Beverly G. Vance

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. Beverly Vance Reason for Filing (Complete all that apply.) State Government Job (Specify agency and position.) Board/Commission (List the complete names of all State boards on which you are serving or are being considered.) Public Instruction, Department of - Section Chief Math/Science 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 01/25/2021 Signature Date Beverly Vance Printed Name

This entire document is a public record. STATE ETHICS COMMISSION 2020 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM This entire form must be completed to fulfill your ethics filing obligation. FOR STAFF USE ONLY Date Received: Checked for completion ______ Scanned _______ Date______ Entered in DB ____by______ Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Mrs. Beverly Vance Reason for Filing (Complete all that apply.) State Government Job (Specify agency and position.) Board/Commission (List the complete names of all State boards on which you are serving or are being considered.) Public Instruction, Department of - Program Director I Judicial Officer (Specify office.) Legislator (Specify House or Senate.) AFFIRMATION The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form Regarding Unemancipated Children public records. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm that I have reviewed my most recently filed 2019 Statement of Economic Interest and that as of December 31, 2019, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 04/07/2020 Signature Date Beverly Vance Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

= <REGEIVED = Soe Recenes Gio STATE ETHICS COMMISSION MAR - 5 2019 Esl 70 ry 2019 STATEMENT OF ECONOMIC ‘STATE ETHICS COMMISSION INTEREST a JT — This entire form must be completed to fulfill 4a Scanned hit your ethics filing obligation. Incomplete Qs NE Supp saneame by Supp recemes ate enverea in atabose by PR A—— L 0 Mrs [Ba George [Vance [| INC Department of Publicly Progra Diechr Math [Stien Fducation AQen ‘State Government Job (Specify agency and position.) Board/Commission (List complete names of all State boards. on wich you ae serving or re being considered NC Department oF Public Tnshrucka | Education Progam Dicector | | a. | Judicial Officer (Specify office.) Legislator (Specify House or Senate.) | A. Do other immediate family members reside in your household? ves ONo On this form, "immediate family” includes your spouse (unless legally separate). It also includes members of your ‘extended family (your and your spouse's hidren, orandchlcren, parents, Grandparents, and Sibngs, and the spouses oF each of tose persons) who reside in your household. Uist th full name of all adults and emancipated minors n your household. Minors are children under 18. They ore emancipated by mariage, enieiment nthe US miltry, ar our order or amancipaton Ere ec en I rid ‘Emancipated Minors The SE and any attachments, excluding the Confidential Form, are public records. Page 1of 10 Lt ony the at of 8 emancosted iors 1 your hosshld below. A ior 8 clung 18 yeas 0. Lint the tll are of ach minor chit onthe Comino Fr tthe ens. rT rem Waal pre — untae Property Interests © of December 31, 208, 04 you oa mrs of your medts o A A RY Jiri fue re OM | owner ernest sms | wo ownorsp imerest | toationty ey | toca oy mum RT TT rappel ae Oves [Xo Nome of Lessor Nome of esses | If Ren Estos Location | If personal rapert, pore or Bn ty rye Topper wg eo opens woth 10105 oes ove Kine [pre Name or seer per rm— The SEE and any attachments, excluding the Confidential Form, are public record. rage 20010 3. AS of December 31, 2018, 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. Stack in 3 publicly owned company? Ove (Xo 0 nat ist intersts m3 widely Fld investment fond (niuding mutual funds, reguated investment companies, or pension or deferred compensation pian) i 1 the fund 5 publicly raded o ks assets are widely diversified; and 2. nether you nor a immediate family member ar abi to control the underlying assets Owner o Interest | Full Name of Company or ticker symbol T ©. Stack options i a company or business? Oves Kno Owner of Stock Option Full Name of Company (Do not use a ticker symbol) C. Interest n @ non-publiy owned company or business enty? These Include ntrests i sle proprietorships, Barinrships, Imited partnerships, nt ventures, Ime 1abiy companies, mite 1abiy partnership, and Gosely nels corporations. ves [R(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 ther companies o business nies in which the Primary Company outs Secures or uly interests valued t over $10,000, f known Non-Publicly Owned Company or Business Entity | Other Companies in which the Primary Company (the primary Company) "Guns Security or Equity Interests | © None or not known The SEE and any attachments, excluding the Confidential Form, are public records. Page 3 of 10 Cy ro akong Srey m1 oC) Shree Toten nao Genie Bees EE re Description of Business Activity with the State [C) None or Not Known 4 of December 31, 2018, were you ar ay members of your Imdlte fal he benefidais of vested ust wih nr SE80 0 re rt vo rene, cRamshe or come Do not list assets held in blind trusts. See 2019 SEI Helpful Tips for the definition of "Vested Trust” and “Blind Trust.” Ove ®no Name and Address of Trustee | Description ofthe Trust Your Relationship to the Trust I I 1] To Fut Damier 3, 2018, a yo any ams of you Wma Tay Wau Tees of $10,000 or ore, Suing hd RR RE i RS Kves Ono T Name of Debtor | Tr ior Gar Saag ceiarion fivtitibirts) AQ mn I TULIEN aan 2 Gey i ; ells Fargo [Commercial Ba [16 Uist ach sou of mcome (ro speciic aman) of more than $5,000 receive b you a any members of your mete fly Hig 3058 ena Sy wages, Sorgen soserenS ree ome, etessare oes ie Th Smet SA: » Captal gains Federal government retrement » Winery retremens__» Soct seer eamafS501 Recilent of income Type of pm — States Industry [11 had no reportable income over $5,000 in 2018. [Elmo Nance |n.c.poT | State Agency | Salary | TRA SSO sn He Con ROT SHS FAIS, Page sor 10 Lending lus - Junomeal Lorsdiny USAA- Bank maar Jonancied olungting bom | Professional and Civic Relationships 700). During 2018, were you or any members of your immediate fami a iectr, officer, governing board member, lovee, Independent contractor, or reered 100s of 3 nOnprT Corporaton or organization aperatng in North Colma primarily fr rei00s, chantabie, scent IRerry, PUSIc heath and saat, o Cducatonal purposes? Yes No If “No," proceed to question 8. > Bo not Ist State boards or enies. > Do nots organizations of which you re 2 mere member. Name of Nonprofit Nature or Corporation or Organization | Purpose of Organization i 705. 1f the nonprofit. corporations r organizations sted above do business wih the State of North Corolna or receive State funds, bri descriv the nature of that business, I own ar with de ligence cau reasonably be known. | Name of Nonprofit Corporation or Organization Describe State Business | (Ki None or Not Known § During 2016, ware you or any members of your immediate fam drecor, aficr, or Governing board member of any Socey, organtaton, or AGIGEACY 310Up wih an nerest in Aters over whch Your agency ar board may nave Sorsdictons @Yes [INo []Legislator/Judicial Officer - You are not required to complete this question if you are filing because Vou are a egator or Juda ofcer or you are ng 35 an SppOIMES tone of tose afices. 00 not ls organizations of wich you ae only a member and do na serve In a leadership role. Name of Person Name of Society, Organization, Leadership Position or Advocacy Group (Director, Office, Board Member) [ ree The SEX and any attachments, excluding the Confidential Form, are public records. Page s of 10 Verrina | iatn Ted Toe em (b). If you know that any entity listed in 9(a) above had any material business dealings or business contracts with the. ena Comping ves it as Oves Xo 0) Judicial Officer/State Attorney [] Decedent's Estates [0 Environmental [J Insurance [Labor [0 Local Government. [J Real Property [J Securities. OTax Oves Kino owt snes ET R— [ESR ——— + Kar by te State ar or agency ith uhh you re oil essed or este bth Ste bard agency with which you aro il sod or Wives [INo (J Legislator/udicial Officer - You are not required to complete this question if you are filing because ot er a sc yo re gv pe on ft Ss Name of Employer Type of maatonship appianier (tcansing, Regultor, Business) 5. Fave vou or 3 mere of vot edte fay see rgred a5 3 Bey o Gee: pn WE th 12 on rea yo no ho ove ge Name of Lobbyist Dateof | Registration nepnston | "Sonaton other Discosures 16. ung 201, ae vou wer pple, emolre, a edo ware rorrted 5 3 crate, 94 vou eceieamy GC) casing $200 er quarter om a aio of ous of pasos aE 00s en th you 3 thse person(s) were oui orth Coro, * nr crcumstances tat wo ad 3 esr pron to ancl te Gs ware gv or obyng? To amor Ys, a ree coins musk so. Oves KNo > Boot repr 3s gv by ers of your eden i. Do not repr its you hae prt regan th Expense Ror or Exempted persons.” Date Item Received | Name and Address of Donor(s) | Describe Item Received Estimated Market |e 1 The SE and any attachment, excluding he Confidential Form, ar public records. Page 7ot10 15. During 2018, aftr you were appointed, employed, or fed or wre nominated as a condidate, did you + accept a “scholarship” exceeding $200 related to your pub pOSILon from a person or Group of persons acting Togetner, | + when those persons) were outside North Caroline? 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. Ces [No [1] Juckcal Officer - You are nt required to complete this question f you are Juice officer or you are ; fing os a judicial officer appoitee. > Do not report its you have previously reported on the “Expense Report for Exempted Persons.” > Legisiators are no required to report scholarships paid by a nonpartisan leisative organization of which the legislator or the General Assembly 1.8 member, participant, o afte. Date of Name and Address of Donor(s) Describe Event T Cotimated Market | Scholarship awe | [[16. Have you been appointed or considered for appointment to a covered board by the Governor or anather Cound of | ** ste member? Council of State members are: > Governor > Lt. Governor > Secretary of State > State Auditor > State Treasurer > Superintendent of Public Instruction > Attorney General > Commissioner of Agricuture > Commissioner of Labor > Commissioner o Insurance Ove (Xo 1 "Yes, lst all contributions you made in 2018 with a cumulative total of more than $1,000 to the Council of Stat member who appointed you. Do not include contributions from immediate family members. L > Contributions are defined broadly in N.C.G.5. § 163A-1411(13) and include "any advance, conveyance, deposit istibution, ranster of funds, loan, payment, Gi, pledge or subscription of money or anything of valve | Whatsoever” Date Amount Contributed to (No contribution(s) with a cumulative total of more than $1,000 The SEI and any attachments, excluding the Confidential Form, are public records. Page sof 10 17.0 you on spores or rospecive spores 5 a. the head of a principal state department (e.g., cabinet secretary) appointed by the | 5. ort Crna Suprem Gout ustice, Cour of Apes, Super or Dirt pais rec mmission Coren newton Commission + State Board of Education OYes WNo Sete Bord of ion vot Empiwmen Sectty Wwe proceed to van ——— Coin estos 18 rao omen Een are Comision Ree Ro Comin mt of ago © Bao Covers io Coron Witte ners conmissin 5 s0, were you spp or are yo sing contdred or ppament toh | ives CIN Ca Te re You? Dues A oe | tueston 8. e. If so, you must indicate whether during 2018 you engaged in any of the following to a oan campo sve of | SR rae whe spore pos | I Caled conrtons om mole contr, task possession of sch | ven CIN on mares rss oes eae sams Hosted dre ot your residence or place of snes? [Gives ne [Eee ——— assistance, mailings, canvassing, surveying, or any other activity that advances | [] Yes []No frp 5. Wave you over bee comic of 3 lary To WG you hav mt reeves ther) prdons or 1) a order of fetid Oves Ro [ omeme | oweorcomicion | cowmyarcometion | state ot Conviction 5. re you vrs of any cirri hat you blevs ay st he Ee Comsin 1 00s you concerning your compliance with the State Government Ethics Act? [Yes (No yes, please provide that information below. | FE EE | The SEE and any atachments, excluding the Confidential Form, are public records Pages aro PTT PT TE STH SY AS eh FT ii di 5h AH mE HE SY EERIE Si estonia SR wR ETA TE. A VE Limes J A I A Tn Ta ame ah SIE A A RC Sg BT Tn —— a ame an a tins sons of peepee A i tS Va Planch 5 20/9 fonts oni Printed. ely | tt HS SS RESET a Toe SEX art amp tachment, exciting the onTgentinForm, a pul seconds, sasesyorsa