Betty Hanna Carrigan
Cleveland Community College Trustees
Filings
2025 Cleveland Community College Trustees
Document text
The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 10
STATE ETHICS COMMISSION
2025 STATEMENT OF ECONOMIC
INTEREST
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
BETTY HANNA CARRIGAN
Current Employer Job Title
Retired Retired
Nature or Type of Business
Retired
Reason For Filing (Complete all that apply.)
Are you a CANDIDATE for
elected office?
☐ Yes ☒ No If yes, for what position are you seeking election? (Specify
name of office seeking in box below.)
Do you currently hold this
position?
☐ Yes ☐ No
State Government Job or Post-Service Filer (Specify
agency and position.)
Board/Commission (List complete names of all State boards
on which you are serving or are being considered.)
Cleveland Community College Trustees
Judicial Officer, Post-Service Filer, or Judicial Officer
Appointee (Specify office.)
Legislator, Post-Service Filer, or Appointee to Legislative
Office (Specify House or Senate.)
A. Do any immediate family members reside in your household?
☐ Yes ☒ No
On this form, ”immediate family” includes your spouse (unless legally separated) and unemancipated children (minors
under 18 years of age). It also includes members of your extended family (your and your spouse’s children,
grandchildren, parents, grandparents, and siblings, and the spouses of each of those persons) who reside in your
household.
List the full name of all adults and emancipated minors in your household. Minors are children under 18. They are
emancipated by marriage, enlistment in the US military, or court order for emancipation.
Full names of Adults and
Emancipated Minors
Relationship Employer Job Title Nature of Business
The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 10
B. List only the initials of all unemancipated minors in your household below. A minor is a child under 18 years old.
List the full name of each minor child on the Confidential Form at the end.
Initials of
Unemancipated
Minors
Relationship Employer Job Title Nature of Business
Property Interests
1. As of December 31, 2024, did you or any members of your immediate family:
A. have an ownership interest in North Carolina real estate (including your residence) with a market value of
$10,000 or more?
☒ Yes ☐ No
Owner of Real Estate % Ownership Interest Location by City Location by County
BETTY HANNA CARRIGAN
(Self)
100.00% Kings Mountain Cleveland
B. lease or rent real estate or personal property to or from the State of North Carolina with a market value of
$10,000 or more?
☐ Yes ☒ No
Name of Lessor Name of Lessee
(Renter)
If Real Estate, Location
by City & County
If Personal Property,
Describe
2. At any time during 2023 or 2024, did you or any members of your immediate family sell or buy personal property
worth $10,000 or more to or from the State of North Carolina?
☐ Yes ☒ No
Name of Purchaser Name of Seller Type of Property
The SEI and any attachments, excluding the Confidential Form, are public records. Page 3 of 10
Financial Interests
3. As of December 31, 2024, did you or any members of your immediate family own any of the following financial
interests valued at $10,000 or more? List each company individually.
A. Stock in a publicly owned company?
☐ Yes ☒ No
► Include stocks held individually of in a portfolio managed by a financial services company
Do not list interests in a widely held investment fund (including mutual funds, regulated investment companies, or
pension or deferred compensation plans) if:
1. the fund is publicly traded or its assets are widely diversified; and
2. neither you nor an immediate family member are able to control the underlying assets.
Owner of Interest Full Name of Company or ticker symbol
B. Stock options in a company or business?
☐ Yes ☒ No
Owner of Stock Option Full Name of Company (Do not use a ticker symbol)
C. Interests in a non-publicly owned company or business entity? These include interests in sole proprietorships,
partnerships, limited partnerships, joint ventures, limited liability companies, limited liability partnerships, and
closely held corporations.
☒ Yes ☐ No - If “No,” proceed to question 4.
Owner of Interest Name of Company or Business Entity
BETTY HANNA CARRIGAN (Self) CB of KM, LLC
C (1). For each company or business entity identified in question 3.C. (the “Primary Company”), please list the
names of any other companies or business entities in which the Primary Company owns securities or equity
interests valued at over $10,000, if known.
Non-Publicly Owned Company or Business Entity
(the Primary Company)
Other Companies in which the Primary Company
Owns Security or Equity Interests
None or Not Known
C (2). If 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 North Carolina, or is regulated by the State, briefly describe that business activity.
Name of Company or Business Entity Description of Business Activity with the State
None or Not Known
4. As of December 31, 2024, were you or any members of your immediate family the beneficiaries of a vested trust with
a value of $10,000 or more that you created, established, or controlled?
Do not list assets held in blind trusts. See 2025 SEI Helpful Tips for the definition of “Vested Trust” and “Blind Trust.”
https://ethics.nc.gov/seis
☐ Yes ☒ No
Name and Address of Trustee Description of the Trust Your Relationship to the Trust
The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 10
5. As of December 31, 2024, did you any 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 loans,
personal loans and intra-family debt. Do not disclose the amount of the debt.
☐ Yes ☒ No
Name of Debtor Type of Creditor (commercial Bank, credit union,
individual, etc.)
6. List each source of income (not specific amounts) of more than $5,000 received by you or any members of your
immediate family during 2024. Include salary, wages, state/local government retirement income, professional fees,
honoraria, interest, dividends, rental income, business income, and other types required to be reported on State and
federal tax returns. You must disclose your receipt of salary or wages from any governmental or private
entity, including those already listed in response to other SEI questions.
Do not include income received from the following sources:
► Capital gains ► Federal government retirement
► Military retirement ► Social security retirement, survivors, or disability benefits
Recipient of Income Name of Person or Entity
from Which Income Was
Received
Type of
Business/Industry
Type of Income
BETTY HANNA CARRIGAN
(Self)
Cherokee Auto Auction Salvage Vehicle Auction Salary
BETTY HANNA CARRIGAN
(Self)
Social Security
Administration
Social Security Wages
BETTY HANNA CARRIGAN
(Self)
CB of KM, LLC Rental Business Rental income
The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 10
Professional and Civic Relationships
7(a). During 2024, were you or any members of your immediate family a director, officer, governing board member,
employee, independent contractor, or registered lobbyist of a nonprofit corporation or organization operating in North
Carolina primarily for religious, charitable, scientific, literary, public health and safety, or educational purposes?
☒ Yes ☐ No - If “No,” proceed to question 8.
► Do NOT list State boards or entities, or entities created by local governments.
► Do NOT list organizations of which you are a mere member.
Name of Person Position Name of Nonprofit
Corporation or Organization
Nature or
Purpose of Organization
BETTY HANNA CARRIGAN
(Self)
Board Member Grace Christian Academy Private Christian School
7(b). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive
State funds, briefly describe the nature of that business, if known or with due diligence could reasonably be known.
Name of Nonprofit Corporation or Organization Describe State Business
Grace Christian Academy None or Not Known
8. During 2024, were you or any members of your immediate family a 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 have
jurisdiction?
☐ Yes ☒ No ☐ Legislator/Judicial Officer -You are not required to complete this question if you are filing solely
because you are a legislator or judicial officer or as a candidate or appointee to those offices.
►Do not list organizations of which you are only a member and do not serve in a leadership role.
Name of Person Name of Society, Organization,
or Advocacy Group
Leadership Position
(Director, Officer, Board Member)
The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 10
9(a). List the name of each for profit business with which you or a member of your immediate family was an employee,
director, officer, partner, proprietor, or member or manager as of December 31, 2024.
Name of Person Relationship to Filer Name of Company Role of Person
BETTY HANNA CARRIGAN Self Cherokee Auto Auction Proprietor
9(b). If you know that any 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, 2024, briefly describe that activity.
Name of Company or Business Entity Description of Business Activity with the State
None or Not Known
10. Are you a practicing attorney?
☐ Yes ☒ No ☐ Judicial Officer/State Attorney/In House/Employee Attorney
If “Yes”, check each category of legal representation in which you or the law firm with which you are affiliated has earned
legal fees of more than $10,000 during 2024.
☐ Administrative ☐ Admiralty ☐ Corporate ☐ Criminal
☐ Decedent’s Estates ☐ Environmental ☐ Insurance ☐ Labor
☐ Local Government ☐ Real Property ☐ Securities ☐ Tax
☐ Tort litigation (including
negligence)
☐ Utilities Regulation ☐ Other category not listed
11. During 2024, were you a licensed professional (other than an attorney) or did you provide consulting services
individually or as a member of a professional association for which you charged or were paid over $10,000?
☐ Yes ☒ No
Type of Business Nature of Services Rendered
The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 10
12. Are you or your employer, or any members of your immediate family, or their employers currently:
licensed by the State board or agency with which you are or will be associated or
regulated by the State board or agency with which you are or will be associated or
in a business relationship with the State board or agency with which you are or will be associated?
☐ Yes ☒ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing solely
because you are a legislator or judicial officer or as a candidate or appointee to those offices.
Name of Person Name of Employer
(if applicable)
Type of Relationship
(Licensing, Regulatory, Business)
13. Have you or a member of your immediate family been registered as a lobbyist or lobbyist principal within the 12
months preceding your filing of this form?
☐ Yes ☒ No
Name of Lobbyist Lobbyist’s Principal Date of
Registration
Registration
Expiration
Other Disclosures
14. During 2024, after you were appointed, employed, or filed or were nominated as a candidate, did you
receive any “gift(s)” exceeding $200 per quarter from a person or group of persons acting together,
when both you and those person(s) were outside North Carolina,
under circumstances that would lead a reasonable person to conclude the gifts were given for lobbying?
To answer Yes, all three conditions must apply
☐ Yes ☒ No
► Do not report gifts given by members of your extended family.
► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.”
Date Item Received Name and Address of Donor(s) Describe Item Received Estimated Market
Value
The SEI and any attachments, excluding the Confidential Form, are public records. Page 8 of 10
15. During 2024, after you were appointed, employed, or filed or were nominated as a candidate, did you
accept a “scholarship” exceeding $200 related to your public position from a 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 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.
☐ Yes ☒ No ☐ Judicial Officer - You are not required to complete this question if you are filing solely because you
are a legislator or judicial officer or as a candidate or appointee to those offices.
► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.”
► Legislators are not required to report scholarships paid by a nonpartisan legislative organization of which the legislator
or the General Assembly is a member, participant, or affiliate.
Date of
Scholarship
Name and Address of Donor(s) Describe Event Estimated Market
Value
16. Have you been appointed or considered for appointment to a covered board by the Governor or another Council of
State member?
Council of State members are:
► Governor ► Lt. Governor ► Secretary of State
► State Auditor ► State Treasurer ► Superintendent of Public Instruction
► Attorney General ► Commissioner of Agriculture ► Commissioner of Labor
► Commissioner of Insurance
☐ Yes ☒ No
If “Yes,” 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 members.
► Contributions are defined broadly in N.C.G.S. 163-278.6(6) and include “any advance, conveyance, deposit,
distribution, transfer of funds, loan, payment, gift, pledge or subscription of money or anything of value
whatsoever.”
Date Amount Contributed to
The SEI and any attachments, excluding the Confidential Form, are public records. Page 9 of 10
17. Are you an appointee or prospective appointee as:
a. the head of a principal state department (e.g., cabinet secretary) appointed by the
Governor; or
b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District
Court Judge; or
c. a member of any of the following boards:
ABC Commission
Coastal Resources Commission
State Board of Education
State Board of Elections
Division of Employment Security
Environmental Management Commission
Industrial Commission
Human Resources Commission
Rules Review Commission
Board of Transportation
Utilities Commission
Wildlife Resources Commission
☐ Yes ☒ No
If “No,” proceed to
question 18.
d. If yes, were you appointed or are you being considered for appointment to that
position by a Council of State member?
☐ Yes ☒ No
If “No,” proceed to
question 18.
e. If yes, you must indicate whether during 2024 you engaged in any of the following
activities with respect to or on behalf of the candidate or campaign committee of
the Council of State member who appointed you:
i. Collected contributions from multiple contributors, took possession of such
multiple contributions, and transferred or delivered those collected
contributions to the candidate or committee?
☐ Yes ☐ No
ii. Hosted a fundraiser at your residence or place of business? ☐ Yes ☐ No
iii. Volunteered for campaign-related activities, including phone banks, event
assistance, mailings, canvassing, surveying, or any other activity that advances
the campaign of a candidate? ☐ Yes ☐ No
18. Have you ever been convicted of a felony for which you have not received either: (i) a pardon; or (ii) an order of
expungement?
☐ Yes ☒ No
Offense Date of Conviction County of Conviction State of Conviction
19. Are you aware of any other information that you believe may assist the Ethics Commission in advising you
concerning your compliance with the State Government Ethics Act?
☐ Yes ☒ No If yes, please provide that information below.
The SEI and any attachments, excluding the Confidential Form, are public records. Page 10 of 10
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 are 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 under penalty of perjury that the foregoing is true and correct.
Filed Electronically 05/05/2025
Signature Date
BETTY HANNA CARRIGAN
Printed Name
2024 Cleveland Community College Trustees
Document text
The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 10
STATE ETHICS COMMISSION
2024 STATEMENT OF ECONOMIC
INTEREST
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
BETTY HANNA CARRIGAN
Current Employer Job Title
CHEROKEE AUTO AUCTION, INCPRES PRESIDENT
Nature or Type of Business
SALVAGE VEHICLE AUCTION
Reason For Filing (Complete all that apply.)
Are you a CANDIDATE for
elected office?
☐ Yes ☒ No If yes, for what position are you seeking election? (Specify
name of office seeking in box below.)
Do you currently hold this
position?
☐ Yes ☐ No
State Government Job (Specify agency and position.) Board/Commission (List complete names of all State boards
on which you are serving or are being considered.)
Cleveland Community College Trustees
Judicial Officer or Judicial Officer Appointee(Specify
office.)
Legislator or Appointee to Legislative Office(Specify House or
Senate.)
A. Do any immediate family members reside in your household?
☐ Yes ☒ No
On this form, ”immediate family” includes your spouse (unless legally separated) and unemancipated children (minors
under 18 years of age). It also includes members of your extended family (your and your spouse’s children,
grandchildren, parents, grandparents, and siblings, and the spouses of each of those persons) who reside in your
household.
List the full name of all adults and emancipated minors in your household. Minors are children under 18. They are
emancipated by marriage, enlistment in the US military, or court order for emancipation.
Full names of Adults and
Emancipated Minors
Relationship Employer Job Title Nature of Business
The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 10
B. List only the initials of all unemancipated minors in your household below. A minor is a child under 18 years old.
List the full name of each minor child on the Confidential Form at the end.
Initials of
Unemancipated
Minors
Relationship Employer Job Title Nature of Business
Property Interests
1. As of December 31, 2023, did you or any members of your immediate family:
A. have an ownership interest in North Carolina real estate (including your residence) with a market value of
$10,000 or more?
☒ Yes ☐ No
Owner of Real Estate % Ownership Interest Location by City Location by County
BETTY HANNA CARRIGAN
(Self)
100.00% Kings Mountain Cleveland
B. lease or rent real estate or personal property to or from the State of North Carolina with a market value of
$10,000 or more?
☐ Yes ☒ No
Name of Lessor Name of Lessee
(Renter)
If Real Estate, Location
by City & County
If Personal Property,
Describe
2. At any time during 2022 or 2023, did you or any members of your immediate family sell or buy personal property
worth $10,000 or more to or from the State of North Carolina?
☐ Yes ☒ No
Name of Purchaser Name of Seller Type of Property
The SEI and any attachments, excluding the Confidential Form, are public records. Page 3 of 10
Financial Interests
3. As of December 31, 2023, did you or any members of your immediate family own any of the following financial
interests valued at $10,000 or more? List each company individually.
A. Stock in a publicly owned company?
☐ Yes ☒ No
► Include stocks held individually of in a portfolio managed by a financial services company
Do not list interests in a widely held investment fund (including mutual funds, regulated investment companies, or
pension or deferred compensation plans) if:
1. the fund is publicly traded or its assets are widely diversified; and
2. neither you nor an immediate family member are able to control the underlying assets.
Owner of Interest Full Name of Company or ticker symbol
B. Stock options in a company or business?
☐ Yes ☒ No
Owner of Stock Option Full Name of Company (Do not use a ticker symbol)
C. Interests in a non-publicly owned company or business entity? These include interests in sole proprietorships,
partnerships, limited partnerships, joint ventures, limited liability companies, limited liability partnerships, and
closely held corporations.
☒ Yes ☐ No - If “No,” proceed to question 4.
Owner of Interest Name of Company or Business Entity
BETTY HANNA CARRIGAN (Self) CB of KM, LLC
C (1). For each company or business entity identified in question 3.C. (the “Primary Company”), please list the
names of any other companies or business entities in which the Primary Company owns securities or equity
interests valued at over $10,000, if known.
Non-Publicly Owned Company or Business Entity
(the Primary Company)
Other Companies in which the Primary Company
Owns Security or Equity Interests
None or Not Known
C (2). If 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 North Carolina, or is regulated by the State, briefly describe that business activity.
Name of Company or Business Entity Description of Business Activity with the State
None or Not Known
4. As of December 31, 2023, were you or any members of your immediate family the beneficiaries of a vested trust with
a value of $10,000 or more that you created, established, or controlled?
Do not list assets held in blind trusts. See 2024 SEI Helpful Tips for the definition of “Vested Trust” and “Blind Trust.”
https://ethics.nc.gov/seis
☐ Yes ☒ No
Name and Address of Trustee Description of the Trust Your Relationship to the Trust
The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 10
5. As of December 31, 2023, did you any 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 loans,
personal loans and intra-family debt. Do not disclose the amount of the debt.
☐ Yes ☒ No
Name of Debtor Type of Creditor (commercial Bank, credit union,
individual, etc.)
6. List each source of income (not specific amounts) of more than $5,000 received by you or any members of your
immediate family during 2023. Include salary, wages, state/local government retirement income, professional fees,
honoraria, interest, dividends, rental income, business income, and other types required to be reported on State and
federal tax returns. You must disclose your receipt of salary or wages from any governmental or private
entity, including those already listed in response to other SEI questions.
Do not include income received from the following sources:
► Capital gains ► Federal government retirement
► Military retirement ► Social security retirement, survivors, or disability benefits
Recipient of Income Name of Person or Entity
from Which Income Was
Received
Type of
Business/Industry
Type of Income
BETTY HANNA CARRIGAN
(Self)
Cherokee Auto Auction Salvage Vehicle Auction Salary
BETTY HANNA CARRIGAN
(Self)
Social Security
Administration
Social Security Wages
BETTY HANNA CARRIGAN
(Self)
CB of KM, LLC Rental Business Rental income
The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 10
Professional and Civic Relationships
7(a). During 2023, were you or any members of your immediate family a director, officer, governing board member,
employee, independent contractor, or registered lobbyist of a nonprofit corporation or organization operating in North
Carolina primarily for religious, charitable, scientific, literary, public health and safety, or educational purposes?
☒ Yes ☐ No - If “No,” proceed to question 8.
► Do NOT list State boards or entities, or entities created by local governments.
► Do NOT list organizations of which you are a mere member.
Name of Person Position Name of Nonprofit
Corporation or Organization
Nature or
Purpose of Organization
BETTY HANNA CARRIGAN
(Self)
Board Member Grace Christian Academy Private Christian School
7(b). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive
State funds, briefly describe the nature of that business, if known or with due diligence could reasonably be known.
Name of Nonprofit Corporation or Organization Describe State Business
Grace Christian Academy None or Not Known
8. During 2023, were you or any members of your immediate family a 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 have
jurisdiction?
☐ Yes ☒ No ☐ Legislator/Judicial Officer -You are not required to complete this question if you are filing solely
because you are a legislator or judicial officer or as a candidate or appointee to those offices.
►Do not list organizations of which you are only a member and do not serve in a leadership role.
Name of Person Name of Society, Organization,
or Advocacy Group
Leadership Position
(Director, Officer, Board Member)
The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 10
9(a). List the name of each for profit business with which you or a member of your immediate family was an employee,
director, officer, partner, proprietor, or member or manager as of December 31, 2023.
Name of Person Relationship to Filer Name of Company Role of Person
BETTY HANNA CARRIGAN Self Cherokee Auto Auction Proprietor
9(b). If you know that any 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, 2023, briefly describe that activity.
Name of Company or Business Entity Description of Business Activity with the State
None or Not Known
10. Are you a practicing attorney?
☐ Yes ☒ No ☐ Judicial Officer/State Attorney/In House/Employee Attorney
If “Yes”, check each category of legal representation in which you or the law firm with which you are affiliated has earned
legal fees of more than $10,000 during 2023.
☐ Administrative ☐ Admiralty ☐ Corporate ☐ Criminal
☐ Decedent’s Estates ☐ Environmental ☐ Insurance ☐ Labor
☐ Local Government ☐ Real Property ☐ Securities ☐ Tax
☐ Tort litigation (including
negligence)
☐ Utilities Regulation ☐ Other category not listed
11. During 2023, were you a licensed professional (other than an attorney) or did you provide consulting services
individually or as a member of a professional association for which you charged or were paid over $10,000?
☐ Yes ☒ No
Type of Business Nature of Services Rendered
The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 10
12. Are you or your employer, or any members of your immediate family, or their employers currently:
licensed by the State board or agency with which you are or will be associated or
regulated by the State board or agency with which you are or will be associated or
in a business relationship with the State board or agency with which you are or will be associated?
☐ Yes ☒ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing solely
because you are a legislator or judicial officer or as a candidate or appointee to those offices.
Name of Person Name of Employer
(if applicable)
Type of Relationship
(Licensing, Regulatory, Business)
13. Have you or a member of your immediate family been registered as a lobbyist or lobbyist principal within the 12
months preceding your filing of this form?
☐ Yes ☒ No
Name of Lobbyist Lobbyist’s Principal Date of
Registration
Registration
Expiration
Other Disclosures
14. During 2023, after you were appointed, employed, or filed or were nominated as a candidate, did you
receive any “gift(s)” exceeding $200 per quarter from a person or group of persons acting together,
when both you and those person(s) were outside North Carolina,
under circumstances that would lead a reasonable person to conclude the gifts were given for lobbying?
To answer Yes, all three conditions must apply
☐ Yes ☒ No
► Do not report gifts given by members of your extended family.
► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.”
Date Item Received Name and Address of Donor(s) Describe Item Received Estimated Market
Value
The SEI and any attachments, excluding the Confidential Form, are public records. Page 8 of 10
15. During 2023, after you were appointed, employed, or filed or were nominated as a candidate, did you
accept a “scholarship” exceeding $200 related to your public position from a 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 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.
☐ Yes ☒ No ☐ Judicial Officer - You are not required to complete this question if you are filing solely because you
are a legislator or judicial officer or as a candidate or appointee to those offices.
► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.”
► Legislators are not required to report scholarships paid by a nonpartisan legislative organization of which the legislator
or the General Assembly is a member, participant, or affiliate.
Date of
Scholarship
Name and Address of Donor(s) Describe Event Estimated Market
Value
16. Have you been appointed or considered for appointment to a covered board by the Governor or another Council of
State member?
Council of State members are:
► Governor ► Lt. Governor ► Secretary of State
► State Auditor ► State Treasurer ► Superintendent of Public Instruction
► Attorney General ► Commissioner of Agriculture ► Commissioner of Labor
► Commissioner of Insurance
☐ Yes ☒ No
If “Yes,” list all contributions you made in 2023 with a cumulative total of more than $1,000 to the Council
of State member who appointed you. Do not include contributions from immediate family members.
► Contributions are defined broadly in N.C.G.S. 163-278.6(6) and include “any advance, conveyance, deposit,
distribution, transfer of funds, loan, payment, gift, pledge or subscription of money or anything of value
whatsoever.”
Date Amount Contributed to
The SEI and any attachments, excluding the Confidential Form, are public records. Page 9 of 10
17. Are you an appointee or prospective appointee as:
a. the head of a principal state department (e.g., cabinet secretary) appointed by the
Governor; or
b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District
Court Judge; or
c. a member of any of the following boards:
ABC Commission
Coastal Resources Commission
State Board of Education
State Board of Elections
Division of Employment Security
Environmental Management Commission
Industrial Commission
Human Resources Commission
Rules Review Commission
Board of Transportation
Utilities Commission
Wildlife Resources Commission
☐ Yes ☒ No
If “No,” proceed to
question 18.
d. If yes, were you appointed or are you being considered for appointment to that
position by a Council of State member?
☐ Yes ☒ No
If “No,” proceed to
question 18.
e. If yes, you must indicate whether during 2023 you engaged in any of the following
activities with respect to or on behalf of the candidate or campaign committee of
the Council of State member who appointed you:
i. Collected contributions from multiple contributors, took possession of such
multiple contributions, and transferred or delivered those collected
contributions to the candidate or committee?
☐ Yes ☐ No
ii. Hosted a fundraiser at your residence or place of business? ☐ Yes ☐ No
iii. Volunteered for campaign-related activities, including phone banks, event
assistance, mailings, canvassing, surveying, or any other activity that advances
the campaign of a candidate? ☐ Yes ☐ No
18. Have you ever been convicted of a felony for which you have not received either: (i) a pardon; or (ii) an order of
expungement?
☐ Yes ☒ No
Offense Date of Conviction County of Conviction State of Conviction
19. Are you aware of any other information that you believe may assist the Ethics Commission in advising you
concerning your compliance with the State Government Ethics Act?
☐ Yes ☒ No If yes, please provide that information below.
The SEI and any attachments, excluding the Confidential Form, are public records. Page 10 of 10
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 are 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 under penalty of perjury that the foregoing is true and correct.
Filed Electronically 04/12/2024
Signature Date
BETTY HANNA CARRIGAN
Printed Name
2023 Cleveland Community College Trustees
Document text
The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 10
STATE ETHICS COMMISSION
2023 STATEMENT OF ECONOMIC
INTEREST
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
BETTY HANNA CARRIGAN
Current Employer Job Title
CHEROKEE AUTO AUCTION, INCPRES PRESIDENT
Nature or Type of Business
SALVAGE VEHICLE AUCTION
Reason For Filing (Complete all that apply.)
Are you a CANDIDATE for
elected office?
☐ Yes ☒ No If yes, for what position are you seeking election? (Specify
name of office seeking in box below.)
Do you currently hold this
position?
☐ Yes ☐ No
State Government Job (Specify agency and position.) Board/Commission (List complete names of all State boards
on which you are serving or are being considered.)
Cleveland Community College Trustees
Judicial Officer or Filing Post-Service (Specify office.) Legislator or Filing Post-Service(Specify House or Senate.)
A. Do any immediate family members reside in your household?
☐ Yes ☒ No
On this form, ”immediate family” includes your spouse (unless legally separated) and unemancipated children (minors
under 18 years of age). It also includes members of your extended family (your and your spouse’s children,
grandchildren, parents, grandparents, and siblings, and the spouses of each of those persons) who reside in your
household.
List the full name of all adults and emancipated minors in your household. Minors are children under 18. They are
emancipated by marriage, enlistment in the US military, or court order for emancipation.
Full names of Adults and
Emancipated Minors
Relationship Employer Job Title Nature of Business
The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 10
B. List only the initials of all unemancipated minors in your household below. A minor is a child under 18 years old.
List the full name of each minor child on the Confidential Form at the end.
Initials of
Unemancipated
Minors
Relationship Employer Job Title Nature of Business
Property Interests
1. As of December 31, 2022, did you or any members of your immediate family:
A. have an ownership interest in North Carolina real estate (including your residence) with a market value of
$10,000 or more?
☒ Yes ☐ No
Owner of Real Estate % Ownership Interest Location by City Location by County
BETTY HANNA CARRIGAN
(Self)
100.00% Kings Mountain Cleveland
B. lease or rent real estate or personal property to or from the State of North Carolina with a market value of
$10,000 or more?
☒ Yes ☐ No
Name of Lessor Name of Lessee
(Renter)
If Real Estate, Location
by City & County
If Personal Property,
Describe
BETTY HANNA CARRIGAN (Self) State of NC 5102 East Dixon Blvd.
Kings Mountain, NC 28086
2. At any time during 2021 or 2022, did you or any members of your immediate family sell or buy personal property
worth $10,000 or more to or from the State of North Carolina?
☐ Yes ☒ No
Name of Purchaser Name of Seller Type of Property
The SEI and any attachments, excluding the Confidential Form, are public records. Page 3 of 10
Financial Interests
3. As of December 31, 2022, did you or any members of your immediate family own any of the following financial
interests valued at $10,000 or more? List each company individually.
A. Stock in a publicly owned company?
☐ Yes ☒ No
►Do not list interests in a widely held investment fund (including mutual funds, regulated investment companies, or
pension or deferred compensation plans) if:
1. the fund is publicly traded or its assets are widely diversified; and
2. neither you nor an immediate family member are able to control the underlying assets.
Owner of Interest Full Name of Company or ticker symbol
B. Stock options in a company or business?
☐ Yes ☒ No
Owner of Stock Option Full Name of Company (Do not use a ticker symbol)
C. Interests in a non-publicly owned company or business entity? These include interests in sole proprietorships,
partnerships, limited partnerships, joint ventures, limited liability companies, limited liability partnerships, and
closely held corporations.
☒ Yes ☐ No - If “No,” proceed to question 4.
Owner of Interest Name of Company or Business Entity
BETTY HANNA CARRIGAN (Self) CB of KM, LLC
C (1). For each company or business entity identified in question 3.C. (the “Primary Company”), please list the
names of any other companies or business entities in which the Primary Company owns securities or equity
interests valued at over $10,000, if known.
Non-Publicly Owned Company or Business Entity
(the Primary Company)
Other Companies in which the Primary Company
Owns Security or Equity Interests
None or Not Known
C (2). If 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 North Carolina, or is regulated by the State, briefly describe that business activity.
Name of Company or Business Entity Description of Business Activity with the State
None or Not Known
4. As of December 31, 2022, were you or any members of your immediate family the beneficiaries of a vested trust with
a value of $10,000 or more that you created, established, or controlled?
Do not list assets held in blind trusts. See 2023 SEI Helpful Tips for the definition of “Vested Trust” and “Blind Trust.”
https://ethics.nc.gov/seis
☐ Yes ☒ No
Name and Address of Trustee Description of the Trust Your Relationship to the Trust
The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 10
5. As of December 31, 2022, did you any 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 loans,
personal loans and intra-family debt. Do not disclose the amount of the debt.
☐ Yes ☒ No
Name of Debtor Type of Creditor (commercial Bank, credit union,
individual, etc.)
6. List each source of income (not specific amounts) of more than $5,000 received by you or any members of your
immediate family during 2022. Include salary, wages, state/local government retirement income, professional fees,
honoraria, interest, dividends, rental income, business income, and other types required to be reported on State and
federal tax returns. You must disclose your receipt of salary or wages from any governmental or private
entity, including those already listed in response to other SEI questions.
Do not include income received from the following sources:
► Capital gains ► Federal government retirement
► Military retirement ► Social security retirement, suvivors, or disability benefits
Recipient of Income Name of Source Type of
Business/Industry
Type of Income
BETTY HANNA CARRIGAN
(Self)
Cherokee Auto Auction Salvage Vehicle Auction Salary
BETTY HANNA CARRIGAN
(Self)
Social Security
Administration
Social Security Wages
BETTY HANNA CARRIGAN
(Self)
CB of KM, LLC Rental Business Rental income
The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 10
Professional and Civic Relationships
7(a). During 2022, were you or any members of your immediate family a director, officer, governing board member,
employee, independent contractor, or registered lobbyist of a nonprofit corporation or organization operating in North
Carolina primarily for religious, charitable, scientific, literary, public health and safety, or educational purposes?
☒ Yes ☐ No - If “No,” proceed to question 8.
► Do NOT list State boards or entities, or entities created by local governments.
► Do NOT list organizations of which you are a mere member.
Name of Person Position Name of Nonprofit
Corporation or Organization
Nature or
Purpose of Organization
BETTY HANNA CARRIGAN
(Self)
Board Member Grace Christian Academy Private Christian School
7(b). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive
State funds, briefly describe the nature of that business, if known or with due diligence could reasonably be known.
Name of Nonprofit Corporation or Organization Describe State Business
Grace Christian Academy None or Not Known
8. During 2022, were you or any members of your immediate family a 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 have
jurisdiction?
☐ Yes ☒ No ☐ Legislator/Judicial Officer -You are not required to complete this question if you are filing solely
because you are a legislator or judicial officer or as a candidate or appointee to those offices.
►Do not list organizations of which you are only a member and do not serve in a leadership role.
Name of Person Name of Society, Organization,
or Advocacy Group
Leadership Position
(Director, Officer, Board Member)
The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 10
9(a). List the name of each for profit business with which you or a member of your immediate family was an employee,
director, officer, partner, proprietor, or member or manager as of December 31, 2022.
Name of Person Relationship to Filer Name of Company Role of Person
BETTY HANNA CARRIGAN Self Cherokee Auto Auction Proprietor
9(b). If you know that any 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, 2022, briefly describe that activity.
Name of Company or Business Entity Description of Business Activity with the State
None or Not Known
10. Are you a practicing attorney?
☐ Yes ☒ No ☐ Judicial Officer/State Attorney/In House/Employee Attorney
If “Yes”, check each category of legal representation in which you or the law firm with which you are affiliated has earned
legal fees of more than $10,000 during 2022.
☐ Administrative ☐ Admiralty ☐ Corporate ☐ Criminal
☐ Decedent’s Estates ☐ Environmental ☐ Insurance ☐ Labor
☐ Local Government ☐ Real Property ☐ Securities ☐ Tax
☐ Tort litigation (including
negligence)
☐ Utilities Regulation ☐ Other category not listed
11. During 2022, were you a licensed professional (other than an attorney) or did you provide consulting services
individually or as a member of a professional association for which you charged or were paid over $10,000?
☐ Yes ☒ No
Type of Business Nature of Services Rendered
The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 10
12. Are you or your employer, or any members of your immediate family, or their employers currently:
licensed by the State board or agency with which you are or will be associated or
regulated by the State board or agency with which you are or will be associated or
in a business relationship with the State board or agency with which you are or will be associated?
☐ Yes ☒ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing solely
because you are a legislator or judicial officer or as a candidate or appointee to those offices.
Name of Person Name of Employer
(if applicable)
Type of Relationship
(Licensing, Regulatory, Business)
13. Have you or a member of your immediate family been registered as a lobbyist or lobbyist principal within the 12
months preceding your filing of this form?
☐ Yes ☒ No
Name of Lobbyist Lobbyist’s Principal Date of
Registration
Registration
Expiration
Other Disclosures
14. During 2022, after you were appointed, employed, or filed or were nominated as a candidate, did you
receive any “gift(s)” exceeding $200 per quarter from a person or group of persons acting together,
when both you and those person(s) were outside North Carolina,
under circumstances that would lead a reasonable person to conclude the gifts were given for lobbying?
To answer Yes, all three conditions must apply
☐ Yes ☒ No
► Do not report gifts given by members of your extended family.
► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.”
Date Item Received Name and Address of Donor(s) Describe Item Received Estimated Market
Value
The SEI and any attachments, excluding the Confidential Form, are public records. Page 8 of 10
15. During 2022, after you were appointed, employed, or filed or were nominated as a candidate, did you
accept a “scholarship” exceeding $200 related to your public position from a 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 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.
☐ Yes ☒ No ☐ Judicial Officer - You are not required to complete this question if you are filing solely because you
are a legislator or judicial officer or as a candidate or appointee to those offices.
► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.”
► Legislators are not required to report scholarships paid by a nonpartisan legislative organization of which the legislator
or the General Assembly is a member, participant, or affiliate.
Date of
Scholarship
Name and Address of Donor(s) Describe Event Estimated Market
Value
16. Have you been appointed or considered for appointment to a covered board by the Governor or another Council of
State member?
Council of State members are:
► Governor ► Lt. Governor ► Secretary of State
► State Auditor ► State Treasurer ► Superintendent of Public Instruction
► Attorney General ► Commissioner of Agriculture ► Commissioner of Labor
► Commissioner of Insurance
☐ Yes ☒ No
If “Yes,” list all contributions you made in 2022 with a cumulative total of more than $1,000 to the Council
of State member who appointed you. Do not include contributions from immediate family members.
► Contributions are defined broadly in N.C.G.S. 163-278.6(6) and include “any advance, conveyance, deposit,
distribution, transfer of funds, loan, payment, gift, pledge or subscription of money or anything of value
whatsoever.”
Date Amount Contributed to
The SEI and any attachments, excluding the Confidential Form, are public records. Page 9 of 10
17. Are you an appointee or prospective appointee as:
a. the head of a principal state department (e.g., cabinet secretary) appointed by the
Governor; or
b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District
Court Judge; or
c. a member of any of the following boards:
ABC Commission
Coastal Resources Commission
State Board of Education
State Board of Elections
Division of Employment Security
Environmental Management Commission
Industrial Commission
Human Resources Commission
Rules Review Commission
Board of Transportation
Utilities Commission
Wildlife Resources Commission
☐ Yes ☒ No
If “No,” proceed to
question 18.
d. If so, were you appointed or are you being considered for appointment to that
position by a Council of State member?
☐ Yes ☒ No
If “No,” proceed to
question 18.
e. If so, you must indicate whether during 2022 you engaged in any of the following
activities with respect to or on behalf of the candidate or campaign committee of
the Council of State member who appointed you:
i. Collected contributions from multiple contributors, took possession of such
multiple contributions, and transferred or delivered those collected
contributions to the candidate or committee?
☐ Yes ☐ No
ii. Hosted a fundraiser at your residence or place of business? ☐ Yes ☐ No
iii. Volunteered for campaign-related activities, including phone banks, event
assistance, mailings, canvassing, surveying, or any other activity that advances
the campaign of a candidate? ☐ Yes ☐ No
18. Have you ever been convicted of a felony for which you have not received either: (i) a pardon; or (ii) an order of
expungement?
☐ Yes ☒ No
Offense Date of Conviction County of Conviction State of Conviction
19. Are you aware of any other information that you believe may assist the Ethics Commission in advising you
concerning your compliance with the State Government Ethics Act?
☐ Yes ☒ No If yes, please provide that information below.
The SEI and any attachments, excluding the Confidential Form, are public records. Page 10 of 10
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 are 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 under penalty of perjury that the foregoing is true and correct.
Filed Electronically 04/04/2023
Signature Date
BETTY HANNA CARRIGAN
Printed Name
2022 Cleveland Community College Trustees
Document text
The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 10
STATE ETHICS COMMISSION
2022 STATEMENT OF ECONOMIC
INTEREST
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
Preside
nt
BETTY HANNA CARRIGAN
Current Employer Job Title
CHEROKEE AUTO AUCTION, INCPRES PRESIDENT
Nature or Type of Business
SALVAGE VEHICLE AUCTION
Reason For Filing (Complete all that apply.)
Are you a CANDIDATE for
elected office?
☐ Yes ☒ No If yes, for what position are you seeking election? (Specify
name of office seeking in box below.)
Do you currently hold this
position?
☐ Yes ☐ No
State Government Job (Specify agency and position.) Board/Commission (List complete names of all State boards
on which you are serving or are being considered.)
Cleveland Community College Trustees
Judicial Officer (Specify office.) Legislator (Specify House or Senate.)
A. Do other immediate family members reside in your household?
☐ Yes ☒ No
On this form, ”immediate family” includes your spouse (unless legally separated). It also includes members of your
extended family (your and your spouse’s children, grandchildren, parents, grandparents, and siblings, and the spouses
of each of those persons) who reside in your household.
List the full name of all adults and emancipated minors in your household. Minors are children under 18. They are
emancipated by marriage, enlistment in the US military, or court order for emancipation.
Full names of Adults and
Emancipated Minors
Relationship Employer Job Title Nature of Business
The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 10
B. List only the initials of all unemancipated minors in your household below. A minor is a child under 18 years old.
List the full name of each minor child on the Confidential Form at the end.
Initials of
Unemancipated
Minors
Relationship Employer Job Title Nature of Business
Property Interests
1. As of December 31, 2021, did you or any members of your immediate family:
A. have an ownership interest in North Carolina real estate (including your residence) with a market value of
$10,000 or more?
☒ Yes ☐ No
Owner of Real Estate % Ownership Interest Location by City Location by County
BETTY HANNA CARRIGAN
(Self)
100.00% Kings Mountain Cleveland
B. lease or rent real estate or personal property to or from the State of North Carolina with a market value of
$10,000 or more?
☐ Yes ☒ No
Name of Lessor Name of Lessee
(Renter)
If Real Estate, Location
by City & County
If Personal Property,
Describe
2. At any time during 2020 or 2021, did you or any members of your immediate family sell to or buy from the State of
North Carolina personal property worth $10,000 or more?
☐ Yes ☒ No
Name of Purchaser Name of Seller Type of Property
The SEI and any attachments, excluding the Confidential Form, are public records. Page 3 of 10
Financial Interests
3. As of December 31, 2021, did you or any members of your immediate family own any of the following financial
interests valued at $10,000 or more? List each company individually.
A. Stock in a publicly owned company?
☐ Yes ☒ No
►Do not list interests in a widely held investment fund (including mutual funds, regulated investment companies, or
pension or deferred compensation plans) if:
1. the fund is publicly traded or its assets are widely diversified; and
2. neither you nor an immediate family member are able to control the underlying assets.
Owner of Interest Full Name of Company or ticker symbol
B. Stock options in a company or business?
☐ Yes ☒ No
Owner of Stock Option Full Name of Company (Do not use a ticker symbol)
C. Interests in a non-publicly owned company or business entity? These include interests in sole proprietorships,
partnerships, limited partnerships, joint ventures, limited liability companies, limited liability partnerships, and
closely held corporations.
☐ Yes ☒ No - If “No,” proceed to question 4.
Owner of Interest Name of Company or Business Entity
C (1). For each company or business entity identified in question 3.C. (the “Primary Company”), please list the
names of any other companies or business entities in which the Primary Company owns securities or equity
interests valued at over $10,000, if known.
Non-Publicly Owned Company or Business Entity
(the Primary Company)
Other Companies in which the Primary Company
Owns Security or Equity Interests
None or Not Known
C (2). If 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 North Carolina, or is regulated by the State, briefly describe that business activity.
Name of Company or Business Entity Description of Business Activity with the State
None or Not Known
4. As of December 31, 2021, were you or any members of your immediate family the beneficiaries of a vested trust with
a value of $10,000 or more that you created, established, or controlled?
Do not list assets held in blind trusts. See 2022 SEI Helpful Tips for the definition of “Vested Trust” and “Blind Trust.”
https://ethics.nc.gov
☐ Yes ☒ No
Name and Address of Trustee Description of the Trust Your Relationship to the Trust
The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 10
5. As of December 31, 2021, did you any 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 loans,
personal loans and intra-family debt.
☐ Yes ☒ No
Name of Debtor Type of Creditor (commercial Bank, credit union,
individual, etc.)
6. List each source of income (not specific amounts) of more than $5,000 received by you or any members of your
immediate family during 2021. Include salary, wages, state/local government retirement income, professional fees,
honoraria, interest, dividends, rental income, business income, and other types required to be reported on State and
federal tax returns. Please remember to disclose your receipt of salary or wages from any governmental or
private entity.
Do not include income received from the following sources:
► Capital gains ► Federal government retirement
► Military retirement ► Social security income/SSDI
Recipient of Income Name of Source Type of
Business/Industry
Type of Income
I had no reportable income
over $5000 in 2021.
The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 10
Professional and Civic Relationships
7(a). During 2021, were you or any members of your immediate family a director, officer, governing board member,
employee, independent contractor, or registered lobbyist of a nonprofit corporation or organization operating in North
Carolina primarily for religious, charitable, scientific, literary, public health and safety, or educational purposes?
☐ Yes ☒ No - If “No,” proceed to question 8.
► Do not list State boards or entities.
► Do not list organizations of which you are a mere member.
Name of Person Position Name of Nonprofit
Corporation or Organization
Nature or
Purpose of Organization
7(b). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive
State funds, briefly describe the nature of that business, if known or with due diligence could reasonably be known.
Name of Nonprofit Corporation or Organization Describe State Business
None or Not Known
8. During 2021, were you or any members of your immediate family a 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 have
jurisdiction?
☐ Yes ☒ No ☐ Legislator/Judicial Officer -You are not required to complete this question if you are filing solely
because you are a legislator or judicial officer or as a candidate or appointee to those offices.
►Do not list organizations of which you are only a member and do not serve in a leadership role.
Name of Person Name of Society, Organization,
or Advocacy Group
Leadership Position
(Director, Officer, Board Member)
The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 10
9(a). List the name of each business with which you were associated where you or a member of your immediate family
was an employee, director, officer, partner, proprietor, or member or manager as of December 31, 2021.
Name of Person Relationship to Filer Name of Company Role of Person
No Business Associations
9(b). If you know that any 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, 2021, briefly describe that activity.
Name of Company or Business Entity Description of Business Activity with the State
None or Not Known
10. Are you a practicing attorney?
☐ Yes ☒ No ☐ Judicial Officer/State Attorney
If “Yes”, check each category of legal representation in which you or the law firm with which you are affiliated has earned
legal fees of more than $10,000 during 2021.
☐ Administrative ☐ Admiralty ☐ Corporate ☐ Criminal
☐ Decedent’s Estates ☐ Environmental ☐ Insurance ☐ Labor
☐ Local Government ☐ Real Property ☐ Securities ☐ Tax
☐ Tort litigation (including
negligence)
☐ Utilities Regulation ☐ Other category not listed
11. During 2021, were you a licensed professional (other than an attorney) or did you provide consulting services
individually or as a member of a professional association for which you charged or were paid over $10,000?
☐ Yes ☒ No
Type of Business Nature of Services Rendered
The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 10
12. Are you or your employer, or any members of your immediate family, or their employers currently:
licensed by the State board or agency with which you are or will be associated or
regulated by the State board or agency with which you are or will be associated or
in a business relationship with the State board or agency with which you are or will be associated?
☐ Yes ☒ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing solely
because you are a legislator or judicial officer or as a candidate or appointee to those offices.
Name of Person Name of Employer
(if applicable)
Type of Relationship
(Licensing, Regulatory, Business)
13. Have you or a member of your immediate family been registered as a lobbyist or lobbyist principal within the 12
months preceding your filing of this form?
☐ Yes ☒ No
Name of Lobbyist Lobbyist’s Principal Date of
Registration
Registration
Expiration
Other Disclosures
14. During 2021, after you were appointed, employed, or filed or were nominated as a candidate, did you
receive any “gift(s)” exceeding $200 per quarter from a person or group of persons acting together,
when both you and those person(s) were outside North Carolina,
under circumstances that would lead a reasonable person to conclude the gifts were given for lobbying?
To answer Yes, all three conditions must apply
☐ Yes ☒ No
► Do not report gifts given by members of your extended family.
► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.”
Date Item Received Name and Address of Donor(s) Describe Item Received Estimated Market
Value
The SEI and any attachments, excluding the Confidential Form, are public records. Page 8 of 10
15. During 2021, after you were appointed, employed, or filed or were nominated as a candidate, did you
accept a “scholarship” exceeding $200 related to your public position from a 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 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.
☐ Yes ☒ No ☐ Judicial Officer - You are not required to complete this question if you are filing solely because you
are a legislator or judicial officer or as a candidate or appointee to those offices.
► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.”
► Legislators are not required to report scholarships paid by a nonpartisan legislative organization of which the legislator
or the General Assembly is a member, participant, or affiliate.
Date of
Scholarship
Name and Address of Donor(s) Describe Event Estimated Market
Value
16. Have you been appointed or considered for appointment to a covered board by the Governor or another Council of
State member?
Council of State members are:
► Governor ► Lt. Governor ► Secretary of State
► State Auditor ► State Treasurer ► Superintendent of Public Instruction
► Attorney General ► Commissioner of Agriculture ► Commissioner of Labor
► Commissioner of Insurance
☐ Yes ☒ No
If “Yes,” list all contributions you made in 2021 with a cumulative total of more than $1,000 to the Council
of State member who appointed you. Do not include contributions from immediate family members.
► Contributions are defined broadly in N.C.G.S. 163-278.6(6) and include “any advance, conveyance, deposit,
distribution, transfer of funds, loan, payment, gift, pledge or subscription of money or anything of value
whatsoever.”
Date Amount Contributed to
The SEI and any attachments, excluding the Confidential Form, are public records. Page 9 of 10
17. Are you an appointee or prospective appointee as:
a. the head of a principal state department (e.g., cabinet secretary) appointed by the
Governor; or
b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District
Court Judge; or
c. a member of any of the following boards:
ABC Commission
Coastal Resources Commission
State Board of Education
State Board of Elections
Division of Employment Security
Environmental Management Commission
Industrial Commission
Human Resources Commission
Rules Review Commission
Board of Transportation
Utilities Commission
Wildlife Resources Commission
☐ Yes ☒ No
If “No,” proceed to
question 18.
d. If so, were you appointed or are you being considered for appointment to that
position by a Council of State member?
☐ Yes ☒ No
If “No,” proceed to
question 18.
e. If so, you must indicate whether during 2021 you engaged in any of the following
activities with respect to or on behalf of the candidate or campaign committee of
the Council of State member who appointed you:
i. Collected contributions from multiple contributors, took possession of such
multiple contributions, and transferred or delivered those collected
contributions to the candidate or committee?
☐ Yes ☐ No
ii. Hosted a fundraiser at your residence or place of business? ☐ Yes ☐ No
iii. Volunteered for campaign-related activities, including phone banks, event
assistance, mailings, canvassing, surveying, or any other activity that advances
the campaign of a candidate? ☐ Yes ☐ No
18. Have you ever been convicted of a felony for which you have not received either: (i) a pardon; or (ii) an order of
expungement?
☐ Yes ☒ No
Offense Date of Conviction County of Conviction State of Conviction
19. Are you aware of any other information that you believe may assist the Ethics Commission in advising you
concerning your compliance with the State Government Ethics Act?
☐ Yes ☒ No If yes, please provide that information below.
The SEI and any attachments, excluding the Confidential Form, are public records. Page 10 of 10
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 are 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 under penalty of perjury that the foregoing is true and correct.
Filed Electronically 05/11/2022
Signature Date
BETTY HANNA CARRIGAN
Printed Name
2021 Cleveland Community College Trustees
Document text
This entire document is a public record.
STATE ETHICS COMMISSION
2021 STATEMENT OF ECONOMIC INTEREST
NO-CHANGE FORM
ELECTRONIC FILING
This entire form must be completed to fulfill your
ethics filing obligation.
Filer’s Name (First, Middle, Last)
Prefix First Name Middle Name Last Name Suffix
Mrs. Betty Carrigan
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.)
Cleveland Community College Trustees
Judicial Officer (Specify office.) Legislator (Specify House or Senate.)
AFFIRMATION
The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate
to the best of my knowledge and belief.
I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from
disclosure while retaining an equitable interest.
I understand that my Statement of Economic Interest and any attachments except for the Confidential Form Regarding
Unemancipated Children public records.
I have read and understand the following statutes:
N.C.G.S. § 138A-26. Concealing or failing to disclose material information.
A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed
on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary
action under G.S. 138A-45.
N.C.G.S. § 138A-27. Penalty for false information.
A filing person who provides false information on a statement of economic interest . . . knowing that the
information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45.
I affirm that I have reviewed my most recently filed 2020 Statement of Economic Interest and that as of
December 31, 2020, my responses continue to be true, correct, and complete to the best of my knowledge
and belief.
I affirm under penalty of perjury that the foregoing is true and correct.
Filed Electronically 04/28/2021
Signature Date
Betty Carrigan
Printed Name
2020 Cleveland Community College Trustees
Document text
This entire document is a public record.
STATE ETHICS COMMISSION
2020 STATEMENT OF ECONOMIC INTEREST
NO-CHANGE FORM
This entire form must be completed to fulfill your
ethics filing obligation.
FOR STAFF USE ONLY
Date Received:
Checked for completion ______
Scanned _______ Date______
Entered in DB ____by______
Filer’s Name (First, Middle, Last)
Prefix First Name Middle Name Last Name Suffix
Mrs. Betty Carrigan
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.)
Cleveland Community College Trustees
Judicial Officer (Specify office.) Legislator (Specify House or Senate.)
AFFIRMATION
The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate
to the best of my knowledge and belief.
I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from
disclosure while retaining an equitable interest.
I understand that my Statement of Economic Interest and any attachments except for the Confidential Form Regarding
Unemancipated Children public records.
I have read and understand the following statutes:
N.C.G.S. § 138A-26. Concealing or failing to disclose material information.
A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed
on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary
action under G.S. 138A-45.
N.C.G.S. § 138A-27. Penalty for false information.
A filing person who provides false information on a statement of economic interest . . . knowing that the
information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45.
I affirm that I have reviewed my most recently filed 2019 Statement of Economic Interest and that as of
December 31, 2019, my responses continue to be true, correct, and complete to the best of my knowledge
and belief.
I affirm under penalty of perjury that the foregoing is true and correct.
Filed Electronically 05/18/2020
Signature Date
Betty Carrigan
Printed Name
Submit signed, original documents only. Do not fax or e-mail this form.
2019 Cleveland Community College Trustees
Document text
This entire document is a public record.
STATE ETHICS COMMISSION
2019 STATEMENT OF ECONOMIC
INTEREST
NO-CHANGE FORM
This entire form must be completed to fulfill your
ethics filing obligation.
FOR STAFF USE ONLY
Date Received:
Checked for completion ______
Scanned _______ Date______
Entered in DB ____by______
Filer’s Name (First, Middle, Last)
Prefix First Name Middle Name Last Name Suffix
Mrs. BETTY HANNA CARRIGAN
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.)
Cleveland Community College Trustees
Community Colleges, State Board of
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 05/24/2019
Signature Date
BETTY HANNA CARRIGAN
Printed Name
Submit signed, original documents only. Do not fax or e-mail this form.
2018 Cleveland Community College Trustees
Document text
ja NORTH CAROLINA STATE BOARD OF [Fem Events wi wet Soar
4 ELECTIONS AND ETHICS ENFORCEMENT | oste Reconeo
2018 STATEMENT OF ECONOMIC INTEREST
|cocB FER. 26: 5: 36,
NO CHANGE FORM | a Fig. I
THIS ENTIRE FORM MUST BE COMPLETED TO |... a1
FULFILL YOUR ETHICS FILING OBLIGATION =
FILER'S NAME (FIRST, MIDDLE, LAST)
Prefix First Name Middle Name Last Name Suffix
Mrs. Betty Hanna Carrigan
REASON FOR FILING (COMPLETE ALL THAT APPLY) EE
STATE GOVERNMENT JOB (Specify Agency and Posiion) | BOARD/CONMISSION (List the complete name of all State
‘boards on which you are serving or are being considered)
Cleveland Community College Trustee
JUDICIAL OFFICER (Speciy Office) LEGISLATOR (Spey House or Senate)
AFFIRMATION 1
aff that the information providcd in this Statement of Economic Interest and any attachments hereto are tru,
1 aiso cert that I have not transferred, and will no transfer, any asset, interest, o property for the purpose of
concealing i from lsclosure while raining an equitable Interest. |
understand that my Statement of Economic Interest and any attachMEnts oF Supplements thereto (with the exception of
the Confidential Fam regarding Unemancipated Chiren) are publ record
1 acknawicage that 1 have read and understand N.C.G.S. 1384-26 regarding concealing or failing to disclose material
information and N.C.G.5. 138A-27 reqaramng providing fase information |
§ 1384-26. Conceaiing or aiing to disclose material information. i
A Hing person who knowingly conceals or knowingly fails to disclose information that s required to be disclosed |
on Statement of economic terest undor ths Aric shall be guity of 3 Class 1 misdemeanor and shall be
subject to dscipinary action under G.5. 1334.45.
§ 1388.27. Penaiy fo false information.
A filing person who provides false Information on a statement of economic interest as required under this Article |
owing that the information ase 1s Gulky of a Cas eony and shall be subject 0 isoplnary scion uncer |
G'S. 138845
|
2/15/18 |
Sanat Cr
Printed flame
Submit SIGNED, ORIGINAL documents only. Do not fax or e-mail this form.
This entire document is a public record.
2017 Cleveland Community College Trustees
Document text
x NORTH CAROLINA STATE ETHICS COMMISSION | or enics conmssion use ony
Ji). 2017 STATEMENT OF ECONOMIC INTEREST | Deie Receved:
919-814-3600 wet ethicscommission.ne.gov |
may 77 Mz 3a
THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL pois fy we
"YOUR SEI FILING OBLIGATION Cyr te
ompiees 1U
supp. Sens owre [26 ny Berl
| Supp. Reconed Ome 11S _
entered in cotobose § | Toy Tete
[FiLER's NAME (FIRST, MIDDLE, LAST)
Prefix | FirstName | Middle Name Last Name Surf
CURRENT EMPLOYER mE me
Cherokee Auto Auction, Inc. | President
NATURE OR TYPE OF BUSINESS LL
Salvage Vehicle Auction . ee
REASON FOR FILING (COMPLETE ALL THAT APPLY) 1
STATE GOVERNMENT J0B (Specify Agency) BOARD/COMMISSION (ist complete name of all State |
- | Boards om which you bee serving or ars being Considered ]
| JUDICIAL OFFICER (Speci Office) | LEGISLATOR (Specty House or senate) —
| Ao other immediate family members resice in your household? |
ves Oto i
When used throughout tis 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, grandchildren, parents, grandparents, and
iblings, and the spouses of cach of these parsons) who reside in your household.
Uist the full name of all adults ond emancipated minors In your household. A minor is o child under 18 years od. |
Minors are emancipated by marriage, enlistment in the US itary, or court order or emancipation. S|
FULL NAME OF ADULTS & | RELATIONSHIP | EMPLOYER Jos Tarte nature OF |
EMANCIPATED MINORS | eo _ | eusmess
| Charles A. Carrigan | Husband Cherokee Muto | manager Salvage Vehicle ect
The SEX and any attachments, excluding the Confidential Form, are public records. Page 1 0f 10
B. List ONLY the initials of al unemancipated minors in your househald below. A minor 5 a hid under 18 years old.
| Note: You must list the full name of each minor child on the Confidential Form available at the
| ot thie doom. SR .
INITIALS FOR | RELATIONSHIP | EMPLOYER 308 TITLE NATURE OF
| unemancipaten BUSINESS
| manors i — T— 4 = |
| 1 — i LE }
PROPERTY INTERESTS
1 of December 31, 2016, did you, your spouse, or members of your immediate family:
A. Have an ownership Interest in orth Carolina real esta (including your residence) with @ market value of
$10,000 or more?
Wives [Ino
Owner of Real Estate | % Ownership Interest | Location by City Location by County
N Kinge Mountain/ a |
Charles A. i Betty M. Carrigan 100%
5. Lense or rent rea estate or personal property 10 or fom he Stale of North Corolina with a market valus of
$10,000 or more?
Oves @do |
I Name of Lessor | Nameof Lessee | If Real Estate, Location | If Personal Property, |
| N (Renter) Cbvcitys County | Describe
2. At any tme during 2015 or 2015, dd you, your spouse, or members of your immediate family sell to or buy from the |
State of Horth Caraling personal property with a market value of $10,000 of more?
Oves Hino
Name of Purchaser Nameofseler Type of property 1
EE NA J — 1
The SEZ and any attachments, excluding the Confidential Form, are public records. Page 20f 10
FINANCIAL INTERESTS
3. As of December 31, 2016, did you, your spouse, or members of your immediate family own any of the folowing financial
Interests valued of $10,000 or more? LIST EACH COMPANY INDIVIDUALLY,
A. Stock n a publicly owned company
CI —
Wo nat It owners ergata in a widely held investment fond (inciuding mutual funds, regulated investment
Companies, or pension or deferred compencation plans) fs (1) the fund is publicly traded or ts assets ars widely
Giversihed; and (1) nether you nor an (mediate family member are abla to control the assets held n the mutual fund,
investment company. o pension or deferred compensation plan
Owner of Interest Full Name of Company (Do not use a ticker symbol) |
| soak options na company or business?
Oves Eto
| ownerot stock option _ Full Name of Company (Do not use a ticker symbol)
. Iterests n.0 non-publicy owned company ar business entity (Including interests In sole proprietorship,
Davinerships, limited partnerships, Join ventures, med aby companies, limited labilty partnerships, and
Closely held corporations)?
| Eve Ono- 371i proceed to ueston |
Owner of Interest Name of Company or Business Entity
Betey H. Carrigan CB of KN, LLC i
Betey H. Carrigan oo | Sun Kissed Tanning, LIC |
(1) For each non-publicy owned company or business catiy (the “primary compony”) denied in question |
$12 "Shove, leas Vat the names of any ther companies or business eniies in which the primary company
ams Secusiies or equity interests valued ot over $10,000, 1 known. "
Non-Publicly Owned Company or Business Entity [ Other Companies in which the Primary Company
(the Primary Company) | Owns Security or Equity Interests |
hone or fot Known |
The SEI and any attachments, excluding the Confidential Form, are publi records. Page 3 of 10
| € (2). 1f you know that any company or business entity listed in 3.C or 3.C{1) above has any material business.
dealings or business contracts with the State of North Carolina, of regulated by the State, provide a brief
description of that business activity.
Name of Company or Business Entity Description of Business Activity with the State |
Fone or Not Known 1
—— —————
L EE i
4. of December 31, 2016, were you your spouse, or members of your Immediate family the beneficiaries of a vested |
| trust with a valae Gf $10,000 or more that was created, established, or controlled by you? |
| Do not list assets held in blind trusts. See 2017 SEI Helpful Tips for the definition of "Vested Trust” and “Blind Trust” |
| Oves @ho |
| Name and Address of Trustee | Description of the Trust Your Relationship to the Trust
5. As of December 21, 201, did you, your Spouse, or members of your immediate family have lables of $10,000 or
more, excluding the morgage on your primary personal residence? Examples include credit card debts, auto loans, student
loans, persona loans and ntra- family debt.
es Oto 1
be —————————————erereeeeeeeeee]
Name of Debtor (You, Spouse, Immediate Family | Type of Creditor (Commercial Bank, Credit Union,
Member) Individual, etc.)
Charles § Betty Carrigan B Business Corporation
© List cach sours of income (not specie amount) of mar. han £5,000 receiver by you, your spouse, or members of |
your immediate family during. 2016. Include salary, wages, state/local government. retirement, professional fees, |
honoraria, Interest, dividends, rental income, business income, and other types of income require to be reported on your |
State ond federal lx returns.
| > Capital gains » Federal government retirement
> Military retirement » Social security income/SSOT
Ef PTT TTT TTY
Recipient of Income Nome of Source | Type of [7 Type of tacome
Business/Industry | _
1d no reportable income over $5,000 2006.
Charles A. Corrigan | Cherokee Auto Auction | salvage vehicle Salary
[erty corrian __ Pherokes auto Auction [salvage venicle awtion Salary |
The SEL and any attachments, excluding the Confidential Form, are public records. Page of 10
[omoressionat ano civic netaTionswrs
70). During 2016, were you, your spouse or members of your immegate family a director, officer, governing board
| member, employee, Independent contractor, or registered Iobbyis of a nonprofit Corporation of organization operating I |
| the State of North Carolina primarily for religious, charitable, scientific, literary, public health and safety, or educational
purposes?
{ves JN - 11 "No," proceed to question 8.
> Do ot st State boards or entities, or entitles created by a political subdivision of the State. B
| rt rps own vo re a mre mente.
Name of Person | Mis/Her Position | Name of Nonprofit Nature of Business or |
| Corporation or Organization | Purpose of Organization |
i N———— S— Be oh uf Organization i Purpose of Organteakion
g y a Christian private
| charies a Grace Chetstlan Acadans1- Sept |
Betty H. Carcigan Board Member race Christian Acadesy (Christian private schobl
S— — ree
| I E——————u Ses
by. 1 the nonprofit carporations or arganizations sted bave do business with the State of forth Carolina or receive |
Eoke funds, pleaca provide. a brief description of the nature of that business, f Known or with which due dligence could
| ma |
Name of Nonprofit Corporation or Organization | Describe State Business or State Funding
| C3 None or Not Known |
Grace Christian Academy oo ne Opportunity Scholarships |
(students aust apply based on parents income)
Biting 2016, Were you, your SPOS, or Members of your IMInEdiote family a director, Giier, or Governing Board |
| member of any s56ety, organization, or advocacy graup with an interest in matters aver which your agency or board may
have jurisdiction? |
| Dives ESMo [Jtegilator/udicil Officer - You are not required to complete this question if you are lng becouse |
ou are a legielator or 3 Judicial oficer or you are fing as an appointee to those offices. |
00 not lst organizations of which you are oly a member (not serving i 3 leadership role). I
Name of Person Name of Society, Organization Leadership Position |
| | or Advocacy Group | (oirector, Officer, Board Member) |
The SEX and any attachments, excluding the Confidential Form, are public records. Page 5 of 10
50a). ist the mame of exch company or business with which you were associated where you or member of your (mmedile
family was 3n employe, drector, officer, Bartner, roprietor, or member or manager #5 of Oecember 31, 2016.
Name of Person Relationship to Filer Name of Company | Role of Person
[ 0 Business Associations
| betey W. Carrigan | self frases tania . I” — Heaber |
(5) 1 you know that any company or business entiy sted in 9(3) above had ony material business dealings or
Business contracts wih the State of Korth Caroli o was requioted by the State as of December 31, 2016, provide a |
rch description of hat business Sct. |
Name of Company or Business Entity Description of Business Activity with the State |
Rr shes (nets te £50 |
10. Are you a practicing attorney?
18 "Yes", check each category of legal representation in which you or the law firm with which you are afflted has earned |
| egal fees of more than $10,000 during 2016.
0 Local Government [3Reat property Secures Ove
Tort tigation (inciuging 0 unites Regulation © Other category not fisted.
| rey me N
15. During 2016, were you a llcansed professional (other than an attorney) or id you provide consuling services |
Indually or a5 0 member of professional association for which you charged or were paid aver $10,000 i
ives x@Ho
Type of Business 1 Nature of Services Rendered |
The SET and any attachments, excluding the Confidential Form, are public records. Page 6 or 10
EE Wp ——
Lcd he State Board implying ay ith which you ar or wil 50 asscited ar i
1 + Somat he State bead emplvin en with whieh ye ar o lb asst or |
| + Have a business relationship with the State board or employing entity with which you are or wil be associated”
[Ives 8Mo Leg itor un Offer -You arena eed fo complete tis question you as ig because
aan sadn tes Chto sins Sete te SEF eg Tey or vo
DY nso nampa re i,
TT ameotreson | wemeotemporsr | Typeotnemionin |
Ii (if applicable) (Licensing, Regulatory, Business)
— —_— ———— H
A you, your gous o mbar of you Eta fly surely Tegiered a 3 obit bY princi, or
eh wm 32 tossing vo mofo os
| Ove gn |
= Name o Lobbyist Lonayists Principat west | Registration
| nemo | ein
[ J EN EE—
_OTHERDISCLOSURES r— a —————————
Dung a clndar quarter 7015 (5% or th Sm ard ae Yo wera applic, smolore or fed or vere
| nominated as a candidate, did you i
| esas ao aie een $200 er guar fom person o group of persons ctig egether, and
H + when both you and those person(s) were outside North Carolina at the time you accepted the gift(s), and
alt) ars ender eveutances tek wold end 8 revsonal pean to <oncucds Sht thy were ven
for anes
| ow me i
> Do not report gifts given by members of your extended family. oo or
|e ot septa toa hae evil be repo yo 1 the Deparment of ths Sscretry of State on the
“Expense Report for Exempted persons.” |
Date Item Received Name and Address of Donor(s) | Describe Item Received Estimated Market |
i Veiee
T |
L S— a _ — —1 —— ee . |
The SEE and an stachments, excluding the Confidential Form, ae public records. Page 7 ot10
15. During 2016 (but only the time period after you vere appointed, employed, or led or were nominated as a candidate)
aid you
| + accept a “scholarship” exceeding $200 from a person or aroup of persons acting together and
| those person(s) were outside North Carcina and |
+ the scholarship was related to your pubic positon? 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.
[ves {No [J Judicial Officer - You are not required to complete this question if you are a judicial officer or you are |
Filing 2s 2 judicial officer appointee.
> Do not report gifts that have previously been reported by you to the Oepartment of the Secretary of State on the
“Expense Report for Exempted Parsons.”
» Legislators are not required to report scholarships paid by a nonpartisan legislative organization of which the legislator
or the General Assembly is » member or participant o an affiate of that organization.
Date of Name and Address of Donor(s) Describe Event | Estimated Market
Scholarship | i Value |
16. Were you oppainted or ora you being considered for an appointment © @ covered board by the Governr or anather
Canc of State member?
Council of State members are: !
» Governor * Lt. Governor » Secretary of State |
» State Auditor » State Treasurer » Superintendent of Public Instruction
| » Attomey General » Commissioner of Agriculture > Commissioner of Labor
» Commissioner of Insurance
Cves @to
11 “Yes, list all contributions you (NOT immediate family members) made during 2016 with a cumulative
| total of more than $1,000 to the Governor or other Council of State member who appointed you.
Contributions are defined In M.C.G.5. 163-276.6(6) nd include, but re nt nad to, “any advance, comyonce, |
Gepost, distribution, transfer of funds, loan, payment, gift, pledge ar subscription of money or anyIng of value
uhateoper.”
oe Amount I Contributed to |
TJ Ho contribution(s) with 2 cumulative total of more than $1,000 |
The SEX and any attachments, excluding the Confidential Form, are public records. Pages of 10
{17. are you an appointee or prospective appointee to: 7]
a. the head of a principal state department (e.g. cabinet secretary) appoInted by the TT
Governor; or
|b. a Marth Carolina Supreme Court Justice, Court of Appeals, Superior or District
Court Judge; or
<. 5 member of any of the following boards: |
+ ABC Commission
{ + Coastal Resourcas Commission
| + State Board of Education [Oves @Wro
+ State Board of Elections | i
« Division of Employment Security [1 “No” proceed to
+ Environmental Hanagement Commission question 18.
+ industrial Commission i
+ Human Resources Commission |
+ Rules Review Commission |
+ Board of Transportation
+ UNC Board of Governors |
+ tities Commission |
+ Wide Resources Commission _ Co }
17 4 tse, were you appointed ar ore you being considered for appointment to that | [Yes EINo
public position by a Council of State membor? Council of State members are Sted | xf “No,” proceed to |
in question 16. question 15. |
| a. 10, you must indicate whether during 2016 you (not immediate family
members) engaged in any of the folowing actiiics with aspect to or on behalf of
the can date or campaign committee of the Council of State member tho
appointed you to your public positon !
Cives s@no |
| Collctec contricutions from muitiple contributors, took passession of such |
multple contributions, and transferred or delivered those collected
| Coroutions to the candidate or commitiee? Contributions are defined in
question 16.
11. Hosted a fundraiser at your residence or place of business? [ves Tino 1
i. Volunteered for campalgn-reiated actvites, which include, but are not limited
To, phone banks, event asstence, malings, canvassing, surveying, or any | (Yes £3No {
other activity that eévances the campaign cf 3 candidate?
16. Have you ever been convicted of a felony for which you have not received either: (i) 2 pardan of innocence; or (1) an
| order of expungement regarding that conviction?
| Ov mm |
[ ottense Date of Conviction | County of Conviction | _ State of Conviction
19. Are you aware of any other information that you believe may assist the State Ethics Commission In advising you |
Concerning your compliance wih the State Government EXhics Act? |
Cives B¥Mo If yes, please provide such information below. |
| i
(I. |
The SEX and any attachments, excluding the Confidential Form, are public records. Page 9 of 10
AFFIRMATION
aff that th information provid in hi Sstcment of Economic Itrest and any attachments hereto are te, complete, |
and ccurte to he bet of my Kowal and belit
Lao certify that have ot teamed, and wil no ast, any ase, intrest, o propery or the purpose of concealing it
from disclosure whl lamin an edatabe iees |
| understand ho ny Statement of Economic iret snd an achat o spplements het (vith the exception of the
| Confident Fore searing Unermanipated Chitin) ave public cord
|
acknowledge that | have read and understand N.C.G.S. 138-26 regarding concealing or failing to disclose material |
information and N.C.G.S. 138A-27 regarding providing false information: H
| § 1384-26. Concealing or failing to disclose material information.
| A filing person who knowingly conceals or knowingly fils to disclose information that is required 10 be disclosed
na Serement of econ eres net Tis A al be guy of a Cas 1 misdemeanor and shall be subiet
| oinciplnay acion onder GS. 15AS,
§ 135427. Penalty for Fos foumtion,
| A img person whe provides Fils information an a statement of cconomic iterst a ruined under tis Ack
| Loosing tha he incor ls i ty oF» las H felony and shall be subject fo dnsplnary action ud
i GS. 1384-45, !
Er Go |
Je Lp Sune 22, 2017 |
Sanature Bate |
1 wade we carr
| Printed fame
| submit stone, osama documents nt. oo not fox or emt his form, |
The SEE and any attachments, excluding the Confidential Form, are public records. Page 100f 10