Barbara Hudson Harrell

STATE ETHICS COMMISSION For Staff Use Only as 2025 STATEMENT OF ECONOMIC INTEREST] pq rece E VE0 = that all questions are answered. = A ti s COMMISSION. Incomplete SEis will not be accepted. NC ETHIC Filer's Name (First, Middle, Last) phi = [refx [ Frstiame | widdlename | vasthome | Uji (7 | sume [curemtEmployer ~~ |JovTide NCETHICS Commisa, [BE me COO my Reason for Filing (Complete all that apply.) ET gram pr — zovernor Boy Coop EET lL err ——" ONe Yesv” Eo iT EL Ee Ed i i etiayionl te | ee. | or wg ©. List only the Initials of al emancipated minors n your hausehld below. A mir 1s a chd under 18 years old. Lis the full name of each minor child on the Confidential Form at the end of SEL Tnitials of Employer Unemancipated ER EE "La of December 31, 2026, 4d you or any members of your immediata fami: A have anownrshipintrestin orth Carolin esl esta inching your residence) with a market value of $10,000 armors fies Oto [owner of Real Extte | os Ownership Interest | __ Location by Gy _| Location by County _| 5. ease or re rel estate or personal property oor fromthe State of North Carlin with marke value of $10,000 or more? ves go Name of Lessee | If Real Estate, Location | If Personal Property, (Renter) by City & County. Describe [2 A anytime during 2023 or 2024, did you or any members of your inmediata form sell or buy parsonal property 1 of rom the Stats of orth Caroling with market vale of $10,000 or more? Ove he The SEI and any attachments, excluding the Confidential Form, are public records. Page 2010 3. Aso December 31, 2024, id you o any members of your mmediata family ow ay of tha following financial Interests Valued at $10,000 or mare? A stock in 3 publicly owned company? Ove Of List the name of each company in which you own holdings of $10,000 or more. Do not is the number of shares options, or tha value of your holdings. » Include stocks hed individually or In 3 portfolio managed by financial services company. Do no st interests in a widely held investment und (including mutual funds, regulated Investment companies, or pension or deferred compensation plans): 1. the fund i pubicy traded, or is asses are widely civersifed; and 2 etter you nor an immediate far member ae abe to control the fund's asses. [ ownerofmmerest | ruil Nameof companyortickersymbol | ©. Stock options ina company or business? Ove of "CInterasts in = non-publicly owned company or business ently. Thess Include Interests n soe partnerships, imited partnerships, ont ventures, limited lablty companies, limited ably partnerships, and closely held corporations. [es [No - 1f “No,” proceed to question 4. [CC ownerofimorsst | Nameof CompanyorBusinessentty | C0). For each company or business entity dered n question 3.C. (he primary company’), please it tha of any other companies or business entities in which the primary company owns securities or equity Insrest Valued ot over $10,000, known. ‘Non-Publicly Owned Company or Business Entity | Other Companies in which the Primary Company (the Primary company listed in 3.0. ‘Owns Security or Equity Interests The SEI and any attachments, excluding the Confidential Form, are public records. Page 30f10 (2). you know that any antiy sted In 3.C or 3.C(1) above hs any materia business dealings or business Contracts with the State of North Caroling, or regulated y the State, ify describe that business actviy. "Name of Company or Business Entity Description of Business Activity with the State 4 Aso December 31, 2029, ware you or any members of your immediate family the beneficiaries of + vested rust wih a value of $10,000 of more tht you crested, stablaned, orcontrled? > Donot st assats held n bind trusts. Definkions or “Vested Trust” and "Bind Trust” can b found on our website Under “SEs SEB Tips: tts: ethic nc. gov sel er-holo lS Ove © 5. A of December 31, 2024, dd you any members of your immediate arly have abies of $10,000 o more, ‘excluding the mortgage an your primary personal residence? Example Inch cred card debs, auto loans, student loans, personal loans, and Intro amiy debt. Oves fo ‘Name of Debtor. List Type of Creditor (e.g., "commercial bank,” “credit union,” "individual," etc.) © Lit ach source of Icom (of specific monetary amounts) of more tha $5,000 receved By you or any mambars of your Immediate amily during 2024. Inch Saar, wages, tata cal Goverment retrament Income, professions fees, honoraria, ntaest, dhvidends, antl Income, Business Income, 8nd any othe types of Income Toauired to be reported on your Stats andor federal incor tax returma. + Attention’ You must disclose salary or wages received from any Governmentalor privateentity, Including emplovers that vou may have Sieady listed in response to other SET questions. + Dont attach tax returns. + Do mot Include income received from the following sources: capa gang federal government o ilary Feirarant ane of Socal Seay retromant Kuvhors, or SAablRy benefits Recipient of Income [Name of Person or Entity from | _ Type of Business! Type of Income Which Income Was Received ‘Industry [Parca tore] DB Designs | Petar | Puainces | Basioarm H.Haae If B Desi oms Pelz Rusince [Pade tore] : | Behraeat | The SET and any attachments, excluding the Confidential Form, are public records. Page 4of 10 Professional and Civic Relationships 3 eh Durie 2024, ware you or ary meri You TRG Gly Gece, fee veiog bord mar ee ee tees AB: os ONS Sor Sues ot ESTE SN Er Cs io eS es be Po a So, rotons Yes (@o - If “No,” proceed to questions. rr ne Bors rene >on rt st cpanantons of whieh you re mere marber. me TNA Taree Corporation o orgweation | Purpose of organization On Te rfc erie Sesion ed ors de Suds wi Te Sat of North Cro cae Ee sees honors ot bot Fins wih don hare ok escos Be oe ay ng BEF we Yo oS ou adr ly ewer, afer 3 oven Sou re of vam Sy ow re To iy So ot a an Soha Ce KG . Sogou Officer - Yo ar ot recur to complete this ston you ar lng sey eo oo Shes ox oncogels Hao os toe ee es i eam of © ok oot toe wloven a aa ne em rods aman loan. +0 ot ot craricatons a hh you re cl member and do ot sre desi rl. Nar of Society, OrgmEston Cesdaraiy Potion of Role nn (aceon os Homber) The SEK and any attachments, axluing the Confidential Form, are public acords. rage sari (2). As of Docamber 31, 2024, were yo of a member of your immediate family an employee, director, partner, officer, [2 srepretor,or member or manage o a for proft business? | sametperon | aestionshiptorter | _wameotcompany | moleotpersen | Ges OINo -17°No," proceed to questonio. fey A 1 3. 1fyouknow that any entry sted in o(e) above had any material business dealings or business contacts with the Sista of orth Carolina o was reguiaed by he Sate 5. December 31, 2024, briefly describe that activity. fio. ave you a practicing attomey? Oves Eo [Judicial Offcer/State Attomey Cin House Attorney i ves", chack each category of legal representation in which you a the lw fi with which you ar afated has earned gal fees of mare than $10,000 during 2024. Coadninstratve © admiralty Ocorporate Criminal becedents estates Oenvonmental Dltnsurance Cltabor toca Goverment OReaiProperty Oisearites om 0 Tortitgaton (ncluing Cuties Reguter Clotrer category negigence) 2. During 2026, were you licensed professional (other than an attomey) or did you provids consulting services Indvicualy or 8s member of + professional association fo which you charged of wre pad over $10,0007 Ove of Type of Business. Nature of Services Rendered - The SEI and any attachments, excluding the Confidential Form, are public records. Page sof 10 ue RR LT [ves] No [TLegistator/Judicial Officer - You are not required to complete this question if you are filing because am mE CL fling of this SEI? (J Yes (0 Cn Wo [| we | EE E— EET IE Oves @fo Sor Ee Se te TI aA os + [[£5. During 202, ater you ware slected, appointed, or employed, dd you + occept o “scholarship” exceeding $200 related to your public positon rom a person or group of persons acting + when those person(s) were outside North Carolina? To answer Yes, both conditions must apply. Ascholarship*isa grant in-aid, ether director indirect to attenda conference, meting, or similar event, including travel, 1odging, meals, and other similar expenses. [ves (fo [3udicial Officer -You are not required to complete this question if you are filing yas a judicial affcer or 8 ual officer candidate or appolntae. Do not report gifs you have previously reported on the "Reportable Expenditure Made by PersonExempted.” > Legislators are not require to report scholarships pid by a nonpartisan legislative rganizaton of which the legislator or the Assembly 1s a member, participant, orate. Date of ‘Name and Address of Danor(s) scholarship 6. Hove you beer appointed or 37 you being considered for appointment to covered board by the Governor o a member of the Councl of State? Council of Stats members include: > Govamor > Lt Governor > Secretary of state > ste Auditor > StateTressurer b> Superintendant of Publcnstruction > atomey General » Commissioner of Agicuture ~~ b- Commissloner of Labor > Commissioner of Insurance Wes Mo 11 “ves,” list all contributions you made in 2024 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 “Contributions” are defined broadly In N.C.G.5. 163-276.6(6) and Include “any advance, conveyance deposit, | iibution transfer of funds, oan, payment, it ledge or subscription of money or anything of value whatsoever. I I cc. The SE and any attachments, excluding the Confidential Form, are public records. Pages of 10 17. Are you an appointee of prospective appointee 5: 0 a tho ead of a principal state department (3. cabinet secretary) oppoINEEd bY the Governar; or 5.3 North Carolina Suprema Court Justice; or Court of Appess, Super, or District Court oder or <a mambar of any of th flowing boards: Ove mo + ABC Commision 1No, proceed to question 13. + Coastal Resources Commission + Stata Board of Education + State Board of elections + Division of Employment Security + Environmental Management Commission + Industriel Commision © Human Resources Commision © Rules Review Commission + Board of Transporation © Utles Commision © Wide Resources Commission Tyee, ware you appointed or are you beng considered for ppontment to tat | CJ Yes (To postion by a Councl of State member? 1°No, proceed to question 18. © yen, you mustindicate whether during 2024 you engaged in any of ha following acvtiss Wi respect to of on behalf of the candidate or Campaign committee of the Councl of Stats marmbar who appointed: + Collctsd contributions rom multiple contributors, tock possession f such Iiiple. contributions, and. transfered or délared those. collected | (Yes (Fo Contributions to the candite or ommites” Towed a faniraser ot your residence o lace founers? [ove whe | Wi Vohnteersd or campaign-rlated actives, Including phone banks, event assistance, malings, canvassing, surveying, or any other Oves fo Sci that advances the campaign of acandats” 5. Have you ever bean convicted of a alony for whi you have nt received afthr: (1) pardon; o (1) an order of xpungoment? Oves gfe [ofa [osteo conviction] county of Conviction T9. Ave you aware of ary iver formation that you believe may assis the Exes Commission in advising You ‘Concerning your compliance wih the Stats Government EUS Act? Dives [fo 1f yes, please provide that information below. The SEI and any attachments, excluding the Confidantial Form, are public records. Pages fio Affirmation The information provided n this Statement of Economic Interest and any attachments ar true, complete, and accurate tothe bast of my Knowledge and belt. Ihave not transferred, and vill not transfer, any asset, interest, or property fo the purpose of concealing from disclosure whl reaiing an equitable interest understand that my Statement of Economic Interest and any attachments except fo the Confidential Form regarding Unemancipated Chir are public records. Ihave read and understand the folowing statutes: 1.6.5. § 138426. Concesling o allng to disclose mterial information. A fling person who knowingly conceals o knowingly fas to disclose information tha i required o be disclosed 0a Sarament of aConomic Inkerest shall be Gully of a Class + misdemeanor and subject to disciplinary Ston under G.5. 1383.45. NC.G:S. § 1384-27. Penalty for false information. A fling person who provides fale information on a statement of economic interest... knowing tha the information 1 aise 1s gui of a Class 1 felony and shal ba subject t disciplinary action under G.S. 1384-45. affirm under penalty of perjury that the foregoing i true and correct. La fiaia Hilddom Hr) sel/ “30-202 Signature Tae Darbae Hudson Tiare Printed Name Submit signed, original documents only. Do not fax or e-mail this form. ee —_———————— The SEX and any attachments, excluding the Confidential Form, are public records. Page 10 of 10

_ FOR STAFF USE ONLY EN STATE ETHICS COMMISSION Date Received: 2024 STATEMENT OF ECONOMIC INTEREST RECEIVED EZ No Change Form R11 202 This entire form must be completed to fulfill NETH SON your SEI filing obligation. ETAS COMMISSION Fler’ Name (First, Middle, Last) 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.) | |SurryComnunibyCollese BOT Given Serving as 8 dial Office (Speci office) | Currently Serving as a Legislator (Spec House or Senate) Are you a CANDIDATE for a covered elected office? If yes, specify office and district/county if applicable: (District, Supreme, or Superior Court; Court of Appeals; Clerk of Court; DA; Legislator; Member, Council of State) Oves Eno AFFIRMATION have careful reviewed my most recently fled Statement of Economic Interest Long Form and my responses continue to be true, comrect, and complete to the best of my knowledge and belief Ihave not transferred, and will no transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my flo Change Form is a public record. Ihave read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. Afilng person who knowingly conceals or knowingly alls to disclose information that Is required to be disclosed on Statement of economic Interest . . - shall be Quilty of a Class 1 misdemeanor and . . . Subject to disciplinary action under G.5. 1364-45 N.C.G.S. § 1384-27. Penalty for false information. A fling person who provides false information on a statement of economic interest... knowing that the Information is false 13 uity of a lass H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm under penalty of perjury that the foregoing is true and correct. Gis an Huda Sorell —Aglgoat e Parbara Hudson Harrell Printed Name Submit signed, original documents only. Do not fax or e-mail this form. This document is a public record.

= FOR STAFF USE OWLY Gp STATE ETHICS COMMISSION Date Received: hid %) 2023 STATEMENT OF ECONOMIC INTEREST No Change Form This entire form must be completed to fulfill your SEI filing obligation. Filer's Name (First, Middle, Last) [prefix [FirstName [middie Name | Last Name [ suiix_| Me [Porbara | Mudeon | Hare [ Reason for Filing (Complete all that apply.) ‘State Government Job (Spey agency and postion.) | Board Commission (st the complete names of all State boards on which you are serving or are being considered.) e = A Suey Commu ollege BOT Currently Serving or Served as a Judicial Officer n 2022 | Current Serving or Served fs Legisatol in 2022 (Specity (Speci office @.9. judge, clerk of court, district attorney.) House or Senate.) “AFFIRMATION have carefully reviewed my most recently filed Statement of Economic Interest Long Form and my responses continue. to be true, cormect, and complete to the best of my knowledge and belie. Ihave not transferred, and will no transfer, any asset, interest, or property fo the purpose of concealing it from disclosure while retaining an equitable interest, I understand that my No Change Form is a public record have read and understand the following statutes: N.C.6.5. § 138A-26. Concealing or falling to disclose material information. A fing person who knowingly conceals or knowingly ails to disclose information that is required to be disclosed on a statement of economic interest... shal be guity of a Clas 1 misdemeanor and ...- subject to disciplinary action under G.S. 1384-45, N.C.G.S. § 1384-27. Penalty for aise information. A fing person who provides false information on a statement of economic interest . . knowing that the information s fal 1 guilty of Class felony and shall be Subject to disciplinary action under G.5. 136A-45. 1 affirm under penalty of perjury that the foregoing is true and correct. ( Diba vo Hudson Hooued/ 23-2023 Signature gy Podocne Hudam Have Printed Name Submit signed, original documents only. Do not fax or e-mail ths form. This document s a public record.

FO SER STATE ETHICS COMMISSION Date Received: Ey 2022 STATEMENT OF ECONOMIC INTEREST HEGEVED = No Change Form . APR 1 3 2022 This entire form must be completed to fulfill your SEI filing obligation. NC ETHICS COMMISSION [Mes | Poovloava | Pacbava Hudeon Hovve Reason for Filing (Complete all that apply) State Government Job (Specify agency and positon.) | Board/Commission (Ut the complete names of ll State boards on which you are Serving or are being considered.) Currently Serving as a Judicial Officer (Specify office.) | Currently Serving as a Legisiator Spec Hose or Senate.) Are you a CANDIDATE for a covered elected office? If Yes, specify office and District/County if, applicable: (District, Superior, or Supreme Court, Court of Clerk of Court, District Attorney, General Assembly) Dives BNo AFFIRMATION 1 have careful reviewed my most recently filed Statement of Economic Interest Long Form and my responses continue to be true, correct, and complete to the best of my knowledge and belief. Ihave not transferred, and wil not transfer, any asset, Interest, or property for the purpose of concealing it from disclosure while retaining an equitable Interest Tunderstand that my No Change Form i a public record. have read and understand the following statutes: N.C.6.5. § 1364-26. Concealing or fling to disclose material information. fing person who knowingly conceals o knowingly fais to disclose information tha required to be disclosed on a statement of economic interest .. shall be guilty of a Class 1 misdemeanor and . . . subject to discplnary action under G.S. 138A.45 N.C.G.S. § 138-27. Penalty for false information. A fing person who provides fase information on a statement of economic interest... . knowing that the information is fase s uily of a Class H felony and shall be subject to disciplinary action under G.5. 136A-45. affirm under penalty of perjury that the foregoing is true and correct. Lula HudunHonsets Bate Printed Name Submit signed, original documents only. Do not fax or e-mail this form. This document is a public record

. For Staff Use Only 1 © EER STATE ETHICS COMMISSION I (by 2021 STATEMENT OF ECONOMIC INTEREST a NO CHANGE FORM | RECEIVED This entire form must be completed to fulfill por 15 200 your SEI filing obligation. L | Fliers Name (First, Middle, Last) ] prefix First Name, Middle Name Last Name Suffix vi deon laveell Reason for Fiing (Complete al that apply) State Government Job (Speci agency and postion.) | Boarc/Commission (Lst the complete names of al State Boards on which you are serving or aré being considered.) vy Comm, wry lege BOT Judicial Officer (Specify ofice) Cegisatorl(Specty House or Sedate.) AFFIRMATION 1 have carefully reviewed my most recently filed Statement of Eccnomic Interest Long Form and my responses continue 10'be true, correct, and complete to the best of my knowledge and beter 1 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 Tunderstand that my No Change Form is a public record. have read ane understand the following statutes N.C.G.5. § 1383.26. Concealing or faiing to disclose materiel information A filing person who knowingly conceals or knowingly fis to discose Information that required to be disclosed 01a statement of economic interest. shal be quit of 3 Class 1 misdemeanor and. . subject to splay action under G.5. 1384.45, N.C.G.5. § 1384-27. Penalty for false information Ailing person who provides faise information cn a statement of economic interest .. . knowing that the information is alse s guilty of a Class felony and shall be subject to disciplinary Sction under G.5. 1384-45. Tafirm under penalty of perjury that the foregoing is true and correct. Py) baa Hidory Hari ll mo i2- 2020 Signature < Bate Parad Hudson Havel | Printed Name Submit signed, original documents ony. Do not fax or -mall this form. _ This entire document is a public record.

for satu oo Gar) STATE ETHICS COMMISSION | BECEIVED C8) 2020 statemen oF economic INTEREST | APR 13 2020 | NC ETHICS COMMISSION This entire form must be completed to fulfill ee SheSINS for omplaion your ethics filing obligation. Scanned __Date Trcompteoa__ __ Supp. snccate by Sum recs ote Erte in sobore by Filers Name (First, Mid, Lost) Ts sux | Mus. [Padoava | Hudson | ‘Current Employer Job Tile. ] Self and Tim A. Harrell Tr | co-owner / serch Treasurer | Nature or Type of Business. Ds, ] Haue Ohce Maviage © Ds PA | Reason f2P Filing (Complete al that apply.) ] ‘State Government Job (Specify agency and pesition.) ‘Board/Commission (List the complete names of all State 1 "| boards an which you are serving or ore being consicerea) Surry Community Cdleae BOT _| Judicial Officer (Specify office) Cesisiata (Spaciy House or Sbnate.) ‘A. Do other immediate family members reside in your household? | oes Ono | extended family (your and your spouse’s children, grandchildren, parents, grandparents, and siblings, and the spouses. oF cach of those persons) who reside in your household. List the full name of all adults and emancipated minors in your household. Minors are children under 18. They are | emancipated by marmage, enliment in he US Miltary or court order for emancipation. Full names of Adults and | Relationship. Employer Job Title Nature of Business ‘Emancipated Minors iiss) =| se ei awnes A. Havell Tv. | spouse Denhict [Deabichy The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 10 B. Lit oly the initials of a unermancpated minors in Your household below, A minor s 3 Cid under 18 years List the full name of each minor chil an the Confidential Form at the end. CS Mell BR a al Unemancipated Property Interests 1. As of December 31, 2019, 6d you ar any members of your immediate famiys A. have an ounersip tare i orth Carolina rel tae (cluding your resiGenc) ih 8 marke ale of $10,000 Hes (Ito Owner of Real Estate| % Ownership Interest Tm Bacloro Have] co% Elkin SY wl | Cag Will [ Ounge A Tiny Parca, Hower wre Prariag Gop (legthan B. lease or rent real estate or personal property to or from the State of North Carolina with a market value of $10,000 Oves (xo Name of Lessor Name of esses | If Real Estate, Location | If Personal Property, hii Renters bv City 8 County Deserve 2. ALany time curing 2010 or 2015, dd you or any members of your mediate family 81 or buy from the Stote of North Coral personal property woth $10,000 1 more? Ores fo Name of Purchaser Name of Seller | Type of Property —_ | The SEI and any attachments, excluding the Confidential Form, ae public records. Page 20 10 Financial Interests 3 As of Docamber 31, 2019, did you o any members of yout Immediate family own ny ofthe flloing financial interests Valued ot 10,000 of more? List sach company individually. A. Stock in 2 publicly owned company? Ofes Oo > Do oot lst interests in @ widely eld investment fund (Including miaual funds, reguited investment companies, or penion or deferred compansaton pans) i: 1 th fund publi ded or is assets are widely ders; and 3: nether you mor a imemedios family member ore able 1 Corre the undertying 53et. owner of Imberest__ Full Name of Company or ticker symbel [ rement- Accounts (owtrolled 5. Stock optons na company or business? Ove fhe Owner of Stock Option Full Name of Company (Do not use a ticker symbol) © Interests in non publicly owned company or business cniy? Thess include Interests in sole propreorsns, Earinehigs, Tes pavtnoriins, Jame ventures ited KOA) Companies, Imes 1331 parmerenzs, and Gosely nid corporations. [es [INo- If"No,” proceed to question 4. Guimer of Interest ame of Company of Business Entity ° Dp OW00Wa UCKEeYl Taye ! B Desig C0. or sach company ar business enity_dentiied n question 3.C. (ne “Primary Company”), plese It he ames of any ovr companies of esiness EnG% i wh ts rary COmpany owns SOEITIES or SCURY tires vehsed 8 over 310,000, f now. Non-Publicly Owned Company or Business Entity | Other Companies in which the Primary Company | (the Primary Company) ‘Owns Security or Equity Interests | fone or not known The SET and any attachments, excluding the Confidential Form, are public records. Page or 10 C2). 17 you know that any entity listed in 3.C or 3.C(1) above has any material business dealings or business contracts with the State of Nerth Corclin, or is regulated by the State, briefly describe that business aciviy. ‘Name of Company or Business Entity | Description of Business Activity with the State None or Nat Known 4. As of December 31, 2015, were you of any members of your immediate family the bensficiares of 3 vested Trust with value of $10,000 or more that you creates, established, or controlled? D0 mot list assets held in bind trusts. Saa 2020 SEL Helpful Ts for the definition of "Vested Trust” and "Blind Trust Ove Kno Name and Address of Trustee Description of the Trust Your Relationship to the Trust 5. Asof December 31, 2019, did you any members of your immediate family have abies of $10,000 or more, excluding the mortgage on your primary personal residence? Examples include Credit ard debts, ute loans, student 1601s, persona! loans and intra- family deb. | Oves ®fo Name of Debtor “Type of Creditor (commercial Bank, credit union, | individual, ete) | 6. List cach source of income (not specific amounts) of more than $5,000 received by you or any members of your immediate family during 2019. Include salary, wages, S5ate/local Government rac rement Income, professional fees, Ponoreri, interest, dividends, rental income, busines income, and other types required to be reported on State and federal tax returns. Please remember to disclose your receipt of salary of wages from any governmental or 00 mot inciude income received from the following sources: > Copial gains > Federal goverment retirement > Miltary retirement > Socal security income/SSDI Recipient of Income Name of Source Type of Type of Income Business/ Industry Ton no eportae came ovr £5,000 1 2038 | Pavioaca Huds Ha Ton A. Heel 2 Dis dents alav | The SET and any attachments, excluding the Confidential Form, are public records. Page af 10 70a). During 2019, were you ar any members of your Immediate family 3 director, officer, governing board member, employee, independent contractor, or registered loboyist of » nonprofit corpératon or organization operating North Carolina. pmariy fo relious, chariabi, soentitc, arary, UBIE health and Safety, or educational purposes? Dives [XPlo - If*No," proceed to question 8. > Do not is State boards or entities. > Da not lst organizations of which you ae a mers member. Name of Person Position Name of Nonprofit Nature or Corporation or Organization | Purpose of Organization | (51. the nanproft corporations or organizations std 3bove do business with ho State of North Carlin or receive Stats funds, Brief Geactivg th nasure of the busines, f Known of mith due dligence cou reasonably bo known: Name of Nonprofit Corporation or Organization Describe State Business [1 Nene or Not Known. 5. Dung 2019, were you or any members of your immediate family a director, officer, or Governing board member of Si ciel, organtzamon, o AoCacy 3roup with an merest in atars over which Your 39ancy or board may hove Jurisdiction? [Ives fo [J Legisiator/udical Officer - You ar not required to complete is question if you are fling because you are a legislator or judicial officer or you are filing 2s an appointee to one of those offices. > 0 not st organizations of which you ae only 8 member and do not serve n a leadership fle. Name of person Name of Society, Organization, Leadership position ar Advocaty Group (Director, Officer, Board Member) The SEI and any attachments, excluding the Confidential Form, are public records. Page sof 10 [[9ta9. List the name of each business with which you were associated where you or @ member of your immediate family | omer | veg otter | ameotempmy | root ron | S(b)- If you know that any entity listed in 5(a) above had any material business dealings or business contracts with the er R(Rot applicable (No entities sted on #92) 10. Are you a practicing attorney? Oves ORF [Judicial Officer/State Attorney [Administrative C1) Admiralty Cl Corporate. 0) Criminal [[] Decedent's Estates [J Environmental insurance O Labor | Crtoca Government Real Property [Securities OTax negligence) ves Xo vweomwen oars or sevice Rendered tne BY a Eh Ga 12. Are you or your employer, or any members of your immediate family, or their employers currently: + licensed by the State board o agency with which you are or will be associated or + regulated by the State board or agency with which you are o wil be associated or + ina business relationship with the State board o agency with which you arc or will be associated? [Ives fo [Legisiotor/ludicial Office - You are no required to Complete this question if you ra fing because ou are logstatar o 3 Juice ofc or you are img a5 an appointee 9 an of ths ofa. Name of Employer Type of Relationship it applicable) (Licensing, Regulatory, Business) 13. Have you or a member of your immediate family been registered as 3 lobbylst or lobbyist principal within the 12 months preceding your fog of this form? ives Xho © Nameor Lobbyist Lobbyists Principal Date of Registration. Registration Expiration 13. During 2019, fer you ware appointed, employed, or fled or were nominated as 3 candidate, did you «receive any "gift(s)” exceeding $200 per quarter from a person or group of persons acting together, «when both you 3nd those person(s) were outside North Carolina, + under dreumstances that would lead reasonable person to conclude the gis were given fo lobbying? To answer Ye, ll es conditions musk a9. ves Xho » Do no report gifts given by members of your extended famiy. » Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” Date Item Received | Name snd Address of Donor(s) | Describe Item Received | Estimated Market Value “The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 10 15. During 2019, ater you were 3ppointed, employed, o fled or were nominated as a candidate, dd you + accept a “scholarship” excatding $200 related to your public position from person or Group of persons acting together, + when those person(s) were outside North Carolina? To answer Yes, both conditions must apply. A”scholarship” is 3 grant-in-aid, either direct or indirect, to attend a conference, meeting, or similar event, including tuition, travel, lodging, meals, and other similar expenses. | [1¥es TRo [Judicial Officer - You are not required to complete this question if you are a Judicel officer or you | are ing a3 a judicial oficer appointee. > Do not report gifts you have previously reported on the "Expense Report or Exempted Persons.” » Legislotors are not required to report scholarships paid by a nonpartisan legislative organization of which the legislator or the General Assembly is 2 member, participant, or afiate. Date of Name and Address of Donor(s) Describe Event Estimated Market Scholarship Value | eli | | Ey 16. Have you been appointed or considered for appointment o a covered board by the Governor or another Cound of State member? Council of State members are: | > Governor > Lt Governor > Secretary of State > state Auditor > State Treasurer > Superintendent of Public Instruction | > Attorney General > Commissioner of Agriculture» Commissioner of Labor > Commissioner of Insurance ves Oo IF "Yes," list all contributions you made in 2019 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. i > Conuibutions are defined broadly in N.C.G.5. 163-278.6(6) and include “any advance, conveyance, deposit, distribution, transfer of funds, loan, payment, Git pledge or subscription of money or anything of value whatsoever.” pate Amount Contributed to | No contributions) with a cumulative total of more then $1,000 | The SEX and any attachments, excluding the Confidential Form, are public records. Page 8 of 10 ET PT a. the head of a principal state department (e.g., cabinet secretary) appointed by Ep ©. a member of any of the folowing boards: OYes [no a i na Ammar = owen of lopment Secuty BE ee Ean a a d. If so, were you appointed or are you being considered for appointment to that | [1 Yes [No EE ho Ln aise. TT Tn Eh Tn EL BL I ns in Celt contrition ha spe conpitt, fook poste of uch nts | ver. ae a | EEE [Ove ow | Wh. Valmtaeed for campaigned aces, inca phon Sas, Sven assistance, mailings, canvassing, surveying, or any other activity that | [JYes [JNo i [Foes Oves KiNo overs Tomeorcomicim | comyteomeion | smworcomicion | tea yo reo ye lS let St EE Com 8 SOV YS Sa eT Rs Cves No Ifyes, please provide that information below. Tie SEL av ay st achments excling ve Confdunio Form, ae public seco. rasspernn [ Affirmation Ly tas RE I a a Uta gaan sons 4 Ci iS SAA Sars Sa on CTE B80 Sb bi Si SSRI SE I A Em pr gh eat ESET SE Rt RED pa ee en rt to LLL EAS BE nyt 8 rin A TR ERE AIOE A EA OE dt ET Hi erie Te as Pus brie Hudson Hassell 3-9-3020 A Es Barhac Huds Havel TE rt RE I Bh TE rr TE TEST A PIR ITE rains

R D TN Tor star Ub 1 V RT STATE ETHICS COMMISSION Date cowed 564 79 APR 15 2019 Rell §//) 2019 STATEMENT OF ECONOMIC INTEREST A NO-CHANGE FORM Checked for completion | Ni- This entire form must be completed to fulfill your scanned A> omelt 16] 11 ethics filing obligation. ———— | Filer's Name (First, Middle, Last) [prefix [FirstName | middeName | tastName [sux | bavora | Hudeon | Howell |] Reason fo Filing (Complete al that apply State Government Job (Specify agency and position.) Board/ Commission (Lis the complete names of all State Boards on which you are serving or are being considered Toavel of Tvustees urry Comunity Colleae Judicial Officer (Specify office.) Legislator (Specify House or Senate. J 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 beler. nave rot transfered, and wil not rane, any asst, nares, propery fr the purpose of concealing fom discs | while retaining an equitabie interest. 1 understand that my Statement of Economic Interest and any attachments except for the Confidential Form Regarding Unemancpated Chidren public records. have read and understand the following statutes: N.C.GS. § 1634-191. Concealing or falling to disclose material information. A fling person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest. . . shall be Quit of a Class 1 misdemeanor and . . . subject to disciplinary action Under G.5. 163A415 N.C.G.S. § 163A-192. Penalty for false information. A filing person who provides false information on a statement of economic interest... knowing tha the information is false I guity of a Class felony and shall be subject to disciplinary action under G.5. 1638-415. 1 affirm that I have reviewed my most recently filed 2018 Statement of Economie 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. 1 affirm under penalty of perjury that the foregoing is true and correct. Gpptasa Hudpan oe Date Povhave Hudson Havel Printed Name Submit signe, original documents only. Do not fax or e-mail this form. “This entire document is a public record.

./"%. NORTH CAROLINA STATE BOARD OF FOR COMPLIANCE UNIT. USE ONLY & ELECTIONS AND ETHICS ENFORCEMENT Date Received: 2018 STATEMENT OF ECONOMIC INTEREST | _ a mam me lof NO CHANGE FORM ri scanned NH ouaHi ce |165 THIS ENTIRE FORM MUST BE COMPLETED TO |. oon , JKC FULFILL YOUR ETHICS FILING OBLIGATION a FILER'S NAME (FIRST, MIDDLE, LAST) | [Padave [Hudeew Hove! | | REASON FOR FILING (COMPLETE ALL THAT APPLY STATE GOVERNMENT JOB (Specify Agency and Position) 'BOARD/COMMISSION (List the complete name of all State boards on which you are serving or are being considered) [ow Comunby Cll Bragtf | JUDICIAL OFFICER (Specify Office) LEGISLATOR (Specify House br Senate) ial AFFIRMATION 1 Taffim 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 belie! | 1 also certify that I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing i from disclosure while retaining an equitable Interest. Lunderstand that my Statement of Economic Interest and any attachments or supplements thereto (with the exception of the Confidential Form regarding Unemancipated Children) are pubic record. acknowledge that I have read and understand N.C.G.S. 138A-26 regarding concealing o failing to disclose material Information and N.C.G.S. 138A-27 regarding providing false information: § 1384-26. Concealng or fang to disclose materia information. A fling person who knowingly conceals or knowingly els to disclose information that s required to be disclosed on a statement of economic interest under this Artice shall be guilty of a Class 1 misdemeanor and shall be Subject to disciplinary actin under G.S. 139A.45. 5 1384-27. Penalty for fase information. fling person who provides fase information on a statement of economic interest as required under tis Article Knowing that the information is fase fs guilty of a Class H felony and shall be subject to disciplinary action under G'S. 1304-45. [pasta Huctams. Homnetr _H-g- 701 | Signature Date Barbara Hudson Havre (/ Printed Name Submit SIGNED, ORIGINAL documents only. Do not fax or e-mail this form. This entire document is a public record. so

NORTH CAROLINA STATE ETHICS COMMISSION | rox enuics commission use ony 2017 STATEMENT OF ECONOMIC INTEREST | Due Receive: 919-814-3600 www. ethicscommission.nc.gov | DJ mois E08 THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL ov by) YOUR SEI FILING OBLIGATION ores) ne Fincompere 2s Supp. Sent Date o Supp. Recenved Date A Entered in database 22,0 By cy ( [FILER'S NAME (FIRST, MIDDLE, LAST) Fo ET — - Pavia Hudson Ha CURRENT EMPLOYER 208 TIME ares A Haye DDS P ec / Treo NATURE OR TYPE OF BUSINESS. | Devdal Roctice | REASON FOR FILING (COMPLETE ALL THAT APPLY) | STATE GOVERNMENT 108 (Speciy Agency) BOARD/COMMISSION (List complete name of al tate boards on which you ars serving or are being considered) Surry Communihy Colles | Prk of Trustees JUDICIAL OFFICER (Specty Office) LEGISLATOR (Spey House or Senate) A. Do other immediate family members reside in your household? | ves No Wien used throughout this form, the term Immediate family includes your spouse (unless legally separated). I also | includes members of your extended family (your and your spouse's children, grandchildren, parents, grandparents, and | ibings, 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 child under 16 years old Minors are emancipated by mariage, enlistment in the US miltary, or cour order for emancipation. FULL NAME OF ADULTS & EMANCIPATED MINORS BUSINESS. Fumes Ardvew Yond (Fe. \Nuszud = euntict Dental Rockic The SEI and any attachments, excluding the Confidential Form, are public records. Page 10f 10 beryl cipro I A DE EE EE PROPERTY INTERESTS 1. As of December 31, 2016, did you, your spouse, or members of your mmediate family: | faves [INo | over ot nt is 3 owner rent | toon] tocsiony coe (ome /Pov ve Hell 106% | Reaving Cap | Klleahan 8. Ldase or rent real estate or personal prdperty to or fram the State of #brth Chralina with a markek value of Gree 0 TR Ere p—r— de on Ee oe po 2. At any time during 2015 or 2016, did you, your spouse, or members of your immediate family sell to or buy from the ‘State of North Carolina personal property with a market value of $10,000 or more? ve ive TT vamectrwmme | vemos Tomar rer ne Set nt sn tachment, acing he Contino Fr, re ple record. pe 20r10 | FINANCIAL INTERESTS 3. As of December 31, 201, did you, your spouse, or 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? paves [Ino 50 nat ist ownership terest in a widely had investment fand (incoding muta] funds, TeQuAted Tvestment companies, or pension or deferred compensation plans) i: (1) the fund Is publicly traded or is assets are widely versie; and (I) neither you nor an Immediate family member are able to control the assets held n the mutual fund, investment company. or pension or deferred compensation pian. ll Name of Company (93 not ve + eke symbon 8B. Stock Options in a company or business? Oves ®No Full Name of Company (Do not use a ticker symbol) C. Interests in a non-publicly owned company or business entity (including interests in sole proprietorship, partnerships, ited partnerships, sont ventures, limited llabilty companies, imted labilty partnerships, and Closely held corporations)? Bes [No - If "No," proceed to question 4. Owner of Interest Name of Company or Business Entity ames /Pavava rave utes A Have (| Tv. DDS BA (1). For each non-publcy owned company or business entity (the “primary company”) identified in question S.C above, please st the names of any other companies or usin nies In which the primary company wns sacuriies or equity interests valued at over $10,000, known. Non-Publicly Owned Company or Business Entity | Other Companies in which the primary Company - (the Primary Company) ‘Owns Security or Equity Interests. fS{None or Not Known The SEI and any attachments, excluding the Confidential Form, are public records. Page 3 of 10 [ C2). If you know that any company or business entity listed in 3.C or 3.C(1) above has any materia business. |_____ cestriptionof thot business activity, Name of Company or Business Entity Description of Business Activity with the State | 50 Nane or Not Known | EE ——— 4. As of December 31, 2016, were you, your spouse, or members of your immediate family the beneficiaries of a vested | | trust with a value of $10,000 or more that was created, established, or controlled by you? | i Do not list assets held in blind trusts. See 2017 SEI Helpful Tips for the definition of "Vested Trust” and “Blind Trust.” | Oves ®No sm —— re remo aes | espns | vow meme 1 5. As of December 31, 2016, 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 | State and federal tax returns. | Do pot include income received from the following sources: 1 Recipient of Income Type of Type of Income TE tna [1 had no reportable income over $5,000 in 2016. Pavbare, Hanell DB Designs Petal Pousiness income Tames Pures Hare! Mor, Bote Proferge Dividends James Paclucen Heel! kin Fark Paar Dividends PROFESSIONAL AND CIVIC RELATIONSHIPS 7(2). During 2016, were you, your spouse or members of your immediate family a director, officer, governing board member, employee, independent contractor, or registered fobbyist of a nonprofit corporation of organisation Operating in | the State of North Carolina primarily for eligious, charitable, sient, trary, public heaith and safety, or educational | purposes? [J¥es [No - 1 "No," proceed to question 8 T7D5 it st Stote boards or entities, or entities created by a political subdvison of the State. | > Do not ist organizations of which you are a mere member. | | Nameofperson | His/Her position Name of Nonprofit Nature of Business or Corporation or Organization | Purpose of Organization | 1] rr T° 1 | | 7(b). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive | State funds, please provide a brief description of he nature of that business, If Known or with which due diligence could reasonably be known. | Name of Nonprofit Corporation or Organization Describe State Business or Stats Funding Kitione or Not Known 8. During 2016, were you, your spouse, or members of your immediate family a director, officer, or governing board | member of any society, aranization, o Sduocacy Group With an Interest in matters aver which your agency or board may | have jurisdiction? [Ives BNo []Legislator/Judicial Officer - You are not required to complete this question if you are filing because | 1} you are a legislator or a judicial officer or you are filing as an appointee to those offices. | | »Do not ist organizations of which you are only a member (not serving in a leadership rok). I Name of Person Name of Society, Organization Leadership position or Advocacy Group (Director, Officer, Baard Member) i — The SEI and any attachments, excluding the Confidential Form, are public records. Page 5.0f 10 9(a). List the name of each company or business with which you were associated where you or a member of your immediate. family was an employee, director, officer, partner, proprietor, or member or manager as of December 31, 2016. Nama versan | mintonsi te Fier | Name of company ote oven (1 No Business Associations EE rr I prym— wm YS es wea e oe Se Soe Se hove a Sr ame of Gampary o Busines Ey ero mes Rw we pry pp— EON ——— legal fees of more than $10,000 during 2016. EA ——— —— Owe | | FE — FE are poate ss 11. During 2016, were you a licensed professional (other than an attorney) or did you provide consulting services. ve tv —— FN — P— 12. Are you o 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 | + Regulates by the State board or employing entity with which you are or will be associated or | + Have.a business riationshi wih the State board or employing entity with which you are or will be associated? | Yes [No []Legistator Judicial Office - You are not required to complete this question you are fing because | Vou are a leqsator or a judicial officer (Judicial officer 1s defined i the SEL Helpful Ts) o you | are fing as an appointee to those offices ! Nome of Person Name of Employer Type of Relationship (if applicable) (Licensing, Regulatory, Business) 13. Ar you, your spouse or @ member of your Immediate fomiy curently registered as a lobbyist o lobbyist principal or Were you reqistered as such within the 12'months preceding your ling of tis form? Oves no | Name of Lobbyist Lobbylst's Principal Date of Registration | Registration Expiration OTHER DISCLOSURES l 14. During any calendar quarter in 2016 (but only the time period after you were appointed, employed or led or were | nominated as » candidate), did you + receive any "qift(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 Carin at the time you accepted the GiR(s), and | + the ai(s) were qven under circumstances that would lead a reasonable person 1 conclude that they were given | foriobhying? | Oves Bano 0 not report it gen by members of your extended Tami. 1 »Do not report aits tat have previously been reported by you to the Department of the Secretary of State 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 or 10 . ES - 15. Dung 2016 (but only the time period after you were appointed, employed, o filed of were nominated as a candidate) aid you + accept a “scholarship” exceeding $200 rom a person or group of persons acting together and + thse person(s) were autside North Carolina and + the scholarship was related to your public position? A “scholarship” is a grant-in-aid, either direct or indirect, to attend a conference, meeting, or similar event, Including tuition, travel, lodging, meals, and other similar expenses. | Mies Xo | udicial Officer - You are no required to complete this question if you are a judicial officer or you are | | filing as o Judicial officer appointee | ee | > Do not report gifts that have previously been reported by you to the Department of the Secretary of State on the | “Expense Report for Exempted persons.” | » Legistators are not required to report scholarships paid by a nonpartisan legisiative organization of which the legisiator | | or the General Assembly is a member or participant or an afflate of that arganization. i [pater Name and Address of Donor(s) Describe Event Estimated Market | scholarship Value i 16. Were you appointed or are you being considered for an appointment o a covered board by the Governor or anther | Council of State member? Council of State members are: i » Governor » it. Governor » Secretary of State > State Auditor » State Treasurer > Superintendent of Public Instruction |» Atomey Genera » Commissioner of Agriculture» Commissioner of Labor | > Commissioner of insurance | ves [to | 16 "Yes", list all contributions you (NOT immediate family members) made during 2016 with a cumulative | total of mare than $1,000 to the Governor or other Council of State member who appointed you. | OR | deposit distribution, transfer of funds, oan, payment, if, pledge or subscription of money or anVthind of value | atsoeyer.” | Date T Amount Contributed to | {XN contribution(s) with a cumulative total of more than $1,000 I —— J The SEX and any attachments, excluding the Confidential Form, are public records. Page 8 of 10 117. Are you an appointee or prospective appointee to: | a. the head of a principal state department (e.g. cabinet secretary) appointed by the Ener! b. 2 Noth Carla Supreme Court sic, Court of Apes, Superior or Distr: [RA a member of any ofthe following beads. | ac Common | [2 Commo esmrees Commsion B Sue Boao cin [ves sv Sine boa ations Duin of Employment Sour i No procesd to Boron Hanageren Commission een 18. navi Common tes Rove Commision | Boar Tampon © UNC sort of Governors eis Commision Witt ness commision d. 1f 50, were you appointed or are you being considered for appointment to that [Yes []No 1 Bn on ear Eo ose memparsne tet |r no raceea to oveaon 8 ester 18. ooo you mus mite whiter dui 201 you (rt meds iy rons) cna oft oo Bes wi ESP oo bal ome cog come of Counc of St mrmoe wh vom ou To vom vost [ves [No \ Collected contin rom mip coritrs, tok possession of sch ! re comers re er oh cece | ton ot che on comme Comite ve auined sone ii. Hosted a fundraiser at your residence or place of business? [Yes [INo Wi. Volmeored or campo ated ctwes, which cde, Bare ot IRed to, phone banks, event assistance, mailings, canvassing, surveying, or any [Ives [No hb sn ht vanes he mp not 5 i you ovr bon convicted ofa lon for AT 0 hava nt received othr: (1). prdan of ceo, ar (an UC [ves Bho onense Date of Gomviction | County of Conviction | state of conviction | 719. Ae you avare of any ther formation tht you peeve may 2555 th Sas Eves Commision im avin vou or oo ome wih he Sn Coven us 5 [ves [No Ifyes, please provide such information below. | The SET and any attachments, excluding the Confidential Farm, are pubic records. Pages ori | AFFIRMATION Vf tha th formation proved fn hi Stent of monte terest and sy tachment het ar rv, complete nd sur oh be my nc ond ao cry fe mt rl, ltd st, sr port bo pps fst | from disclosure while retaining an cquitable interest, | | J andorand that my Statement of con crs and any aac or supplements thereto (vith the xcepion of he Condonta Form regard Unc ptdChrcn an pel cond. acknowledge that | have read and understand N.C G.. 138A-26 regarding concealing or failing to disclose material i information NC, T3403 veganding providing ls emai: i § 138A-26. Concalng o Fling disclose mera information | A filling person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed | 1 disciplinary action under GS. 138A45. | | § 138A-27. Penalty for false information. | ling es ho provides a infomation smn of como rt vedere | Knowing that the information is false is guilty of Chass 1 felony and shall subject to disciplinary action under | G.S. 1387-45, | 1 Agree 1 [0-15-17 | Soa = Povioova Yuden Havel! | | Fe sme SIGNED, ORIGINAL documenta oy. Do not fax or emit tis form. The SEL and any attachments, excluding the Confdentit Form, are public records. Page 100110

oy NORTH CAROLINA STATE ETHICS COMMISSION ro oi Cicaion use omy Re ATL, d & 2016 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM chock tor competion £3 THIS ENTIRE FORM MUST BE COMPLETED TO |ccanned Date. FULL "YOUR SEI FILII OBLIGATION aL S NG Eovered in 0832 BC (eve enorme | Crete | mestvome | midename | tamNeme | sun 1 Parbara | Hudeon | Haveell | EASON FOR FILING (SELECT ALL THAT APPLY) | [1] STATE GOVERNMENT JOB (Please specify the agency for | id BOARD/COMMISSION (Please list complete name of ail vo wnt ar i conned Ee ts wen yee ergs ovr | — 1. consiered) Sonex Commmdy Colieye flats AFFIRMATION oo oo TT . | 1 affirm that the information provided in this Statement of Economic Interest and any attachments hereto are tre, Fe en of my mod and bet | | 1 also certify that | have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing et ern a oon ES | rtd os mn Stems fic te nd any tame or gees ts (kb xin | aman Untoneotta colo re Tub ror. | |e tht hove et and and C.5. 3036 arin concen i aig gs el | A vegan rovin ie moran |S na. csr rt ton tt arto. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on i A rN of clo bdemeanr 3d 3a be see 10 | disciplinary action under G.5. 1384-45. § 138A-27. Penalty for false formation | th crs provides a information on samen of econame nerest required under hs Arle ao ony S53 oh Irs 1 cy Oho er [I Ee hereby afi tht have reviewer my most recently ld 2015 Statement of Economic Interest and tha ss ne. te be tr. crsech and Como 1 tne best of my KnOWISaB6 | net, | | (31 Agree | | Diiltia HadaorHpnedl 3-14-16 Sastre Fe Pavbara Hudson Haree [1 Prien | Submit SIGNED, ORIGINAL documents only. Do not fax or email this form. Ti entire document i.» public record.