &o 2015 STATEMENT OF ECONOMIC INTEREST | "OR €THICS COMMISSION Use ony 919-715-2071 ww ethicscommission.nc. sonnesos 5 R22 PH 2 53 FILER'S NAME (FIRST, MIDDLE, LAST) [ rintvome T wddewame [astmeme | sumx 13ARBAR BRAN DIN WE y#ER CURRENT EMPLOYER 08 TITLE Jodes, Helos 4 Wegher LCP Attorne | ATURE OR TYPE OF BUSINESS Law Fem REASON FOR FILING (SELECT ALL THAT APPLY) [CJ STATE GOVERNMENT JOB (Please specify the agency for | [BGARD/COMMISSION (Please list complete name of all ‘which you work or ae being considered) State boards on which you are serving or are being Considered [J JUDICIAL OFFICER (Please specify the office you hold) | [J LEGISLATOR (Please specify House or Senate) 00 other Immediate family members reside in your hausehold? Oves Oo When used throughout tis form, th term Immediate family incudes your spouse (unless legally separated). It iso 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. ONLY LIST THE INITIALS OF UNEMANCIPATED CHILDREN. However, you MUST submit the children’s full names on the Confidential Form available a the end of this document. Minors are emancipated by marriage, enlistment in the US military, or court action for emancipation. EMANCIPATED MINORS Ny (Dus Sieson Helos Spouse) oegher Cin | Ahern | Low firm I EE I ] The SEI and any attachments, excluding the Confidential Form, are public records. Page 10f 10 |“ ruaisror | mecationsmie NATURE OF UNEMANCIPATED ‘Business ChiLoREN PROPERTY INTERESTS 1 As of December 31. 2014, dd you, your spouse, or members of your immediate oly: A. Have an ownership interest in North Carolin rea state (icing your residence) with a market value of $10,000 oF more? fe One |__Owner of Reo Estate | 9% Ownership Interest | Location by city Location by County Er a NP Pete are Ln ee Vulloge of Bett Heal] Bruns wrk [Dew Hotants | 52 | Benson | Tohastw 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? Ove G66 Name of Lessee | If Real Estate, Location | If Personal Property, Renter) by City & County Describe 2. At any time during 2013 or 2014, did you, your spouse, or members of your immediate family sell to or buy from the Personal property wih market valve of $10,000 or mores Oves I Type of Property * Dow Hetams 100 Hes Peccnlico The SEX and any attachments, excluding the Confidential Form, are public records. Page 20110 FINANCIAL INTERESTS 3. As of December 31, 2014, did you, your spouse, or members of your immediate family own any of the following financial Interests valued at $10,000 of more? A. Stock in a publicly owned company? es Ono »00 nat Tsk ownership interests in a widely hed investment fund (including mutual funds, regulated investment Companies, or pension or defered compensation plans i: () the fond is pUBIKl waded o Is ates re. wily Giversthed; and (1) nether you nor an immediate family Member are abl to control the assets ld Inthe mune fond, Investmenk company, of pnsn or deemed compensation pan. Owner of Tnterest Full Name of Company (00 not use a ticker symbah) o. Stock Oatans na company o business? Ove fo m—— C. Interests in 2 non-publicly owned company or business entity (including interests In sole proprietorships, Farinas, RGA parsers, Jo ventures, hited Tay companies. Imied hob parcnegs, and closely held corporations)? ate CINo = I "No, proceed to question 4. Bo bare We her Mliaoes Comes Toul € Hold Don Helomb Heenan Propeshes Lee The SEX and any attachments, excluding the Confidential Form, are public records. Page 3 of 10 “TCE For sach non publicly owned company or business entity (te “primary company’) ented in question 3.C 3bove, plese atthe names of any other Companies o USITESS éniies I WEh th prImary company owns Securities or equy Interests valued ot over $10,000, # known. Non-Publicly Owned Company or Business Entity | Other Companies in which the Primary Company (the primary Company) whe Security or Equity Interests (2.1 you Know that any company or business entity sted in 3. or 3.C(1) above has any material business dealings or business contracts with the State of North Carolina, or is regulated by the State, provide a brief Geschption of hat business acy: Name of Company or Business Entity Description of Business Activity with the State itons or Not Koown © Fe of DEceTINE 31, 2018, were you, Your Spouse, oF memes of Your [mediate arly te beneficiaries of 3 vested rst with 3 vat of $10,000 or ore that was evened, established, or contrlied oy you’ Do not list assets held in blind trusts. See 2015 SEI Helpful Tips for the definition of “Vested Trust” and “Blind Trust.” Oves oho Nome and Address of Trustee Description of the Trust I — 5. As of December 31, 2014, did you, your spouse, or members of your immediate family have liabilities of $10,000 or more, excluding the mortgage on your primary personal residence? Examples include credit card debts, auto loans, Shudent Toons, personal loans and mca: Tary debi. mes Oto [| Mame of Debtar (You, Spouse, immediate Family | Type of redior (Commercial Bank, Credit nian, Vembers Endwidoay, ete Beboa Veyhe | Commercicd Beek | The SEE and any attachments, excluding the Confidential Form, are public records. Page dof 10 6. List each source of income (not specific amounts) of more than $5.000 received by you, your spouse, or members of your immediate family during 2014. Include salary, wages, state/local government retirement, professional fees, Ronrar: ars dents, ual Income, Doses come, 41 Us pes oY IHS Tere 1 DC recs o vo So an eda ok evr. Do gat include income received rom the following sources: » Capital gains » Federal government retirement > Miltary rtirement > Social security income/ SSD Redpientof Income Name of Source ve or Type of Income Shatness Industry [1 had no reportable income over $5,000 in 2014. Bochen Wegher [VS HRG20%0] fo Fon | sabny | PROFESSIONAL AND CIVIC RELATIONSHIPS 70. During 2016, were you, your spouse or memaere of your Imada fal a director, ocr, govering bord ets oye, Indepundak irate, of gered obo of 3 FORO. Corrs a SrANBGA apa 1 0 Sat of Norn Cool primary for rls, chor abie, rate Merny. pobIc Ea on Sn, or Eons] Drposes? Oves Oo = iW’, proce to cussions. 5 a st Sat board o nie, ar ens created by & paEea Ubon of oe Sate 5a nt It arpanizaios of ich you ar 2 mrs amb, organ of hh JO SEB Oe Nore of Person Wier Postion Name of Nonprofit ature of Business or | | Corporation or organisation. | Purpose of Organization | Bulow. vephe caret Herbed UNC Lows Alumni Asse. Ebucathone.] 7(b). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive SEs fa: pave prove o if desenpion of he are of tek une I Known o wih wh as agence cola Teasers be know, The SEX and any attachments, excluding the Confidential Form, are public records. Pager 10 5 During 7018, Were Vou, your spouse, oF Eber of your [mmadte rly 3 deco, Sc, or gave Bou member of any Society, organization, or advocacy Group Wh an Inerest in matters over whiEh your agency or Dourt ear Have Jartsdicton? Dive TH Disigumnoniarotd sss il oan ib ions ling because You are a leisiator or a Judicial officer or you are ng a5 an appointee 1 these occ. 00 not lis organizations of which you are ony a member (not serving in a leadership role). ‘Name of Person ‘Name of Society, Organization Leadership position or Advocacy Group (Director, Officer, Board Member) 5(2). List the name of cach compony or business with which you were associated where you or 8 member of your Immediate family was an employee, director, officer, partner, proprietor, or member or manager as of December 31, 2014. 0) No Business Associations Rbon Weghe | Self Velde [mpage 9(b). If you know that any company or business entity listed In 9(a) above had any material business dealings or business contracts with the State of North Carolina or was regulated by the State as of December 31, 2014, provide a brief description of that business acivy. Name of Company or Business Entity Description of Business Activity with the State CIot applicable (No entities listed an #32) CG relationship / Not known tes Helomh & Wek P| Provider of Lesad Seru fou S 250 RAS 10. Are you a practicing attorney? De Cie 3s ors ony Yes, check each category of legal representation in which you or the law itm with which you are afflated hes earned legal ess of more than $10,000 durin 2016, D administrative Cidmiaty Corporate Criminal 0 Decedent's Estates 0 environmental Grinsurance Otabor C3 tocal Government Real property Oseaurties Oe (ort litigation (including. (J Utilities Regulation [C1Other category not listed. negligence) The SEL and any attachments, excluding the Confidential Form, are public records. Page 6 of 10 + | 11." During 2014, ‘were you a licensed professional (other than an attorney) or did you. provide consulting. services individually o a5 & member of » professional association for which you Charged oF were paid over $10,0007 ves ONo Type of Business Nature of Services Rendered 12. Are you or your employer, your spouse or members of your immediate family, or their employer currently: + Licensed by the State board or employing entity with which you are or wil be associated or + Requiated by the State board or employing entity with which you are or will be associated or + Have a business relationship with the State board or employing entity with which you are or will be associated? es [INo [J Legislator/ Judicial Officer - You are not required to complete this question If yau are filing because Vou are a legislator or judicial officer (udical officer f defined inthe SEI Hp Tips) or you ave fing as an appointee to those offices. Name of Person Name of Employer Type of Relationship. it applicable) (Licensing, Regulatory, Business) Sew boon Weyhe~ Vase: cole lie, - Regdlodory 13. Are you, your spouse or a member of your immediate family current registered a5 a obbyis or Iobbyst principal, or were you registered as such within the 12 months preceding your fling of this form? | Ove as | ‘Name of Lobbyist Lobbyist's Principal Date of Registration | Registration Expiration. | rr I] | OTHER DISCLOSURES | 14. During any calendar quarter in 2014 (but only the me period after you were appointed, employed or fied or were | nominated as a candidate), did you | « receive any "gift(s)" exceeding $200 per quarter from a person or group of persons acting together, and | * when both you and those person(s) were outside North Carolina at the time you accepted the gift(s), and | + the gif(s) were given under circumstances that would ead a reasonable person to conclude that they were given for Iobbying? Ores we Go not report ifs Given by members of your extended amy. »D0 not report gifts that have previously been reported by you to the Department of the Secretary of State on the “Expense Report for Exempted bersons.” ro rr—— Eotimared warket Value The SEI and any attachments, excluding the Confidential Form, are public records. Page 70f 10 is. ‘During 2014 (but only the time period after you were appointed, employed, or filed or were nominated 25 candidate) id you + accept 2 “scholarship” exceeding $200 fram a person or group of perans acting together and + those person(s) were outside North Carolina and + the scholarship was relted to your public position? A “scholarship” is a grant-in-aid to attend a conference, meeting, g>similar event. Yes fo (J Judie Office - You are not required to complete this question if you are a udical officer o you are ling 25 » judicial officer sppointee. > D0 not report its that have previously been reperted by you to the Department of the Secretary of State on the “Expense Report for Exempted Persons.” > Legislators are not required to report scholarships paid by a nonpartisan leisative organization of which the legislator or the General Assembly is member of participant or an affiate of that organization. Date of Name and Address of Donor(s) Scholarship 16. Were you appointed or are you being considered for an appointment to a covered board by the Governor or another Colne of State member? ‘Council of State members are: > Governor >t. Governor > Secretary of State » State Auditor > State Treasurer > Superintendent of Public Instruction > Atormey General > Commissioner of Agriculture ~~» Commissioner of Labor > Commissioner of Insurance Ove of If “Yes”, list all contributions you (NOT immediate family members) made during 2014 with a cumulative total of more than $1,000 to the Governor or other Council of State member who appointed you. Contributions re defined i N.C.G.S. 163-270.6(6) ond include, but are not limited to, "any advance, conveyance, deposi, distribution, transfer of funds, loan, peyrment, if pledge or subscription of money or anything of value whatsoever.” TE = SE TR The SEI and any attachments, excluding the Confidential Form, are public records. Page 8of 10 17. Are you an appointee or prospective appointee to: Fp ep ——rv. Gefen ot2 5. Sv a Sims Ss in, Gout fp Sper Ds Go his orton at ne agen + State Board of Education ves of PE e——tty 4 Ne, proceed 0 D——tsn A ee — Sn BA A bom PE CO to SO — te Rosman Gorin To we pane o we rEg rE SAT Gt oe | Ever Eve rer aa mem pote Oven come question 16. question 15. e. If 50, you must indicate whether during 2014 you (not immediate family members) Sir 043 os I sti fy RL LE etna Oves Ovo © lo aT Te Ta oh tapos ees Ls RE Se of Rae ET oe Vloteees or po ted actin, Sd tot, Boe SOLE iphone banks, event assistance, mailings, canvassing, surveying, or any other [ClYes [No 1 activity that advances the campaign of a candidate? 18. Have you ever been convicted of a felony for which you have not received either: (i) a pardon of innocence; or (il) an et gl a — [pT ET — pe r— EE we Fe Ts SC i i re Giver fhe. 1450 ers id st open os Tou S55 ant any attachments, cling the Confident Form, ae pub rsd. A | AFFIRMATION | affirm that th information provided in this Statement of Econom Interest and any atachments hereto are tue, complet, ‘and accurate to the best of my knowledge and belief. Lalso certify that I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it rom disclosure while retaining an equiabi intrest. understand that my Statement of Economic Interest and any attachments or supplements threto (with the exception ofthe Confidential Form regarding Unemancipated Children) are public record. acknowledge that | have read nd understand NCGS. 1384-26 eganding concealing o ailing to disclose materiel information and N.C.G.S. 138A-27 regarding providing fle information: § 1384.26, Concealing o filing 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 interes under his Article shll be guilty ofa Class | misdemeanor and shall be suect to disciplinary ction under GS. 138AS. | § 1384-27. Penalty for false information. A filing person who provides false information on a statement of economic interest as required under this Article knowing tha the information is ile is guy ofa Class H felony and shall be subject to disciplinary action under G.5. 138A45 AT agree , Weyker inked Nahe Yfo)rs Signature Date Submit SIGNED, ORIGINAL documents only. Do wot fax or emai this form. | The SEL and any attachments, excluding the Confidential Form, are pubic records. 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