Barbria Trout Bacon

This entire document is a public record. STATE ETHICS COMMISSION 2021 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM ELECTRONIC FILING This entire form must be completed to fulfill your ethics filing obligation. Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Ms. Barbria Trout Bacon 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.) Public Instruction, Department of - Sup't/School Director Judicial Officer (Specify office.) Legislator (Specify House or Senate.) AFFIRMATION The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form Regarding Unemancipated Children public records. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm that I have reviewed my most recently filed 2020 Statement of Economic Interest and that as of December 31, 2020, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 04/07/2021 Signature Date Barbria Trout Bacon Printed Name

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 Mrs. Barbria Trout Bacon 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.) Public Instruction, Department of - Sup't/School Director 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 04/08/2020 Signature Date Barbria Trout Bacon Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

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 Mrs. Barbria Trout Bacon 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.) Public Instruction, Department of - Sup’t/School Director Judicial Officer (Specify office.) Legislator (Specify House or Senate.) AFFIRMATION The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form Regarding Unemancipated Children public records. I have read and understand the following statutes: N.C.G.S. § 163A-191. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary action under G.S. 163A-415. N.C.G.S. § 163A-192. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 163A-415. I affirm that I have reviewed my most recently filed 2018 Statement of Economic Interest and that as of December 31, 2018, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 06/13/2019 Signature Date Barbria Trout Bacon Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

NORTH CAROLINA STATE ETHICS COMMISSION 2018 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM FILER'S NAME (FIRST, MIDDLE, LAST) Prefix First Name Middle Name Last Name Suffix Mrs. Barbria Trout Bacon REASON FOR FILING (SELECT ALL THAT APPLY) STATE GOVERNMENT JOB (Specify the agency for which you work or are being considered) BOARD/COMMISSION (List complete name of all State boards on which you are serving or are being considered) Public Instruction, Department of JUDICIAL OFFICER (Specify the office you hold) LEGISLATOR (Specify House or Senate) The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 2 AFFIRMATION I affirm that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate to the best of my knowledge and belief. I also certify that I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments or supplements thereto (with the exception of the Confidential Form regarding Unemancipated Children) are public record. I acknowledge that I have read and understand N.C.G.S. 138A-26 regarding concealing or failing to disclose material information and N.C.G.S. 138A-27 regarding providing false information: § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest under this Article shall be guilty of a Class 1 misdemeanor and shall be subject to disciplinary action under G.S. 138A-45. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest as required under this Article knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I hereby affirm that I have reviewed my most recently filed 2017 Statement of Economic Interest and that as of December 31, 2017, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I Agree. It is my intention that this check box constitutes my electronic signature. By checking this box I certify that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate to the best of my knowledge and belief. Filed Electronically 5/23/2018 Signature Date Barbria Trout Bacon Printed Name The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 2

ra NORTH CAROLINA STATE ETHICS COMMISSION rc it t J 2017 STATEMENT OF ECONOMIC INTEREST RECEIVED JUN 0 1 2017 NO CHANGE FORM 0 di ESR—Y THIS ENTIRE FORM MUST BE COMPLETED TO | scones AL, oe 1/15/17 FULFILL YOUR ETHICS FILING OBLIGATION A 19 vere ooo Phy_L eee ————— [Fis nave (rest, moore, AST) | prefix FirstName | Middle Name. Last Name. Suffix [hes [Dodane | “Trou | Passa wa STATE GOVERNMENT 108 (Spec Agency an Postion] | BOARDICOMMISSION (us ne comple name of all toe Ea) -es3d- Sept School Ducscdod Maur, | | JUDICIAL OFFICER (Specty Offide) LEGISLATOR (Specity House or Senate) | [ET SE ET | AFFIRMATION the © hereby affirm that I nave reviewed my most recently filed 2016 Statement of Economic Interest and that as Of Becembar 31, 2016, my sponse coins to be ro, corec, and comBIts 1 he Bek of my Rnewiase | Hi agree Sei proven dado Lod i 207 | Submit STGNED, ORIGINAL documents only. Do not fax or e-mail this form. This tire document I a public record.

NORTH CAROLINA STATE ETHICS COMMISSION | oR ETHICS COMMISSION USE ONLY Jy 2016 STATEMENT OF ECONOMIC INTEREST 0stc Receved p FE 919-814-3600 wa ethicscommission.nc.gov a I 7 Checkas tor completion THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL Scant ate "YOUR SEI FILING OBLIGATION | eto incomplete 7s _ i Supp. Sen Date [I Sop. Received Date ___ FILER'S NAME (FIRST, MIDDLE, LAST) OT / [peat risthame midatoname tastvame C [sumx | Mrs. Barbra “Trout | Doon Inj | CURRENT EMPLOYER _ lestme oo or Crovernor Morehead Sehnae\ | Superintendent [ School Director’ | NATURE OR TPE OF BUSINESS oo oo _ Stote School See dhe Rend | REASON FOR FILING (SELECT ALL THAT APeLr) ~ | STATE GOVERNMENT J05 (Please specify the agency [] BOARD/COMMISSION (Please lst complete name of af for which you work or are being considered) State boards on which you are serving or are beng considered —— —— Departmentoh Ruohe Toston | | | C1 UDICIAL OFFICER (Please spec the office you hold) | CJ LEGISLATOR (Please speciy House or Senate) | SR — — — — I —_—— eee] A, Do other Immediate Family members reside in your household? (ves Oto | When used throughout this form, the term Immediate Family includes your spouse (unless legally separated). It also | includes members of your extended family (your and your spouse's children, arandchiren, parents, orandporonts, sad | Sblngs, and the spouses of each of those persons) who reside in your household. | List the full name. of all adults and emancipated minors in your househld. A minor is a chi ander 18 years fd | Minors are emancipated by marriage, enlistment in the US mltary or court order for emancipation. | iki id Se A hh UB aM of cout onder for oman, | FULL NAME OF ADULTS & | RELATIONSHIP | EMPLOYER JoB TITLE NATURE OF emancipate ions TOT ORTIE REGRESS | SoboMadundacen | Muscand [Scf-Eopeed | CRO — BR Comsuthion | SE | SE | ES A | | | | i. i. — i. - — od The SEL and any attachments, excluding the Confidential Form, are public records. Page 10f 10 B.. List ONLY the initials of il unemancipated minors i your Household below. A minor is Child under 18 years | old. Minors are emancipated by marrage, cnitment the US miltary or court order for emancipation: | Note: You must list the full name of each minor child on the Confidential Form available at the end of this document. J | | INITIALS FOR RELATIONSHIP | EMPLOYER JOB TITLE NATURE OF T UNEMANCIPATED | BUSINESS MINORS . te RE — EE S— I —_—t EE Ea A HE EN SU SN EN | | E— - ! — - - — — — l_ SEN — — | PROPERTY INTERESTS 1. As of December 31, 2015, did you, your spouse, or members of your immediate family oo 1 | A ove an ownership interest in North Carolina real estate (including your residence) with a market value of $10,000 or more? | | aves ho. | omnerot esse | se owner tress | oan cy | Location symm | ; sation by County _ EE a ! ! ] i EE I A -— i NN | SR— EE SU i nk ol Se or personal oruparty a oth Sot of Nat Calg with o marke vie of | | $10,000 or mores Ove xno i NameofLessar | NameofLessee | If Real Estate, Location | If Personal Property, | (Renter) by City & County Describe | — | Geen |” Alounty Besribe” | —_ NEI S— | — I} | I 2. At any time during 2014 or 2015, did you, your spouse, or members of your immediate family sell to or buy from the | State of North Carolina personal property wih a market value of $16,000 or mores ClYes Kno | BR YT BP _— / EE a — he SET and any attachments, excluding the Confidential Form, are public records. Page 201 10 | FINANCIAL INTERESTS | 3. As of December 31, 2015, did you, your spouse, or members of your immediate family own any of the following financial interests valued at $10,000 or more? A. Stock in a publicly owned company? [Ives No EE I — #00 00t Ist ownership interests 1a a widdly held mvestment fund (including mutual funds, reouiated investment companies, or pension or deferred compensation plans) If: () the fund is publicly traded or its assets are widely | diversified; and (1) neither you nor an immediate family member are able to control the assets held in the mutual fund, investment company, or pension ar deterred compensation pian. pi Owner of Interest | Full Name of Company (Do not use a ticker symbol) — | SSS. | I - - | ©. Stock Options in a company or business? | Ove ew r Owner of Stack Option Full Name of Company (Do not use a ticker symbol) | — - I EE TT 1 C. Interests in a non-publy owned company or business entity (including interests in sole proprietorships, | partnerships, fimited partnerships, joint ventures, limited Habilty companies, imited labiity partnerships, and | Closely held cormorationsy? | Ives RNa - if “No,” proceed to question 4. [ Owner of Interest | Name of Company or Business Entity | I f (1); For each non-pubicly owned company or business entity (the “primary company”) identified in question | 3._above, please lst the names of any other companies or business entities i whch the primary company uns Securities or couity interests valued at over $10,000, if know | Non-publicly Owned Company or Business Entity | _ Other Companies in which the Primary Company | | "(the Primary Company) A Owns Security or Equity Interests 5 Hone or Not Known — TT DE — The SET and any attachments, excluding the Confidential Form, are public records. Page 3 of 10 (2). 18 you koow that any company or business entity listed in 3.C or 3.C(1) above has any material business ein or usin coach he Sire of Noh Coraline, o eGo he Sees met oe ) Name of Company or Business Entity Description of Business Activity with the State. | B&None or fot Known ~ — | Bfhone i a a — _— I | _— — — - E EE S| [5s o December 31, 2015, wore you your spose, or member of your ipagate far he ena of vested | rust with a value of $10,000 or mare that was created, established, or controlled by you? Do not list assets held in blind trusts. See 2016 SEI Helpful Tips for the definition of “Vested Trust” and “Blind Trust.” | Oves Kno | Name and Address of Trustee Description of the Trust| Your Relationship to the Trust S— SE —— | ['s. as of December 31, 2015, did you, your spouse, or members of your immediate fami have Tabitties of £10,000 or | more, excluding the mortgage on your primary personal residence? Examples include credit card debts, auto loans, student 10ans, personal loans and Intra family cbt. | Nes [No I Name of Debtor (You, Spouse, Immodiate Family | Type of Creditor (Commercial Bank, Credit Union, | Member) | 3 Individual, etc.) | [Bacon d Sonn Becon . Credd Won EE 1 . Dacha» Tone Bacon US Dept of Education | 6. List each source of income (nat specific amounts) of more than $5,000 received by you, Your spouse, or members of | your immediate family during 2015. Include salary, wages, state/iocal government retirement, professional fees, Honoraria, interest, dividends, rental income, business income, nd other types of income. requir t be reerted on sour | State and federal ta returns, | Do not include income received from the following sources: | > Capital gains > Federal government retirement { » Miltary retirement » Social security income/SSOI | Recipient of Income Name of Source Type of [| Typeor income |= me | i | Blsiness/Industry 31 had no reportable income over $5,000 in 2015. | [rm none over S000 2008. Barone. Basen NC Sake | Edusedon Beducy | Jenn Bacon Findegendent Computes, 48. Consulting | EE — Sono Bewsd Feder Govan oent {Seared Seeanty Seciad Scoury — | L - RE SE The SEX and any attachments, excluding the Confidential Form, are public records. Page a of 10 PROFESSIONAL AND CIVIC RELATIONSHIPS 7a). Duin. 201, were you, you spouse o members of your agate amily 3 drectr, afer, govering bord To Sa of Rah orl rom Tor Fons hate, Seer, Hern Due. Peo eaten or svar ves Mo oN. proceed t uesnon |» 00 not lst State boards or entities, or entities created by a political subdivision of the State. oo | Nomeof person | is/Mer positon | __ Name of Nonprofit | Nature of Business or | Corpevanon of rpeniation | Purpese of Orotmrestion XIN SE EE ES — | I A E— Teaseno eho | ame ot Nora Coporton or rganicnion | Deere tte Sunnrsor Stae Furey | Xone or Not Known I | | | | 8. During 2015, were you, your spouse, or members of your immediate family director, officer, or ‘governing board | | member of any society, organization, or advocacy group with an interest in matters over which your agency or board. may [Yes XINo [J Leislator/Judicial Officer - You are not required to complete this question if you are filing because 00 nist crgaiatons f which you ae only a mamber (vt sering i esrsi rol), | Name of Person Name of Society, Organization T Leadership Position or Avast oop Oirecto, ite, hoard member) | | I ES The SET and any attachments, excluding the Confidentiat Form, ae pubic records Page sot 10 f 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, 2015. 7 Name of Person Relationship to Filer Name of Company Role of Person 50 to Business Associations - If “No,” proceed to question 10 ess SL eo SS NE EE EE EE A SS EE (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, 2015, provide a brief desertion of that business actity. | I Name of Company or Business Entity Description of Business Activity with the State XI Not applicable (No entities listed on #9) _ (J No relationship / Not known | _—m I 10. Are you a practicing attorney? | | Ove mo (ut omcesstate Aomer | 1 Ves, check each category of legal representation in which you or the law firm with which you are affitated hos earned | | legal fees of more than $10,000 during 2015. 0 Administrative 0 Agmiraty Corporate 0 Criminal | | [] Decedent's Estates LJ Environmental [J Insurance [J Labor Local Government (0 Real Property [0 Secunties ax | | 3 Tort tigation (including [] utites Regulation £1 0ther categary not listed nealigence) 1 | 11. During 2015. were you a licensed professional (other than an attomey) or did you provide consulting services | individually or 25 3 member of a professional association for which vou charge or were paid over $10,505 | Oves XnNo | [ Type of Business Nature of Services Rendered | feet Runes | NareofServicesRondered - | | SE | NR | The SEL and any attachments, excluding the Confidential Form, are public records. Page 6 of 10 f 12. Are you or your employer, your spouse or members of your immediate family, or their employer currently: Licensed by th State boar or employing entity with which you are o wil be associated or + Reauiated by the State board or employing enty With which you are o wil be associated oF + Have 2 business relationship with the State board or employing entity with which you are or will be associated? [ves Mo [Legislator udical Officer - You re not required to complete this question if you ae fing because You are a legislator or 3 Juical officer ("Julcal officer” 1s defined n the SEL Hepa Tis) o you or fing 25 an appointee to those ffcs. Name of Person Name of Employer Type of Relationshin | | it applicable) (Licensing, Reguiatory, Business) | Boon Boon Pepe Reason. | Adcensing — |= — _ — ree —— | — _— - i yo . » or i” . po) 1 13. 3 you, your spouse or a member of your [mmedate family currently registered as a lobbyist or lobbyist principal, or were you register as uch wihin the 12 moni preceding your fing of th tore’ | Ove xe | Name of Lobbyist Lobbyist's Principal Dateof | Registration Registration Expiration SE SA 1 Eepotion | a EE BUS A ] I omMempIsclosuRes |/13. During any calendar quarter in 2015 (but ony the time penod atte you were appointed, employed or fied or were | nominated 25 8 candidate, 65 you « receive any "git(s)" exceating $200 per ausrter from 3 persan or group of persons acting together, and « when both you and those person(s) were outside North Carolina at the time you accepted the git(s), and | || + the its) were given under circumstances that would lea a reasonable person to conclude tht try were given for lobbying? Oves XnNo | 50 not Tepor its given By members of your extended family, >D0 not report gits that have previously been reported by you t the Department of the Secretary of State on the “Expense Report fo Exempted parsons.” | [Date 1tem Received | Name and Address of Donor(s) | Describe Item Received | Estimated Market | Value TT - T — | | | | The SEL and any attachments, excluding the Confidential Form, are public records. Page 7of 10 15. During 2015 (but only the time period ter you were appointed, employed, or fled or were nominated a5 a candidate) ai you + accept a “scholarship” exceeding $200 from a person or group of persons acting together and H + those person(s) were outside North Carolina and | + the scholarship was related to your public position? A “scholarship” is a grant-in-aid, either direct or indirect, 0 attend a conference, meeting, or similar event, including tution, travel, lodging, meals, and other Similar expenses. [1 Yes X'No [Judicial Officer - You are not required to complete this question if you are a judicial officer or you are fing as a dca officer apporiee. » Do not report gifts that have previously been reported by you to the Department of the Secretary of State on the ! ||” “Expense Report fo exemprad persons.” | > Legislators are not required fo report scholarships paid by nonpartisan legislative organization of which te egisiaor or the General Assembly is 2 member o partcpant or an afiat of tht organization. Date of Name and Address of Danor(s) Describe Event Estimated Market | | scholarship | Value | | HH | | : } | 16. Were you sppcinted or are you being considered fo an appointment 1 3 covered board by the Govern o another | Coun of Site memoers | Council of State members are: » Governor > +. Governor » Secretary of state | seman > Stte Treasurer » supeendento Pubic strain | » attomey General > Commissioner of Agriculture» Commissioner of Labor > Commissioner of Insurance | Ove xno | If "Yes", list all contributions you (NOT immediate family members) made during 2015 with a cumulative total of more than $1,000 to the Governor or other Caunci of State member whe appointed you. Contributions are defined in N.C.G.5. 163-278.6(6) and include, but are aot lite to, “any advance, conveyance, deposi, distribution, transfer of funds, loan, payment, gift, pledge or subscription of money or anything of value | whatsoever.” | Date I Amount Contributed to _ [Io contribution(s with a comuiative total of more tna 31,000 iene SA. _— L | The SEI 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.g. cabinet secretary) appointed by the | + ABC Commission | | + Coastal Resources Commission | + Human Resources Commission | | | + Rules Review Commission To TYE ——— | the candidate or campaign committee of the Council of State member who. | | appointed you to your public position: | | [Dives Cine contributions to the candidate or committee? Contributions are defined in { | | son 1, lL lil. Volunteered for campaign -related activities, which include, but are not limited | | 18. Have you ever been convicted of a felony for which you have not received either: i) 3 pardon of innocence: or (1) an | | OYes Xo otense Date of Conviction | County of Conviction | state of conviction | [I Date of conviction | County of Conviction state of conviction _ | Ii 1 | 19. Ave you aware of any other information that you beliove may assist the State Ethics Commission in advising you | | | | | AFFIRMATION | AFFIRM — EE 1 affirm that the information provided in this Statement of Economic Interest and any attachments hereto are true. complete, and accurate the best of my knowledge and belief Falko certify that [have not transferred, and will not transfer, any asset, interest, o property for the pumose of concealing it 1 understand tht my Statement of Economic Interest and any attachments or supplements thereto (ith the exception of the Confidential Form regarding Unemancipated Children) are public record Lacknowledge tha 1 have read and understand N.C... 138A-26 regarding concealing or ailing to disclose material information and N.C.G.S. 138A-27 regarding providing fisc information: | | 513826. Conceting ur fing to disclose marrial informasion A filing person who knowingly cons or knowingly fil o disclose information that is sequired to be disclosed on a statement of ecanommic interest under this Asticle shall be guilty of a Class | misdemeanor and shall be subject w disciplinary action under G.5, 138A-45. | | § 1387-27, Penty for fase information A filing person who provides false information on statement of economic interest as required under this Article Knowing thatthe formation i false is guily of a Class H felony and shal be subject o disciplinary action under | GS 138445 | Ipsec, adbuahatyocon 4 a ‘ Fees Gat ‘Name — | Submit SIGNED, ORIGINAL documents only. Do not fax or emai this form. 1 The SEX and any attachments, excluding the Confidential Form, are public records. Page 10.0f 10

NORTH CAROLINA STATE ETHICS COMMISSION | oR ETHICS COMMISSION USE ONLY Jy 2016 STATEMENT OF ECONOMIC INTEREST 0stc Receved p FE 919-814-3600 wa ethicscommission.nc.gov a I 7 Checkas tor completion THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL Scant ate "YOUR SEI FILING OBLIGATION | eto incomplete 7s _ i Supp. Sen Date [I Sop. Received Date ___ FILER'S NAME (FIRST, MIDDLE, LAST) OT / [peat risthame midatoname tastvame C [sumx | Mrs. Barbra “Trout | Doon Inj | CURRENT EMPLOYER _ lestme oo or Crovernor Morehead Sehnae\ | Superintendent [ School Director’ | NATURE OR TPE OF BUSINESS oo oo _ Stote School See dhe Rend | REASON FOR FILING (SELECT ALL THAT APeLr) ~ | STATE GOVERNMENT J05 (Please specify the agency [] BOARD/COMMISSION (Please lst complete name of af for which you work or are being considered) State boards on which you are serving or are beng considered —— —— Departmentoh Ruohe Toston | | | C1 UDICIAL OFFICER (Please spec the office you hold) | CJ LEGISLATOR (Please speciy House or Senate) | SR — — — — I —_—— eee] A, Do other Immediate Family members reside in your household? (ves Oto | When used throughout this form, the term Immediate Family includes your spouse (unless legally separated). It also | includes members of your extended family (your and your spouse's children, arandchiren, parents, orandporonts, sad | Sblngs, and the spouses of each of those persons) who reside in your household. | List the full name. of all adults and emancipated minors in your househld. A minor is a chi ander 18 years fd | Minors are emancipated by marriage, enlistment in the US mltary or court order for emancipation. | iki id Se A hh UB aM of cout onder for oman, | FULL NAME OF ADULTS & | RELATIONSHIP | EMPLOYER JoB TITLE NATURE OF emancipate ions TOT ORTIE REGRESS | SoboMadundacen | Muscand [Scf-Eopeed | CRO — BR Comsuthion | SE | SE | ES A | | | | i. i. — i. - — od The SEL and any attachments, excluding the Confidential Form, are public records. Page 10f 10 B.. List ONLY the initials of il unemancipated minors i your Household below. A minor is Child under 18 years | old. Minors are emancipated by marrage, cnitment the US miltary or court order for emancipation: | Note: You must list the full name of each minor child on the Confidential Form available at the end of this document. J | | INITIALS FOR RELATIONSHIP | EMPLOYER JOB TITLE NATURE OF T UNEMANCIPATED | BUSINESS MINORS . te RE — EE S— I —_—t EE Ea A HE EN SU SN EN | | E— - ! — - - — — — l_ SEN — — | PROPERTY INTERESTS 1. As of December 31, 2015, did you, your spouse, or members of your immediate family oo 1 | A ove an ownership interest in North Carolina real estate (including your residence) with a market value of $10,000 or more? | | aves ho. | omnerot esse | se owner tress | oan cy | Location symm | ; sation by County _ EE a ! ! ] i EE I A -— i NN | SR— EE SU i nk ol Se or personal oruparty a oth Sot of Nat Calg with o marke vie of | | $10,000 or mores Ove xno i NameofLessar | NameofLessee | If Real Estate, Location | If Personal Property, | (Renter) by City & County Describe | — | Geen |” Alounty Besribe” | —_ NEI S— | — I} | I 2. At any time during 2014 or 2015, did you, your spouse, or members of your immediate family sell to or buy from the | State of North Carolina personal property wih a market value of $16,000 or mores ClYes Kno | BR YT BP _— / EE a — he SET and any attachments, excluding the Confidential Form, are public records. Page 201 10 | FINANCIAL INTERESTS | 3. As of December 31, 2015, did you, your spouse, or members of your immediate family own any of the following financial interests valued at $10,000 or more? A. Stock in a publicly owned company? [Ives No EE I — #00 00t Ist ownership interests 1a a widdly held mvestment fund (including mutual funds, reouiated investment companies, or pension or deferred compensation plans) If: () the fund is publicly traded or its assets are widely | diversified; and (1) neither you nor an immediate family member are able to control the assets held in the mutual fund, investment company, or pension ar deterred compensation pian. pi Owner of Interest | Full Name of Company (Do not use a ticker symbol) — | SSS. | I - - | ©. Stock Options in a company or business? | Ove ew r Owner of Stack Option Full Name of Company (Do not use a ticker symbol) | — - I EE TT 1 C. Interests in a non-publy owned company or business entity (including interests in sole proprietorships, | partnerships, fimited partnerships, joint ventures, limited Habilty companies, imited labiity partnerships, and | Closely held cormorationsy? | Ives RNa - if “No,” proceed to question 4. [ Owner of Interest | Name of Company or Business Entity | I f (1); For each non-pubicly owned company or business entity (the “primary company”) identified in question | 3._above, please lst the names of any other companies or business entities i whch the primary company uns Securities or couity interests valued at over $10,000, if know | Non-publicly Owned Company or Business Entity | _ Other Companies in which the Primary Company | | "(the Primary Company) A Owns Security or Equity Interests 5 Hone or Not Known — TT DE — The SET and any attachments, excluding the Confidential Form, are public records. Page 3 of 10 (2). 18 you koow that any company or business entity listed in 3.C or 3.C(1) above has any material business ein or usin coach he Sire of Noh Coraline, o eGo he Sees met oe ) Name of Company or Business Entity Description of Business Activity with the State. | B&None or fot Known ~ — | Bfhone i a a — _— I | _— — — - E EE S| [5s o December 31, 2015, wore you your spose, or member of your ipagate far he ena of vested | rust with a value of $10,000 or mare that was created, established, or controlled by you? Do not list assets held in blind trusts. See 2016 SEI Helpful Tips for the definition of “Vested Trust” and “Blind Trust.” | Oves Kno | Name and Address of Trustee Description of the Trust| Your Relationship to the Trust S— SE —— | ['s. as of December 31, 2015, did you, your spouse, or members of your immediate fami have Tabitties of £10,000 or | more, excluding the mortgage on your primary personal residence? Examples include credit card debts, auto loans, student 10ans, personal loans and Intra family cbt. | Nes [No I Name of Debtor (You, Spouse, Immodiate Family | Type of Creditor (Commercial Bank, Credit Union, | Member) | 3 Individual, etc.) | [Bacon d Sonn Becon . Credd Won EE 1 . Dacha» Tone Bacon US Dept of Education | 6. List each source of income (nat specific amounts) of more than $5,000 received by you, Your spouse, or members of | your immediate family during 2015. Include salary, wages, state/iocal government retirement, professional fees, Honoraria, interest, dividends, rental income, business income, nd other types of income. requir t be reerted on sour | State and federal ta returns, | Do not include income received from the following sources: | > Capital gains > Federal government retirement { » Miltary retirement » Social security income/SSOI | Recipient of Income Name of Source Type of [| Typeor income |= me | i | Blsiness/Industry 31 had no reportable income over $5,000 in 2015. | [rm none over S000 2008. Barone. Basen NC Sake | Edusedon Beducy | Jenn Bacon Findegendent Computes, 48. Consulting | EE — Sono Bewsd Feder Govan oent {Seared Seeanty Seciad Scoury — | L - RE SE The SEX and any attachments, excluding the Confidential Form, are public records. Page a of 10 PROFESSIONAL AND CIVIC RELATIONSHIPS 7a). Duin. 201, were you, you spouse o members of your agate amily 3 drectr, afer, govering bord To Sa of Rah orl rom Tor Fons hate, Seer, Hern Due. Peo eaten or svar ves Mo oN. proceed t uesnon |» 00 not lst State boards or entities, or entities created by a political subdivision of the State. oo | Nomeof person | is/Mer positon | __ Name of Nonprofit | Nature of Business or | Corpevanon of rpeniation | Purpese of Orotmrestion XIN SE EE ES — | I A E— Teaseno eho | ame ot Nora Coporton or rganicnion | Deere tte Sunnrsor Stae Furey | Xone or Not Known I | | | | 8. During 2015, were you, your spouse, or members of your immediate family director, officer, or ‘governing board | | member of any society, organization, or advocacy group with an interest in matters over which your agency or board. may [Yes XINo [J Leislator/Judicial Officer - You are not required to complete this question if you are filing because 00 nist crgaiatons f which you ae only a mamber (vt sering i esrsi rol), | Name of Person Name of Society, Organization T Leadership Position or Avast oop Oirecto, ite, hoard member) | | I ES The SET and any attachments, excluding the Confidentiat Form, ae pubic records Page sot 10 f 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, 2015. 7 Name of Person Relationship to Filer Name of Company Role of Person 50 to Business Associations - If “No,” proceed to question 10 ess SL eo SS NE EE EE EE A SS EE (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, 2015, provide a brief desertion of that business actity. | I Name of Company or Business Entity Description of Business Activity with the State XI Not applicable (No entities listed on #9) _ (J No relationship / Not known | _—m I 10. Are you a practicing attorney? | | Ove mo (ut omcesstate Aomer | 1 Ves, check each category of legal representation in which you or the law firm with which you are affitated hos earned | | legal fees of more than $10,000 during 2015. 0 Administrative 0 Agmiraty Corporate 0 Criminal | | [] Decedent's Estates LJ Environmental [J Insurance [J Labor Local Government (0 Real Property [0 Secunties ax | | 3 Tort tigation (including [] utites Regulation £1 0ther categary not listed nealigence) 1 | 11. During 2015. were you a licensed professional (other than an attomey) or did you provide consulting services | individually or 25 3 member of a professional association for which vou charge or were paid over $10,505 | Oves XnNo | [ Type of Business Nature of Services Rendered | feet Runes | NareofServicesRondered - | | SE | NR | The SEL and any attachments, excluding the Confidential Form, are public records. Page 6 of 10 f 12. Are you or your employer, your spouse or members of your immediate family, or their employer currently: Licensed by th State boar or employing entity with which you are o wil be associated or + Reauiated by the State board or employing enty With which you are o wil be associated oF + Have 2 business relationship with the State board or employing entity with which you are or will be associated? [ves Mo [Legislator udical Officer - You re not required to complete this question if you ae fing because You are a legislator or 3 Juical officer ("Julcal officer” 1s defined n the SEL Hepa Tis) o you or fing 25 an appointee to those ffcs. Name of Person Name of Employer Type of Relationshin | | it applicable) (Licensing, Reguiatory, Business) | Boon Boon Pepe Reason. | Adcensing — |= — _ — ree —— | — _— - i yo . » or i” . po) 1 13. 3 you, your spouse or a member of your [mmedate family currently registered as a lobbyist or lobbyist principal, or were you register as uch wihin the 12 moni preceding your fing of th tore’ | Ove xe | Name of Lobbyist Lobbyist's Principal Dateof | Registration Registration Expiration SE SA 1 Eepotion | a EE BUS A ] I omMempIsclosuRes |/13. During any calendar quarter in 2015 (but ony the time penod atte you were appointed, employed or fied or were | nominated 25 8 candidate, 65 you « receive any "git(s)" exceating $200 per ausrter from 3 persan or group of persons acting together, and « when both you and those person(s) were outside North Carolina at the time you accepted the git(s), and | || + the its) were given under circumstances that would lea a reasonable person to conclude tht try were given for lobbying? Oves XnNo | 50 not Tepor its given By members of your extended family, >D0 not report gits that have previously been reported by you t the Department of the Secretary of State on the “Expense Report fo Exempted parsons.” | [Date 1tem Received | Name and Address of Donor(s) | Describe Item Received | Estimated Market | Value TT - T — | | | | The SEL and any attachments, excluding the Confidential Form, are public records. Page 7of 10 15. During 2015 (but only the time period ter you were appointed, employed, or fled or were nominated a5 a candidate) ai you + accept a “scholarship” exceeding $200 from a person or group of persons acting together and H + those person(s) were outside North Carolina and | + the scholarship was related to your public position? A “scholarship” is a grant-in-aid, either direct or indirect, 0 attend a conference, meeting, or similar event, including tution, travel, lodging, meals, and other Similar expenses. [1 Yes X'No [Judicial Officer - You are not required to complete this question if you are a judicial officer or you are fing as a dca officer apporiee. » Do not report gifts that have previously been reported by you to the Department of the Secretary of State on the ! ||” “Expense Report fo exemprad persons.” | > Legislators are not required fo report scholarships paid by nonpartisan legislative organization of which te egisiaor or the General Assembly is 2 member o partcpant or an afiat of tht organization. Date of Name and Address of Danor(s) Describe Event Estimated Market | | scholarship | Value | | HH | | : } | 16. Were you sppcinted or are you being considered fo an appointment 1 3 covered board by the Govern o another | Coun of Site memoers | Council of State members are: » Governor > +. Governor » Secretary of state | seman > Stte Treasurer » supeendento Pubic strain | » attomey General > Commissioner of Agriculture» Commissioner of Labor > Commissioner of Insurance | Ove xno | If "Yes", list all contributions you (NOT immediate family members) made during 2015 with a cumulative total of more than $1,000 to the Governor or other Caunci of State member whe appointed you. Contributions are defined in N.C.G.5. 163-278.6(6) and include, but are aot lite to, “any advance, conveyance, deposi, distribution, transfer of funds, loan, payment, gift, pledge or subscription of money or anything of value | whatsoever.” | Date I Amount Contributed to _ [Io contribution(s with a comuiative total of more tna 31,000 iene SA. _— L | The SEI 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.g. cabinet secretary) appointed by the | + ABC Commission | | + Coastal Resources Commission | + Human Resources Commission | | | + Rules Review Commission To TYE ——— | the candidate or campaign committee of the Council of State member who. | | appointed you to your public position: | | [Dives Cine contributions to the candidate or committee? Contributions are defined in { | | son 1, lL lil. Volunteered for campaign -related activities, which include, but are not limited | | 18. Have you ever been convicted of a felony for which you have not received either: i) 3 pardon of innocence: or (1) an | | OYes Xo otense Date of Conviction | County of Conviction | state of conviction | [I Date of conviction | County of Conviction state of conviction _ | Ii 1 | 19. Ave you aware of any other information that you beliove may assist the State Ethics Commission in advising you | | | | | AFFIRMATION | AFFIRM — EE 1 affirm that the information provided in this Statement of Economic Interest and any attachments hereto are true. complete, and accurate the best of my knowledge and belief Falko certify that [have not transferred, and will not transfer, any asset, interest, o property for the pumose of concealing it 1 understand tht my Statement of Economic Interest and any attachments or supplements thereto (ith the exception of the Confidential Form regarding Unemancipated Children) are public record Lacknowledge tha 1 have read and understand N.C... 138A-26 regarding concealing or ailing to disclose material information and N.C.G.S. 138A-27 regarding providing fisc information: | | 513826. Conceting ur fing to disclose marrial informasion A filing person who knowingly cons or knowingly fil o disclose information that is sequired to be disclosed on a statement of ecanommic interest under this Asticle shall be guilty of a Class | misdemeanor and shall be subject w disciplinary action under G.5, 138A-45. | | § 1387-27, Penty for fase information A filing person who provides false information on statement of economic interest as required under this Article Knowing thatthe formation i false is guily of a Class H felony and shal be subject o disciplinary action under | GS 138445 | Ipsec, adbuahatyocon 4 a ‘ Fees Gat ‘Name — | Submit SIGNED, ORIGINAL documents only. Do not fax or emai this form. 1 The SEX and any attachments, excluding the Confidential Form, are public records. Page 10.0f 10