Beverly Tate Beal

or stat se ony GN STATE ETHICS COMMISSION Due Receves oh 37) |" | RECEIVED SY Hg Ji] 2021 STATEMENT OF ECONOMIC INTEREST | == | amosm This entire form must be completed to fulfill INC ETHICS COMMISSION your ethics filing obligation. Filer's Name (Fist, Midd, Last) — B Ei, Prefix First Name [eae TH ame Sutte verly Tare Beal Coreen ema NONE - See rote at 19, 004 SE I ANS AE NE N/A ] Reason for Filing (Complete all that apply.) | State Government Job (Spec agency and poston.) | BoardCommisson (Lit the comple names of a State ™ i | ooarcs on which you are serving or are being considered.) N.C. Judicial Banch | Judicial Officer (Spey office.) | Legislator (Specity House or Senate) Find Realled Superior Gooft Sodge. — [ a. 00 other immediate family members reside in your househald? Kes [INo | On this form, "immediate family” includes your spouse (unless legally separated). It also includes members of your 1 extend family (your and You” spouse's hiaren, grandchildren, parents, arandparents, and Sibings, and th spouses | 5 cach of those persons) wh reside in your household. [ Uist the full name of all adults and emancipated minors In your household. Minors are children under 18. They are rnancpatad by mariage, eksoment nhs 5 MATS, 0 COUR Order for amANCpatOn. Full names of Adults and | Relationship Employer Job Title ‘Nature of Business Emancipated Minors nil. Wt S———— | [ody Prin Harris Beal] WIR N/A N/A N/A The SET and any attachments, excluding the Canfidentia Form, are public records. Page 10110 B. List only the initials of all unemancipated minors in your household below. A minor is a child under 18 years old. 1 List the full name of each minor child on the Confidential Form a the end. laeat Relationship Employer SobTite | Nature of Business | | mi Property Interests 1. As of December 31, 2020, did you or any members of your immediate family: an A. have an nersip interest in Noth Carolin rat estate (ncluiog your residence) with a market value of 10,000 or more? MYes [No Owner of Real Estate | % Ownership Interest | Location by City Location by County Bevery T- Beals 0 100% | Lenore Caldwell | Ee 100% noi. Caldwell [Beverly T 100% Lenoir. | Calduell WT. Beas I 60% Levoie Caldwelt 5. tease or rent rel ctate or personal property t a frm the Sat of North Carolia wih a market value of $10,000 | amore? OYes MWNo | Name of Lessor Name of Losses | 11 Raat Estate, Location | If Personal Property, [2 At any time during 2019 or 2020, dd you or any members of your immediate family ell £0 or buy from the State of Nori Crain pessonal property worth $10,000 or more? OYes WNo ame of purchaser Nome of Seller Type of property The SEI and any attachments, excluding the Confidential Form, ae public records. Page 20f 10 et es A I RW mre oo or are Lit onc oman tawny: A. Stack input own company? | WYes [No © oe Eo Lien ir iy Fall var. ond rahi mest oi, eho Sent ee bhi delenit 1. the fa 1s ublity traded rs sets re wily versie: and | 3 er votoe ot mesos oy met ar a coi th unrtyng ass. wwe | ru tame company oreo Bevel T. Bea Pepsico Tncorparaded — [Apr p—r—— Ove mmo TT owrorsiomopion | Full Name of Company (Do not ues Sekar yma C Ineress m3 orp owned compry a buses ry) These nude rests in 530 — te ro a Teron oH om on Vai aero td ii hued Yes Who ir*No” proces to question. [I ‘Owner of Interest Name of Company or Business Entity Ch To each compar or bnes srt derihed 1 question 3.C. Wh Primary Company, plese 1: he Ee x eater as Ho Hos Come Sr ns | frist dedor td Vem ae alo NS $1550 | Nor Publicly Owned Company or Business Entity | Other Companies in which the primary Company ! (the Primary Company) _ | _ Owns Security or Equity Interests. [J None or not known em emm—————— ER I — page sor 10 | C2). 1f you know that any entity Isted In 3.C or 3.C(1) above hos any material business dealings or business Contract withthe Stat of North Caralina, a I regulated bythe Sate, bal describe tht Busnes acti. ‘Name of Company or Business Entity | Description of Business Acivity with the State 1 None or Not Known hs of December 31 2020, ware yoo any embers yo ate al ener of 3 vested Value of $10,000 or more that you created, stanianed, or controled? | Do not list assets held in blind trusts. See 2020 SEI Helpful Tips for the definition of "Vested Trust” and “Blind Trust.” | Ove mo — Description of the Trust | Your Relationship to the Trust 5. As of December 31, 2020, i you any members of your Immedite fan have Isbiiies of $10,000 or more, oxioding the mortgage on Your pmary persons rEwGences Exams ncde (eGR Card dent, Sua loan, Student oars, | persona oars and nr amy debe | | Ove mno Nome of Debtor 1 Type of Creditor (commercial Bank, credrt union, ————————— 6. List cach source of Income (mot specific amounts) of more than $5,000 received by you or any members of your immediate famky ding 2030. Ince soar, wads, Sate/oca Goverment retirement come, professionl fos, honoraria, terest, Ghadends, rental come. bases como, and ihe toes requ to be epned on State and Tngeal tax retums. Pease remember t disclose Your receipt of Salary or Wages from any governmental or private snty. Do ot nce income received from the follwing sources: Cantal gains Fedora goverment retirement | Mitary resrement Social secuty income/SSOL Recipient of Income. Name of Source Type of Type of Income C11 vad no reportable came over $5,000 in 2020. 1 Bau € Norkh Caroli ell Shle Todi overly T- Real [stake of Noth Caroline] spate Covered Site Judicial ret Bu? Rest i AE nn ™ ve x < from bonawts 0, R, | The SEX and any attachments, excluding the Confidential Form, are public records. Page aor 10 Professional and Civic Relationships ~ } 7(a). During 2020, were you or any members of your immediate family a director, offer, governing board member, employee, independent contractor, or registered labbyst of 3 Nonprofit corporation or organization operating in North Carolia primarily for religous, chartabie, scientific, Iterary, public health and safety, or educations! purposes? Wes [No If No,” proceed to question [> 00 not lst State boards or entities. Do no ist organizations of which you are a mere member. Name of Person Position Name of Nonprofit Nature or Corporation or Organization | Purpose of Organization oar, Board i cal his ely T. Bel ae (Coldusely Hee Fage tuseu Lo ory TT 705). Ifthe nonprofit corporations o organizations listed above do business with the State of North Carolina or receive State func, briefly Gescrbe the nature of hat business, f Known or with due diigence coud reasonably be known. eC Name of Nonprofit Corporation or Organization | Describe State Business (None or Not Known Caldwell Heritage Museum Pass sales toy . During 2020, were you or any members of your immediate family a drector, officer, or governing board member of any society, OTgaNZaton, OF A4VOCY 91oUD with 3 INLETGSL in matters over which your agency or board may ave Junsaictons Cl¥es @No Mi Legisiator/ludical Office - You are nok required to complete tis question Ifyou are fling because Vou are 3 legislator or yudical officer o you are Ring 36 an appointee to one of those offices. > Do not lst organizations of which you are only 3 member an do not serve in a leadership role. Name of Person ‘Name of Saciety, Organization, Leadership Position or Advocacy Group, (Diractor, Officer, Board Member) | | 7 — EE ] The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 10 30a). List the name ofeach business with which you were associated where you or a member of your immediate family a5 3n employee, ircta, office, partner, poprita, o member or manager a of December 31, 2020- Name of Person Relationship to Filer Name of Company. Role of Person io usiness Associations a, T I E— 300). 1 you know tat any cot sted in 9(a) above had any material business dealings or business contracts with the Stace of North Carona or wa regulated by the State as of December 31, 2020, ref describe hat acti. Name of Company or Business Entity Description of Business Activity with the State Cot applicable (ho entities sted on 499) AE Sr ee 10. Ave you » practiong attomey? OYes WNo Whudicial Offcer/State Atomey See 19, page 4 16+Yes", check each category of egal representation in which you o the law frm with whch you ae afaed as earned | egal foes of more than $10,000 during 2020. | rEr— Ep. camo Comm | 7) Decedent's Estates J environmental [J Insurance J Labor tocal Government CRs Progeny Oisecuites Ore Tort iigation (including CUtites Reguation (1 Other category nt ses Le —— 11. During 2020, were you 3 licensed professional (other than an attomey) or did you provide consuling services Induniualy Gr aso member of a professional association for whch you charged or were paid over $10,0007 Ove mre Type of Business Nature of Services Rendered 1 ————————————————————————— The SE and any attachments, excluding the Confidential Form, are public records. Page 6 of 10 12. or yur ore, ar a ers of ok mB ay, ok anger ure crs ie Ste board a agency wi wich your rw be sci or rept vy oe Seba 290ey ih A yr ilo acing or | + ina business relationship with the State board or agency with which you are or will be associated? v6 ihe geo Ofcer ou rot ees 0 compete hs un 0 ret because A ae meta esr emp on sre to Fo oe pre Name of Employ Tyo of Retains appiatey (consi: Repattors, snes) ave yo Ser at te ay ee og 5 3 a Bo pe 17 Tr ovo | Ove mmo | [meatier | ower | separator - I other Disclosures } 4. Ong 2070, ss yore oe, rd Tr rs ad 5 te, 9 | + receive any “gift(s)” exceeding $200 per quarter from a person or group of persons acting together, "ern yo seperate wr odd rth rd mar ome two mse ro 1 oe 5 3s rg or yi? SA ———— ove me | » Do not report gifts given by members of your extended family. | > no repr git you hav previously reported an the Expense Report or Ext Persons” | ore Tem Receved | Nome nd Adres of Domrt | mse em neces | _ Exim sarest [Fon me vn, rts ot rs cs 7 I «accept a “scholarship” exceeding $200 related to your public position from a person or group of persons acting pono + nine person(s) wer outside Noth Carla? Tosrowirton booms moni I ———— | amg eons evr Vt, te, and cons imo expos. | [me No. Buca Offs - You ar ore complet thi ues you are ci afro you i are boomy Srp por or SrA | Legare ar ot ered to eprt chars pod b nonpartisan egiatisaranizaionof hich he etn RE pataar | ame ond ess of Bonorte) [rrrer— Cr m—— schmaanp a ot TE Sg To oT Soe — 1 » Governor » Lt Govemor > Secretary of State. 1 » Sowmaor > Steven > Supermenden of Plc trun | » Aorey Genera » Commissioner of Acre» Commissioner of Labor | | J — OvYes MWNo a —————— Me Rb A A I oman amie of ods oo! Boe i Pade 3 upcamon a neyo SOR ovale wht: Sina Sh b— [ETT rp ———r—rr The SEL a0 any tachment, excluding the Conidentit Form, are public recor: fe 17. Ave you sn sppontes or prospective appointee ax: a the head of a principal sate department (0.5. cabins sacetary) appointed by te Governors or 1b. North Carolina Supreme Cour Justice, Court of Appest, Superior o Distr Coun ude or | ea member of any of th follwing boards: Eves Ovo | aac commision 1M," proceec to questn 15 + Coastal Resources Commission + State Board of Ecucation | se soos oretecons + Division of Employment Security + Environment! Management Commission + Industrial Commision + Human Resources Commission | © Ries Reve Commasen | + Board of Transportation + utites Commission + Wife Resources Commission 6. 150 were you oppoinied o ae you being consicered for potent fo that | (1Yes No Boston by + Counc of State member i © I se, you must indicate whether during 2020 you_engaged in any of the Cllowing actives win respect to of on benall of the cardate or campaign Commies of the Counc of State mamber who appOIEE you: | Collected contributions rom multiple contributor, tok possession of uch ile contiouions, ard arsed or Gaweres hose. colecied | C1¥es WNo Conrtons to the anddae or commiees ll. Hosted a fundraiser at your residence or place of business? “Ives HNo 1 1. Voluntered for campaign-rated sctvies, including prone barks, event 1 asians, malings, Camuasiing, survey, or any owner acti at | 1¥es No Savances ins campaign of 8 candidate? | 15. Hove you ever been convicted of o felony for which you have not received ether: (1) a pardon; or () an order of Expungement CYes WNo owe | oaeot Conviction | County of Conviction eof Conv ortense. ate of Conviction | County of Conviction | _ State of Conviction I I 19. Are you aware of any cther formation that you beleve may asit the Ethics Commission In advising you Canceming your campance with th State Government ines Ac Mes [No If yes, please provide that information below. | Ser, (Hachamsot To Has pert. | | J presen seep ——— a eee ieee The SEI and any attachments, excluding the Confidential Form, are public records. Pages of 10 [aman es i ETE ES Se SE oi i Tet Sess anon almanvemsst ne Gabi rapsty CE IT —— A A EU Tes TA Es Bl? i action under G.S. 138A-45. | I —— nA — A I Rt Ew LT —— | Tut Ws, 202) | Signature Date’ |___Beverly T Beal | By pm—— STE Ba STS FTA srs ont FER

forsuat Fad STATE ETHICS COMMISSION Sie HECEIVED ga Jee APR Ta00 Ne 2020 STATEMENT OF ECONOMIC INTEREST NCETHICS COMMISSION This entire form must be completed to fulfill | ney Silos fo RAC your ethics filing obligation. Seamed __Date | ncompesees ___ ___ Supp. sent ote _ ernst dots o Fier’ Name (First, Fiddle, ast) RR ana a [Prete [First Name [widdie Name | Last Name Be Sets [_[Bevey [Take Beal LT I 1 TY ea ni] |_Ne-c. sodiial Branch Reed -Recalled Soperor C+ Tulle Nature or Type of Business i Supenor Court Judae, when Commission ed (Rehied Recalled Todge)| Reason for Filing (Complete all that apply.) SR Cot 8 phy ey ad posian) | bow commiion (te cos tems arte | boards on which you ae serving or re being comsicered.) NC Sm Fay Dleciplas, Rea (Comeniasion Sami — Merch | 28195 - gaat (See Bitachment A to fis POY Raroareph Judicial Officer (Specify office.) Legislator (Specify House or Senate) Reyes Remlled Soperor Court Jude 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 tari (your and your spouse's children, grandee, parents, Grandarent, and Sings, and the Spouses of oth of hess. persons) wh reside in your household. Lis the ul name of al adults and emancipated minors in your household. Minors are. children under 16. They are cmancioated by mariage, enksment inthe US milary or cots vcr for emancipation Full names of Adults and | Relationship. Employer Job Title Nature of Business Ann Harris Bed] ike N/A N/A N/A | The SEI and any attachments, excluding the Confidential Form, are public records. Page 1010 B.. stanly the initials o all unemancipated minors in your household below. A minar is 3 chid under 18 years ol. List the full name of each minor child on the Confidential Form at the end. Into of | pro pm a Unemancipated i SE Property Interests 1. AS of December 31, 2019, id you o any members of your immediate family: A. ave an owners interest in North Carina rea eat (incuiog your residence) with a market value of $10,000 or monet ws ON Foe [TT ——T— Location by County Coverly T Beal vile Tuli teal og Lencie [Caldwell ay Geli To w0%| lencie |Gulduwell Bevery T. Beal lod Leroi | Caldure) | Beverly T-Real | 5%| Lenoin Calduel) | 5. lease o rent ral esate. or personal propety or fom he SFte of Noth Caroling with market value of $10,000 or more? Ove mo Name of Lessor Name of Lessee | If Real Estate, Location (Renter) by City & County 2. any time during 2018 or 2015, Gd you or any members of your immediate family sell 1 or buy from the State of North Corolina personal property worth $10,000 or more? Ove Bro Name of rorchaser —— TT : e——— ry The SET and any attachments, excluding the Confidential Form, are public records. Page 20110 Financial interests Er ———————rm—rm—— Be A A. Stock in a publicly owned company? me On D0 20 ot ret 3 widely td vent ond Going a To, ee RS Se re PO —— Le eve seas. — aT Net RT rE —— —; Co hE Baal, Bud ico Tncorfoyatd of me Ove an - i ei Fare PT Tp — SE a a els Soe purrs, Sr Sens [les [No - If “No,” proceed to question 4. 1 Owner of Interest “Torney ooo wn Het BoA EE ST Rar of do ot CEL Beis as woe Se Te mr oe me fi [ DE ear Sa Dense EE CH, RP ry ee (the Primary Company) i ‘Owns Security or Equity Interests [J None or not known Th SEE nd any tachment, sxeeding the Confidential Form, av public reco. Page serio A pr ry — | ‘contracts with the State of North Carolina, or is regulated by the State, briefly describe that business activity. r Name of Company or Business Entity Description of Business Activity with the State | mome or tot ronn NNN Sn Rn eer remem ere ——————— pa ————— [7 of December 31. 2019, were ya or amy svrmbers of your oomcios Farmty the bemaaes of 5 vested ust wit | ET | Do not list assets held in blind trusts. ‘See 2020 SE Helpful Tis for the definition of “Vested Trust” and "Bind Trust” | | ae no | i Rn rr] L omemionartne tr You retin toh ru Pr ry ——————————r yr EC | tii CREE [ives No i Name of Debtor Type of Creditor (commercial Bank, credit union, | individual, etc.) | 1 Ep ————— A ————— immediate fomily during 2019. Include salary, wages, state/local government retirement income, professional fees, | EL ar a PRESET > coratoons TERRI RE — Mn | rE CI 1 Business Industry | ] [11 had no reportable income over $5,000 in 2019. ITT ria: [Beverly T Beal [rake of ork Galo sie Government, | Gnsertat™ | i — wi ft a a sent | Reads | Ton Samy SRT St evades Professional and Civic Relationships 700). ung 2013, were you or sy members of you Immediate family rector, officer, goveming board me, ‘employee, ivispendent contractor, or registered lobbyist of 2 nonprofit corporation or organization operating in Noh Ca a pment o ekg, aria, soumine, Wars; Peo Peon and ary or waves WYes [0-1"No,” proceed to question 8. » Do not list State boards or entities. A SES TS Es Ys ¥ Doo ok srgaizmtons of whi you are a rs member: | wameotpersan | Postion | ameotWompont | Maree | | Corporation or Organization Purpose of Organization R ember, Bd 0! 37 age [Operation of Local | Bevery T. 130. Direc £005 ald) een rar a of a 5 ot Foor ot Cat Una neta Sapper overly. Bea. Decides Golepe conus Coll are lof comm onits,_cellege Soe Badin rst restore Cis 3 Be Boal PER TE le Fretigtbrrin Clnsant Loner. [ES12E Se Zevedy T. Beal |fresdeut LTA TL I rw TR did [1 Para vee TO). Ifthe morro coraraans or crgaizatons sted shove 30 business Wi the Sate of North Carolina ar recive esto re eae re ove Sosa ras o wih do. ence ou essary Se own. | Name of Nonprofit Corporation or Organization Describe State Business | [C1 None or Not Known Culdusell Montage Moseum {Rayment o€ Sales Tax WT (i Eas element Gur 201%, wis you ry Tens of you Gre oly Greer, oct, ogovaring Souder: of Sry ace, organ, of Kuocac 3roch wih 30 ES ERS over Hh Yo Sane 3 Sosy pba [es No Megistator/heicil Offer - You ar nf required to complete this question f you are fing because Vou ae 4 leato of Kal fics or Yu ar in 3s 81 SPOS to an of hose SCE > 00 nt ist organizations of ich you a only a member and 0 nt serve in eadersip role. Nome of Person Nome of Society, Orgonization, Leadership Position | or Advocacy Group (Director, Officer, Board Member) | The SET and any attachments, excluding the Confidential Form, are public records. Page so 10 Ee perm TT (a. me fo ies wR Yo Wer Sd vr yu or 8 mero ou mmedits fy | ean oor, parioer, popreor, or member or manager 3 of December 31,2019. | ame of parson | Reltonship to Fler_| __ Name of Company Role ot Person | rr == 1 i I T 1 pains i ere) - FTE HRIRIVES i ] } | —_ re 1 EE S07. you ke at ary Sy ned 30) Sous tt av ara busines dealings o usc Corsets with he es raviosed by he State 35 of Docember 31, 2019, bil deserve that acy. ‘Name of Company or Business Entity Description of Business Activity with the State ll = apotcavle (No cries sted on #59) | rr RE 10. Ae you a pacing attomey? == : [Yes WiNo [judicial Officer/State Attorney ves, chock ach atoory of eg eresArEaon in which You ot ow 7 wit which you re fited os eomsd hoa eks of mare thom $16,000 during 2018. | 1] Adminiatrative 3 Admiraity Cicomporate criminal 1 | [[] Decedent's Estates. [7] Environmental [J insurance [0 tavor Li J Local Government Real Property (Securities. Ova | {Tort tigation (including 0) tities Regulation Other category not listed | neaiencs) as 1 T+ During 2015, wee you 8 Femaed profesional (oer tan on aomey) a 4d you prove consuling serves | CE Feat econ mtoiation for whch you charged o wer: pid ver $10,0007 | Cves mo | Type of Business. Noture of Services Rendered _ 1 | EE SE J he 55% and any attachments, excluding the Confidential Form, are public records. Page or 10 12. Arc you or your employer, or any members of your immediate family, or ther employers curently: + Heansed by the State board or agency with which you ae or will be associated or + regulated by th State board o agency with which you ae o wil be associated or | + in busines relauonsi with th State oar or agency wih which you are ar wil be assocted? | Yes [to MLogisiator/udicsl Officer - You are not required to complete this question if you are fing because | You are a egiiato o a ficial officer or ou are 413 3 an 3PPOLES 9 OnE of GSE OES Name of Person ‘Name of Employer Type of Relationship ] (if appicatie) (Licensing, Regulatory, Business) 1] C Stale Bar, az a rien icons Tevet. Beal X pine: i lr Riad [Commish 1 a ——————————— 13. Have you or a member of your immediate amy been registered = a lobby or lobbyist principal wii he 12 months preceding your lng of 4 form? CiYes Wino | ‘Name of Lobbyist 7 Lobbyist’ Principal Date of Registration noel a | ASME EE LIRR re} | Other Disclosures | 14. During 2015, ater you were spPOIed, Eyed, o Hed o were nominated 953 candidate, ad you + receive any "i(s)" exceeding $200 per auaster rom a person o group of parsons act tagetner, + when both you and those person(s) were outside North Carolin, | + under dircumstances that woud ead 3 reasonatie person to conclude the its were given for lbying? | To answer Ves, all three conditions must apply. | oe me i |» Dont report git given by members o your extended family. 100 not report its you have previously reported on the "Expense Report for Exempted Persons.” i | Date Item Received | Name and Address of Donor(=) | Describe Item Received | Estimated Market | Vane | The SEI and any attachments, excluding the Confidential Form, are public records. Page7of 10 15. During 2019, after you were appoioted, employed, or fled or were nominated 3 3 CONGO, did You + accept a “scholarship” exceeding $200 related to your public position from persan or group of persons acting + when those persons) were outside North Carolina? To answer Yes, bath conditions mus apply. A”scholarship” is a grant-in-aid, either direct or indirect, to attend a conference, meting, or similar event, including tuition, travel, lodging, meals, and other similar expenses. | [Ives No MH Jucical Office - You are not required to complete this question if you are a ucical officer or you are ing 95. judicial officer appointee. > Do not report its you have previously reported on the “Expense Report for Exempted Persons.” » Legislators ae not required t report scholarships paid by a NONparTsan legislative Organization of which th legislator or the Ganaral Aambly s 3 member, paripon, or ote | A ST WE TR SN. oateor ‘Name and Address of Donor(s) ‘Describe Event T Eotimatea market | | scholarship | Value | ROU Dr- FW=G.@. FE L | To ent mae Seat 3 ost Sr 9 Soir ot war Sot | State member? Council of State members are: | > Govemor > Lt Governor > Secretory of State > State Auditor > State Treasurer » Superintendent of Public Instruction > Attorney General > Commissioner of Agriculture» Commissioner of Labor > Commissioner of Insurance mye One | If “Yes,” list all contributions you made in 2019 with a cumulative total of more than $1,000 to the Count of | State member who appointed you. Do not include contributions from immediate family members. | > Contributions arc defined broadly in N.CG.S. 163-278.6(6) and include “any advance, conveyance, deposi, I distribution, transfer of funds, loan, payment, gif, pledge or subscription of money or anything of value whatsoever.” | Date Amount Contributed to 860 contributon(s) with @ cumulative total of more than $1,000 RR, - | | |rrrrr——————— irr ——————— The SE and any attachments, excluding the Confidential Form, are public records. Page Sof 10 17. Are you an appointee or prospective appointee as: = 5. the head of a principal tate Separiment (e.3, cabinet secretary) appointed by the Governor; or | 5. 3 North Carolina Supreme Court Justice, Court of Apes, Suparior or District Court Judge; or a member of any ofthe folowing bors: Wes One | + ABC Commission 1£*No,” proceed to question 18. + Coastal Resources Commision + State Boarg of Education + State Board of Elections + Bivison of Employment Security + Environmental Management Commission + Industrial Commission + Homan Resources Commission | + Rules Review Commission + Board of Transportation + Utities Commission | + wie Resources Commission @. If 50, were you appointed or are you being considered for appointment to that [ # Yes (No | posiion by 3 Council of State member? 16No," proceed to question 16. "eI 50, you must indicate whather during 2018 you_ engaged in any of the | following achvives with respect t or on behalf of the candiiats or campaign commitiea of the Counc of State member who appointed you: 4 Collects contributions from multiple contributors took possession of such multiple contributions, and transferred or delivered those collected | [JYes MiNo { Contributions to the candidate or Commitee? | i. Hosted a fundraiser at your residence or place of business? [OYes mNo H. Voluntecred for compaign relied activites, incuding phan banks, event assistance, mailings, canvassing, surveying, or any other activity that | []Yes WiNo advances the campaign of a condicate” ! | 18. Have you ever been convicted of a felony for which you have not received either: (i) a pardon; or (i) an order of | expungement? Ove mw omens | owteercammicion | _ Gouty or comiaton | state of amviction £9. Arc you aware of any other information that you bee may ss the EUR Commission in advising you 1 concerning your compliance with the State Government Ethics Act? 1 WYes [INo Ifyes, please provide that information below. | See Qttadmvend, A | | es rR The SEX and any attachments, excluding the Confidential Form, are public records. Pages of 10 hemation Th tomato provded nis Statement of Economic nae an any aachent rue, Caplets, and cuts Te me A —— Lr A untustand ta oy Stato emi tres: sn any ents cst or he Condens Fm gang TS EN —" NCGS. 138026. Cocenln rin to disse mal frat, | DT. a ep es oe ft ELL NCGS § 1384.27. rnaty fo se formation. BS —————— A Laff dr penaty of prey that the forego re and comet. { ; uz 1020 ar tl T Bed shell 2,202. Beverly T. Beal 2 DS — T0088 art amy bent excising ho AN Fy SE RS EGOS, Page 100110

CEN FoR STAT USE ONY Gad) STATE ETHICS COMMISSION Soe Recs: WAR 2 © 2010 (Be 7 QE.8/J 2019 STATEMENT OF ECONOMIC INTEREST STATE ETHICS CUA = NO-CHANGE FORM tn This entire form must be completed to fulfill your scomed 5% _ owe 4+ [1 ethics filing obligation. son by Filer’ Name (First, Middle, Last) Nt) pref | Frsthame | wade name | TL ry ET a I VR hi Reason or Fling (Complete all tht apy.) State Government Job (Spey agency and position) | Board/ Commision (Lst the complete names of a State fi | Baars on which you ar serving or ae beng considered: I N.C. Shale Bar Disciplinary Hearind | i. omission Sicil Officer (Spey off.) Legato (specty House or Senate) Emergency Getred) opener burt Todge AFFIRMATION Th Information provide in tis Statement of Economic Interest and any attachments ar true, complete and accurate to | The beck of my Knowiecge and pte. | have not transferred, and wil not transtr, any asst, intrest property fr the purpose of concealing it rom disclosure | Whi retaining an equitable interest 1 understand that my Statement of Economic Interest 3nd any attachments excep for the Confidential Form Regarding | Unemancipated Children public records. have read and understand the following statues: NCGS. § 1634-191. Concealing or fall to disclose material information A fing person who knowingly conceas or knowingly fais o discos information that i required o be discised on 3 torment of cconome Imerest Shall b gui ofa Class 1 misdemeanor and. subject to dscpinary action Under G5. 1630415. N.CG.5.§ 1634-152. Penalty for fie information. A fing person who provides fle information o a saement of economic terest... knowing tht th formation | 15 Too Buty of a Class 1 felony and snll be subject 0 iscnary action under G5. 1638-415. | affiem that 1 have reviewed my most recently filed 2018 Statement of Economic Interest and that as of | December 31, 2013, my responses continue t0 be tre, correct, and complete 0 the best of my knowledge and belief. | ttn ner pony pir tot h regi fo ru nd cect | | Sh But March 76,2019 Siomature bate | “Boverly T= Beal | Printed Name | Submit signed, original documents only. Do not faxor email thisform. | “This entire document i a public record.

CEN FoR STAT USE ONY Gad) STATE ETHICS COMMISSION Soe Recs: WAR 2 © 2010 (Be 7 QE.8/J 2019 STATEMENT OF ECONOMIC INTEREST STATE ETHICS CUA = NO-CHANGE FORM tn This entire form must be completed to fulfill your scomed 5% _ owe 4+ [1 ethics filing obligation. son by Filer’ Name (First, Middle, Last) Nt) pref | Frsthame | wade name | TL ry ET a I VR hi Reason or Fling (Complete all tht apy.) State Government Job (Spey agency and position) | Board/ Commision (Lst the complete names of a State fi | Baars on which you ar serving or ae beng considered: I N.C. Shale Bar Disciplinary Hearind | i. omission Sicil Officer (Spey off.) Legato (specty House or Senate) Emergency Getred) opener burt Todge AFFIRMATION Th Information provide in tis Statement of Economic Interest and any attachments ar true, complete and accurate to | The beck of my Knowiecge and pte. | have not transferred, and wil not transtr, any asst, intrest property fr the purpose of concealing it rom disclosure | Whi retaining an equitable interest 1 understand that my Statement of Economic Interest 3nd any attachments excep for the Confidential Form Regarding | Unemancipated Children public records. have read and understand the following statues: NCGS. § 1634-191. Concealing or fall to disclose material information A fing person who knowingly conceas or knowingly fais o discos information that i required o be discised on 3 torment of cconome Imerest Shall b gui ofa Class 1 misdemeanor and. subject to dscpinary action Under G5. 1630415. N.CG.5.§ 1634-152. Penalty for fie information. A fing person who provides fle information o a saement of economic terest... knowing tht th formation | 15 Too Buty of a Class 1 felony and snll be subject 0 iscnary action under G5. 1638-415. | affiem that 1 have reviewed my most recently filed 2018 Statement of Economic Interest and that as of | December 31, 2013, my responses continue t0 be tre, correct, and complete 0 the best of my knowledge and belief. | ttn ner pony pir tot h regi fo ru nd cect | | Sh But March 76,2019 Siomature bate | “Boverly T= Beal | Printed Name | Submit signed, original documents only. Do not faxor email thisform. | “This entire document i a public record.

, NORTH CAROLINA STATE BOARD OF FOR COMPLIANCE UNIT USE ONLY H ¥ ELECTIONS AND ETHICS ENFORCEMENT 102% Recuivee: 2 2018 STATEMENT OF ECONOMIC INTEREST IB APR -6 AN 11: 1S 919-814-3600 whew. ncsbe. gov/Ethics/SEL A {odo oe Tis Ting rom must a compere To uur, [Eee He "YOUR SEI FILING OBLIGATION AE 7% rr. mm re ee Supp. seneome by Sopp. Recenes bute _____ [rep — FILER'S NAVE (FIRST, MIDDLE, LAST) Profi [Firsthame | widdie Name Last Name | Beverl Tode | Beal CURRENT EMPLOYER 08 TME IC. Jodicie] Branch Emergence Soper? Grk Todge NATURE OR TYPE OF BUSINESS Retied Soperox Court Judge , Serving when Commissioned REASON FOR FILING (COMPLETE ALL THAT APPLY) _ ‘STATE GOVERNMENT 108 (Specify Agency and Position) | BOARD/COMMISSION (List complete name of al State a. boards on which you re sering or are being considered) Qppomted Membey, N.C. Statc Bar Disciplmary Heanng Commission ed omptusatto. 1S Jay plos_ JUDICIAL OFFICER (Specity Office) _ | ecISLATOR (spect House or Senate) * runt exgpebes 1 Spero Coot Todas | A. Do other immediate fomily members reside in your household? Oves Ono When used throughout ths orm, th term Imenediate family nchudes your spouse (unless legally separated). It also includes members of your extended family (your ond your spouse's chidren, orandchidren, parents, Grandparents, and Sblngs, ond the spouses of each af hose persons) whe reside in your household, List the fll nome of al adults ond emancipated minors in your household. A minor 2 hid under 18 years ob Minors are emancipated by mariage, enlistment in the Us miltary, or court order for emancpation. 3 FULL NAME OF ADULTS & | RELATIONSHIP EMPLOYER | 308 TITLE 1 NATURE OF EMANCIPATED MINORS | | 'susiness [Sudy Ann Baws Beal Nowe NIA LZ [hoy bon rei — 4 The SEX and any attachments, excluding the Confidential Form, are pubic records. Page 1or10 Uist ONLY the Initia of all unemancipated minors in your househokd below. A minor is chi under 18 years od. Note: You must list the full name of each minor child on the Confidential Form available at the end of this document. . INmIALS FOR | RELATIONSHIP. 08 Tne eor | UNEMANCIPATED BusINEss MINORS — ove [| PROPERTY INTERESTS | 1 As of December 31. 2017, dl you, your spouse, or members of your immediate fay: A. Have an ownership intrest in North Corolina real estate (including your residence) with a market value of $10,000 or more? me On Ouner of Reat estate __ [| o Ownership interest | Location by City | _ Location by County Beverly T: Beal wud ui 160% Lenow Caldwell Bevery T- Beal aud wi 100%, | Lenoir Caldwell Fob i ALA Beverly T. Geal 100% | renow [Catdwe 11 Bevery T+ Beal 50%, Ieroie Caldwel] 5. Lease or rent ea stats or personal property 10.0 fom the State of North Carolina with market valve of | $10,000 or more? Oves mn ‘Name of Lessor Name of Lessee | Xf Real Estate, Location | If Personal Property, | Renter) by City & County. Describe 2. At any time during 2016 or 2017, did you, your spouse, or members of your immediate family sell to or buy from the ‘State of North Carolina personal property with a market value of $10,000 or more? Olves @No YT — [rr I A 1 The SET and any attachments, excluding the Confidential Form, are public records. Page 2 ot10 | FINANCIAL INTERESTS 3. As of December 31, 2017, did you, your spouse, or members of your immediate family own any of the following financial Interests valued at $10,000 or more? LIST EACH COMPANY INDIVIDUALLY. A. Stock in a publicly owned company? ves [Tne EE Do at Ist ownership Ttarets in widely Tid (vesiment Fund (nclodig tual onds, eguiaied vest Companies, or pension or aefersd competion Ps) f: ) the funds PUIG Hoded 3 Io Sets re tel versed; and () neher you no an madat {amd (eat ar able 15 contro he cet pid i he mutt foe, Investment company. o persion or deferred carmpansaionpan: owner of Interest Full Namo of Company (Do not use a iker symbol) | Bevely T. Beal Coca Clo Compa | = Beak Pepsico, Tne - 5. Stock Ogions in a company o business? OYes Wino owner of stock option Full Nam of Company (a not use a ticker symbol) C Inerssts in 2 non-nublcly owned company or business entity (including interest in sa proprictorsips, partnerships, limited partnerships, joint ventures, limited liability companies, limited liability partnerships, and closely held corporations)? [Yes WNo- If "No," proceed to question 4. Owner of Interest Name of Company or Business Entity - 1 C1), For each non-publcly owned company or business entity (the ‘primary company”) Kentiied in question SIC "above, please at th names of ary other oTpanic 0 Busnes anes it heh the primary company wns Securities or uty terest valued af over $30,000, row. Non-public Owned Company or Business Entity | Other Companies In which the Primary Company (he primary Compan) Owns Security or uit Imarests [0 None or Not Known NA The SEZ and any attachments, excluding the Confidential Form, are publi records. Page 30110 a C (2). If you know that any company or business entity listed in 3.C or 3.C(1) above has any material business. Genin or ness comvacs with te tae of North Carlin, or reuted y he Stat, rove a re escrpin of that boinc acy. Name of Company or Business Entity Description of Business Activity with the State ions or No Known _ NA — 4 As of December 31, 2017, were you, your spouse, or members of your immediate family the beneficiaries of a vested rue with 3 alo of $10,000 o mor tht was created, cals, or controled by You? Do not list assets held in blind trusts. See 2017 SEI Helpful Tips for the definition of “Vested Trust” and “Blind Trust.” OYes Who ‘Name and Address of Trustee Description of the Trust EE I — I A EN 5. As of December 31, 2017, did you, your spouse, or members of your immediate family have liabilities of $10,000 or ore, aC hd TSA On Your Aa pers Fence? EXE Include Cea ard Gees, ut 00, Stent Toor, persona ans an mr form BX. Clves MNo Name of Debtor (You, Spouse, Immediate Family | Type of Creditor (Commercial Bank, Credit Union, * Niemoer) Loddon, te) on ——————————t—— i 6. List cach source of income (not specifi amounts) of are tan $5,000 received by you, your $90us, or members of Jour Immediate famiy during 2017 Ince. Saar, nage, State/oca goverment relromert, professional fecs Yanerar, aes, dens, onl come, buses incor, nd ahr pes of Income quired ob reported on Your Ste an fora) tox returns: Do ag include income received from the following sources: > Capital gains > Federal government retirement > Miltary retirement > Socis security income/ S501 Redpient of Income Name of Source Troe of Type of come i Bliness/ Industry {C11 had no reportable income over $5,000 in 2017. 2 ° o ES Govern met R Beverly T. Bea) [State el liedhs Stade Refirement Bialy fp wt | nt Fy Rents The SEX and any attachments, excluding the Confidential Form, are public records. Page actin PROFESSIONAL AND CIVIC RELATIONSHIPS 70). Duca 2017, were you you spouse or members of your Inadate arly & dicir, ofr, govern bod member, employee, independent contractor, or registered lobbyist of a nonprofit corporation or organization operating in ‘the State of North Carolina primarily for religious, charitable, scientific, literary, public health and safety, or educational pebd MYes []No- If "No," proceed to question 8. Do not list State boards or entities, or entities created by a political subdivision of the State. | 5a htt organizations of whic you re mre member. ‘Name of Person His/Her Position Name of Nonprofit | Nature of Business or a: Corpora or rpsmaestion | Purpose of optezet erly 7-3 mber, Board | Caldwell Co operation oF Best Beverly T. Beal Penbeh Boar fe = Fimpial cnstitn tea Comminth [Beverly TBeal [Member Siete] Dost ATSOlont sl coligons, nc | io 1 | br fist Rebykal 7 enupeatun | BE csitmlerereecee——— 70. Fe nonproft corporations o oranzatians sed above Go business wit 8 Sate of Nor Cora or recive SEs fr: Des pads bt semi of 0 ivr of Po Boiss known or wh hh Son ngtnc sou pretiodtonls 5 During 2017, Were you, Your spouse, or members of your immediate family a director, oMicer, or governing board | member of any society, organization, or advocacy group with an interest in matters over which your agency or board may | loseitink | [Yes No MLegistator/udicial Officer - You are not required to complete this question If you are filing because Vo area eglto or 3 dc fier o ou re 5 avout ose ens. 100 ot at organizations of which you a nly member (ct sein na leadership oie). Name of person Name of Society, Organization Leadership postion - rhein (Director, oer, Board Member) The SEX and any attachments, excluding the Confidential Form, are public records. Pogesorio 9(a). Lit the name of each company or business with which you were associated where you or member of your Immediate family was an employee, director, officer, partner, proprietor, of member of manager 55 of December 3. 2017. Name of Person Relationship to Filer Name of Company Role of Person No Business Associations — (0). IF you knaw that any company or business entity listed in 9(a) above had any material business dealings or business contracts with the State of North Carolina or was regulated by the State 5 of Decemier 31, 2017, provide a ref description of tht busines activ. Name of Company or Business Entity Description of Business Activity with the State 8 Not applicable (No ents sted on #98) 10. Are you a practicing attomey? } CiYes MINo MJudicl Offcer/State Atormey 1*Yes", check each category of legal representation in wich you or the aw firm with which you are aflated has camed fog fcs of mor then $10,000 dna 2017. 10/7 Adminitrative DJ admraty 0 Comorate Criminal Decedent's Estates Environmental Ootnsurance Otabor | OLocal Government (Real Property. 0 Securities. OTax ort tigation (including Utes Regulation Other category not iste negligence) 11. Dung 2017.were you lensed professional (other than an attomey) or did you provide consulting services individually or a5 a member of a professional association for Which you charged o were paid over $10,007 Ove No er The SEX and any attachments, excluding the Confidential Form, are pubic records. Page sof 10 12. Are you or your employer, your spouse or members of your immediate folly, or their employer currently: + Licensed by the State board or employing entity with which you are or will be associated or « Reaulated by the State board or employing entity with which you are o will be associated or « Have.a business relationship with the State board or employing entty with which you are or wil be associated? Mes [No (JiLegisiator/udicl Officer - You are not required to complete this question f you are fling because: You are legislator or Judicial officer Cudica officer is defined in the SEI Helpful Tip) or You are fing as an appointee to those offices. Name of Employer | Type of Relationship. i applicable) | (Licensing, Regulatory, Business) Beverly T- Beal V.c. Stake Gar, a5 on | Ceusing aud [ioscan Hang EI 13. Are you, your spouse or a member of your immediate family currently registered as a lobbyist or lobbyist principal, or Were you registered Such within the 12.monkh receding your fing. of this form? Oves MNo Name of Lobbyist Lobbyist's Principal Datect | Registration | Reistation | expiration f I | EE 14. During any calendar quarter in 2012 (but only the time perod after you were appointed, employed or fled or were nominated as & candidate), dd you + receive any "git(s)” exceeding $200 per quarter from a person or Group of persons acting together, and + when both you and those person(s) were outside North Carolina a the tne you accepted the gf), and + the giR(s) were given under circumstances that woukl lead a reasonable person to conclude tht they were given for lobbying? Oves mo 00 not report gifts given by members of your extended family. > Do not report its that have previously been reported by you to the Department of the Secretary of State on the. “Expense Report for Exempted Persons.” Date item Received | Name and Address of Donor(s) | Describe Item Received | Estimated Market | Value | 1 — The SEZ and any attachments, excluding the Confidantial Form, are public records. Page? of 10 15. Qurog 2017 (5 oly the time period ater you were appointed, employed, or fled or were nominated 5 # candidate) did you + accept a “scholarship” exceeding $200 from a person or group of persons acting together and + those person(s) were outside North Carolina and + the scholarship was related to your public position? A “scholarship” is 8 grants-in-aid, either direct or indirect, to attend n conference, meeting, or similar event, Including tution, travel, 10dging, meats, and other similar expenses. Ces I No I Judicial Officer - You ae not required to complete this question if you are a Judicial officer or you are: Ting 5 a Judi! officer appointee. > Do not report git that have previously been reported by you to the Department of the Secretary of State on the “Expense Report for Exempted persons” > Legisiators are no required o report scholarships pid by a nonpartisan legislative organization of which the leisator or the General Assembly is a member o paricipont or 2 fate of that organization. Date of Nome and Address of Donor(s) | Describe Event Estimated Market | scholarship "Value I NA T I I 16. Were you appointed o ae you being considered fo an appointment ta covered board by the Governor or another Coun of State member? Council of State members are: I > Govemor >t Governor > Secretary of State » State Auditor > State Treasurer > Superintendent of Public Instruction > Attomey General > Commissioner of Agriculture» Commissioner of Labor > Commissioner of Insurance Myes [No If "Yes", list all contributions you (NOT immediate family members) made during 2017 with a cumulative total of more than $1,000 to the Governor or other Council of State member Wh 3pPOIted You. | »Contrinaions are defined in N.C.G.5. 163-278.6(6) nd includ, but are ited to “any advnce, conveyance, deposit, distribution, transfer of funds, loan, payment, gift, pledge or subscription of money or anything of value whatsoever.” Date ‘Amount — Contributed to_ 8 No contrbution(s) with cumulative ota of more than $1,000 — The SET and any attachments, excluding the Confidential Form, are public records. Pagesori0 17. Ave you an appointee or prospective appointee to: a. the head of a principal site department (e.5. cabinet secretary) appointed by the Governors or b. 3 North Coraina Supreme Court Justice, Court of Appeal, Superior or District Cour ude; or a member of any of the folowing boards + ABC Commsion * Const Resources Commision ~ State Board of Education Wve Ono * State Board o Elections « Otvison of Employment Security I No” proceed to | Enronmental Management Commission auestion 18. © Industrial Commision Van Resources Commission © Rules Review Commission + Board of Transportation © UNC Board of Govemors * Unies Commision i * Wha Resources Commission | 4.1 30, were you appointed or re you being considered for spainiment 0 tat | Yes [Ne Buble posion by Counc of tte memo? Counc of Sie members re ted | 1 ono proceed to aueston 16. auestion 18. so, you must indicate whether during 2017 you oat mediate fly merbers) engaged in any of th folowing acts wth respec to o on behalf of he candidate or ampaion comme ofthe Coun of State member who Sbvoinied you to your publ postion: Oves mno i. Collected contributions fom mule contributor, tok possession of such | ule contrbulons, and ranlered or elvered tose colecied Contributions t th candidate or commas Contritons ar defined in Question 16. i. Hosted a fundraiser at your residence or ploce of business? Gves Whe i. Volunteered for compolgn-elaed actiies, which include, ut are nt imited 5, Bone banks, event estance, maling, omagai. Sunesing, of ony thr acy that advances the campaign of 3 anddats? 18. Hove you evr been convicted of a felony for which you have not received ether: () a pardon of innocence: o (1) on order of expungement regarding tht conviction? Ove mn mo —— 19. Ar you aware of any other information tat you believe may asst the State EES Commission n advising you Concern your comPIANCS wih the Sate Government Es ACY Wes [No Ifyes, please provide such information below. See Nachmunt A The SEX and any attachments, excluding the Confidantial Form, are publ records. Pages of 10 prr— ita he emai provi i St of Goon er 4 ny cs to, i ae a is mn desta y Somer of conan rest nd ny athe spent ht (ith he sxstion fe i acknowl st ave red dudes N.C 0S, 136A26regrin cocelin ce igo disse mtr | information and N.C.G.S. 138A-27 regarding providing false information: soi Comsaling Singhs sa arin J —— ef om eso se Ae Sl yo Co | den ed oo ct man somone 05 AAAs. R— A lin person who provide Fl forint sent of enon retired nde his ticle a a Co ho ot eo ps em Fy fy FEalir Beall £3,2018 Beverly T- Beal a A RS Se ee SOT TH aay ASTI SH SONIA So oR HH at Pose soot 39 SEI 2018 attachment ATTACHMENT “A” TO 2018 STATEMENT OF ECONOMIC INTEREST 1. 1am a retired superior court judge. 1 was appointed an emergency superior court judge in 2012. During calendar year 2017 I was commissioned to hold sessions of Superior Court. 1am compensated per diem, plus travel expenses reimbursement. In 2018 1 did not receive ‘more than $5,000 from this source. 2.1 am owner of commercial rental property located at 622 West AvNW, Lenoir, N.C. Mr. Steve B. Potter, Attomney, is the tenant, Mr. Potter is also my personal attorney for family and business matters. Mr. Potter has appeared before me in Superior court representing clients for non-jury proceedings. When Mr. Potter appears before me, we comply with Canon 3D (Remittal of disqualification) of the Code of Judicial Conduct. I am aware of the potential for conflict of interest if Mr. Potter were to be the subject of disciplinary action by the N.C. State Bar, for which I serve on the Disciplinary Commission. 3. In November, 2017 my oldest son, Jonathan T. Beal, was elected to the city council of Lenoir. 1 will presume there is a conflict of interest i the City of Lenoir is a party to any litigation brought before me as a siting superior court judge. Therefore, without reservation, I would recuse myself. To my knowledge no such litigation currently exists 3

, NORTH CAROLINA STATE BOARD OF FOR COMPLIANCE UNIT USE ONLY H ¥ ELECTIONS AND ETHICS ENFORCEMENT 102% Recuivee: 2 2018 STATEMENT OF ECONOMIC INTEREST IB APR -6 AN 11: 1S 919-814-3600 whew. ncsbe. gov/Ethics/SEL A {odo oe Tis Ting rom must a compere To uur, [Eee He "YOUR SEI FILING OBLIGATION AE 7% rr. mm re ee Supp. seneome by Sopp. Recenes bute _____ [rep — FILER'S NAVE (FIRST, MIDDLE, LAST) Profi [Firsthame | widdie Name Last Name | Beverl Tode | Beal CURRENT EMPLOYER 08 TME IC. Jodicie] Branch Emergence Soper? Grk Todge NATURE OR TYPE OF BUSINESS Retied Soperox Court Judge , Serving when Commissioned REASON FOR FILING (COMPLETE ALL THAT APPLY) _ ‘STATE GOVERNMENT 108 (Specify Agency and Position) | BOARD/COMMISSION (List complete name of al State a. boards on which you re sering or are being considered) Qppomted Membey, N.C. Statc Bar Disciplmary Heanng Commission ed omptusatto. 1S Jay plos_ JUDICIAL OFFICER (Specity Office) _ | ecISLATOR (spect House or Senate) * runt exgpebes 1 Spero Coot Todas | A. Do other immediate fomily members reside in your household? Oves Ono When used throughout ths orm, th term Imenediate family nchudes your spouse (unless legally separated). It also includes members of your extended family (your ond your spouse's chidren, orandchidren, parents, Grandparents, and Sblngs, ond the spouses of each af hose persons) whe reside in your household, List the fll nome of al adults ond emancipated minors in your household. A minor 2 hid under 18 years ob Minors are emancipated by mariage, enlistment in the Us miltary, or court order for emancpation. 3 FULL NAME OF ADULTS & | RELATIONSHIP EMPLOYER | 308 TITLE 1 NATURE OF EMANCIPATED MINORS | | 'susiness [Sudy Ann Baws Beal Nowe NIA LZ [hoy bon rei — 4 The SEX and any attachments, excluding the Confidential Form, are pubic records. Page 1or10 Uist ONLY the Initia of all unemancipated minors in your househokd below. A minor is chi under 18 years od. Note: You must list the full name of each minor child on the Confidential Form available at the end of this document. . INmIALS FOR | RELATIONSHIP. 08 Tne eor | UNEMANCIPATED BusINEss MINORS — ove [| PROPERTY INTERESTS | 1 As of December 31. 2017, dl you, your spouse, or members of your immediate fay: A. Have an ownership intrest in North Corolina real estate (including your residence) with a market value of $10,000 or more? me On Ouner of Reat estate __ [| o Ownership interest | Location by City | _ Location by County Beverly T: Beal wud ui 160% Lenow Caldwell Bevery T- Beal aud wi 100%, | Lenoir Caldwell Fob i ALA Beverly T. Geal 100% | renow [Catdwe 11 Bevery T+ Beal 50%, Ieroie Caldwel] 5. Lease or rent ea stats or personal property 10.0 fom the State of North Carolina with market valve of | $10,000 or more? Oves mn ‘Name of Lessor Name of Lessee | Xf Real Estate, Location | If Personal Property, | Renter) by City & County. Describe 2. At any time during 2016 or 2017, did you, your spouse, or members of your immediate family sell to or buy from the ‘State of North Carolina personal property with a market value of $10,000 or more? Olves @No YT — [rr I A 1 The SET and any attachments, excluding the Confidential Form, are public records. Page 2 ot10 | FINANCIAL INTERESTS 3. As of December 31, 2017, did you, your spouse, or members of your immediate family own any of the following financial Interests valued at $10,000 or more? LIST EACH COMPANY INDIVIDUALLY. A. Stock in a publicly owned company? ves [Tne EE Do at Ist ownership Ttarets in widely Tid (vesiment Fund (nclodig tual onds, eguiaied vest Companies, or pension or aefersd competion Ps) f: ) the funds PUIG Hoded 3 Io Sets re tel versed; and () neher you no an madat {amd (eat ar able 15 contro he cet pid i he mutt foe, Investment company. o persion or deferred carmpansaionpan: owner of Interest Full Namo of Company (Do not use a iker symbol) | Bevely T. Beal Coca Clo Compa | = Beak Pepsico, Tne - 5. Stock Ogions in a company o business? OYes Wino owner of stock option Full Nam of Company (a not use a ticker symbol) C Inerssts in 2 non-nublcly owned company or business entity (including interest in sa proprictorsips, partnerships, limited partnerships, joint ventures, limited liability companies, limited liability partnerships, and closely held corporations)? [Yes WNo- If "No," proceed to question 4. Owner of Interest Name of Company or Business Entity - 1 C1), For each non-publcly owned company or business entity (the ‘primary company”) Kentiied in question SIC "above, please at th names of ary other oTpanic 0 Busnes anes it heh the primary company wns Securities or uty terest valued af over $30,000, row. Non-public Owned Company or Business Entity | Other Companies In which the Primary Company (he primary Compan) Owns Security or uit Imarests [0 None or Not Known NA The SEZ and any attachments, excluding the Confidential Form, are publi records. Page 30110 a C (2). If you know that any company or business entity listed in 3.C or 3.C(1) above has any material business. Genin or ness comvacs with te tae of North Carlin, or reuted y he Stat, rove a re escrpin of that boinc acy. Name of Company or Business Entity Description of Business Activity with the State ions or No Known _ NA — 4 As of December 31, 2017, were you, your spouse, or members of your immediate family the beneficiaries of a vested rue with 3 alo of $10,000 o mor tht was created, cals, or controled by You? Do not list assets held in blind trusts. See 2017 SEI Helpful Tips for the definition of “Vested Trust” and “Blind Trust.” OYes Who ‘Name and Address of Trustee Description of the Trust EE I — I A EN 5. As of December 31, 2017, did you, your spouse, or members of your immediate family have liabilities of $10,000 or ore, aC hd TSA On Your Aa pers Fence? EXE Include Cea ard Gees, ut 00, Stent Toor, persona ans an mr form BX. Clves MNo Name of Debtor (You, Spouse, Immediate Family | Type of Creditor (Commercial Bank, Credit Union, * Niemoer) Loddon, te) on ——————————t—— i 6. List cach source of income (not specifi amounts) of are tan $5,000 received by you, your $90us, or members of Jour Immediate famiy during 2017 Ince. Saar, nage, State/oca goverment relromert, professional fecs Yanerar, aes, dens, onl come, buses incor, nd ahr pes of Income quired ob reported on Your Ste an fora) tox returns: Do ag include income received from the following sources: > Capital gains > Federal government retirement > Miltary retirement > Socis security income/ S501 Redpient of Income Name of Source Troe of Type of come i Bliness/ Industry {C11 had no reportable income over $5,000 in 2017. 2 ° o ES Govern met R Beverly T. Bea) [State el liedhs Stade Refirement Bialy fp wt | nt Fy Rents The SEX and any attachments, excluding the Confidential Form, are public records. Page actin PROFESSIONAL AND CIVIC RELATIONSHIPS 70). Duca 2017, were you you spouse or members of your Inadate arly & dicir, ofr, govern bod member, employee, independent contractor, or registered lobbyist of a nonprofit corporation or organization operating in ‘the State of North Carolina primarily for religious, charitable, scientific, literary, public health and safety, or educational pebd MYes []No- If "No," proceed to question 8. Do not list State boards or entities, or entities created by a political subdivision of the State. | 5a htt organizations of whic you re mre member. ‘Name of Person His/Her Position Name of Nonprofit | Nature of Business or a: Corpora or rpsmaestion | Purpose of optezet erly 7-3 mber, Board | Caldwell Co operation oF Best Beverly T. Beal Penbeh Boar fe = Fimpial cnstitn tea Comminth [Beverly TBeal [Member Siete] Dost ATSOlont sl coligons, nc | io 1 | br fist Rebykal 7 enupeatun | BE csitmlerereecee——— 70. Fe nonproft corporations o oranzatians sed above Go business wit 8 Sate of Nor Cora or recive SEs fr: Des pads bt semi of 0 ivr of Po Boiss known or wh hh Son ngtnc sou pretiodtonls 5 During 2017, Were you, Your spouse, or members of your immediate family a director, oMicer, or governing board | member of any society, organization, or advocacy group with an interest in matters over which your agency or board may | loseitink | [Yes No MLegistator/udicial Officer - You are not required to complete this question If you are filing because Vo area eglto or 3 dc fier o ou re 5 avout ose ens. 100 ot at organizations of which you a nly member (ct sein na leadership oie). Name of person Name of Society, Organization Leadership postion - rhein (Director, oer, Board Member) The SEX and any attachments, excluding the Confidential Form, are public records. Pogesorio 9(a). Lit the name of each company or business with which you were associated where you or member of your Immediate family was an employee, director, officer, partner, proprietor, of member of manager 55 of December 3. 2017. Name of Person Relationship to Filer Name of Company Role of Person No Business Associations — (0). IF you knaw that any company or business entity listed in 9(a) above had any material business dealings or business contracts with the State of North Carolina or was regulated by the State 5 of Decemier 31, 2017, provide a ref description of tht busines activ. Name of Company or Business Entity Description of Business Activity with the State 8 Not applicable (No ents sted on #98) 10. Are you a practicing attomey? } CiYes MINo MJudicl Offcer/State Atormey 1*Yes", check each category of legal representation in wich you or the aw firm with which you are aflated has camed fog fcs of mor then $10,000 dna 2017. 10/7 Adminitrative DJ admraty 0 Comorate Criminal Decedent's Estates Environmental Ootnsurance Otabor | OLocal Government (Real Property. 0 Securities. OTax ort tigation (including Utes Regulation Other category not iste negligence) 11. Dung 2017.were you lensed professional (other than an attomey) or did you provide consulting services individually or a5 a member of a professional association for Which you charged o were paid over $10,007 Ove No er The SEX and any attachments, excluding the Confidential Form, are pubic records. Page sof 10 12. Are you or your employer, your spouse or members of your immediate folly, or their employer currently: + Licensed by the State board or employing entity with which you are or will be associated or « Reaulated by the State board or employing entity with which you are o will be associated or « Have.a business relationship with the State board or employing entty with which you are or wil be associated? Mes [No (JiLegisiator/udicl Officer - You are not required to complete this question f you are fling because: You are legislator or Judicial officer Cudica officer is defined in the SEI Helpful Tip) or You are fing as an appointee to those offices. Name of Employer | Type of Relationship. i applicable) | (Licensing, Regulatory, Business) Beverly T- Beal V.c. Stake Gar, a5 on | Ceusing aud [ioscan Hang EI 13. Are you, your spouse or a member of your immediate family currently registered as a lobbyist or lobbyist principal, or Were you registered Such within the 12.monkh receding your fing. of this form? Oves MNo Name of Lobbyist Lobbyist's Principal Datect | Registration | Reistation | expiration f I | EE 14. During any calendar quarter in 2012 (but only the time perod after you were appointed, employed or fled or were nominated as & candidate), dd you + receive any "git(s)” exceeding $200 per quarter from a person or Group of persons acting together, and + when both you and those person(s) were outside North Carolina a the tne you accepted the gf), and + the giR(s) were given under circumstances that woukl lead a reasonable person to conclude tht they were given for lobbying? Oves mo 00 not report gifts given by members of your extended family. > Do not report its that have previously been reported by you to the Department of the Secretary of State on the. “Expense Report for Exempted Persons.” Date item Received | Name and Address of Donor(s) | Describe Item Received | Estimated Market | Value | 1 — The SEZ and any attachments, excluding the Confidantial Form, are public records. Page? of 10 15. Qurog 2017 (5 oly the time period ater you were appointed, employed, or fled or were nominated 5 # candidate) did you + accept a “scholarship” exceeding $200 from a person or group of persons acting together and + those person(s) were outside North Carolina and + the scholarship was related to your public position? A “scholarship” is 8 grants-in-aid, either direct or indirect, to attend n conference, meeting, or similar event, Including tution, travel, 10dging, meats, and other similar expenses. Ces I No I Judicial Officer - You ae not required to complete this question if you are a Judicial officer or you are: Ting 5 a Judi! officer appointee. > Do not report git that have previously been reported by you to the Department of the Secretary of State on the “Expense Report for Exempted persons” > Legisiators are no required o report scholarships pid by a nonpartisan legislative organization of which the leisator or the General Assembly is a member o paricipont or 2 fate of that organization. Date of Nome and Address of Donor(s) | Describe Event Estimated Market | scholarship "Value I NA T I I 16. Were you appointed o ae you being considered fo an appointment ta covered board by the Governor or another Coun of State member? Council of State members are: I > Govemor >t Governor > Secretary of State » State Auditor > State Treasurer > Superintendent of Public Instruction > Attomey General > Commissioner of Agriculture» Commissioner of Labor > Commissioner of Insurance Myes [No If "Yes", list all contributions you (NOT immediate family members) made during 2017 with a cumulative total of more than $1,000 to the Governor or other Council of State member Wh 3pPOIted You. | »Contrinaions are defined in N.C.G.5. 163-278.6(6) nd includ, but are ited to “any advnce, conveyance, deposit, distribution, transfer of funds, loan, payment, gift, pledge or subscription of money or anything of value whatsoever.” Date ‘Amount — Contributed to_ 8 No contrbution(s) with cumulative ota of more than $1,000 — The SET and any attachments, excluding the Confidential Form, are public records. Pagesori0 17. Ave you an appointee or prospective appointee to: a. the head of a principal site department (e.5. cabinet secretary) appointed by the Governors or b. 3 North Coraina Supreme Court Justice, Court of Appeal, Superior or District Cour ude; or a member of any of the folowing boards + ABC Commsion * Const Resources Commision ~ State Board of Education Wve Ono * State Board o Elections « Otvison of Employment Security I No” proceed to | Enronmental Management Commission auestion 18. © Industrial Commision Van Resources Commission © Rules Review Commission + Board of Transportation © UNC Board of Govemors * Unies Commision i * Wha Resources Commission | 4.1 30, were you appointed or re you being considered for spainiment 0 tat | Yes [Ne Buble posion by Counc of tte memo? Counc of Sie members re ted | 1 ono proceed to aueston 16. auestion 18. so, you must indicate whether during 2017 you oat mediate fly merbers) engaged in any of th folowing acts wth respec to o on behalf of he candidate or ampaion comme ofthe Coun of State member who Sbvoinied you to your publ postion: Oves mno i. Collected contributions fom mule contributor, tok possession of such | ule contrbulons, and ranlered or elvered tose colecied Contributions t th candidate or commas Contritons ar defined in Question 16. i. Hosted a fundraiser at your residence or ploce of business? Gves Whe i. Volunteered for compolgn-elaed actiies, which include, ut are nt imited 5, Bone banks, event estance, maling, omagai. Sunesing, of ony thr acy that advances the campaign of 3 anddats? 18. Hove you evr been convicted of a felony for which you have not received ether: () a pardon of innocence: o (1) on order of expungement regarding tht conviction? Ove mn mo —— 19. Ar you aware of any other information tat you believe may asst the State EES Commission n advising you Concern your comPIANCS wih the Sate Government Es ACY Wes [No Ifyes, please provide such information below. See Nachmunt A The SEX and any attachments, excluding the Confidantial Form, are publ records. Pages of 10 prr— ita he emai provi i St of Goon er 4 ny cs to, i ae a is mn desta y Somer of conan rest nd ny athe spent ht (ith he sxstion fe i acknowl st ave red dudes N.C 0S, 136A26regrin cocelin ce igo disse mtr | information and N.C.G.S. 138A-27 regarding providing false information: soi Comsaling Singhs sa arin J —— ef om eso se Ae Sl yo Co | den ed oo ct man somone 05 AAAs. R— A lin person who provide Fl forint sent of enon retired nde his ticle a a Co ho ot eo ps em Fy fy FEalir Beall £3,2018 Beverly T- Beal a A RS Se ee SOT TH aay ASTI SH SONIA So oR HH at Pose soot 39 SEI 2018 attachment ATTACHMENT “A” TO 2018 STATEMENT OF ECONOMIC INTEREST 1. 1am a retired superior court judge. 1 was appointed an emergency superior court judge in 2012. During calendar year 2017 I was commissioned to hold sessions of Superior Court. 1am compensated per diem, plus travel expenses reimbursement. In 2018 1 did not receive ‘more than $5,000 from this source. 2.1 am owner of commercial rental property located at 622 West AvNW, Lenoir, N.C. Mr. Steve B. Potter, Attomney, is the tenant, Mr. Potter is also my personal attorney for family and business matters. Mr. Potter has appeared before me in Superior court representing clients for non-jury proceedings. When Mr. Potter appears before me, we comply with Canon 3D (Remittal of disqualification) of the Code of Judicial Conduct. I am aware of the potential for conflict of interest if Mr. Potter were to be the subject of disciplinary action by the N.C. State Bar, for which I serve on the Disciplinary Commission. 3. In November, 2017 my oldest son, Jonathan T. Beal, was elected to the city council of Lenoir. 1 will presume there is a conflict of interest i the City of Lenoir is a party to any litigation brought before me as a siting superior court judge. Therefore, without reservation, I would recuse myself. To my knowledge no such litigation currently exists 3

. NORTH CAROLINA STATE ETHICS COMMISSION | ror eniics commission ust our ¥ 7 2016 STATEMENT OF ECONOMIC INTEREST | 0ote feces: £7 919-614-3600 WW ehICSCOMIMISSION ACO 1: 1 1. 07 THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL | + Checked fo omit, YOUR SET FILING OBLIGATION pred ses rie ——— | om. Sent vote repr — Entered in database _'//[ oy J [ FILER'S NAME (FIRST, MIDDLE, LAST) | | prefix | First Name. [atom | ost ame. ) [sume | ! | Beverly | Tate | Bea) | | I | { N.C. Judicial Branch | Emergency Superior Gurl Judge | | ore on ee or susmess. | Retired superior Court judge, Serving When Commissioned or Court Sessions | Reason ron Fun scr au tn ao) _ } | BN STATE GOVERNMENT 308 (tense spel the agency |] BOARD/COMMISSION (Pease Ist. complte name of a | Tor wich you work or re being considered) State boards on wich yo ae serving o ar bir | considered) ___ — | Appointed member of the N.C. lake Bars Orsciplinany Hearmg Commission . RT Sen ci os Yim €xpiuse revihursements . ] | BOUDICIAL OFFICER (please specty the office you hold) | |] LEGISLATOR (Pease specty House or Senate) | | Emergency superwr Court Jodge | A. Do other Immediate Family members reside in your household? |mves [no | ten es ougont i rm, th em Xmen Fmt cues you spouse Ges ty sept two | | inches members of vour extended tami (Your and your <povses chien, grandchidren, parents, grandparents, and | siblings, and the spouses of cach of those pessans) who reside in your household. | | List the full name of all adults and emancipated minors in your household. A minor is a child under 16 years od | irre cmoncota by marie, ements mir cout cde for emoncpton FULL NAME OF ADULTS & | RELATIONSHIP | EMPLOYER | JOBTITLE | NATUREOF | EMANCIPATED MINORS | 1 | Busmess | | Jody Mn Harris eal ite NONE | N/A IRV] The SEL and any attachments, excluding the Confidential Form, are pubic records. Page 10r 10 roe 2016 + JB Lt One he nto of of umemancipted minors 1 yous household bdo. Amino is chi der 16 es | old. Minors are emancipated by mariage, enlsimant in the US miNaIy of cour oder or omantpation. | | Note: You must list the full name of each minor child on the Confidential Form available at the | | endof this document, oe orm | pumsron | nesmowswr | emioven | sosvme | waneor | | UNEMANCIPATED i ‘Business | ors | i NoNE | | | | | | i t i i | i | i i | | | PROPERTY INTERESTS | 1.5.1 Decsanr 31, 2015, did you, your spouse, or members of your immediate ay. | | A. Have an owners interest in North Colina rea estate including your residence) witha market value of | $10,000 or morc? | owner of Rat estate | Sh Ownership Interest | Locatonby Cty | vocation county | Bah ga] ans wie 06 | Leno Caldwell | w eal hi = . fd i [Beven 4] Gea adhe 7007s [Lenoir Caldwell ] Bedoly 7 teas 165% | Lenoir Caldurll I Peverly 7 Beal 50% Lenoir |Caldweir | he 1 . _ [ren i. |B. Lease or rent real estate or personal property Lo or from the State of Horth Carolina with a market value of | | $10,000 or more? i | ves me | | Name of Lessor | Name of Lessee | If Real Estate, Location | If Personal Property, | 1 Renter) by City & County. Describe. - | - T = - - 1 | 2. amy ume during 2014 or 2015, 010 you, your spouse, or members of you immediate fami sei 0 or buy fram the | State of orth Caran personal property wih a marke value of $10,000 of more? | 8 | ves mmo | | Namoof Purchaser | Nome of seller | Type of Property | ! . _ | | 1 The SEI and any attachments, excluding the Confidential Form, are public records. Page 201 10 oc fort] i! |Favanerns mreests | 13. Aw of December 31,2015, dt you, your spe, or members of your ns: ody own ny of the following fanci | | A. Stack 1n a publicly owned company? i | mye ne | Corpabien or peion or detered compotion plans). () th (und fs publ ad or a assets arc wily | diversified; and (i) neither you nor an immediate family member are able to control the assets held in the mutual fund, | f ‘owner of Interest "| Full Name of Company (Do not use ticker symba) | | Beverly ben! | loca Gof Cangrany | | oetyT bend Canguny — ! | | | i i I ; B | B. Stock Options In a company or business? | | ow me | Owner of Stock Option 1 Ful Nome of Company (Bo not use ticker symbor) | | C. Interests in a non-publicly owned company or business entity (including interests in sole proprietorships, | | Partnerships, imited partnerships, font ventures, limited iabilty companies, miled liablity partnerships, and | | | fives me imo procs to ueston | | Owner of Interest —] Name of Company or Business Entity | Ceo Mhckment "A fietasraph 4 i (Ge wt A] ptssiaph#) | i. - | C1). For each nom publicly owned company or business entity (the "primary company”) identified n question hes meant to he mes of ch companies o binds ene whch Uh primary company os woo ty mes valued of ove $10,000. 1 know, © | Non-Publcly Owned Company or Business Entity | Other Companies in which the primary Company (i rimary Compory HT Cowes Security o Eauiy Ameren - : | i | I i i The SEX and any attachments, oxcluing the Confidential Form, re public records. Page 30110 I'd 2os | Ct vow ow tak so compomy a uso apy Usd 3. on 3601] abows hs amy tert woness | i dealings o business contracts wit the talc of North Carolin, o regulated by he State, provide a bret | | mR | | {J one or Not Known 1] I - | | | — 1 _ | 14. As of December 31, 2015, were you, your spouse, or members of your immediate family the beneficiaries of 3 vested | trust with a value of $10,000 or more that was created, established, or controlled by you? | Do not lst assets held in blind trusts. See 2016 SE1 Helpful Tips for Lhe definition of “Vested Trust” and “Blind Trust.” ! [ives @No | Mame and Address of Trustee Description of the Trust| _ Your Relationship to the Trust i uste . i ship to the Tr i ] | 5. AS of December 31, 2015, did you, your spouse, or members of your immediate family hove liabilities of $10,000 ot ore, excluding the mortgage on your primary personal residence? Examples clude credit card debs, ato loans, dent | oan, persanat fons an tar family debi [ves MNo Nome of Debtor (You, Spouse, Immediate Family | Type of Creditor (Commercial Bani, Credit Union, | i Viemben) ! Individual, ete) | — J Piidosh ois) i i. . 1 SE 1 [6 List cach saurce of income (not speci amounts) of more: than $5,000 received by you, your spouse, or members of | your immediate family during 2015. Include salary, wages, state/local government retirement, professional fees, | Ronorore erst, iden, rata income, busines income, and othr pes of nc required be pore on your State and federal ta returns. | i A —— ! » Copital gains » Federal government retirement | |» witary retirement + Social security income/ S501 | | Recipient of income. Nomeof Source | Typeof [7 Typeot income | i | Blsiness/Tndustry | Beverly T- Beal [pre 78 NeW Caroline. | 5 pale government | sade retiemert | Bgey 7, 54 rd Reach] prospects Red] property. | Roufal propeity pe Bec ovate hol | Inco | ever, 70a 1 Teatnte oF Parl B Hasson 35 ns edie Les ps T_ * Rinmeriadors Cee. Beverly 7 Beal TLatrgeutts i COSA Sper Corb append | Court onlered ee or pease sex dpa A, special nixster.” series Ye. 2 A 1 (see Ase Mlfachnont AT paragraph 1 b) The SEX and any attachments, excluding the Confidential Form, are public records. Page dof 10 20/6 1 PROFESSIONAL AND CIVIC RELATIONSHIPS | | 70). During 2015, were you, your spouse or members of your immediate family a director, officer, governing board | | member, employee, ndcpundent conractor, or registered lobbyist af a nonprofit corporation organization apcrating in | | th Sate of Rr €or primary for rious, chara, Slr, Wray, pub heal nd art, or educations | purposes? | | | ves CIN 1oWo,” proceed to question | | Do not ist State boards or cnlites, or entities created by a politcal subdivision of the State. | fort mf oe ener | |" NameofPersn | Mis/HerPositon | Name of Nomprofit | Matureof Businessor | i or | Corporation or Organization | Purpose of Organization | Bue\y 7 Beal member, Board of | James C. horpey Schoo | [music edicaran | | | Duectzrs [of Rrformmg fabs |p| Judy 1. Bead Treasurer and caldwell peraton © [id 5 yHenias bead of Dieters, Herne. Muse | history pase ua fo | see Atcha J, F 3.) Cel dutll Cound | f Wem bev, Beat oF | Foundahin of Caldwell Giamecal Sopporta € | Beverly T Beal Directors mma Giaccone fic Sane | em cal Tock Cin gle, Student | 700. 11 th monpront corporations o orarizations tc aba do business ith th State of orth Carona or recive | State funds, pease provide a bret description of the nature of that business, f known or with which du dilgence could | reasonably be known. H | | Nam of prot corporation or Orgmienion | besrv tae Business or Site Funding | | (one or ot Known | apr Scluai oF Referming Rts | Tagnaat of Sedes Tay i L - — pp . ~ — S— i Caldwell Heritage Muse Paget Sates Tax |’ i 2015, were vou, your spouse, or errs of vor ite ily dir Se, a going bos | | member of any society, organization, or Gdvocacy Group whan nerest in ters over which you agency o board may | Nove jurisdiction? | | ves mao hteqmnon cin ocr vou arent rr to comple ths ueston you ce ig rcs | | ‘you are 3 legislator or a judicial officer or you are fing as an appointee to those offices. | | #00 not tist organizations of which you are only a member (not serving in a leadership role). | | metreon | emostaoy omit | soup ont | | ‘or Advocacy Group (Director, Officer, Board Member) | iE | S— | | The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 10 20/6 (0st he ame cach company buses wih WHC yu wer 55d where yo 3 meme yur rai | family was an employee, director, officer, partner, proprietor, or member or manager as of December 31, 2015. 1 ‘Name of Person Relationship to Filer T ‘Name of Company Role of Person I uses Resations Ho, arcee o auton 10 (Geo Aachirerd "A" | Parmgrapy 4) | 50). 1r you know that any company or business entity listed in (a) above had any material business dealings or a Se oe evn pn Se re nov Tce of va es et ama of Company o Busines Entty | Description of Business Actwty with the State Wt soporte aon #9030 rations ht now Be Achmad B+ Rrsgrapn 4) Fr —— [EL ——— Jes, check each category of ea osatatin in whch you th fn Fr with wich you re fits os cone es om om 1000 St 2 fepve— Claman OJ comorme comma 1] Decedent's Estates "| Environmental J Insurance 0) Labor Local Government [J Real Property [J Securities. [Tax Tor igaton (nudng Clues Repunten thr category ot es negligence) i | 11. During 2015, were you a licensed professional (other than an attorney) or did you provide consulting services | nor 3 ert son or we vm so Bo | Cives Eto i Type of Business [ Nature of Services Rendered } The SEI and any attachment, excluding the Confdania Form, are public records espe ori0 hoa | | 12. Ave you or your cmployer, your spouse or members of your immediate family, or ther employer currently: | mc he Ste boss eon ent tic or it ricco | + Reaulted by the State board or playing entity with which you are or will be associated or i + Mave business ationship ith the State board of crpioying catty wh Which you are or wil be associated? | | ves [Mo [Leniator/udical Office - ou are not required to complete this question if you are filing because | ou area equator o a dca office Cjucial officer s defined in the SEL Helpul Ts) or you re ig a an appointee to those ofices. i Name of Person | ‘Name of Employer Type of Relationship | Gt applicable) (Licensing, Regulatory, Business) | + Bea CL Stade Bak, ax a | Licessing and Beverly 7 Beal ics CE gfutien | Seep ari | A eemihsiion | | | 13.0 you. your spouse or a member your imme Cry curry ocr 5a obs or yt pinch, of | were you registered as such within the 12 months preceding your filing of this form? y [ives Who | | Name of Lobbyist Lobbyist's Principal | oateor | Registration | | Registration i Epiration | | omHER Disclosures } oo 1/14. Dunng any candor quarter in 2015 (ot any the time period alter yo were appointed, employed or fd of were | inated as conde, did you | + receive any "aif)" exceeding $200 per quarter from a person ox group of persons acting together, and | || hn both you ad hase person(s) wer ci rth Corl of te you ached tne 4), and i | the itt) were olven under Grcumstances iat would fad a reasonable person to conclude that they were oven | | tortobtyinar H | ove mw | +00 not report ait Given by members of your extended fami. - | or ot. apr as tot ae, vio. bc sepne by ou 1 the Department of the Secretary of tate on te | | "SE nse Report or Exempted Persons.” " pi | Date Item Received | Name ond Address of Donor(s) | Describe Itom Received | Estimated Market | | i Value | | The SEX and any attachments, oxcluding the Confidential Form, are public records. Page7 of 10 pe 1s. During 2015 (but only the time period after you were appointed, employed, or filed or were nominated as a candidate) | did you | + accent a scholars exceeding 5200 from person or grap of persons acting together and {+ those person(s) were outside North Carolina and 1+ the scholarship was related to your public position? A “scholarship” is a grant-in-aid, either direct or indirect, | to attend a conference, maeting, or similar event, including tution, travel, loaging, meals, and other | Sitar expenses. i Ting a a din officer appomIce. i | » Do not report gifts that have previously been reported by you to the Department of the Secretary of State on the expanse Report fr Exempted reson.” » Legislators are not required to report schlarsips pad by 3 nonpartisan leisaiv organization of which th legislator a the Genre Assembly s member o participant or an afte of tht oGan7aton I" oateor | Name and Address of Donor(s) Describe Event Estimated Market | scholarship | i Vaiwe | f | | rl | i ] | | | ] | | i ] | | | i | | | SE | i 1 16. were you appointed or are you being considered for an appeintment to a covered board by the Governor or ancther Edel, | Council of State members are: | Governor > 1. Governor > Secretary of State |» state aor » state Treasurer > Superintendent of Public Instruction |v Atorey Gener » Commissioner of Agriculture.» Commissioner of Labor » Commissioner of Insurance | ove ae | 10 “Yes, lst al contributions you (NOT immediate family members) made during 2015 with a cumulative | ol of more than 31/000 1 the Governor or ates Cound of tate member whe appoied you. | | : - | » Contribution arc defined in 1.C.G.5. 163-278.6(6) nd incu, but are not ited to, “any advance, conveyance, | deposit, distribution, transfer of funds, 1oan, payment, if, pledge or subscription of money or anything of value. | ns i we | mem | Comets | 000 contiuton(s) with a cumutative otal of more than $1,000 The SEL and any attachments, excluding the Confidential Form, are pubic records. Page sof 10 2006 [ 17. you am sppainte or prospective appointee tor - | a. the ea of a principal State department (6.6. Cabinet secretary) oppanted by the | b. 2 orth Carola Supreme Court Justice Court of Appel, Superior or Dirt | | Court Judge; or | ©. a member of any of the following boards: H b | "hac Commisonn + Coastal Resources Commission | | * State Board of Education WYes [No | CS oof toons + Division of Employment Security 16 “No,” proceed to | + Environments Management Commision | question 15. Indust Commission I 2 ama Resouces Commassion | | © Rules Review Commission | * Board of Transportation | |Z Unc Board of Governors | * uties Commission wife Resources Commission | | | d. 1f so, were you appointed or are you being considered for appointment to that. | fl Yes [J No i | uc oslo by ons of Sate meh? Coun oF Sra members re 1560 | 3 wor proceed to | | inavestion 16. | question 18. i |e 150, you must indicate whether during 2015 you (not immediate family 1 | members) cngaged in any of th following SCL with respect 1 0 on behalf of he conddte or campaign commILee of the Counc of Sate member who | ovate you o your publ poston: | | |c IYes MNo | i Collected contributions from mutipe contributors, took possession of such mui Contributions, and Uanseied of evere tn colecod, Cotrivtons ta the cinddats or commitsee? Contibubons av acted in | aueston 16. Mosted a uneaer ot your ein ope of bsners? [ves ane ] i. Volutcered or carpaign-related aces, which ncude, but are not ied | Lo, hom banks, event assistance, maiinas, comassng, uerno, or ony | C1Ves @INo. er aiity tit 30vances the Campalan ef & Eandoocss | | 15. Have you ever been convicted of a elany for which you have no received either: (1) pardon af Innocence; ar (1) an | order of Expungement agarding that convichon? | Oves mo | i otense [oat of Conviction_| County of conviction | State of Conviction | 1 19. Ave you aware of any other information that you believe may assist th State Exics Commission in advising you | Canceming You comprance with he Sake Government Ene ALS Mes INo ies, lease provide such information below. H " Fy = ! (Se Machment "4" | | | The SEE and any attachments, excluding the Confidential Form, are public records. Page 901 10 206 AFFIRMATION 1 afm tht the information provided in this State of Economie Inerest nd any atachments hereto are re, complete. | ad scart 0 the bet of my knowledge and belel als certify that have ot transfecred, und will not tans, any asset, eres. or propety for the purpose of concealing it | fom disclose whi etining an quiable meres. } understand tht my Scaement of Economic Interest and any attachments or supplements hereto (with the exception of the | Confidential Fom regarding Unemancipated Chien) are pubic record Tacknowledae tha | have read and understand N.C.G.S. 138A-26 regarding concealing o filing 0 disclose mtrial information and N.C.G.S. 1387-27 regarding, providing falc infomation 2 1384.26. Conccaling or tailing to disclose material information A filing person who knowingly cons or knowingly fis o disclose information that s required to be disclosed oma statement of ceonomic nicrest under this Article shall be uly of Class | misdemeanor and shall be subject To disciplinary scton tinder G.5. 1384-45. |S 138A27. Ponaly for ule information A Fling person who provides fle information on a Satcment of economic intrest a rquited under this Article Knowing that the information is se is rly of Class 1 felony and shall be subject to disciplinary action under GS 1A, Wipe ps \ udu So, f Qed ¢, 20/0 Signature T= Bate Beverly T. [Sea Printed Name. ? | Submit SIGNED, ORIGINAL documents only. Do not fax or email this form. - 5 4 4a 20/6 The SEI and any attachments, excluding the Confidential Form, are public records. 406 10 of 10 ATTACHMENT “A” TO STATEMENT OF ECONOMIC INTEREST 1. Tam a retired superior court judge. | was appointed an emergency superior court judge in 2012. During calendar year 2015 | was commissioned and held sessions of Superior Court in several counties. | am compensated per diem, plus travel expenses reimbursement. In 2015 1 did not receive more than $5,000 from this source. 2. During 2015 I continued to serve as Administrator of the Estate of Paul Barringer Houston, Jr., deceased, my cousin. who died October 13,2013. The estate administration was completed, and the Mecklenburg County Clerk of Court approved the final accounting on October 26, 2015 and the administration was closed. 1 received compensation for my services as administrator, in an amount allowed by the Clerk of Court. | also received distribution of estate assets as one of the heirs of Mr. Houston. The total of these amounts was more than $5,000, but less than $10,000. 3. During part of calendar year 2015 | served as interim Director of Operations of the Caldwell Heritage Museum in Lenoir. N.C. I received no compensation. My duties did not involve fund raising activities. | reported to the Board of Directors. of which my wife: was a member. | was not a voting member of the Board. 1 did not perform any duties related to finance or accounting or payment of sales tax. | was elected to be a member of the Board, and Chairman of the Board, for a term beginning January 1. 2016. 4. During 2015 J was a sharcholder of Zack's Farm, Inc... a non-publicly owned corporation. My interest in the corporation had a value of less than $10,000. During 2015 my wife was Sceretary Treasurer of the corporation. On June 10, 2015 the corporation was officially dissolved. “There has been no litigation involving the corporation. 5. Lam owner of commercial rental property located at 622 West Av NW, Lenoir, N.C. Mr. Steve B. Potter, Attomey. is the tenant. Mr. Potter is also my personal attorney for family and business matters. Mr. Potter has appeared before me in Superior court representing clients for non-jury proceedings. When Mr. Potter appears before me. we comply with Canon 3D (Remittal of disqualification) of the Code of Judicial Conduct. Iam aware of the potential for conflict of interest if Mr. Potter were to be the subject of disciplinary action by the N.C. State Bar, for which serve on the Disciplinary Comission. 6. In 2015 1 was appointed one of two “Special Masters” in the N.C. civil action entitled Margaret Littlejohn. Individually, und as personal representative of the Estate of Thomas Littlejohn. 11 M.D.. vs. Jet Logistics, Inc.” Mecklenburg County Superior Court File number 11 CVS 24301. The purpose of the appointment was for me to read and review depositions of proposed expert witnesses and advise the trial judge on the issue of allowing those witnesses to testify as experts. The case was settled. The judge ordered hat the two special masters be paid in equal parts by the partis to the suit. The amount | received was more than $5.000. and less than $10,000. 1 have had no relationship that 1 know of o can recall, with the litigants or the tomes or the witnesses, other than as Special Master in the case. Bust, 7Bet apd 1, 20/0

. NORTH CAROLINA STATE ETHICS COMMISSION | ror eniics commission ust our ¥ 7 2016 STATEMENT OF ECONOMIC INTEREST | 0ote feces: £7 919-614-3600 WW ehICSCOMIMISSION ACO 1: 1 1. 07 THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL | + Checked fo omit, YOUR SET FILING OBLIGATION pred ses rie ——— | om. Sent vote repr — Entered in database _'//[ oy J [ FILER'S NAME (FIRST, MIDDLE, LAST) | | prefix | First Name. [atom | ost ame. ) [sume | ! | Beverly | Tate | Bea) | | I | { N.C. Judicial Branch | Emergency Superior Gurl Judge | | ore on ee or susmess. | Retired superior Court judge, Serving When Commissioned or Court Sessions | Reason ron Fun scr au tn ao) _ } | BN STATE GOVERNMENT 308 (tense spel the agency |] BOARD/COMMISSION (Pease Ist. complte name of a | Tor wich you work or re being considered) State boards on wich yo ae serving o ar bir | considered) ___ — | Appointed member of the N.C. lake Bars Orsciplinany Hearmg Commission . RT Sen ci os Yim €xpiuse revihursements . ] | BOUDICIAL OFFICER (please specty the office you hold) | |] LEGISLATOR (Pease specty House or Senate) | | Emergency superwr Court Jodge | A. Do other Immediate Family members reside in your household? |mves [no | ten es ougont i rm, th em Xmen Fmt cues you spouse Ges ty sept two | | inches members of vour extended tami (Your and your <povses chien, grandchidren, parents, grandparents, and | siblings, and the spouses of cach of those pessans) who reside in your household. | | List the full name of all adults and emancipated minors in your household. A minor is a child under 16 years od | irre cmoncota by marie, ements mir cout cde for emoncpton FULL NAME OF ADULTS & | RELATIONSHIP | EMPLOYER | JOBTITLE | NATUREOF | EMANCIPATED MINORS | 1 | Busmess | | Jody Mn Harris eal ite NONE | N/A IRV] The SEL and any attachments, excluding the Confidential Form, are pubic records. Page 10r 10 roe 2016 + JB Lt One he nto of of umemancipted minors 1 yous household bdo. Amino is chi der 16 es | old. Minors are emancipated by mariage, enlsimant in the US miNaIy of cour oder or omantpation. | | Note: You must list the full name of each minor child on the Confidential Form available at the | | endof this document, oe orm | pumsron | nesmowswr | emioven | sosvme | waneor | | UNEMANCIPATED i ‘Business | ors | i NoNE | | | | | | i t i i | i | i i | | | PROPERTY INTERESTS | 1.5.1 Decsanr 31, 2015, did you, your spouse, or members of your immediate ay. | | A. Have an owners interest in North Colina rea estate including your residence) witha market value of | $10,000 or morc? | owner of Rat estate | Sh Ownership Interest | Locatonby Cty | vocation county | Bah ga] ans wie 06 | Leno Caldwell | w eal hi = . fd i [Beven 4] Gea adhe 7007s [Lenoir Caldwell ] Bedoly 7 teas 165% | Lenoir Caldurll I Peverly 7 Beal 50% Lenoir |Caldweir | he 1 . _ [ren i. |B. Lease or rent real estate or personal property Lo or from the State of Horth Carolina with a market value of | | $10,000 or more? i | ves me | | Name of Lessor | Name of Lessee | If Real Estate, Location | If Personal Property, | 1 Renter) by City & County. Describe. - | - T = - - 1 | 2. amy ume during 2014 or 2015, 010 you, your spouse, or members of you immediate fami sei 0 or buy fram the | State of orth Caran personal property wih a marke value of $10,000 of more? | 8 | ves mmo | | Namoof Purchaser | Nome of seller | Type of Property | ! . _ | | 1 The SEI and any attachments, excluding the Confidential Form, are public records. Page 201 10 oc fort] i! |Favanerns mreests | 13. Aw of December 31,2015, dt you, your spe, or members of your ns: ody own ny of the following fanci | | A. Stack 1n a publicly owned company? i | mye ne | Corpabien or peion or detered compotion plans). () th (und fs publ ad or a assets arc wily | diversified; and (i) neither you nor an immediate family member are able to control the assets held in the mutual fund, | f ‘owner of Interest "| Full Name of Company (Do not use ticker symba) | | Beverly ben! | loca Gof Cangrany | | oetyT bend Canguny — ! | | | i i I ; B | B. Stock Options In a company or business? | | ow me | Owner of Stock Option 1 Ful Nome of Company (Bo not use ticker symbor) | | C. Interests in a non-publicly owned company or business entity (including interests in sole proprietorships, | | Partnerships, imited partnerships, font ventures, limited iabilty companies, miled liablity partnerships, and | | | fives me imo procs to ueston | | Owner of Interest —] Name of Company or Business Entity | Ceo Mhckment "A fietasraph 4 i (Ge wt A] ptssiaph#) | i. - | C1). For each nom publicly owned company or business entity (the "primary company”) identified n question hes meant to he mes of ch companies o binds ene whch Uh primary company os woo ty mes valued of ove $10,000. 1 know, © | Non-Publcly Owned Company or Business Entity | Other Companies in which the primary Company (i rimary Compory HT Cowes Security o Eauiy Ameren - : | i | I i i The SEX and any attachments, oxcluing the Confidential Form, re public records. Page 30110 I'd 2os | Ct vow ow tak so compomy a uso apy Usd 3. on 3601] abows hs amy tert woness | i dealings o business contracts wit the talc of North Carolin, o regulated by he State, provide a bret | | mR | | {J one or Not Known 1] I - | | | — 1 _ | 14. As of December 31, 2015, were you, your spouse, or members of your immediate family the beneficiaries of 3 vested | trust with a value of $10,000 or more that was created, established, or controlled by you? | Do not lst assets held in blind trusts. See 2016 SE1 Helpful Tips for Lhe definition of “Vested Trust” and “Blind Trust.” ! [ives @No | Mame and Address of Trustee Description of the Trust| _ Your Relationship to the Trust i uste . i ship to the Tr i ] | 5. AS of December 31, 2015, did you, your spouse, or members of your immediate family hove liabilities of $10,000 ot ore, excluding the mortgage on your primary personal residence? Examples clude credit card debs, ato loans, dent | oan, persanat fons an tar family debi [ves MNo Nome of Debtor (You, Spouse, Immediate Family | Type of Creditor (Commercial Bani, Credit Union, | i Viemben) ! Individual, ete) | — J Piidosh ois) i i. . 1 SE 1 [6 List cach saurce of income (not speci amounts) of more: than $5,000 received by you, your spouse, or members of | your immediate family during 2015. Include salary, wages, state/local government retirement, professional fees, | Ronorore erst, iden, rata income, busines income, and othr pes of nc required be pore on your State and federal ta returns. | i A —— ! » Copital gains » Federal government retirement | |» witary retirement + Social security income/ S501 | | Recipient of income. Nomeof Source | Typeof [7 Typeot income | i | Blsiness/Tndustry | Beverly T- Beal [pre 78 NeW Caroline. | 5 pale government | sade retiemert | Bgey 7, 54 rd Reach] prospects Red] property. | Roufal propeity pe Bec ovate hol | Inco | ever, 70a 1 Teatnte oF Parl B Hasson 35 ns edie Les ps T_ * Rinmeriadors Cee. Beverly 7 Beal TLatrgeutts i COSA Sper Corb append | Court onlered ee or pease sex dpa A, special nixster.” series Ye. 2 A 1 (see Ase Mlfachnont AT paragraph 1 b) The SEX and any attachments, excluding the Confidential Form, are public records. Page dof 10 20/6 1 PROFESSIONAL AND CIVIC RELATIONSHIPS | | 70). During 2015, were you, your spouse or members of your immediate family a director, officer, governing board | | member, employee, ndcpundent conractor, or registered lobbyist af a nonprofit corporation organization apcrating in | | th Sate of Rr €or primary for rious, chara, Slr, Wray, pub heal nd art, or educations | purposes? | | | ves CIN 1oWo,” proceed to question | | Do not ist State boards or cnlites, or entities created by a politcal subdivision of the State. | fort mf oe ener | |" NameofPersn | Mis/HerPositon | Name of Nomprofit | Matureof Businessor | i or | Corporation or Organization | Purpose of Organization | Bue\y 7 Beal member, Board of | James C. horpey Schoo | [music edicaran | | | Duectzrs [of Rrformmg fabs |p| Judy 1. Bead Treasurer and caldwell peraton © [id 5 yHenias bead of Dieters, Herne. Muse | history pase ua fo | see Atcha J, F 3.) Cel dutll Cound | f Wem bev, Beat oF | Foundahin of Caldwell Giamecal Sopporta € | Beverly T Beal Directors mma Giaccone fic Sane | em cal Tock Cin gle, Student | 700. 11 th monpront corporations o orarizations tc aba do business ith th State of orth Carona or recive | State funds, pease provide a bret description of the nature of that business, f known or with which du dilgence could | reasonably be known. H | | Nam of prot corporation or Orgmienion | besrv tae Business or Site Funding | | (one or ot Known | apr Scluai oF Referming Rts | Tagnaat of Sedes Tay i L - — pp . ~ — S— i Caldwell Heritage Muse Paget Sates Tax |’ i 2015, were vou, your spouse, or errs of vor ite ily dir Se, a going bos | | member of any society, organization, or Gdvocacy Group whan nerest in ters over which you agency o board may | Nove jurisdiction? | | ves mao hteqmnon cin ocr vou arent rr to comple ths ueston you ce ig rcs | | ‘you are 3 legislator or a judicial officer or you are fing as an appointee to those offices. | | #00 not tist organizations of which you are only a member (not serving in a leadership role). | | metreon | emostaoy omit | soup ont | | ‘or Advocacy Group (Director, Officer, Board Member) | iE | S— | | The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 10 20/6 (0st he ame cach company buses wih WHC yu wer 55d where yo 3 meme yur rai | family was an employee, director, officer, partner, proprietor, or member or manager as of December 31, 2015. 1 ‘Name of Person Relationship to Filer T ‘Name of Company Role of Person I uses Resations Ho, arcee o auton 10 (Geo Aachirerd "A" | Parmgrapy 4) | 50). 1r you know that any company or business entity listed in (a) above had any material business dealings or a Se oe evn pn Se re nov Tce of va es et ama of Company o Busines Entty | Description of Business Actwty with the State Wt soporte aon #9030 rations ht now Be Achmad B+ Rrsgrapn 4) Fr —— [EL ——— Jes, check each category of ea osatatin in whch you th fn Fr with wich you re fits os cone es om om 1000 St 2 fepve— Claman OJ comorme comma 1] Decedent's Estates "| Environmental J Insurance 0) Labor Local Government [J Real Property [J Securities. [Tax Tor igaton (nudng Clues Repunten thr category ot es negligence) i | 11. During 2015, were you a licensed professional (other than an attorney) or did you provide consulting services | nor 3 ert son or we vm so Bo | Cives Eto i Type of Business [ Nature of Services Rendered } The SEI and any attachment, excluding the Confdania Form, are public records espe ori0 hoa | | 12. Ave you or your cmployer, your spouse or members of your immediate family, or ther employer currently: | mc he Ste boss eon ent tic or it ricco | + Reaulted by the State board or playing entity with which you are or will be associated or i + Mave business ationship ith the State board of crpioying catty wh Which you are or wil be associated? | | ves [Mo [Leniator/udical Office - ou are not required to complete this question if you are filing because | ou area equator o a dca office Cjucial officer s defined in the SEL Helpul Ts) or you re ig a an appointee to those ofices. i Name of Person | ‘Name of Employer Type of Relationship | Gt applicable) (Licensing, Regulatory, Business) | + Bea CL Stade Bak, ax a | Licessing and Beverly 7 Beal ics CE gfutien | Seep ari | A eemihsiion | | | 13.0 you. your spouse or a member your imme Cry curry ocr 5a obs or yt pinch, of | were you registered as such within the 12 months preceding your filing of this form? y [ives Who | | Name of Lobbyist Lobbyist's Principal | oateor | Registration | | Registration i Epiration | | omHER Disclosures } oo 1/14. Dunng any candor quarter in 2015 (ot any the time period alter yo were appointed, employed or fd of were | inated as conde, did you | + receive any "aif)" exceeding $200 per quarter from a person ox group of persons acting together, and | || hn both you ad hase person(s) wer ci rth Corl of te you ached tne 4), and i | the itt) were olven under Grcumstances iat would fad a reasonable person to conclude that they were oven | | tortobtyinar H | ove mw | +00 not report ait Given by members of your extended fami. - | or ot. apr as tot ae, vio. bc sepne by ou 1 the Department of the Secretary of tate on te | | "SE nse Report or Exempted Persons.” " pi | Date Item Received | Name ond Address of Donor(s) | Describe Itom Received | Estimated Market | | i Value | | The SEX and any attachments, oxcluding the Confidential Form, are public records. Page7 of 10 pe 1s. During 2015 (but only the time period after you were appointed, employed, or filed or were nominated as a candidate) | did you | + accent a scholars exceeding 5200 from person or grap of persons acting together and {+ those person(s) were outside North Carolina and 1+ the scholarship was related to your public position? A “scholarship” is a grant-in-aid, either direct or indirect, | to attend a conference, maeting, or similar event, including tution, travel, loaging, meals, and other | Sitar expenses. i Ting a a din officer appomIce. i | » Do not report gifts that have previously been reported by you to the Department of the Secretary of State on the expanse Report fr Exempted reson.” » Legislators are not required to report schlarsips pad by 3 nonpartisan leisaiv organization of which th legislator a the Genre Assembly s member o participant or an afte of tht oGan7aton I" oateor | Name and Address of Donor(s) Describe Event Estimated Market | scholarship | i Vaiwe | f | | rl | i ] | | | ] | | i ] | | | i | | | SE | i 1 16. were you appointed or are you being considered for an appeintment to a covered board by the Governor or ancther Edel, | Council of State members are: | Governor > 1. Governor > Secretary of State |» state aor » state Treasurer > Superintendent of Public Instruction |v Atorey Gener » Commissioner of Agriculture.» Commissioner of Labor » Commissioner of Insurance | ove ae | 10 “Yes, lst al contributions you (NOT immediate family members) made during 2015 with a cumulative | ol of more than 31/000 1 the Governor or ates Cound of tate member whe appoied you. | | : - | » Contribution arc defined in 1.C.G.5. 163-278.6(6) nd incu, but are not ited to, “any advance, conveyance, | deposit, distribution, transfer of funds, 1oan, payment, if, pledge or subscription of money or anything of value. | ns i we | mem | Comets | 000 contiuton(s) with a cumutative otal of more than $1,000 The SEL and any attachments, excluding the Confidential Form, are pubic records. Page sof 10 2006 [ 17. you am sppainte or prospective appointee tor - | a. the ea of a principal State department (6.6. Cabinet secretary) oppanted by the | b. 2 orth Carola Supreme Court Justice Court of Appel, Superior or Dirt | | Court Judge; or | ©. a member of any of the following boards: H b | "hac Commisonn + Coastal Resources Commission | | * State Board of Education WYes [No | CS oof toons + Division of Employment Security 16 “No,” proceed to | + Environments Management Commision | question 15. Indust Commission I 2 ama Resouces Commassion | | © Rules Review Commission | * Board of Transportation | |Z Unc Board of Governors | * uties Commission wife Resources Commission | | | d. 1f so, were you appointed or are you being considered for appointment to that. | fl Yes [J No i | uc oslo by ons of Sate meh? Coun oF Sra members re 1560 | 3 wor proceed to | | inavestion 16. | question 18. i |e 150, you must indicate whether during 2015 you (not immediate family 1 | members) cngaged in any of th following SCL with respect 1 0 on behalf of he conddte or campaign commILee of the Counc of Sate member who | ovate you o your publ poston: | | |c IYes MNo | i Collected contributions from mutipe contributors, took possession of such mui Contributions, and Uanseied of evere tn colecod, Cotrivtons ta the cinddats or commitsee? Contibubons av acted in | aueston 16. Mosted a uneaer ot your ein ope of bsners? [ves ane ] i. Volutcered or carpaign-related aces, which ncude, but are not ied | Lo, hom banks, event assistance, maiinas, comassng, uerno, or ony | C1Ves @INo. er aiity tit 30vances the Campalan ef & Eandoocss | | 15. Have you ever been convicted of a elany for which you have no received either: (1) pardon af Innocence; ar (1) an | order of Expungement agarding that convichon? | Oves mo | i otense [oat of Conviction_| County of conviction | State of Conviction | 1 19. Ave you aware of any other information that you believe may assist th State Exics Commission in advising you | Canceming You comprance with he Sake Government Ene ALS Mes INo ies, lease provide such information below. H " Fy = ! (Se Machment "4" | | | The SEE and any attachments, excluding the Confidential Form, are public records. Page 901 10 206 AFFIRMATION 1 afm tht the information provided in this State of Economie Inerest nd any atachments hereto are re, complete. | ad scart 0 the bet of my knowledge and belel als certify that have ot transfecred, und will not tans, any asset, eres. or propety for the purpose of concealing it | fom disclose whi etining an quiable meres. } understand tht my Scaement of Economic Interest and any attachments or supplements hereto (with the exception of the | Confidential Fom regarding Unemancipated Chien) are pubic record Tacknowledae tha | have read and understand N.C.G.S. 138A-26 regarding concealing o filing 0 disclose mtrial information and N.C.G.S. 1387-27 regarding, providing falc infomation 2 1384.26. Conccaling or tailing to disclose material information A filing person who knowingly cons or knowingly fis o disclose information that s required to be disclosed oma statement of ceonomic nicrest under this Article shall be uly of Class | misdemeanor and shall be subject To disciplinary scton tinder G.5. 1384-45. |S 138A27. Ponaly for ule information A Fling person who provides fle information on a Satcment of economic intrest a rquited under this Article Knowing that the information is se is rly of Class 1 felony and shall be subject to disciplinary action under GS 1A, Wipe ps \ udu So, f Qed ¢, 20/0 Signature T= Bate Beverly T. [Sea Printed Name. ? | Submit SIGNED, ORIGINAL documents only. Do not fax or email this form. - 5 4 4a 20/6 The SEI and any attachments, excluding the Confidential Form, are public records. 406 10 of 10 ATTACHMENT “A” TO STATEMENT OF ECONOMIC INTEREST 1. Tam a retired superior court judge. | was appointed an emergency superior court judge in 2012. During calendar year 2015 | was commissioned and held sessions of Superior Court in several counties. | am compensated per diem, plus travel expenses reimbursement. In 2015 1 did not receive more than $5,000 from this source. 2. During 2015 I continued to serve as Administrator of the Estate of Paul Barringer Houston, Jr., deceased, my cousin. who died October 13,2013. The estate administration was completed, and the Mecklenburg County Clerk of Court approved the final accounting on October 26, 2015 and the administration was closed. 1 received compensation for my services as administrator, in an amount allowed by the Clerk of Court. | also received distribution of estate assets as one of the heirs of Mr. Houston. The total of these amounts was more than $5,000, but less than $10,000. 3. During part of calendar year 2015 | served as interim Director of Operations of the Caldwell Heritage Museum in Lenoir. N.C. I received no compensation. My duties did not involve fund raising activities. | reported to the Board of Directors. of which my wife: was a member. | was not a voting member of the Board. 1 did not perform any duties related to finance or accounting or payment of sales tax. | was elected to be a member of the Board, and Chairman of the Board, for a term beginning January 1. 2016. 4. During 2015 J was a sharcholder of Zack's Farm, Inc... a non-publicly owned corporation. My interest in the corporation had a value of less than $10,000. During 2015 my wife was Sceretary Treasurer of the corporation. On June 10, 2015 the corporation was officially dissolved. “There has been no litigation involving the corporation. 5. Lam owner of commercial rental property located at 622 West Av NW, Lenoir, N.C. Mr. Steve B. Potter, Attomey. is the tenant. Mr. Potter is also my personal attorney for family and business matters. Mr. Potter has appeared before me in Superior court representing clients for non-jury proceedings. When Mr. Potter appears before me. we comply with Canon 3D (Remittal of disqualification) of the Code of Judicial Conduct. Iam aware of the potential for conflict of interest if Mr. Potter were to be the subject of disciplinary action by the N.C. State Bar, for which serve on the Disciplinary Comission. 6. In 2015 1 was appointed one of two “Special Masters” in the N.C. civil action entitled Margaret Littlejohn. Individually, und as personal representative of the Estate of Thomas Littlejohn. 11 M.D.. vs. Jet Logistics, Inc.” Mecklenburg County Superior Court File number 11 CVS 24301. The purpose of the appointment was for me to read and review depositions of proposed expert witnesses and advise the trial judge on the issue of allowing those witnesses to testify as experts. The case was settled. The judge ordered hat the two special masters be paid in equal parts by the partis to the suit. The amount | received was more than $5.000. and less than $10,000. 1 have had no relationship that 1 know of o can recall, with the litigants or the tomes or the witnesses, other than as Special Master in the case. Bust, 7Bet apd 1, 20/0

at NORTH CAROLINA STATE ETHICS COMMISSION — ——————, 4" 2015 STATEMENT OF ECONOMIC INTEREST | FOR ETHICS COMMSSIEM USE OY | i 237 | 919-715:2071 msm | 105 19810 PH 2 | FILER'S RAYE (FIRST, MIOOLE, ST) rememe | wasewame | iestweme suri Beverly | Tele | Beal I Cons evpLove sos Time N.C Judicial Branch _[Emesgene Superor loork Sodge. NATURE OR TYPE OF BUSINESS. red Superioc Gort Judae, Serving when commissioned Br court Sessions REASON FOR FILING (SELECT ALL THAT APPLY) BW STATE GOVERNMENT JOB (Please specify the agency for | [) BOARD/COMMISSION (Please list complete name of all hich you wa o ars beng merce) Soe boars on wich you are Seren on are bor TS Sa Ce 0 A FE | considered) 0000 Appoinicd member of the N.C Stale Ba Disciplinary Hearing Commission; No _ Compinsation exapt Towel EXPensts re-mibursement 0 UD1CIAC OFFICER (ease spac ne office you no) |] LEGISLATOR (Passe saci Hose or Sarare) Emergency Superior Gort Jodge. D0 other immediate family members resida in your household? [mes One When used throughout is form, tno ter Immediate family includes your spose (niss legally Separated) it iso Inui members of your extended amy yout a1 yout SpOLSR’s hla, rane acane,aronasarins ood | siblings, and th pauses of ach of those persons) who reside in your household. | | ONLY LIST THE INITIALS OF UNEMANCIPATED CHILDREN. However, you MUST submit the chidren's fll names onthe | Conndantial For alate % he and fens cent | Minors rs smaripaced by mariage. enisiment nthe US lary, or cout action or emancipation. ! FULL NAME OF ADULTS & | RELATIONSHIP EMPLOYER 308 TITLE NATURE OF | EMANCIPATED MINORS vemmess | Jody Gon cris Beal Nove N/A N/A | —— 1 The SEX and any attachments, excluding the Confidential Form, re public records. Page 1010 INITIALS FOR EMPLOYER NATURE OF | UNEMANCIPATED BUSINESS ‘CurLoREN Howe: — PROPERTY INTERESTS 1. As of December. 31, 2014, did you, your spouse, or members of your immediate family: Jn. Have an ownership nkarest In North Colina real state (including your residence) wih a market val of $10,000 Wes [Ino | owner o Rest Emate | 9» ownership toterest | Location by Cty | Location by County Bevery © Beaton 100% Leno NC | Caldwell Er 100% Lenoir NC Caldwe l) Be vor " 100% rio ir NC calduwe. Boa GER hea sane or persona profes or lam th ma vi SE Le or 516,000 or more? Dves mmo I Real Estate, Location | If Personal Property, by City & County Describe 2. At any time during 2013 or 2014, did you, your spouse, or members of your immediate family sell to or buy from the ‘State of North Carolina personal property with a market value of $10,000 or more? OYes MN m— — The SEX and any attachments, excluding the Confidential Form, are public records. Paga zor 10 3. of December 31, 2014, 0d You, your 390Use, oF Members of your Immadats family ov any of the allowing financial interests valued at $10,000 or more? A. Stock in a publicly owned company? mee Ono 500 ot lst owners interests in a widely held investment. fund (including mutual funds, regulated investment companies, or pension or deferred compensation plans) i. (1) he fund 16 pUBIKly traded or ics assets are widely Giverified; and (1) neither you nor an [Mmedate family member ars able to Control the assets held in he muta Fund investment company, o pencion or deferred compensation pan. owner of Interest Full Name of Company (D0 not use a ticker symbol) Beverk T Beal [Coco - Cola. Company EE | 5. Stock Options na company or business? Oves mano Owner of Stock Option Full Name of Company (Do not use a ticker symbol) Interests i 2 non-public owned company or business enty (Including terest n ole proprietarsnps, Parineraios, Lied partnerships Sor venture, miied 1abIty compan es, Imied avi portnerdops, and Closely held corporations)? DYes MNo - IF "Nor, proceed to question 4 ‘Ovenar of Tnterest Name of Company or Business Entity | The SEX and any attachments, excluding the Confidential Form, are public records. Page 30f 10 C(1). For each non-publicly owned company or business entity (the "primary company") identified in question 3.C ove, please It tne names of any oiner Comes 0 BUSINESS eNIEs 11 whlch th primary company owns Secones or equry interests valued o over $10,000, Flown. ‘Non-Publicly Owned Company or Business Entity | Other Companies in which the primary Company (the Primary Company) ‘Owns Security or Equity Interests ® None or Not Known C2). IF you know tha any company ar business entty ted 1m 3.C or 3.C(1) above hos any material business Slings or business contracts ith che Sate of North Caroling, or i reguated by the Seat, Drove 3 bet escnpnon of tht business sti. Name of Company or Business Entity Description of Business Activity with the State one or hot noun 4s of Daember 31. 2014, were you, your Ouse, or members of your Immadiate family the benafcanes of vested st wih 3 Va oF 410,000 0r or tha was create, Sata ned. o conned by yout Do not list assets held in blind trusts. See 2015 SEI Helpful Tips for the definition of “Vested Trust” and "lind Trust.” Des @no ‘Name and Address of Trustee Description of the Trust | Your Relationship to the Trust 5. Ac of December 21, 2016, Gd you, your spouse, or members of your mmedate fami have abies of $10,000 or more, excluding the mortgage on your primary personal residence? Examples include credit card debts, auto loans, Student 1630s, personal oans and intra family debt. Myes [No Name of Dabtor (You, Spouse, Immediate Family | Type of Creditor (Commercial Bank, Credit Union, Viember) Individual etc.) Beverly To Bea) wife Judy lh Beal | Commercial Bewle The SET and any attachments, excluding the Confidantial Form, are public records. Page dof 10 os 6 Lit each sous of Income (no specic aroun) of ark ha 45.000 received By yo, Your spouse 0 marers of your imimadlaie famiy dina 01. Inca. sors, Wises, aoe govermre selimene, most Roncraria, mart, avidents, Sa come, bist ms 370 ates PL ons ro pl rlessnal, fs, a aan Do ot include income received from the following sources: + Cogent gas » Foderal government retirement | + Wilkary redirement > Socal security income $501 Name of Source Type of Type of income Bes ndustry 31a no reportable income aver $5,000 mn 2014. Bev, T Ben State of v taje Government [Stade RZ HIEMent | DevertyT | er oontn Careline, [SP 05 ili iditiiii 3 a wi 1 dent 2 Pen of Bool T Bl § fy [Reidel Reins [Rendl prope edroPert PROFESSIONAL AND CIVIC RELATIONSHIPS 7(3). During 2014, were you, your spouse or 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 Rives CIN - fo, proceed to auestion 8. » Do not list State boards or entities, or entities created by a political subdivision of the State. ot arpa of wt er # me me chiki il Name of Person His/ Her position Name of Nonprofit Nature of Business or Corpormion or Organization | Purpess of Orpemisetion Ze od | wember, Board Sanies C. Farper [TO ProviaE MUSIC aid verly 7 8 oF Directors. School of Rorformng ris |dance education Boa olduell County Heriage [COperafim oF a. history dy Beal OF Directors membty Meister, Tack 1 | hssetu fir Calne] a ed i | _ TIO 1 0 rararo corer or organaAtons ved eve a8 business wil Save of Nar Coal a cana | 50s rs nn rv a rt desrton of Te kre Fa Sashes ehown or wi Gon gnc ca | pein Nara of Nonprofi Corporation o Organization | Describe State Business or Stats Funding (J None or Not Known ES choot oF Perry Arts Raa oF Seles tmx—— Caldwell Count, Heritage Museum, Too | Pq 3 The SET and any attachmnts, excluding the Confidential Form, are public records. Pages of 10 © uta 2015, Were you your Spouse, or ERTS of your TTS Tay 3 rec, oe or gee Bou member of any scity, fGamton. o Svocac Gro iin a1 THES 1 aor Sve Wh your Boer a DearS sa Rave Sona [ves Mie. (3 Leoisitorudcal Office - You ae no required o comple is quescon you ar fing because Vo area liar or a 4 ero you ars Te a a appa o ross een. 00 not st oganiatons of which you a8 rly member (rot serving in leadership rele). ‘Name of Person. Name of Society, Organization Leadership Position or Advocacy Group (irecor, ocr: Board Member) 500). Usk the same of anch company or business wih wh you wire assed where you or 3 meroer of your Immediate family is an amlvee, dnecor, offcr; Dens, pop a mapor of harogel as of Cacao 1 25a Nama of parson Relationship to Filer | Name of Company |__ Role of person (0) No Business Associations. S05) 1 you know tht ay company or buses ety ed 1 3(2) above hao any material business deaings or Buses contracts with the State of North Carolina or was regulated by the State as of December 31, 2014, provide a brief Gnscrpion of tht Diness ety Name of Company or Business Entity Description of Business Activity withthe State Not apphcae (No eis ses on #58) (JN elions/ Not known 10, Ar you a practic stoner? ves Cio Muda! Offcerssats Avorney IF Yes, check each cotegory of egal representation in which you the I ir kh WH you ar afta has armed legal fees of more than $10,000 during 2014. [Eyv— Cnamiaty D3 Carpoare Ocrmen 0 Decadent estes [Ep— Clinurance Duavor Local Government Oren proparty secures Om Ort gation (ncucing J uoites Regulation] Other category not std. Joti The SEL and any attachments, excluding the Confidential Form, are public records. Page sof 10 na Zoe, ware yes 3 Tered prtessons (rer hr a Soman 0 ya proud reung seies eo tease svmioio fr we You Choe or wir per $40.0007 [ves WNo Type of Business Nature of Sevces Rendered TE Reta ove Stor, You pees am ok ea a a SAE SHY cans re Sa aa r amply arty wc yu ra i ascites on Recut re Sa ead x ampli ry ith nh ou aro will bs asacies on + Have 2 business relationship with the State board or employing entity with which you are or wil be associated? ves DIN ()LegtoucllOfcar - You rent requrd o complet Uh cuts ou ar tg because sor ic ea Chote shoe mad ine SEL WA oo vos Tos or amare 3 ost sree Nam of parson Name of Employer Type of Reatonship applica) (ticensing, Roglsiory, Business) [Bevery TBeal Ao A Wa Commision emia verly T iis of th 15ciplina ing Commission req hon a ou, yor some 7am of vr TERR OY Sra Tre 5 3 oO ay sn, were you registered as such within the 12 months preceding. your filing of this form? Ore mo ame of Lobbyist Cobbs pininal Dae or Regiaton nonmnon | ‘Soeenon omer prscLosuREs To Gunn avy cence Quer TOTS (OS Se rod Fv wars Smead, soTe of edo ard Co aon recente xen $200 ps reso parson Bn of parsons acting ager, and nn ooh yo a thse parsons) were olds North Carla oth tm yo ccpted te (6), nd tne git) ware va unde camaro ha ode regan eee 1a Conde th tay are efor ones? Dyes MWNo ara GRE oY SA ar, >on x eprint have rv bee apres oo 8 he Deprmens of te Secretary of Sts oth Enis napes to Banned Pesan Gate Tam Racaved | Nam and Address of anar(s) | Describe am Recavad_| Estimated are Vatu | he x an any axachmants, excluding the Confidential Form, ar public ecards. f— 15 Duin 2012 (ou oly he me period Sar You re SpPONYe, Smid, o 1a o were nominates 0 8 canons) avo « accept a “scholarship” exceeding $200 from a person or group of persons acting together and + those person(s) were outside North Carolina and. * the scholar uo related Your PIC peso? A schalarshi” i a ramt-n-aid to attend 3 conference, mecting, or sir overt. [ves MINo [J Judicial Officer - You are not required to complete this question if you are a judicial officer or you are. | | fing ov a su cer ponies: Do not report ots that have previauly been reported by you t the Deparment of the Secretar of tae on the Fase Report or xem parsons” > Lgisaors ae not requ o reper scsi ad by nanan eae orga zaon of whch te fear or ne Canara Fase 1. ember of porcpant oo Afats of hat organs. Date or | Name ond Address of Doner(s) Eotmated Market scholarship Vitus [116 Were vou appointed a are you beng considered for an apparent to 8 covared beard by he Governor ar anor Come of Ste moar? Council of sate members ar: > Governor » Governor » secre of Se | » State Auditor » State Treasurer > Superintendent of Public Instruction 1 » ator General » Commissioner of grcaure > Commissioner of Labor » Commissioner of nsirence Yes WN 1f "Yes", list all contributions you (NOT immediate family members) made during 2014 with a cumulative total of more than $3,000 t the Governor o other Council of State member who appoImed You. Contuions re dened 1... 163-278,56) and inclu, bu re not mite 2, “ny avance, conveyance, epent, tindion, ane of fund, oan, bomen, ai, 1630s o ssserUon of money of Ayn. of vals whatsoever.” Dae Amount Contributed to 5h cotton) wi 3 mute ta of more hon $1,000 — The SEX and any attachments, excluding the Confidential Form, are public records. Page sor 10 15, Ave you an appointee or prospective appointee ©: + the head of 2 principal sate department (69. cabinet secretary) apponied by the Governors or 5. North Carolina Supreme Court Justice, Court of Appeals, Superior or Distt Court Suge; or <a member of any of te following boards: 2 8c Commissan © Coastal Resources Commission ~ State Board of Education Bes Ono © State Board of secnions Duwson of Empioyment Security I Nor, procesd to Envronmenta Managemen Commision Question 18. © Industria Commission © human Resources Commission © Rules Review Commission © Board of Transportation © UNC Board of Governors Leis Commission * Wide Resources Commission a 135, were you appointed of are you being considered fo appartment o hak public | M¥es (INo omion by Coun of Stave member? Counc of State members rs 16d n+ [38 wher, proceed to Sesion 16. a, so, yau must maicate whether during 2014 you (no immediate fay members) niacin an of tn flown acts wih EE o an banal of he Candace o campaian commie of the Counc of Sate member who appointed Tou to your pubic 205on: Oves mNo 1. Collected contrburons from multiple contriutors, took possession of such ipl contributors, and wansfared r devered those colicted conrvutions th Canidae of commitees Contibuons are defined n Question 16. i. vosted a fundraiser a your residence o place of Business? [ves mmo | 1. Volonteered fo campain- related acts, hich include, ut are not ied to, Brome barks, avant sssrance, mange, CaS, Surveying, or any oer Si tha advances the campaign af & andere? 16 ove you ove ban comiced of 3 felony for wh you nave not reseed ener: (1) a pardon of mnacence; or (1) an order of expungament regaing hat commeton? [ives No ] Date of Conviction | _ County of Conviction | _State of Conviction 19. ve you aware of any othe formation (at you Delve may avast the Stae EXhics Commission in advising You Eaneming ou complance withthe Stats Government Eins AQP ves CINo if yes, please provide such information below: wp” EE See Ptiachment “A The SEX and any attachments, excluding the Confidential Form, are public records. Pagesari0 ATTACHMENT “A” TO 2015 STATEMENT OF ECONOMIC INTEREST On October 31, 2013, the Clerk of Court of Mecklenburg County appointed me Administrator of the. Estate of Paul b. Houston, Jr., deceased, who died intestate. Mr. Houston was a resident of Mecklenburg County. He died on October 13, 2013. The Estate file number is 13 € 3404. 1am a resident of Caldwell County. Mr. Houston was my first cousin. | understand that the N.C. Code of Judicial Conduct allows me to serve. as administrator of the estate of my cousin. | obtained a surety bond. During 2014, as part of my duties as administrator, | petitioned the clerk for authority to sell Mr. Houston's real property at private sale. The clerk authorized the sale, and the sale was completed in 2014. 1 filed a final accounting for the sale of the real property with the clerk of court. | continue to serve as administrator of the estate. 1am a retired Superior Court judge. | was appointed and commissioned an emergency superior court judge in 2012. During calendar year 2014 | was commissioned and held session of Superior Court in several counties, including Caldwell County. | am compensated per diem, plus travel expenses reimbursement. 1am owner of commercial rental property located at 622 West AV NW, Lenoir, NC. Mr. Steve 8. Potter, Attorney, is the tenant. Mr. Potter is also my personal attorney for family and business matters. Mr. Potter has appeared before me in court during the calendar 2014, representing clients, for the purpose of non-jury proceedings. He does not represent clients before me for jury trials. When Mr. Potter appears before, we comply with Canon 30 (Remittal of disqualification) of the Code of Judicial Conduct. 1am aware of the potential for conflict of interest if Mr. Potter were to be the subject of disciplinary action by the N.C. State Bar, for which | serve on the Disciplinary Commission. 1am a shareholder in a business corporation, Zack's Farm, Inc., a non-publicly owned corporation. My interest in the corporation has a value of less than $10,000. 1 do not hold any office in the corporation. The corporation isin pursuing dissolution. There has not been any litigation involving the corporation Mr. Bruce L. Cannon, an attorney in Leno, also owns an interest In the corporation and now serves as president of the corporation. | do not specifically remember Mr. Cannon appearing in court at which | presided in 2014. If he did so, his appearance did not involve a jury trial. 1 am aware that there would be the appearance of a conflict of interest if Mr. Cannon were to be the subject of disciplinary action by the N.C. State Bar, for which | serve on the Disciplinary Commission. AFFIRMATION aff that th information provided in Gis Statement of Economic Interest and any atchments hereto ar we, complete und cere to he bes of my knowledge and bli also cry tra have mot transferred, and wil nt rane, any ssl, iirest or propeny forthe ppse of conecling it from disclosure while reaping an equiabl nett drsiand that my Statement of Eonar nine and any attachments or supplements thereto (wilh the exception of the Confident) For regarding Unemancipated Children) ae public record. acknowledge ha have read and understand N.C... 138-26 rganding concealing oc fling to disclose materi) information and N.C... 1384-27 regarding providing false information: § 138-26. Conceaingor fling to disclose teil information. A Bling person who knowingly conceals or knowingly fis o disclose information hl i required 1 be disclosed ona tement of sconakic ere under tis Avile shall bo guilty of a Class sdemesnor nd shall be subject to iscplinay ation under G.5. 138A, $138.27. Penalty fo false information. A Fling person who provides lsc information on a statement of economic nteret a equiv under his Aticle Knowing hat the infomation is as gy of Class H felony and shall be subject fo disciplinary action under G.5. 138A 1 Agree Bever WT Bea Printed Name Cn [eat ke 18 2015 Signature Date Submit SIGNED, ORIGINAL documents only. Do not ux or email this form. The SE and any attachments, excluding the Confidential Form, are public records. Page 100110 For Office Use Only {ig | vor caro stare emcs commission 7 J ws ima m2 2015 STATEMENT OF ECONOMIC INTEREST : — pesto S15 A Name of Person Filing Supplement: Rey ex. ly Tate 2a Name of Agency or Board; Exergeny Speror Grud Tudae, and “, NC Bay Disciplinary, Raving Commission pate: BE [Ne mE (a). List the name of each company or business with which you were assodated where you or a member of your immediate family was an employee, director, officer, partner, proprietor, or member ‘or manager as of December 31, 2014. Name of Person | Relationshipto | Name of Company | Role of Person Filer CIN Business Associations A Jody be. eal wile Zocles Farm, Tue. | Heese 9(b). If you know that any company or business entity listed in 9(a) above had any material business dealings or business contracts with the State of North Carolina or was regulated by the State as of December 31, 2014, provide a brief description of that business actvty. State CJ Not applicable (No entites listed on #92) [J No relationship / Not known RX Zack's For, Tue: esi samc \yvotves Silas | : with the Office, 0€ the Secretaxy oi AFFIRMATION 1 affirm that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate to the best of my knowledge and belief. 1 also certify that | 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. 1 understand that my Statement of Economic Interest and any attachments or supplements thereto (with the exception of the Confidential Form regarding Unemancipated Children) are public record. 1 acknowledge that | have read and understand N.C.G.S. 138A-26 regarding concealing or failing to disclose material information and N.C.G.S. 138A-27 regarding providing false information: § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest under this Article shall be guilty of a Class 1 misdemeanor and shall be subject to disciplinary action under G.S. 138A-45. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest as required under this Article knowing that the information is false is guilty of a Class H felony and shall be ‘subject to disciplinary action under G.S. 138A-45. WI Agree Beverly Real **Notarization is no longer required** Printed Name _ DBoudBao Gp 3, zois This entire document and any attachments are public record.

at NORTH CAROLINA STATE ETHICS COMMISSION — ——————, 4" 2015 STATEMENT OF ECONOMIC INTEREST | FOR ETHICS COMMSSIEM USE OY | i 237 | 919-715:2071 msm | 105 19810 PH 2 | FILER'S RAYE (FIRST, MIOOLE, ST) rememe | wasewame | iestweme suri Beverly | Tele | Beal I Cons evpLove sos Time N.C Judicial Branch _[Emesgene Superor loork Sodge. NATURE OR TYPE OF BUSINESS. red Superioc Gort Judae, Serving when commissioned Br court Sessions REASON FOR FILING (SELECT ALL THAT APPLY) BW STATE GOVERNMENT JOB (Please specify the agency for | [) BOARD/COMMISSION (Please list complete name of all hich you wa o ars beng merce) Soe boars on wich you are Seren on are bor TS Sa Ce 0 A FE | considered) 0000 Appoinicd member of the N.C Stale Ba Disciplinary Hearing Commission; No _ Compinsation exapt Towel EXPensts re-mibursement 0 UD1CIAC OFFICER (ease spac ne office you no) |] LEGISLATOR (Passe saci Hose or Sarare) Emergency Superior Gort Jodge. D0 other immediate family members resida in your household? [mes One When used throughout is form, tno ter Immediate family includes your spose (niss legally Separated) it iso Inui members of your extended amy yout a1 yout SpOLSR’s hla, rane acane,aronasarins ood | siblings, and th pauses of ach of those persons) who reside in your household. | | ONLY LIST THE INITIALS OF UNEMANCIPATED CHILDREN. However, you MUST submit the chidren's fll names onthe | Conndantial For alate % he and fens cent | Minors rs smaripaced by mariage. enisiment nthe US lary, or cout action or emancipation. ! FULL NAME OF ADULTS & | RELATIONSHIP EMPLOYER 308 TITLE NATURE OF | EMANCIPATED MINORS vemmess | Jody Gon cris Beal Nove N/A N/A | —— 1 The SEX and any attachments, excluding the Confidential Form, re public records. Page 1010 INITIALS FOR EMPLOYER NATURE OF | UNEMANCIPATED BUSINESS ‘CurLoREN Howe: — PROPERTY INTERESTS 1. As of December. 31, 2014, did you, your spouse, or members of your immediate family: Jn. Have an ownership nkarest In North Colina real state (including your residence) wih a market val of $10,000 Wes [Ino | owner o Rest Emate | 9» ownership toterest | Location by Cty | Location by County Bevery © Beaton 100% Leno NC | Caldwell Er 100% Lenoir NC Caldwe l) Be vor " 100% rio ir NC calduwe. Boa GER hea sane or persona profes or lam th ma vi SE Le or 516,000 or more? Dves mmo I Real Estate, Location | If Personal Property, by City & County Describe 2. At any time during 2013 or 2014, did you, your spouse, or members of your immediate family sell to or buy from the ‘State of North Carolina personal property with a market value of $10,000 or more? OYes MN m— — The SEX and any attachments, excluding the Confidential Form, are public records. Paga zor 10 3. of December 31, 2014, 0d You, your 390Use, oF Members of your Immadats family ov any of the allowing financial interests valued at $10,000 or more? A. Stock in a publicly owned company? mee Ono 500 ot lst owners interests in a widely held investment. fund (including mutual funds, regulated investment companies, or pension or deferred compensation plans) i. (1) he fund 16 pUBIKly traded or ics assets are widely Giverified; and (1) neither you nor an [Mmedate family member ars able to Control the assets held in he muta Fund investment company, o pencion or deferred compensation pan. owner of Interest Full Name of Company (D0 not use a ticker symbol) Beverk T Beal [Coco - Cola. Company EE | 5. Stock Options na company or business? Oves mano Owner of Stock Option Full Name of Company (Do not use a ticker symbol) Interests i 2 non-public owned company or business enty (Including terest n ole proprietarsnps, Parineraios, Lied partnerships Sor venture, miied 1abIty compan es, Imied avi portnerdops, and Closely held corporations)? DYes MNo - IF "Nor, proceed to question 4 ‘Ovenar of Tnterest Name of Company or Business Entity | The SEX and any attachments, excluding the Confidential Form, are public records. Page 30f 10 C(1). For each non-publicly owned company or business entity (the "primary company") identified in question 3.C ove, please It tne names of any oiner Comes 0 BUSINESS eNIEs 11 whlch th primary company owns Secones or equry interests valued o over $10,000, Flown. ‘Non-Publicly Owned Company or Business Entity | Other Companies in which the primary Company (the Primary Company) ‘Owns Security or Equity Interests ® None or Not Known C2). IF you know tha any company ar business entty ted 1m 3.C or 3.C(1) above hos any material business Slings or business contracts ith che Sate of North Caroling, or i reguated by the Seat, Drove 3 bet escnpnon of tht business sti. Name of Company or Business Entity Description of Business Activity with the State one or hot noun 4s of Daember 31. 2014, were you, your Ouse, or members of your Immadiate family the benafcanes of vested st wih 3 Va oF 410,000 0r or tha was create, Sata ned. o conned by yout Do not list assets held in blind trusts. See 2015 SEI Helpful Tips for the definition of “Vested Trust” and "lind Trust.” Des @no ‘Name and Address of Trustee Description of the Trust | Your Relationship to the Trust 5. Ac of December 21, 2016, Gd you, your spouse, or members of your mmedate fami have abies of $10,000 or more, excluding the mortgage on your primary personal residence? Examples include credit card debts, auto loans, Student 1630s, personal oans and intra family debt. Myes [No Name of Dabtor (You, Spouse, Immediate Family | Type of Creditor (Commercial Bank, Credit Union, Viember) Individual etc.) Beverly To Bea) wife Judy lh Beal | Commercial Bewle The SET and any attachments, excluding the Confidantial Form, are public records. Page dof 10 os 6 Lit each sous of Income (no specic aroun) of ark ha 45.000 received By yo, Your spouse 0 marers of your imimadlaie famiy dina 01. Inca. sors, Wises, aoe govermre selimene, most Roncraria, mart, avidents, Sa come, bist ms 370 ates PL ons ro pl rlessnal, fs, a aan Do ot include income received from the following sources: + Cogent gas » Foderal government retirement | + Wilkary redirement > Socal security income $501 Name of Source Type of Type of income Bes ndustry 31a no reportable income aver $5,000 mn 2014. Bev, T Ben State of v taje Government [Stade RZ HIEMent | DevertyT | er oontn Careline, [SP 05 ili iditiiii 3 a wi 1 dent 2 Pen of Bool T Bl § fy [Reidel Reins [Rendl prope edroPert PROFESSIONAL AND CIVIC RELATIONSHIPS 7(3). During 2014, were you, your spouse or 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 Rives CIN - fo, proceed to auestion 8. » Do not list State boards or entities, or entities created by a political subdivision of the State. ot arpa of wt er # me me chiki il Name of Person His/ Her position Name of Nonprofit Nature of Business or Corpormion or Organization | Purpess of Orpemisetion Ze od | wember, Board Sanies C. Farper [TO ProviaE MUSIC aid verly 7 8 oF Directors. School of Rorformng ris |dance education Boa olduell County Heriage [COperafim oF a. history dy Beal OF Directors membty Meister, Tack 1 | hssetu fir Calne] a ed i | _ TIO 1 0 rararo corer or organaAtons ved eve a8 business wil Save of Nar Coal a cana | 50s rs nn rv a rt desrton of Te kre Fa Sashes ehown or wi Gon gnc ca | pein Nara of Nonprofi Corporation o Organization | Describe State Business or Stats Funding (J None or Not Known ES choot oF Perry Arts Raa oF Seles tmx—— Caldwell Count, Heritage Museum, Too | Pq 3 The SET and any attachmnts, excluding the Confidential Form, are public records. Pages of 10 © uta 2015, Were you your Spouse, or ERTS of your TTS Tay 3 rec, oe or gee Bou member of any scity, fGamton. o Svocac Gro iin a1 THES 1 aor Sve Wh your Boer a DearS sa Rave Sona [ves Mie. (3 Leoisitorudcal Office - You ae no required o comple is quescon you ar fing because Vo area liar or a 4 ero you ars Te a a appa o ross een. 00 not st oganiatons of which you a8 rly member (rot serving in leadership rele). ‘Name of Person. Name of Society, Organization Leadership Position or Advocacy Group (irecor, ocr: Board Member) 500). Usk the same of anch company or business wih wh you wire assed where you or 3 meroer of your Immediate family is an amlvee, dnecor, offcr; Dens, pop a mapor of harogel as of Cacao 1 25a Nama of parson Relationship to Filer | Name of Company |__ Role of person (0) No Business Associations. S05) 1 you know tht ay company or buses ety ed 1 3(2) above hao any material business deaings or Buses contracts with the State of North Carolina or was regulated by the State as of December 31, 2014, provide a brief Gnscrpion of tht Diness ety Name of Company or Business Entity Description of Business Activity withthe State Not apphcae (No eis ses on #58) (JN elions/ Not known 10, Ar you a practic stoner? ves Cio Muda! Offcerssats Avorney IF Yes, check each cotegory of egal representation in which you the I ir kh WH you ar afta has armed legal fees of more than $10,000 during 2014. [Eyv— Cnamiaty D3 Carpoare Ocrmen 0 Decadent estes [Ep— Clinurance Duavor Local Government Oren proparty secures Om Ort gation (ncucing J uoites Regulation] Other category not std. Joti The SEL and any attachments, excluding the Confidential Form, are public records. Page sof 10 na Zoe, ware yes 3 Tered prtessons (rer hr a Soman 0 ya proud reung seies eo tease svmioio fr we You Choe or wir per $40.0007 [ves WNo Type of Business Nature of Sevces Rendered TE Reta ove Stor, You pees am ok ea a a SAE SHY cans re Sa aa r amply arty wc yu ra i ascites on Recut re Sa ead x ampli ry ith nh ou aro will bs asacies on + Have 2 business relationship with the State board or employing entity with which you are or wil be associated? ves DIN ()LegtoucllOfcar - You rent requrd o complet Uh cuts ou ar tg because sor ic ea Chote shoe mad ine SEL WA oo vos Tos or amare 3 ost sree Nam of parson Name of Employer Type of Reatonship applica) (ticensing, Roglsiory, Business) [Bevery TBeal Ao A Wa Commision emia verly T iis of th 15ciplina ing Commission req hon a ou, yor some 7am of vr TERR OY Sra Tre 5 3 oO ay sn, were you registered as such within the 12 months preceding. your filing of this form? Ore mo ame of Lobbyist Cobbs pininal Dae or Regiaton nonmnon | ‘Soeenon omer prscLosuREs To Gunn avy cence Quer TOTS (OS Se rod Fv wars Smead, soTe of edo ard Co aon recente xen $200 ps reso parson Bn of parsons acting ager, and nn ooh yo a thse parsons) were olds North Carla oth tm yo ccpted te (6), nd tne git) ware va unde camaro ha ode regan eee 1a Conde th tay are efor ones? Dyes MWNo ara GRE oY SA ar, >on x eprint have rv bee apres oo 8 he Deprmens of te Secretary of Sts oth Enis napes to Banned Pesan Gate Tam Racaved | Nam and Address of anar(s) | Describe am Recavad_| Estimated are Vatu | he x an any axachmants, excluding the Confidential Form, ar public ecards. f— 15 Duin 2012 (ou oly he me period Sar You re SpPONYe, Smid, o 1a o were nominates 0 8 canons) avo « accept a “scholarship” exceeding $200 from a person or group of persons acting together and + those person(s) were outside North Carolina and. * the scholar uo related Your PIC peso? A schalarshi” i a ramt-n-aid to attend 3 conference, mecting, or sir overt. [ves MINo [J Judicial Officer - You are not required to complete this question if you are a judicial officer or you are. | | fing ov a su cer ponies: Do not report ots that have previauly been reported by you t the Deparment of the Secretar of tae on the Fase Report or xem parsons” > Lgisaors ae not requ o reper scsi ad by nanan eae orga zaon of whch te fear or ne Canara Fase 1. ember of porcpant oo Afats of hat organs. Date or | Name ond Address of Doner(s) Eotmated Market scholarship Vitus [116 Were vou appointed a are you beng considered for an apparent to 8 covared beard by he Governor ar anor Come of Ste moar? Council of sate members ar: > Governor » Governor » secre of Se | » State Auditor » State Treasurer > Superintendent of Public Instruction 1 » ator General » Commissioner of grcaure > Commissioner of Labor » Commissioner of nsirence Yes WN 1f "Yes", list all contributions you (NOT immediate family members) made during 2014 with a cumulative total of more than $3,000 t the Governor o other Council of State member who appoImed You. Contuions re dened 1... 163-278,56) and inclu, bu re not mite 2, “ny avance, conveyance, epent, tindion, ane of fund, oan, bomen, ai, 1630s o ssserUon of money of Ayn. of vals whatsoever.” Dae Amount Contributed to 5h cotton) wi 3 mute ta of more hon $1,000 — The SEX and any attachments, excluding the Confidential Form, are public records. Page sor 10 15, Ave you an appointee or prospective appointee ©: + the head of 2 principal sate department (69. cabinet secretary) apponied by the Governors or 5. North Carolina Supreme Court Justice, Court of Appeals, Superior or Distt Court Suge; or <a member of any of te following boards: 2 8c Commissan © Coastal Resources Commission ~ State Board of Education Bes Ono © State Board of secnions Duwson of Empioyment Security I Nor, procesd to Envronmenta Managemen Commision Question 18. © Industria Commission © human Resources Commission © Rules Review Commission © Board of Transportation © UNC Board of Governors Leis Commission * Wide Resources Commission a 135, were you appointed of are you being considered fo appartment o hak public | M¥es (INo omion by Coun of Stave member? Counc of State members rs 16d n+ [38 wher, proceed to Sesion 16. a, so, yau must maicate whether during 2014 you (no immediate fay members) niacin an of tn flown acts wih EE o an banal of he Candace o campaian commie of the Counc of Sate member who appointed Tou to your pubic 205on: Oves mNo 1. Collected contrburons from multiple contriutors, took possession of such ipl contributors, and wansfared r devered those colicted conrvutions th Canidae of commitees Contibuons are defined n Question 16. i. vosted a fundraiser a your residence o place of Business? [ves mmo | 1. Volonteered fo campain- related acts, hich include, ut are not ied to, Brome barks, avant sssrance, mange, CaS, Surveying, or any oer Si tha advances the campaign af & andere? 16 ove you ove ban comiced of 3 felony for wh you nave not reseed ener: (1) a pardon of mnacence; or (1) an order of expungament regaing hat commeton? [ives No ] Date of Conviction | _ County of Conviction | _State of Conviction 19. ve you aware of any othe formation (at you Delve may avast the Stae EXhics Commission in advising You Eaneming ou complance withthe Stats Government Eins AQP ves CINo if yes, please provide such information below: wp” EE See Ptiachment “A The SEX and any attachments, excluding the Confidential Form, are public records. Pagesari0 ATTACHMENT “A” TO 2015 STATEMENT OF ECONOMIC INTEREST On October 31, 2013, the Clerk of Court of Mecklenburg County appointed me Administrator of the. Estate of Paul b. Houston, Jr., deceased, who died intestate. Mr. Houston was a resident of Mecklenburg County. He died on October 13, 2013. The Estate file number is 13 € 3404. 1am a resident of Caldwell County. Mr. Houston was my first cousin. | understand that the N.C. Code of Judicial Conduct allows me to serve. as administrator of the estate of my cousin. | obtained a surety bond. During 2014, as part of my duties as administrator, | petitioned the clerk for authority to sell Mr. Houston's real property at private sale. The clerk authorized the sale, and the sale was completed in 2014. 1 filed a final accounting for the sale of the real property with the clerk of court. | continue to serve as administrator of the estate. 1am a retired Superior Court judge. | was appointed and commissioned an emergency superior court judge in 2012. During calendar year 2014 | was commissioned and held session of Superior Court in several counties, including Caldwell County. | am compensated per diem, plus travel expenses reimbursement. 1am owner of commercial rental property located at 622 West AV NW, Lenoir, NC. Mr. Steve 8. Potter, Attorney, is the tenant. Mr. Potter is also my personal attorney for family and business matters. Mr. Potter has appeared before me in court during the calendar 2014, representing clients, for the purpose of non-jury proceedings. He does not represent clients before me for jury trials. When Mr. Potter appears before, we comply with Canon 30 (Remittal of disqualification) of the Code of Judicial Conduct. 1am aware of the potential for conflict of interest if Mr. Potter were to be the subject of disciplinary action by the N.C. State Bar, for which | serve on the Disciplinary Commission. 1am a shareholder in a business corporation, Zack's Farm, Inc., a non-publicly owned corporation. My interest in the corporation has a value of less than $10,000. 1 do not hold any office in the corporation. The corporation isin pursuing dissolution. There has not been any litigation involving the corporation Mr. Bruce L. Cannon, an attorney in Leno, also owns an interest In the corporation and now serves as president of the corporation. | do not specifically remember Mr. Cannon appearing in court at which | presided in 2014. If he did so, his appearance did not involve a jury trial. 1 am aware that there would be the appearance of a conflict of interest if Mr. Cannon were to be the subject of disciplinary action by the N.C. State Bar, for which | serve on the Disciplinary Commission. AFFIRMATION aff that th information provided in Gis Statement of Economic Interest and any atchments hereto ar we, complete und cere to he bes of my knowledge and bli also cry tra have mot transferred, and wil nt rane, any ssl, iirest or propeny forthe ppse of conecling it from disclosure while reaping an equiabl nett drsiand that my Statement of Eonar nine and any attachments or supplements thereto (wilh the exception of the Confident) For regarding Unemancipated Children) ae public record. acknowledge ha have read and understand N.C... 138-26 rganding concealing oc fling to disclose materi) information and N.C... 1384-27 regarding providing false information: § 138-26. Conceaingor fling to disclose teil information. A Bling person who knowingly conceals or knowingly fis o disclose information hl i required 1 be disclosed ona tement of sconakic ere under tis Avile shall bo guilty of a Class sdemesnor nd shall be subject to iscplinay ation under G.5. 138A, $138.27. Penalty fo false information. A Fling person who provides lsc information on a statement of economic nteret a equiv under his Aticle Knowing hat the infomation is as gy of Class H felony and shall be subject fo disciplinary action under G.5. 138A 1 Agree Bever WT Bea Printed Name Cn [eat ke 18 2015 Signature Date Submit SIGNED, ORIGINAL documents only. Do not ux or email this form. The SE and any attachments, excluding the Confidential Form, are public records. Page 100110 For Office Use Only {ig | vor caro stare emcs commission 7 J ws ima m2 2015 STATEMENT OF ECONOMIC INTEREST : — pesto S15 A Name of Person Filing Supplement: Rey ex. ly Tate 2a Name of Agency or Board; Exergeny Speror Grud Tudae, and “, NC Bay Disciplinary, Raving Commission pate: BE [Ne mE (a). List the name of each company or business with which you were assodated where you or a member of your immediate family was an employee, director, officer, partner, proprietor, or member ‘or manager as of December 31, 2014. Name of Person | Relationshipto | Name of Company | Role of Person Filer CIN Business Associations A Jody be. eal wile Zocles Farm, Tue. | Heese 9(b). If you know that any company or business entity listed in 9(a) above had any material business dealings or business contracts with the State of North Carolina or was regulated by the State as of December 31, 2014, provide a brief description of that business actvty. State CJ Not applicable (No entites listed on #92) [J No relationship / Not known RX Zack's For, Tue: esi samc \yvotves Silas | : with the Office, 0€ the Secretaxy oi AFFIRMATION 1 affirm that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate to the best of my knowledge and belief. 1 also certify that | 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. 1 understand that my Statement of Economic Interest and any attachments or supplements thereto (with the exception of the Confidential Form regarding Unemancipated Children) are public record. 1 acknowledge that | have read and understand N.C.G.S. 138A-26 regarding concealing or failing to disclose material information and N.C.G.S. 138A-27 regarding providing false information: § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest under this Article shall be guilty of a Class 1 misdemeanor and shall be subject to disciplinary action under G.S. 138A-45. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest as required under this Article knowing that the information is false is guilty of a Class H felony and shall be ‘subject to disciplinary action under G.S. 138A-45. WI Agree Beverly Real **Notarization is no longer required** Printed Name _ DBoudBao Gp 3, zois This entire document and any attachments are public record.