North Carolina

Bill Frank Norwood

10 filings · 2015–2024
South Piedmont Community College Trustees

Filings

2024 South Piedmont Community College Trustees
Document text
STATE ETHICS COMMISSION For Staff UsePE CEIVED GFF, 2024 STATEMENT OF ECONOMIC INTEREST | ope gece: - bY JAN 17 202 that all questions are answered. NC ETHICS COMMISSION Incomplete SEIs will not be accepted. [prefix [First ame [igo mame [tostame Tsun | Wy. 18, TFeaslc Nocwood 1 formmenpode aww | Reason for Filing (Complete all that apply.) Union Coonty Sohtool Board Tr Ono [immeaie rami vember] westorsip | employer | sowie | ware or susness| Rebecon s Novwor) | (ide | Rebrd | wig | n/p | . List only the initials of ll unamancpated minors In your housed blow. A minor fs 8 chid under 18 years ol. List the full name of each minor child on the Confidential Form at the end of SEL. Coils of nnmacipeed Tinos Property Interests © sof December 31, 7025, 8d you or any members of your mediator: A haven ownership ntaestin North Carlin rel eta (nclucing your sence) with a market al of $10,000 mane hes Ono [owner of Real Estate| 9% Ownership Intarest | Location by city é Ni Bridgy or | Bhecins Neiasos | Joo%eo 7 oe Union a. lease ora rel estar personal propery or rom the tae af North Carolin with a market value of $10,000 Name of Losses | If Real Estate, Location | If Personal Property, (Renter) by City & County. Describe 2 Aan me doing 2022 072023, 6 you o ary mariors of you medi ory 21 oy pers rome or ram a Sat of oth Crane wo marke slot of $16,000 or ra? Ove @6 [ tomeofpuchaser | Wameofseler | Type of Property The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 10 3 As of December 31,2023, did you or any members of your immediate family own any ofthe folowing financial interests Valued ot $10,000 or more? A Stockin a publicly owned company? Oves Ono List the name of each company in which you own holdings of $10,000 or more. Do not lst the number of shares options, or th valua of your holdings. > Include stocks held individually or in » portfolio managed by a financial services company. > Do not ls Interests in widsly held Investment fund (inluding mutual fund, regulated Investment companies, or pension or deferred compensation plans): Te 1. the fund Is publicly traded, or its assats are widely diversified; and 2. neither you nor an Immediate family member are abe to control the fund's assets [ ownerormmerest Tru Name of Company or ticker symbol ale in Morgan Stan 5. Stock options In » company or business? Oves #1 iE of SE Oo Full Nam of Company or ticker symbol C Interests in a non-publicly owned company or business enty. Thess include Interests In soa partnerships, imited partnerships, fin ventures, limited liabilty companies, limited ably partnerships, and closely held corporations. [Jes [INo 1 "No," proces to question 4. [ ownerormmterest Name of Company or Business Entity BAF Verweod EC &ol op Lit 2 Artachl (ufo I (1). For each company or business entity entiied In question 3.C. (the “primary company”), please Ist tha rar of any other companies or business entities In Which the primary company owns securities or equty Interestq Valued at over $10,000, fknown. Non-Publicly Owned Company or Business Entity | _ Other Companies in which the Primary Company (the Primary Company listed in 3.C.) ‘Owns Security or Equity Interests The SEI and any attachments, excluding the Confidential Form, are public records. Page aor 10 2). you know tha any nty tad In 3.C or 3.C(1) above has any mata business desis o business contracts withthe State of orth oroln, of I regustad by he Sats, bify describe tat business act. Name of Company or Business Entity Description of Business Activity with the state hone or ot known 4 Asaf December 31,7023, ware yau o any member of your Immediate fomly th beneficiaries of vested Krust wih 8 value f $10,000 or mors hat you reste, esablahed, orconroled? > Donat ls asset held in blind trusts. Dafntios for “Vested Trust” and Blind Trust” canbe found on our webse nder "SEls | SEMGIUITIpS" itp /shice nc Gov s0s/ se helputUps Oves (#6 ame and Address of Trustes Description of the Trust Nour Relationship tothe Trust S As of December 31, 2023, dd you any members of your Immediate fry have ables of $10,000 or more, Chcuing the mosage on Your pmary pasanal resdences Examples dude cred card abt, ute loans, student foans, personal loans, and ra arly deg Ove fo. Lit Type of Creditor (e9, "commercial bank,” Bradt union,’ “individual” etc) it each source of income of specific monetary amounts) of ore ar 3500 received by You or 3 embers of your Imada fly during 2023. Inluge airy, wage, Satan] overmment fubremémt Naoms, rtetelonas ets, homarants res, wilands, en Iore, DUSIess Wome: ad ony Sher Ws of ome Feat tobe reported on your Stare neler federal moos os etre + Attention! You must disclose salary or wages received from any Government o private antiy, IRChuding ervbiovers Hat vou may have Siesdy ated in response o other SEF abastons, + Do not attach tax returns. ~ Do not Include Income recived from the folowing sources: capital ui; adaralgovernmnt or milk Felrement benef; or Social Securty recrement, survivors, o sabi benefits, ny Recipient of Income [Name of Person or Entity from Type of Business/ Type of Income Which Income Was Received Industry 31 had no reportable Income ovr $5,000 In 2023. BilyF Notwood [Suutille tot 17 | Red eclate | ake | ee fo] The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 10 Professional and Civic Relationships 7(a). During 2023, were you o any members of your Inmedite family drector, officer, governing board amber, amplorae, Independent ontracio, of Teqtared lebbIst of & nonprofit corporation of organization peating in Noh Corona primarily fo 191005, CRarkabi, Semaine, Iara, PUSHE hoa and sary or “luctionsl purposes? Dives i “No,” proceed to question 8. > Do nots Sate boards rents. > Do not is organizations of which you are a mre member. Position Name of Namprafit Nature or Corporation or organization | Purpose of Organizatis TTT] 705). 1 he nonprofit corporations o organization sed above do business wih the Stats of North Carolina or receive Stata funds, bie descba tha nature of tht busines, If know ar with de dence coud ressonaply ba Knew. Name of Nonprofit Corporation or Organization Describe state Business or Daring 2025, ware you o ony Toarioars of your Imeadats Tesly redo, ffee, oF govering bow amber of Fp rium ie hg eg i er to np ei pened er EL Ee Satause you are a legislator or Judicial ocr o 25 a Canddate or appointee 0 hese oes. Howtvar, Hf you oro mo ling this SEI 25a mambar of a State beard o as & State employe, anwar aso no- to this question: If Your response yes, provide additional formation. » Do nt lst organizations of whieh you are any a member and donot save a leadership rol. Name of Society, Organization, Leadership position of Advocacy Group (Director, Oficer; Board Member) (Bly E Norwood | 5U Fanishmort Lec Director The SET and any attachments, excluding the Confidential Form, are public records. Page sof 10 5(0) As of Dacombar 31, 2023, ware you or & member of your Immediate fami an employes director, partner, fcr, proprietor, or member or manager of a for proft business? [Pre [No 11 "No," proceed to questionto. 4 Sif] m [ro 1 ve sven tor 2 cee] Memb | etme S06). you know tha any entty lated 1 5() sbove had any material business dealings o business contracts wit the Stat of North Carlin or was reguiaed by he Stat a3 of December 31, 2023, briefly deserios tha acEvy. "Name of Company or Business Entity Description of Business Activity with the State 10. Are you a practicing attorney? Oves Ro Cludicol Offcarstate Attorney [Jin House Attorney 1F"Ves", check each category of legal representation in hich you or the law rm with which you are fflated has eared legal fees of more then $10,000 during 2023. [Administrative J Admiralty [corporate criminal [Decedent's Estates [Environmental ltnsurance. [Otabor [Local Government (CIReal Property OISecurities Orax J Tortlitigation (including [CJUtilties Reguiatior (J0ther Category negligence) 11. During 2023, were you a censed profession! (other than an attorney) or did you provide consulting services Indiidualy or 35 amber of 3 professions association fo which you charged or ware pod ovr $10,0007 Oves fe Type of Business Nature of Services Rendered The SEX and any attachments, excluding the Confidential Form, are public records. Page 6 of 10 12 Are you o your amplyar, or any members of your Immedite family, or hel amployarscurenty: + Heansad by the State board or agency with whch you are or will sssocatador © regulate by the Stata board or agency with which you oe o wil be sssaiatedor = ima busines relationship with the State board or sgency ith which you are or wil bs associated? CFG [Jo CLagsiatr uci Office - You re nt required to compat tis question f you ar lng because Vou 6 legislator o dic officer or a8 5 condats or appointee ta tha afces. However, Fou are ai Nin 2 8 TSTper of 8 Stats board of 4 Stare SMleves, pease answer Yes orn’ to this question. 1 "yes" provide the following information. Name of Employer Type of Relationship if spplicable) (Licensing, Regulatory, Business) 3 [Bully E Novwoss | GoothBedul fom colby] Board ov Tes: 3. Have you or member of your Jmmadiats family been reistared 55 oBbyst Win he 12 months preceding your fling of thi SET? (ves [6 "yes, provide the following information. Name of Lobbyist Lobbyists Principal Date of Registration Regetration | "Eaprration IAS I (ANE NCAR N/A Other Disclosures 19. During 2023, aftr you war appointed, mployad, o led or were nominated as conddats, dd you + receive any "g(s)" exceading $200 par quate from perso or group of persons acting ogethr, ~ hen bth you and those person(s) were cutside NorthCarolns, © under crcumstance that would lad a ressonabe parson to conclude te oft wre gven fo abbying? To answer Ys, al three conditans must apply. Ove ofc. > 0 not report ft given by members of your extandedfemiy. > 0 not report it you have previously reported onthe "Expansa Report for Exemptadersons.” Date Item Received| Name and Address of Donor(s) | Describe Item Received [ees | [A/S A W/L Wy .//7 2. The SEX and any attachments, excluding the Confidential Form, are public records. page 70 10 15. During 2023, afer you were appointed, employed, or fled or ware nominated 25 a candidate, did you + accept a "scholarship" exceaing $200 related to your public position from parson or group of persons acting together + when those person(s) were outside North Carolina? To answer Yes, both conditions must apply. A“scholarshipr isa grant-in-aid, ther directorindirect, to attend conference, meeting, or similar event, including travel, lodging, meals, and other similar expenses. (I¥es (Bo [3udical Officer - You are not required to complete this question fyou are ing yas a Judicial office or a judicial officar candidate or appointee. > Do not report gifts you have previously reported on the “Reportable Expenditure Made by PersonExamptad.” > Legisators are not required to report scholarships pid by a nonpartisan legislative organization of which th legislator or the Assembly is a member, participant, oafite. Date of ‘Name and Address of Donor(s) Estimated Market Value Scholarship 16. Have you besn appointed or are you being considered for appointment t a covered board by the Governor or ember Te Esa of ate Council of State members include: > Lt Govemor > Secretary of State. > State Auditor > stateTressurer > Superintendent of Publcinstruction > Attomey General > Commissioner of Agriculture» Commissioner of Labor > Commissioner of Insurance ie MN 1f “Yes,” lst all contributions you made in 2023 with a cumulative total of more than $1,000 to the Council of State member who appointed you. Do not include contributions from immediate family members. > “Contributions" are defied broadly in N.C.G.S. 163-276.6(6) and Include "any advance, conveyance, deposi, distribution, transfer of funds, loan, payment, Gif, ladge or subscription of money or anything of value whatsoever.” I Ec TO... Rio contibution(s) with » cumulative total of mare than $1,000 “The SEX and any attachments, excluding the Confidential Form, are public records. Page 8 of 10 17. Ara you an appointee or prospective appointee as: 2. the head of a principal stte department (s.., cabinet secretary) appanted by the Governor; or b.. North Carolina Supreme Court Justice; or a Court of Appeal, Superior, or District Court Judge; or member of any ofthe following boards: Oves 6 + ABC Commission 1F"No” proceed to question 16. + Cosstal Resources Commision + State Board of Education + State Board of Elections + Division of Employment Security + Environmental Management Commission + Industriel Commission + Human Resources Commission + Rules Review Commission + Board of Transportation + Utiities Commission + Widife Resources Commission 2. Tf yes, were you sppointed or are you being considered for appointment to that | (J Yes [I No postion by a Cound of State member? 1"No," proceed to question 18. «If yes, you must Indicate wher during 2023 you engaged in any of the following actives with respect to on behalf of he candidate or Campaign committes of the Counc of State member Who appointedyou: i Collected contributions from multle contributors, too possession of such tiple. contributions, and transferred or delivered those. collected | (J¥es [No Contributions to the candidate or commits? eet rater you esr pec SOO Ti. Voluntesred for campaign-related activities, Including phone banks, ‘event assistance, mallngs, canvassing, surveying, or any othar Oves ON city that sovances the compan of acanddate” 16. Have you ever been convicted of felony for which you have nt recaived either: (1) a pardon; or (I) an order of expungement? Dives re [otters | oateof Conviction] County of conviction | state of Conviction 15. Are you aware of any other Information that you blleve may asi the Ethics Commission In advising you conceming your campiance with the Stats Government Ethics Act? ves ke yes, please provide that information below. The SEX and any attachments, excluding the Confidential Form, are public records. Pages of 10 ‘Affirmation The information provided nts Sttament of Eco Interest and any attachments ars rs, complete, and scirste Tn eof my mowadon and ate Lave rot arated, and wll nt tana, any set, tres or papery the purpose of conesing om Gionra whl reaing an sable marek undarstand that my Sttamant of cana narest and any tachment excep or the Confidential Form regadng Uramanciootad Chron re pubie rcorn have read and understand the following statues: NC.G. § 1388-26. Conceling o fling to diese mterl formation. A fing parson who knowingly cancels o knowingly falls to disclose formation thts required to b dscesed a a a em rar Sey Chien unr 0.5, S3onces NCGS. § 138427. Peat for fl formation, fing person who provides ls formation an statement of scaramic narst knowing ta the Iarmesian ote uty fo Class elon ard al upfect vo sipinary bein undo G5. 1394-45. aga sry of ery cn on [Billy PT Larne /-9-2¢ fd So Billy E Novweed fein fame submit signed, orginal documents only. Do not fax or mal this form. ——————— 0090900 0 000000000000 1 The SEE and any attachments, excluding the Confidential Form, are public records. Page 100f10
2023 South Piedmont Community College Trustees
Document text
March 16, 2023 B: List only the initia of all unemancipated minors i you household below. A minor 1s a id ander 18 yer. List the full name of each minor child on the Confidential Form at the end. : Initials of Relationship Unemancipated 70 EE I EE EN Property Interests B 1. As of December 31, 2022, did you or any members of: ‘your immediate family: i A have an ownership interest in North Carolina real esate (including your residence) with a market value of $10,000 or more? i es Ono [owner of neat esate | 44 ownership terest | ocmuny city] Location by County 8 lease or rent real estate or personal property to or fam the State of Noth Carolina with a market value of $70,000 or more? Oves @6 If Real Estate, Location | If Personal Property, by City & County. Describe 2. At any time during 2021 or 2022, did you or any members of your immediate family sell or buy personal property 00r from the State of North Carina witha market value of $10,000 or earns Oves mn [ Nemeorpurchsser | Nemeorseier | Type of Property The SEI and any attachments, excluding the Confidential Form, are public records. Page 20f 10 Financial Interests 3 srouaccember 31, 2022. did you ar any members of your immediate arly own any of the flowing mana moran Do at hae, 00,0r mare? List the name of each company in which you own poise ar mesa res Do not list the number of shares options, or the value of your poltimse: ” A Stockin a publicly owned company? 5 Be On > orl it interests i a widely held investment fund (including mutual funds, regulated Ivestmant compe, ar pension or deferred compensation plane) 1-the fund s publicly traded, or its assets are widely diversified; and 2 neither you nor an immediate family member are able to contre the underlying assets. o TS NTT rrr — 5. Stock options in a company or business? Ove @f : Interests In non-public owned company o business enty These include meres n sole parimarsne, limited partnerships, Joint ventures, limited labilty companies, Hmited abit partneranp, sod Sem corporations. Bes OINo- INo, proceed to questions. (4). For each company or business entity identified in question 3.C, (the “primary company’), please Tot the names of any other companies or business entities In which the primary company owns securities or catty mmc valued at over $10,000, if known. Non-Publicly Quned Company or Business Entity | Other Companies in which the Primary Company (the Primary Company listed In 3.6.) Owns Security or Equity Interests The SEX and any attachments, excluding the Confidential Form, are pubic records. Page 30f 10 © @) 15 kw that any ent ted I 3.C o 3.1) above has ary moterl business desis or business CoTracts with th State of orth Caroline oi regulated by he tae, brie deseo ok mane Savy. Name of Company or Business Entity Description of Business Activity with the State at December 31, 2022, were you or any members of your immediate family the benefidares of vested wast with a value of $10,000 or more that you created, established, or cooteapens 2 der ast assets held n bind trusts. Definitions for “ested Trust and “Bind Trust can be found on aur website under “SEs / SEI Helpul Tips": htps://cthic oe.goy Oves @% 5 esamber 31,2022. dd you ny members of your mmediae fami have lables of $10,000 o mre, dud ers age on Your primary personal residence? Examples include cred card debt, aut foamy, mci ond personal loans, and Intra family debt. Oves 6 Name of Debtor List Type of Creditor (e.g., "commercial bank," “credit union," "individual," etc) 8 List each source of Income (not specific amounts) of more than $5,000 received by you or any members of ur immediate famiy during 2022. Include salary, wages, tate ocal government retirement Insane, memeeror foes honoraria, intrest, viens, rental Income, business ncorne, and any othr types of mech conn to be reported on your Stte and/or federal Income tax returns © Attentiont You must disclose salary or wages received from any governmental or private entity, including employers that you may have already listed in response to other SEY sues: + Be mot include income received from th flloning source: capital gain; federal Goverment a ity retirement benefts;or Social Security retirement, Survivors, o dab orca? Reclplent of Income Name of Source Type of Business/ Type of Income Industry 01 had no reportable income over $5,000 In 2022. ERE PN SE SYN TA IT ‘The SEL and any attachments, excluding the Confidential Form, are public records. Page 4 of 10 Professional and Civic Relationships TS azz: ere vou or any members of your mediate fay a recor, ffcr, governing board Meroe, oh Canaependent contractor, or registered obbyist of nonprofit Corporation or ongamamtng Beciating north Garolina primary fo reliious, charitable, scientific Iterary; Pubic noni and wane nahn SB47C purposes? OlYes CINo If "No," proceed to questions. : > Do not st State boards or entities. > Do nat ist organizations of which you are a mere member. Position Name of Nonprofit Nature or Corporation or Organization | Purpose of Organization I 7 ce Devg Chane (Br sbeees [Dt [oom ee to er] 706). tthe nonprot corporations or organizations fisted above do business with the State of North Carona or recone State funds, briefly describe the nature of that business, f known o wth due diigence cd resensan ve ec 8: During 2022, were you or any members of your immediate family a director, offer, or governing beard memes of any society, organization, or advocacy 9roup wih an interes In matters over whch your sper oe mee) jurisdiction? 3 Yes Co Mf{eoisator uci Offic - You ar not required to complete this question If you are fing soley because you are a legislator or Judicial officer or 5 a candidate or apponten so seen near. However, If you are aso fling this SE 25.8 member of a State board or as 3 Sve sronecy, answer Yes” or “no” to this question. If your response is es,” provide addons) fanercrecn. > Do not Ist organizations of which you are only a member and do no serv ina eacershiprole. Name of Society, Organization, Leadership Position or Advocacy Group (Director, Officer, Board Member) The SEI and any attachments, excluding the Confidential Form, are public records, Page 5 of 10 I NY Tr | See Atfaciel 1" = 7 7 EE E— EE EE EE EE I OJ Tortiitigation (including [Outilities Regulation [OJ Other Category ee I — rr 12.408 Yau or your employe, or an members of your Inmate foi, or ht Smpiorers ren z + lensed by the tate boar or agency with which you are or wil be associated ) + Teulated by the State board or agency wih wich you a o ills sseocmegar ‘in se relationship with the State board or agency with which you are or will beassociated? Yes fo I Legiiatoruicial Officer - You are not recuired to complete this question f you ae fling because Yar 2 emir os cl ofer s5concnte spon tne ches Fosse I1y0u are iS lng 35a Member of 3 State boo oo Seats gn or Ete or Noto tis question: If you respond yes: rove ars mei Name of Employer Type of Relationship i applicable) (icansing, Regulatory, Business) 13: Have you or 8 member of your Immediate Fa bea registered 93 obbyt or SO pra WATT 3 months preceding your ing of ts SET Ove mf ~ Name of Lobbyist Lobbyists Principal Date of Registration Registration | "stmeetmr Other Disclosures 14.During 2022, ster you ware spp, amploed,o ied ar were arated a 3 oma a yo + receive any "gts" exceeding $200 er auarter fom a person or group of persons actngtoetnr, + when bth you and those person(s) were otic North Caron, + Under crcumstances that would ea essonale perso to conduc the its were given oiobying? To answer Yes, ll tree conditions must apply. Oves @fe x > Da not report its gven by members of your extended family. ; > Do not reprt gifts you hve previously reported on the “Expense Report fo Exempted persons. Date Item Received | Name and Address of Donor(s) | Describe Item Received Verve The SEI and any attachments, excluding the Confidential Farm, are public records, Page 70110 15. During 2022, ater you Were 9ponte, ampere, or led ar were marinated 5 3 canta, 4 you + cept Scholars” exceeding $200 relate to your pubic posian fom person or grou of persons acing toseter, + when those person(s) were outside North Carolina? To answer Yes, both conditions must apply. A vscholarshipls a grant n-ad, ther direc or inlrec, to attend conference, mesting,or similar event, including tuiton, travel, lodging, meats, and other seine ton ves a 032i Office - You are nt required to complet tis question you are fling a a fucici ofc ora Judicial orice candéats ox apporn > Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” > Legstators are not required to report scholarships pad by nonpartisan legate rganizaton of whch the eilator or the Genera Assembly 1s 8 ember: porsapint aca! ; Date of Name and Address of Donor(s) scholarship 16. Have you been appeind or are you being considered or ppoimimentt 8 covered Board by fs Govern 2 Council of sate moms Council of State members include: bt Govervor > Lt Governor > Secretary of tate : > state Auditor > State Treasurer > Superintendent of Public Instruction > Atomey General > Commissioner of griuture » Commissioner of Labor, > Commissioner of Insurance Oves fe : If “Yes, ist all contributions you made in 2022 with a cumulative total of mors than $1,000 to the Coun! of State member who appointed you. Do not include contributions from mmcnors cram hoe he C2 > Contributions are defined broadly In N.C.GS. 163-278,6(6) and ncuce “any acvance, conveyance, depot, lstributon ranser of unds, oan, payment, gf, Edge or subse en of mosey os omens ToS ar I I SE I TS [Fo contribution) with a cumuative total of mare tan $1,000 The SEI and any attachments, excluding the Confidential Form, are pubic record. Page 8 of 10 17. Are you an appointee or prospective appointes ae; 2: the head of a principal state department (e.3., cabinet secretary) appointed by the Governor; or . 1-2 North Carolina Supreme Court Justice; or a Court of Apes, Superior, or : District Court Judge; or : © 2 member of any of the folowing boards: Oves rd ’ + ABC Commission 17No,” proceed to question 18. + Coastal Resources Commission + State Board of Education , + State Board o Elections + Divison of Employment Security + Environmental Management Commission + Industrial Commission + Human Resources Commission + Rules Review Commission + Boerd of Transportation + tities Commission + Wildife Resources Commission : iso, were you appointed or are you being considered for appointment to that | (J¥es Co positon by a Council of State member? Tor growed to union 18, © If so. you must indicate whether during 2022 you engaged In amy of ne folloving activities With respect o or on bea of the candste or carats committee of the Council of State member who appointed you: {Collected contributions from multiple contributors, took possession of such multiple. contributions, and transferred or delered hese. coreston contributions to the candidate or commitee’ ote narasert your reser or pes oven EIEN — il. Volunteered for campaign-related activities, inciuing phone banks, event assistance, mailings, canvassing, surveying, or any other acti iat | (Ives (No advances the campaign of a candidate? 18: Have you ever been convicted of a felony for whic you have not received others () a pardons or (1) am rams oF expungement? j Ores we | oferse Tomsorconetion| countyor comvietion | suet of comics 19. Are you aware of any other information that you believe may assist the Ethics Commission in advising you concerning your compliance with the State Government Ethics acts Dt) BI renphmmments ion primate ‘The SEX and any attachments, excluding the Confidential Form, are public records, Page 9 of 10 The information provide n this Statement of Economic Interest and ny tachmnts are tre, complet, and scart one est of my knowin : have read and understand the following statutes: i. NCGS. § 1384-26. Concesing or fling to idose material information. : X afirm under pensity of perjury that the foregoing is true and correct, Signature Date lly FE Nopwend g Printed Nome Submit signed, original documents only. Do no fax o e-mall this orm. .
2022 South Piedmont Community College Trustees
Document text
_ for ttf Use nly Pi) STATE ETHICS COMMISSION oat Revs: (AAS ” UE|@} 2022 STATEMENT OF ECONOMIC INTEREST RECEIVED WAR 25 2022 This entire form must be completed to fulfill NG ETHICS COMMISSION your ethics filing obligation. Filer's Name (First, Middle, Last) lr (Bl, [Feave Nowe [| ene Reason for Filing (Complete all that apply.) ‘State Government Job (Specify agency and position.) Board/Commission (List the complete names of all State boards on which you are serving or are being considered.) |7 72 dic Currently Serving as a Judicial Officer (Speclty officer) | Currently Serving 2s a Legsatr (Speciy Fouse or Senate) Are you a CANDIDATE for a covered elected office? | [If Yes, List Office and District/County (if applicable) (District, Superior, or Supreme Court, Court of Appeals, Clerk of Cour, District Attorney, or General Assembly) Oves fo ‘A. Do ggher immediate family members reside in your household? ‘es [No On this form, “immediate family” Includes your spouse (uniess legally separated). It also Includes members of your axtanded family (your and your spouse’s children, Grandchildren, parents, randsarents, and sibings, and the spouses of each of those persons) who resids In your household. List the ull name of al adults and emancipated minors in your household, Minors are chidren under 15. They are emancipated by marriage, enlistment nthe US Miltary, or Curt order for emancipation. ‘Emancipated Minors Rebecca € dlegue The SET and any attachments, excluding the Confidential Form, are pubic records. Page 10110 B. List only the Initial of all unemancipated minors In your household below. A minor 5.2 chid under 18 years od. List the ull name of each minar child on the Confidential Form at the end. ‘Unemancipated 77/: SN EE EE Property Interests 1. As of December 31, 2023, did you or any members of your Immediate fol A. have an ownership interest I North Carolina real state including your residence) with a market vali of $10,000 ro fee Ono [Owner of Real estate | 9s Ownership interest | Location by City | Location by County RIO Snrry ion, Mento bo Union EN wil Buch | Brossuck 5. {ease or ron eal estat o personal propery to a rom the Stat of North Crain with a market value of $10,000 ormorer Oves m6 If Real Estate, Location | 11 Personal Property, oy City & County Describe 2. At any time during 2020 or 2025, dd you o any members of your medias fay sll 2 or ay rom te State of North Caran pecsonsl property worth $10,000 or mare? ovo [ Mameofpuchoser | Womeofsaler | TypeorPropemy | The SET and any attachments, excluding the Confidential Form, are public records. Page 20f10 3. As of December 31, 2021, did you or any members of your Immediate fami own any of th follwing finance Interests Valued at $10,000 or more? List each company individually. A. Stock ina publicly owned company? we Oto > Do not Us interests in 2 widely held Investment und (induding mutual finds, regulated Investment omporie; or pansion or deferred compensation plans) 1: 1. the fund is publicly traced, o ts assets ae widely diversified; and 2. meiner you nor an Immediate (arly member are able a contro he underlying assets. [ ownerotimersst | Full Nameof Company or ticker symbol Sez ATip he 1 3. Stock optiogsin a company or business? Ove 6 Gwner of Stock Option Full Name of Company (Do not use a ticker symbol) ©. Inerests In a ron publicly owned company or business entity? These include nares n sole propritorshi, partnerships, Wed partnerships, Jot ventures, mia 13bity Companies, mited 18D pariersnps, snd Slosel held comoratons. Ges CINo- No proceed to question . Name of Company or Business Entity See atlacned 1] € (1). For each company or business entity identified In question 3.C. (the “Primary Company"), please list the names Chany fer Compania o DUsInesS rs n Which he Primary Company ons Secures o equ meres Valued at over $16,000, f Known. Non-Publicly Owned Company or Business Entity | _ Other Companies in which the Primary Company (the primary Company) ‘Owns Security or Equity Interests The SEX and any attachments, excliding the Confidential Form, are public records. Page 3 of 10 C@ 1 you know that any entity Isad In 3C or 3CC1) above has ry material business dealings or business Contracts with he Sat of Ror Coron, of TeguHEd the Sate, riety Gescoe that Busnes AIRY, Description of Business Activity with the state oof December 31 2021, were you or any members of your mediate aml te beneicaries of a vested wust ih 3 vai of $10,000 of more tht you rested, esablaned, o controled? Do nots asset held i bind trusts. Definons for "Vested Trust” and "Blind Trust” canbe found on ur website under “Seis | $61 Hoful To": hitachi cow Ove go [Name and Address of Trustee | __ Description of the Trust __| _ Your Relationship to the Trust 5. As of December 31, 2021, dd you any members of you Inmate aly ave ables of £10,000 or mor, excluding the orizads on Your prs Barons) RSGenees Examples Incude ed Card devs au Ioan, Sudan any Personal loans, ant nv fami Gem. Ove gf Name of Debtor Type of Creditor (commercial Bank, credit union, namiduat ste 6. List each source of income (not specific amounts) of more than $5,000 received by you or any members of your immediate Ary GUNG 3031. nude sory, wages, satfocal Goverment resrament income, professianl foc, Ronorana; Iaret Gwilonds anal core, usiess nome, and ofr Whos required 1 bs Toros State and priced + Attention You must disclose salary or wages received from any governmantal or private ent, nchuding sployare the you may hove siroudy Hetad 1 response io other SEL Guests. + Do not ncude Income received from th folowing sources: Captal Gain; federal government o iltary Fremant bane; socal securty S501 Recilent of Income Name of Source Typeol Type of come Blainess Industry [1 had no reportable income over $5,000 in 2021. Ra [44 [Peery Sale | MorlSade Pout [Bit 3 Rebrecn Mund [SU Tope be | Teco | Erterte fs Ril Rebseen Movosond [1am Li7ic uCorich Mele Buble The SET and any attachments, excluding the Confidential Form, are public records. Page dor i0 Professional and Civic Relationships 7a). During 2023, were you or any members of your Immediate family a director, officer, governing board member, employee, Independent contractor, or registered lobbyist of a nonprofit corporation or organization operating In North Carolina primary for religious, charitable, scent, Iterary, public health end safety, or educational purposes? > Do not Ist State boards or entities. > Do not st organizations of which you are a mere member. Name of Nonprofit Nature or Corporation or Organization | Purpose of Organization = = FET Gyect © 7(6). 1 the nonprofit corporations or organizations listed above do business wih the State of North Carolina o receive State funds, briefly describe the nature of that business, if known or with due diligence could reasonably be known. Name of Nonprofit Corporation or Organization Describe State Business Heer n Quik ef dasion C5 Free Brug Clinic 8. During 2021, were you or any members of your Immediate femly a director, officer, or gaverning board member of any Sect, rganeaon, of AUGEaY raUp WR Oars In ARTS ave whch our SGBTY ox board ay have Jursdicton’ Ce TK Chega Ofc Your trees omc sions yo 1 ln oly because You are a legislator or judicial officer or 2 a candidete or appointee to those afices. However, If you are also fling 25 a member of a State board or 25 a State employee, please answer “es” or “no* to this question. 1 your response i yes, provide additions! Information, > Do not lst organizations of which you are only 2 member and do not serve in leadership ole. Name of Society, Organization, Leadership Position or Advocacy Group (Director, Officer, Board Member) The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 10 [ame rraren | nomersiptorier | Nomsot company | somotpen | I I I ES RE I EE I SE — 1p I EE I I EE I EE ——— 7 [J Administrative OJ Admiralty (0 Corporate. 0 Criminal [J Decedent's Estates [J Environmental OInsurance 0 Labor [0 Local Government [Real Property (0 securities. OTax negligence) 11. During 2021, were you 2 licensed professional (other than an attorney) or did you provide consulting services individually or gs a member of a professional association for which you charged or were paid over $10,000? — I I 12. Are you or your empioyer, or any members of your immediate family, or their employers currently: + licensed by the State board or agency with which you are or will be associated or + regulated by the State board or agency with which you are or will be associated or + In 2 busingss relationship with the State board or agency with which you are or will be associated? you are a legislator or a judiclal officer or as a candidate or appointee to those offices. However, if you sre aso fing as a member of 3 State boar o as a State employee, please answer yes” orno" to this question. If you respond "yes," provide additonal information Name of Employer Type of Relationship (if applicable) (Licensing, Regulatory, Business) 13. Have you or a member of your immediate family been registered as a lobbyist or lobbyist principal within the 12 months preceding your fing of this form? Ove © ‘Name of Lobbyist Lobbyists Principal Date of Registration Registration Explration Other Disclosures 14. During 2023, after you were appointed, employed, or led or were nominated as a candidate, dd you * _ receive any "gift(s)" exceeding $200 per quarter from a person or group of persons acting together, » when both you and thase person(s) were outside North Carolina, = under circumstances that would lead a reasonable person to conclude the gifts were given for lobbying? To answer Yes, gil three conditions must apply. Orves > Do not report gifts given by members of your extended family. PD not report gifts you have previously reported on the "Expense Report for Exempted Persons.” Value ‘The SEX and any attachments, excluding the Confidential Form, are public records. Page 7 of 10 15. During 2021, after you were appointed, employed, or filed or were nominated as a candidate, did you Cit a ma——— Avscholarship” is a grant-in-aid, either direct or indirect, to attend a conference, meeting, or similar event, a travel, lodging, meals, and other similar expenses. OYes lo [Judicial Officer - You are not required to complete this question if you are filing as a judicial officer Date of Name and Address of Donor(s) ‘Estimated Market ctetmm— Iw » Contributions are defined broadly In N.C.G.S. 163-278.6(6) and include “any advance, conveyance, deposit, ES ES EO TS 17. Are you an appointee or prospective appointee as: a. 2h head of princi tate department (scabies scrtay) apple b. a North Carolina Supreme Court Justice; or a Court of Appeals, Superior, or District Court Judge; or Cc. a member of any of the following boards: [Yes + ABC Commission Io,” proceed to question 18. + Coastal Resources Commission + State Board of Education + State Board of Elections + Division of Employment Security + Environmental Managemen Commission + Industrial Commission + Human Resources Commission «Rules Review Commission + Board of Transportation + Uiites Commission + Widife Resources Commission d. If so, were you appointed or are you being considered for appointment to that | (Yes [INo position by a Council of State member? 1f “No,” proceed to question 18. e. If so, you must Indicate whether during 2021 you engaged In any of the following activities WIth respect to or on behalf of the canddste or campaign Comittee of the Coun of State member who appointed you: 1 Collected contribution from multiple contributors, took possession of such multiple contributions, and transferred or delivered those collected | (Yes [INo Contributions to the candidate or commitee? I Hosted a fundraser at your residence or place of business? Oves Oo Ti. Volunteered for campaign-relaed activities, Including phone banks, event. assistance, mailings, canvassing, surveying, or any other activity that | [JYes [JNo advances the campaign of & candidate? 16. Have you aver been convicted of a felony for which you have not received efter: () a pardon; or () an order of expungement? ves pr onems Tomrorconieion | coumyorconneion | _stteor conn 15. Are you aware of any offer Information that you belleve may assist the Ethics Commission In advising you concerning your semplience with the State Goverment Ethics Act? Oves pith 1 yes, please provide that Information below. The SEI and any attachments, excluding the Confidential Form, are public records. Page 9 of 10 The information provided n tis Statement of Economic Intrest and ay attachments are true, complete, and ccureta Te so of knoviatgn nd oat have not transfered, and wil no raster, any asse, tres, or proparty forthe purpose of concealing It from score wate retaining an cautab ere YL uncerstand tht my Statement of Economic interest and ay attachments xcept fr the Confidential Form regarding Unemancma Contr ae soe rm, hav read and understand the folowing statutes: N.C.G5. § 13826, Conceaing or fling to disclose material information. A fing person who Knowingly cancels a knowingly alls diss information that required tobe disclosed Gn Seman Of Sono rest shal b gully of & Clos 3 ademas ond Ssgoc to cpio N.C.G.S. § 138A-27. Penalty for false Information. nfomebon fai 1s gut of Cass 1 oom a Shall be sock dcp acon under G10, 368-45. afm under penalty of parfury thatthe foregoing a true and correct. 2-72-22 Signet oe B Jl F Norwood Frinied Name ‘Submit signed, original documents only. Do not fax or e-mail this form. 0 000 The SEE and any attachments, excluding the Confidential Form, are pubic records. Page 100110
2021 South Piedmont Community College Trustees
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Pe For taf se omy GTR STATE ETHICS COMMISSION [E— LF Jij 2021 STATEMENT OF ECONOMIC INTEREST | RECEIVED = MAR 11 2021 This entire form must be completed to fulfill | NCETHCS Commission Your ethics filing obligation. Fier Name (Fr, Middl, os) Mr. [Bly Foose Nevoos [oument employer’ Job Tite LED A | Nature or Type of Business Reason for ing (Complore 3 oat app) State Govan 10 (Spey sper and postion) | Bowe Commis (Ls Sopot Somes 7 STS Soards om which you ar Saruing or sre peg omen) [Board CETrvsTce ZorTle Pedmonl un Collen Catron say A. Do other immediate family members reside In your household? fs Ono | On this form, “immediate family” includes your spouse (unless legally separated). It also includes members of your extended family (your and your spouse's children, grandchildren, parents, grandparents, and siblings, and the spouses of each of those persons) who reside In your household. he. {al ame of al adults and emancipated minors in vour ousshols. Minas are laren sneer 8. Trey re emanciated by mariage, anistmant he U5 mikey or cos ar 0S Full names of Adults and | Relationship Employer Job Title [ Morure of Busines | Emancipeced simore The SE and any attachments, excluding the Confidential Form, are public records. Page ior io inti CL op —— List the full name of each minor child on the Confidential Form at the end. Initials of Relationship Employer Job Title Nature of Business Unemancipated Property Interests 1. As of December 31, 2020, did You or any members of your immediate family: BO man ESP Itarestn North Carlin rent esate (ncluing your residence) with market value of $0,000 or mare? Te One gems of Ras Esters | 5 owners ore | omtonoy ay | Location by County c= Fe yee My £2 ° 00%, Mownoe BF + Rerscia hs weed A anTele 2 Bh, rsa sats or parson propery or fam the State of Rar Carolin wi a Fmrkervalos $10,000 or more? Ove ofa Name of Lessor Name of Lessee | If Real Estate, Location | if Personal Property, (Renter) by City 8 County Describe Roan ie during 2019 or 2020, did you or soy membars of your Immediate arly sei 50 & buy rom he Se North Caroling garsane property worth $10,006 of moray Oves ns The SEL and any attachments, excluding the Confidential Form, are public records. Page 20f 10 Financial Interests ER Ere 3. As of December 31,2020, did you or any members of your immediate. family own any of the following financial Interests valued at $10,000 or more? List each ‘company individually. Ly A. Stack na publicy owned company? OYes is » Do pot list interests In a Widely held Investment fund (including mutual funds, regulated investment companies, or pension or deferred compensation iene) 1: 1. the fund Is publicly traded or Its assets are Widely diversified; and 2. nether you nor an Immediate family member are able corte] the undertying asses. owed | ruimesrcommyere ymbol ©. Stock options na company or business? Ove who Owner of Stock Option Full Name of Company (Do not uss a ticker symbol) ©. Interests In 2 nonpublicly owned company or business entity? These Include Interests i» a propre, partnerships, limited partnerships, joint ventures, limited liability companles, limited lability partnerships, and closely held corporations. hes CINo - If "No," proceed to question 4. Er Name of Company or Business Entity CCD. For each company or business entity identified In question 3.C. (the “Primary Company"), passe Ist fre | [ames of any afer companies or business anie n Whi he FATTY Company avis ebies or ne Interests vad St over $10,000, f knw: Non-Pubicly Owned Company or Business Entity | Other Companies n which a Primary Company (the Primary Company) ‘Owns Security or Equity Interests The SET and any attachments, excluding the Confidential Form, are public records. Page 3a 10 | C2). If you know that any entity listed in 3.C or 3.C(1) above has any material business dealings or business SOMTaCts With the State of North Carolina, o is regulated by the State, briefly describe that business actviy, Name of Company or Business Entity |__ Description of Business Activity with the State fone or Not Known 4. As of December 31,2020, were YOU or any members of your immediate family the beneficiaries of a vested trust with 2 value of $10,000 or more that You created, established, or controlled? Do not list held in blind trusts. EN cad] Coie Name and Address of Trastas Description of the Trast ®t enemas $1 2020, dd You any members of your immediate tly Pave oes 515.008 or more, excluding the mortgage on your primary personal residence? Examples include credit card debts, auto loans, student loans, personal loans and intra-family debt, Ove @6 ‘Name of Debtor TYP of Creditor (commercial Bank, credit union, Individual, etc © mas. Income (nok specie smourt) of more an 45,000 ecsed by yan or any members of your immediate family. during 2020. Indiude salary, wages, state/local government retirement income, professional fees, ‘honararla interest, dividends, rental Income, business name, and other types required to be reported on State ani rive a IEA Tear i clon You ecko aan or megs an ang ah SE $3 | private entity, s Do not include income received from the following sources: Capial gains Federal goverment retirement | Hilary racrement Social securky Income/sspr | Recipient of Income Name of Source Type or Tye of Income Businase/ Industry Billy F Noto die Tals logue, Sale [Morhure Rup] | Bly & Zetec prar] | Stsosectamel ies Ree Eitate Mpls, | oe irtmt The SEL and any attachments, excluding the Confdantial Form, ae public records, Page 4 of 10 Professional and Civic Relationships 700) During 2020, were you o any members of your Immediate amily a decor, officer, governing board member, NoleYee: Independant contractor, or regstered oabyist of a nonproft aaron organization operating in | North Carolina primarily for religious, charitable, scientific, literary, public health and safety, or ‘educational So les CIN ~1 “No,” proceed to question 8, > D0 not st State boars o anti, > _ Donate organizations of which you are a mere mermber. Nema of Person Position Nome of Nanprofic Nature or Corporation or Organization | Purpose af Graapization Billy F Npvwsed | Dicctar Henan Quit Flute lo | Fier Deng cli, 700 {ine pongroft corporations or orgaiztons sted above do asness with te State Nerds Caras Sree State funds, briefly describe the. nature of that business, If known or with due. diligence could reasonably be known. CINone or Not known Hepa piQuast 0F Uy) (o Fece Deve (4, © Goring 2020, were you or any members of your Immediate aml 3 director, er, or Governing board member of po Sole; organization, or advocacy Group with an Interest in matters over which your agency or board may have fnsdicions ng A You Brea iegsatr o fudicil office o you ae ln a8 an appomce oy er of yo >_ 00 otis argatzatons of wich ou are only 8 mamber and o not serve na leadership rol, Name of Person ‘Name of Society, Organization, Leadership postion or Rivocacy Graup (Director, Officer; Board Member) The SEL and any attachments, excluding the Confidential Form, are public records. Page sof 10 9(2). Uist the name of each business With which you were associated where You or 2 member of your immediate family | 25 a0 employee; director, officer, prtrer, proprieta, or member or manages os or macau 31,2020, CI No Business Associations 9(b). If you know that any entity listed in (2) above had any material business. dealings or business contracts with the Stl of Nor Carona or was regulated by the Stat as of December 31, 2030, rey Sescnbn ser canis Nam of company or Buss evi 10. Are you a practiing storey? ves. bg 0 3ucicial Officer/State Attorney Jean: pf hanch category of egal representation n which you arth law fim with which you are aiated has eared legal fees of mors than 610,500 ‘during 2020, 0 Administrative 0 Admiralty 0 Corporate Criminal Decedent's Estates DEnvironmental Cinsurance Otator 0 Local Government CJ Real Property DO securities. OTax OITort tgaton (including O)Utities Reguiation Other category nt listed negligence) 11. During 2020, were you & licensed Professional (other than an attorney) or did you provide consulting services iia os aber 7 rte Peon rh Bh 19,400 Soe coming Oves 5 TS EY TT a— The SEX and any attachments, excluding the Confidential Form, are public records. Pages of 10 | 4 AIRY Sr Your employer, or any members of your Immediate family, or hfe sployars cera + loaned by the State board or agency with which you are or wil be associated or + Teaulatedby the State baard or agency with which you are or wil be assocated or | + Ina busippes ratonship with the State board or agency wih which you are or wil be associated? | Oves ad D3 epeatrf ull Officer You are not ruled o complet this question f you are ling because You are a iegislator or a ucica! office or you are fling a an appointes to ane. of Pr cece” Name of Person Name of Employer Type of Relationship it applicable) (Licensing, Regulatory, Business) 12. Have yal or 2 member of your immediate family been registered 28 5 lobbyist or labbylst principal within the 12 ug aR Oves gfo ‘Name of Labbylst Lobbyists Principal Date of Registration ee Other Disclosures 14: BUG 2020, after you rar appointed, employed, o fled or wers nominated 2 § candida, 44 you « recaive any ing $200 per quarter from person or group of persans acting together, + when both you and thase person(s) wers outside North Carolina, * under drcumstances that woud lead a reasonable person to conclude the Gifts were given for lobbying? To answer Yes, three conditions must apply. Qves ir > Do not reparc gifts given by members of your extended family. >_Do RO% 830K 0s you have praviousy reported an the Expense Report for Exempted Persons.” Date Itom Received | Name and Address of Donor(s) | Describe Item Recerved Eeimated Market Value The SEX and any attachments, excluding the Confidential Form, are public records. Page 7af 10 a + accept a “scholarship” exceeding $200 related to Your public position from a Person or group of persons acting | + when thase person(s) were outside. North Carolina? | El A“scholarsh| [7182 grant-in-aid, either direct or Indirect, to attend a conference, meeting, or similar event, | mo ‘meals, and other similar expenses. OYes © [Ddudicial Officer - You are not required to complete this question if you are a judicial officer or you | » Do not report. 9ifts you have Previously reported on the “Expense Report for Exempted Persons.” * Lellators are not required to report scholarships paid by Jonpartisan legislative organization of which the legislator Bret | a md mea Set re [EE os arm nr PS ER | » Governor » Lt. Governor » Secretary of State > Stross rs MCA | | =.» Bi | » Com loner of Insurance | OYes rk ELIS At ror fe 2014 tt snr en 50 0 ms pe 3 HSL Smt tof mos hn 1000 » Contributions. are defined broadly in NCGS. 163-278.6(6) and Include “any advance, conveyance, deposit, distribution, transfer of funds, loan, payment, gift, pledge or subscription of ‘money or anything of value whatsoever,” ZS Contes | [No contributions) with a ‘Cumulative total of more than $1,000 | TSE so ches, cn contin orm, pete Foss 47: A1% YOU 3 appointee or prospective appointee ass 2. the head of a principal state department (e.g., cabinet secretary) appointed by the Governor; or b. a North Carolina Supreme Court Justice, Court. of Appeals, Superior or District Court Judge; of | © a member of any of the following boards: Ove po — [ern css. «Coastal Resources Commission + State Soar of Education | + State Board of elections + Divison of Employment security «Industrial Commission | + Human Resources Commission «Rules Review Commission | «Board of Transportation + Utilities Commission + Widife Resources Commission dso, were you appointed or are you being considered for 2ppointment to that | (J Yes []No position by a Council of State mempers "No," proceed to question 6. © Helio, must indicate whether during 2020 you engaged In amy of Tre following ctivkles with respect to or on behalf of the cocaine o- ‘campaign | commie of the Counc o State member who appar pac: + Collected contributions fram multiple contributors, took possession of such Contam aions, and transered or Gres those” estecsed | Ives [IN contributions to the candidate or conumesse’ il.__Hosted a fundraiser at your residence or place of usaser Oves Oo Yl Yelunteered for campalgn-related activities, nciueing phone Banke, event assistance, mailings, canvassing, Surveying, or any other activity that OYes [No advances the campaign of 8 candidate? 18. Have you ever been convicted of felony. for which You have nat received either: (1) a pardon; or (1) an order of fs 3 Oves gf offense County of Conviction | state of comvicion 19. Are you aware of ¥ ather Information that yoy. —————— mission in advising you concen va TRUE3Ge WI the State Goverment ant Oes fb tyes, please provi that information beau The SEX and any attachments, excluding the Confidential Form, are pubic records. Pagesor0 The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and bellef. 1 have not transferred, and will not transfer, any asset, interest, or Property for the purpose of concealing it from disclosure whe reining an ade ers mm Satan of Sonne tae an ry sachs excep for th Conan Fors ering Unemancpated Chien se poy coon! have read and understand th following statute: NCGS. § 1384-26, Conceling or fling to discose material information. Sarg Berson ho Knowingly concats or knowingly ais 0 ddoss format te i eure be icine i nee Sano are: Shi ry of» ot seme p22 be dich action under G8 150mm NCGS. § 1384-27, enaty for fis Information. A filing person who provides false information on a statement of economic interest . . . knowing that the ean ls Guo 3 lg ryan snl Sc 1 pecan ai nS RE aim under penaky of perfury that the foregoing Is true and correct. | = Z Z 2rd Date | Ply FE Nowweosd Printed Nara Submit signed, original documents ony. Do not fax o e-mail this form. The SKE and any attachments, excluding the Confidential Form, are public records, Page 100110
2020 South Piedmont Community College Trustees
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—————"———8————————— TT or Saft use only Fr STATE ETHICS COMMISSION Date Rete | VED UHI @ 2020 STATEMENT OF ECONOMIC INTEREST NAR 19 2020 NG ETHICS COMMISSION This entire form must be completed to fulfill Checked Jor completion; your ethics filing obligation. cane: ($2bue incomplewes __ __ Supp. sen ote w___ Supp. received dace entered in catabase [rp Frask Nowwes ET NTT LA — i Reason for Filing (Complete all tht app.) boards on which you are serving or are being considered.) [Eee =e Legislator (Specify House or Senate.) A. Do other immediate family members reside in your household? Bes One On this form, “immediate family” includes your spouse (unless legally separated). It also includes members of your extended family (your and your spouse's chidren, orandchidren, parents, grandparents, and sibings, and the spouses of each of those persons) who reside in your household. List the full name of ail adults and emancipated minors In your household, Minors are children under 16. They are ‘emancipated by marriage, enlistment in the US military, or court order for emancipation. rl a Lo Co) ‘emancipated Minors [Reena s Nod | Wi Fe The SEI and any attachments, excluding the Confidential Form, are public records. Page 10f10 AEE Oe re B. List only the initials of ail unemancipated minors in your household below. A minor is a child under 18 years old. List the full name of each minor child on the Confidential Form at the end. uUnemancipated Y7/ EE I I EE Property Interests 1. As of December 31, 2019, dd you or any members of your Immediate family: A. have an ownership interest in North Carolina real estate (including your residence) with a market value of $10,000 ‘more? oo ane rE TR TT 23 5 bho Bruns 5. leas or ren real estate or personal propery too from the State of Norn Carolin wih a marke value of $10,000 or more Ove who If Real Estate, Location | If Personal Property, by City & County Describe. 2. At any time during 2018 or 2019, did you or any members of your immediate family sell to or buy from the State of North Carolina persona property worth $10,000 or more? Ove @fo [ wamestrumer— | amsorsoi | reste] The SEI and any attachments, excluding the Confidential Form, are public records. Page 20f 10 se lI iN a a aR Financial Interests 3. A of December 31,2015, i you or any members of your ITmedite family own any of th folowing nanca terests valued at $10,000 or more? List each company individually. A. Stock in a publicly owned company? Ove Os » Do not list interests in a widely held investment fund (including mutual funds, regulated investment companies, or ‘pension or deferred compensation plans) if: 1. the fund is publicly traded or its assets are widely diversified; and 2. neither you nor an immediate family member are able to control the underlying assets. [ ownerofmnteest | ull Name of Company or ticker symbol 5. Stock aptons In + company or business? Ove wf ‘Owner of Stock Option Full Name of Company (Do not use a ticker symbol) C. Interests in a non-publicly owned company or business entity? These include interests in sole proprietorships, ‘partnerships, limited partnerships, joint ventures, limited liability companies, limited liability partnerships, and closely held corporations. es CINo- 1"No,” proceed t question 4. I EN NTT See bmicuen rr OOO] C(1). For each company or business entity identified in question 3.C. (the “Primary Company”), please list the ‘names of any other companies or business entities in which the Primary Company owns securities or equity rearsts varied a over 10000, f known: Non-Publicly Owned Company or Business Entity | Other Companies n which the primary Company (the Primary Company) Owns Security or Equity Interests “The SEI and any attachments, excluding the Confidential Form, are public records. Page 3 of 10 SO (2). I you know that any enity sted In 3.C or 3.1) above has any material business dealings o business contracts with the State of North Carolina, or is regulated by the State, briefly describe that business activity. Name of Company or Business Entity Description of Business Activity with the State TT Ap— 4 of December 31, 2019, were you or ary memiers of your Immediate fay the beneficiaries of vested rust wilh Value of $10,000 or more hat you created, stashed, or controled? Do not list assets held in bind trusts. See 2020 SEX Heloful Tips for the definition of “Vested Trust” and “Blind Trust.” Ove @ho | Name and Address of Trustee | Description of the Trust Your Relationship to the Trust 5. Aw of December 31, 2019, did you any members of your media fry have [abies of $10,000 or more, exuding Ah RR bb Bich RTs bi SAR Ant Personas ans 330 mr amy Get. ove oe Name of Debtor Type of Creditor (commercial Bank, credit union, Individual atc 6. List each source of income (mot specific amounts) of more than $5,000 received by you or any members of your immediate family during 2019. Include salary, wages, state/local government retirement income, professional fees, honoraria, interest, dividends, rental income, business income, and other types required to be reported on State and Teter tak Tetras, lease ramamber to isciovs yous ecitt of every oF wages form am Govemmmantal or private entity. Do not ncude income received fim th following sources: » Captai gains » Federal government retrement > Mitary resrement » Social securty ncome/SSon Reciplent of Income Typeof Type of Income Business Industry [1 had no reportable income over $5,000 in 2019. [Bitty Forwood [oosioTusnee | Progriesale | Moplgme ument | 2.11 F Norwest wBrruee Dog Sale [Norge Bupewt Bills Re 1 L 1 The SEE and any attachments, excluding the Confidential Form, are public records. Page dof 10 EE ———— Professional and Civic Relationships 7(a). During 2019, were you or any members of your immediate family a director, officer, governing board member, ‘employee, independent contractor, or registered lobbyist of a nonprofit corporation or organization operating in North Carolina primarily for relGous, chantable, scientific, Iterary, public heaith and safety, or educational purposes? @fes [No if*No," proceed to question s. > Do not lis State boards or entites. > Do not lst organizations of which you are a mere member. Name of person Name of Nonprofit Nature or Corporation or Organization | Purpose of Organization BE Nowend | Duco | HealfhQuut ythoin: bo [Foes Dwg <liic 7(b). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive ‘State funds, briefly describe the nature of that business, if known or with due diligence could reasonably be known. Name of Nonprofit Corporation or Organization | Describe StateBusiness | CJ None or Not Known 8. During 2019, were you or any members of your immediate family a director, officer, or governing board member of any society, organization, or advocacy group with an interest in matters over which your agency or board may have Jurisdiction? Oves. BE Elmont cit. vouire oot Ae aes SL Tol ig gt Vou are 3 legislator or Judicial officer o you ar fing 85 an appointee to one of those offices. > Do not list organizations of which you are only a member and do not serve in a leadership cle. Name of Society, Organization, Leadership Position or Advocacy Group (Director, Officer, Board Member) The SET and any attachments, excluding the Confidential Form, are public records. Page sof 10 Co = = &—= 9(a). List the name of each business with which you were associated where you or a member of your immediate family was an employee, director, officer, partner, proprietor, or member or manager as of December 31, 2019. Nameof Person | Relationship to Filer | Name of Company | Roleof Person | 9(b). If you know that any entity listed in S(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, 2019, briefly describe that activity. Name of Comp or Business Entry TINY DT, J Pe rT 10. Are you ge attorney? OvYes [J dudicial Officer/State Attorney If “Yes”, check each category of legal representation in which you or the law firm with which you are affiliated has earned legal fees of more than $10,000 during 2019. [0 Administrative 0) Admiralty [J Corporate. [J Criminal [Decedent's Estates [0 Environmental [Insurance [0 tabor [0 Local Government [J Real Property [0 Securities. OTax [Tort litigation (including [0 utilities Regulation [J Other category not listed negligence) 11. During 2019, were you a licensed professional (other than an attorney) or did you provide consulting services individually a member of a professional association for which you charged or were paid over $10,000? mg hm ment cin Cot Fr re re A ST 12. Are you or your employer, or any members of your immediate family, or their employers currently: + licensed by the State board or agency with which you are or will be associated or + regulated by the State board or agency with which you ar or wil be associated oF + in business relationship with th State board o agency with which you ae or will be sssoclated? or [No [Legislator Judicial Officer - You are not required to complete this question if you are fling because you are a legislator or a judicial officer or you are filing as an appointee to one of those offices. Name of Person Name of Employer Type of Relationship (if applicable) (Licensing, Regulatory, Business) = TF Zar Cone 75 Dilly Fbrwoon lpm domy loatindc®e | Te ERTS 13. Have you or a member of your immediate family been registered as a lobbyist or lobbyist principal within the 12 ‘months precedipg your filing of this form? OvYes io Date of Registration 14. During 2019, fer you were appointed, employed, or fled or were nominated as » candidate, did you + receive any “gift(s)" exceeding $200 per quarter from a person or group of persons acting together, «when both you and those person(s) were outside North Carolina, + under circumstances that would lead a reasonable person to conclude the gifts were given for lobbying? To ih 5g three conditions must apply. Oves » Do not report gifts given by members of your extended family. > Do not report gifts you have previously reported on the "Expense Report for Exempted Persons.” Con CI Ce The SEX and any attachments, excluding the Confidential Form, are public records. Page 70 10 I 15. During 2019, after you were appointed, employed, or filed or were nominated as a candidate, did you . ene “scholarship” exceeding $200 related to your public position from a person or group of persons acting together, + when those person(s) were outside North Carolina? To answer Yes, both conditions must apply. A “scholarship” is a grant-in-aid, either direct or indirect, to attend a conference, meeting, or similar event, including , travel, lodging, meals, and other similar expenses. OvYes {0 Judicial Officer - You are not required to complete this question if you are a judicial officer or you are filing as a judicial officer appointee. » Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” » Legislators are not required to report scholarships paid by a nonpartisan legislative organization of which the legislator or the General Assembly is a member, participant, or affiliate. Date of Name and Address of Donor(s) Describe Event Estimated Market | Scholarship Value. 16. Hove you been appointed or considered for appointment to a covered board by the Governor or anather Councl of State member? Council of State members are: > Govemor > Lt Governor > Secretary of state > state Auditor > state Treasurer > Superintendent of Pubic Instruction » Attorney General » Commissioner of Agriculture ~~» Commissioner of Labor > Commissioner of Insurance Oves ¥ 16 "Ves," list al contributions you made in 2019 with a cumulative total of more than $1,000 to the Counl of ‘State member who appointed you. Do not include contributions from immediate family members. » Contributions are defined broadly in N.C.G.S. 163-278.6(6) and include “any advance, conveyance, deposit, distribution, transfer of funds, loan, payment, gift, pledge or subscription of money or anything of value whatsoever.” TS ES ETS [2No contribution(s) with a cumulative total of more than $1,000 “The SEI and any attachments, excluding the Confidential Form, are public records. Page 8 of 10 17. Are you an appointee or prospective appointee as: a. the head of a principal state department (e.g., cabinet secretary) appointed by The Govermersor 5.2 North Carolina Supreme Court Justice, Court of Appeals, Suparir or District Court Judge; or a member of any of the following boards: Oves oho + Aec Commission 11°No, proceed to question 18. + Coastal Resources Commission + State Board of Education + State Board o Elections + Division of Employment Security + Eionmentl Management Commission + Industril Commission + Human Resources Commission + ules Revi Commission + Board of Transportation + Utites Commission + Wide Resources Commision a Won, were you sppenied or are you being coradered To sppaiment to ht | CT¥es CINe Postion oy 5 Counen of Ste members Dr vespatiinitle «1 30, you must Indicate whether during 2013 you engaged in any of the following activities with respect to or on behalf of the candidate or campaign Caries of he Caunch of State merver who appomted You Collected contributions from multiple contributors, took possesion of such lil contributions, and. wansfrred or delivered. hose. colected Contin 1 th candida or ommiees il. Hosted a fundraiser at your residence or place of business? [Yes [INo iii. Volunteered for campaign-related activities, including phone banks, event acsiance Malings, COHesang, Sven, of any other ach that advances the campaign of a candidate? 16. Have you ever been convicted of a felony for which you have not received either: () a pardon; or (I) an order of pistich Ove we EL TR LT IT A 19. Are you aware of any other information that you believe may assist the Ethics Commission in advising you concerning your compliance with the State Government Ethics Act? Oves yes, please provide that information beiow: “The SEI and any attachments, excluding the Confidential Form, are public records. Page 9 of 10 Affirmation The Information provided inthis Statement of Economic Interest and any attachments are true, complete, and accurate 10 the bes of my knowiedge anc belie. 1 have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from closure whie retaining an equitable terest 1 understand that my Statement of Economic Interest and any attachments except for the Confidential Form regarding Unemancipted Children are pubic records. have read and understand the following statutes: N.C.G.S. § 138-26. Concealing or faiing to disciose materia information. A fling person who knowingly concen or knowingly fais to discise information that s required to be discosed on a statement of economic interest... shall be Qty ofa Cass 1 misdemeanor and subject to discipinary Con under 6.5. 136A45. NCGS. § 1385-27. Penalty or flse information. A filing person who provides faise information on a statement of economic Interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 1384-45. 1 affirm under penalty of perjury that the foregoing Is true and correct. L 0 -10-20 Signature Date [2] Printed Name Submit signed, original documents only. Do not fax or e-mail this form. The SEX and any attachments, excluding the Confidential Form, are public records. Page 100f 10
2019 South Piedmont Community College Trustees
Document text
staff Ey ner B CEIVED GET 03 TATE ETI ; (ate) STATE ETHICS COMMISSION FEB 21 2019 eval” 7 R&T 2019 STATEMENT OF ECONOMIC a STATE ETHICS COMMISSION INTEREST Js 51 checked or competion This entire form must be completed to fulfill 45 scanned pition your ethics filing obligation. Incomplete Qs __ Suen. sent te or Supp. recenes cate ____ entered in cotabase a FP == VS PS RA Reason For Fig (Complete all that apply.) State Government Job (Speci agency and position.) | Baara/Commislon (List complete names of al State boards on which you are serving or are being considered. Beard oF Tews7Ees OF South PredmienT Comuunihy Collige Judicial Officer (Specify office.) Legislator (Specify House or Senate.) A. Do other immediate family members reside In your household? Hes Ono ‘On this form, immediate family” includes your spouse (unless legally separated). It also includes members of your ‘tended family (your and your spouse's children, grandchildren, parents, grandparents, and sings, and i asses of each of those persons) who reside in your household. List the full name of all adults and emancipated minors in your household. Minors are children under 16. They are emancipated by marriage, enlistment n the US miliary, or cour order for emancimason: Full names of Adults and Job Title Emancipated Minors ‘The SET and any attachments, excluding the Confidential Form, are public records. Page 10 10 B."Lst only the Initiate of ai unemancipted minors n your household below. A minor fsa aid under 18 years aa. List the full name of each minor child on the Confidential Form at the end. Initials of Unemanciaated Property Interests 1. AS of December 31, 2018, dd you or any members of yaur Immediate fry: A. have an ownership interes in North Caroline ral esate (including your residence) with a market value of $10,000 or more? Yes Ono |__ovner of het esate | oe owners interest | Location oy city | tocaton sy comme | Tilly + F Bevean Korwed i A Mousec Bint S Reeco Mond | 53% | renr, Beae | Beuroner | 8. lease or rent eal estate or personal property to o from the State of North Carolina with a market value of $10,000 or more? Oves mo If Real Estate, Location | if Personal Property, by City 8 County. Describe 2. Atany time during 2017 or 2018, did you or any members of your Immediate family sell ® or bay rom the State North Carolin personal property worth $10,000 or mores Ove he The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 10 Financial Interests 3 Rs of December 31, 2018, id you or any members of your Immediate family own any of the flowing fmana interests valued at $10,000 or more? List each company individushy: A. Stock in a publicly owned company? Pes no > Do Bat lst interests Tn a Widely held Investment fund (Including mutual funds, reguIated investment Compares, or pension or deferred compensation plans) if: 1. the fund s publicly traded or ts assets are widely diversified; and 2. neither you nor an immediate family member are able to contre the undertying assets, 8. Stock options In a company or business? Oves Eo Owner of Stock Option Full Name of Company (Do not use a ticker symbol) C. Interests in a non-publicy owned company or business entity? These Include Interests n sole proprietors, partnerships limited partnerships, Joint ventures, limited liabilty companies, limited labity parcuarenns od closely held corporations. Ber M+ 11 procs to sation, © (3). For each company or business entity identified In question 3.C. the “Primary Company”), please st the names of any other companies or business entities In which the Primary Company Gris secre or equity interests Valued at over $10,000, If known. Non-Publicly Owned Company or Business Entity | Other Companies in which the Primary Company (the Primary Company) ‘Owns Security or Equity Interests. ‘The SEI and any attachments, excluding the Confidential Form, are public records. Page 3of 10 C(2). If you know that any entity listed in 3.C or 3. C(1) above has any material business dealings or business. COT2C With th State of North Carin, ors rgute by ne avs Brie ecco tes Seen ety. Name of Company or Business Entity Description of Business Activity with the State 4 As of December 31, 2018, were you or any members of your Immedite fami the benaficnes oa vested Tost wT 2 Value of $10,000 o mora Sha you created, eaionct or comeing Do not list held in blind trusts. ‘See 2019 SEI Helpful Tips for the definition of "Vested Trust” and “Blind Trust.” DO Yes oe Your Relationship to the Trust fof December 31, 2018, dd you any members of your Immediate far have Tabitis of 310,000 or mere, Sted the mortage on Jour primary personal resence? Examples code He ord pen Sars enor iludng persona loans and mato debe. Ove B66 Name of Debtor TYpe of Creditor (commercial Bank, credit union, individual ste) st each source of Income (no specific amourts) of more than 5,000 received by yaw a ary TemoeT of your immediate fem during 2015. ncuce salar, wages, Sar oca sovsrnmen Fremont oom, ome honoraria, terest, dividends, rental Income, Susiness income, and Sher pes regan meio Ona fees federal ta returns. D0 not include income received from th follwing sources: > Captal gains > Federal government retirement > itary retirement > Social secuty income/S5o01 Recipient of Income Type or Type of tncome Blsiness Industry 011 had no reportable income over $5,000 i 2015. ES Cy | Stunts |r fg | ms The SE and any attachments, excluding the Confidential Form, are public records. Page sor 10 Professional and Civic Relationships 7(2)- During 2018, were you or any members of your immediate family a director, office, governing board maar Employee; independent contractor, or registered lobbyist ofa nonprofit. corporat o srgamaton speaks nea: Carolina primarily or religious, charitable, scientifc trary, PUBIC healt and safe, omens nd 1 DlYes [fo - 1rNo,” proceed to question's. Bo not lst Sate boards or entities. > Do not lst organizations of which you are a mere member. Name of Nonprofit Nature or Corporation or Organization | Purpose of Organization 700). 18 the nonprofit corporations or organizations sted above do business with the State of North Caraina or raveve State funds, briefly describe the nature of that business, f known o wth cu digence souls areas bn Kes "Name of Nonprofit Corporation or Organization Describe State Business _— During _— ere - or — oF _ es - _ D _— _ or _— _ I oF any society, organization, o advocacy Group Wh an InKerest in matters over whi Your soency or pond mnt amet Jurisdiction? A required to complete this question if you are fing because. You are a legislator or Judicial offer o you are ling 35 an appointee t one of hese Secs Do not lst organizations of which you are only member and do not serve i a leadership role. Name of Society, Organization, Leadership Position or Advocacy Group (Director, Officer, Board Member) The SEI and any attachments, excluding the Confidential Form, are public records. Pages of 10 es ame of each business with wh you were associated where you o » member of your mediate oly as an employee, director, officer, partner, proprietor, or member of manager 2 of Decera Dae 31 aoe. Homer rarsen | train rir | me orcompary | warren] 9(0)- you know that any entity listed in 9(a) above had any material business dealings or business contracts with fre State of North Carolina or was regulated by the State as of December 31, 3018, brief deste sor eset Name of Company or Business Entity Description of Business Activity with the State CINot applicable (No entities ted on #98) 10. Are you a practicing atoney? Oves Efe Duda Omcer/state Attorney If ves", check each category of legal representation in which you or the law firm with which you are afiated has earned legal fees of more than $10,000 during 2015. 0 Administrative 0 Admiraty 0 Corporate 0 criminal [J Decedent's Estates DO Environmental DO Insurance 0 Labor 0 Local Government (Real Property 0 securities. OTax or tigation (including 0 utiles Regulation CI 0ther category not listed negligence) 11. During 2018, were you a licensed professional (other than an attorer) or dd you provide consulting somices individually or as a member of a profession! association for which you charged o were paid over S16 nny Ove mie rT — treo seis Ronde The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 10 12: Are you or your employer, or any members of your immediate family, o tir employers carenty llcensed by the State board or agency with which you are o will be associated or + regulated by the State board or agency with which you are or will be associated or + In 8 business relationship with the State board or agency with which you are or will be associated? Bes CIN] Losiltor uci Oficer - You are no reir to complete tis question vou re fing because You are a legisiator or a judicial officer or you are fing 25 an appointee to one of toms Seen. Name of Employer Type of Relationship (it applicable) (Licensing, Regulatory, Business) Gual For Cox Compr Fegubded a YOu 3 member of your immediate family been registered a5 a lobbyist or lobbyist principal wih foe 12 month preceding your ling of this forms aves @ho Name of Lobbyist Date of Registration Registration Expiration Other Disclosures 14. During 2018, aftr you were appalnted, employed, or led or were nominated as a candidate, 4d you receive any “gi(s)” exceeding $200 per quarter from a person ar group of persons acting together, + When bath you and those person(s) were outside North Caroline, * inder cumstances tat would lead reasonable person to conclu the gifts were given for lobbying? To answer Yes, al three conditions must apply. Oves wo D0 not report gifts given by members of your extended ary 2 Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” rg The SEX and any attachments, excluding the Confidential Form, are public records. Page 7of 10 15: During 2018, er you were ppd, emplore, a fled or were marinated 2 3 Sen yo * Sapa “schlashl” exceeing $200 rete to your pub pest fram a parson ar sree of persons cing omer, + when thos persons) were autsice North Carolin? To answer Yes, both conditions must apy. scholarship is 2 grant in-id, either direct or indirect to attend a conference, meeting, or similar event, including tution, travel, lodging, maa, snd other irae on co" E1¥es [BF CL utitol Offcer- You ar nt requis to compte auestion if you are » fulca office or you are ing a2. tic) acer mppopres > D0 10 report its you ave previously reported on the “Expense Report for Exempted Persons.” oto are ot required t report schlrsin pi bo nonparssan lslativ ganization of which te eator or the General Assembly 1s a maroer. porta or rot Date of | Name and Address of borers) schatarenip 16. Have You bee appointed or considered or appomment to covered Sear By Ts Govemor o avo Count State embers Council of State members are: » Goverr > Lt Govemer > Secretary of sate > Sate Auditor > state Treasurer > Superintendent of Public Instruction > Attorney General > Commissioner of Agriculture». Commissioner of Labor > Commissioner of Insurance Te On aren Met al contributions you mad in 2018 witha cumulative otal of more than $1,000 tothe Council of Stake member who appointed You. Do net includ contbukions em armas opin. he © > Coniuions ar define baady in N.C... § 1634-14113) an include any achanc, conveyance, depot, ieiouton, raster of funds, oar, payment, ai, edge of sioerpion of pe ey ome SCE, naisoever” Lo ome [om] Contributed to No contributions) witha cumulative otal af mare hn $1.00 The SEL and any attachments, excluding the Confidential Form, are public records. Pages or 10 17. Are you an appointee or prospective appointee a5: 2 he head of a principal sate department (e.0, cabinet secretary) appointed by tre Governor; or ©: 2 North Carolina Supreme Court Justice, Court of Apes, Superior or District Court Judge; or €. a member of any o the following boards: + ABC Commission + Coastal Resources Commission . + State Board of Education OvYes lo + State Board of Elections + Division of Employment Security IH No proceed to + Environmental Management Commission question 18. + Industrial Commission + Human Resources Commission + Rules Review Commission + Board of Transportation + UNC Board of Governors + Uiites Commission + Wii Resources Commission © I were You sopanted or are you being considered for appointment fo tat | D1 ves CINe positon by a Council of State members I "Nos proceed to question 18. © If so, you must indicate whether during 2016 you engaged in any of the folowing activities with respect to o on behalf of the candidate or campaign commences or the Council of State member who appainted you: 1. Collected contributions from mile contributors, took possession of such multiple contributions, and transferred o delivered those collected contributions to the candidate or commistoes ee y= — il Volunteered for campaign-related activites, including phone banks, event assistance, malings, canvassing, surveying, or any other activity thar spvances the campaign of a candidates I Cmenou ever been convicted of a felony for which you have not received ether: () a pardons or (1) am order oF expungement? Ores ao I Y= ry Te 19: Are You aware of any othr information tha you belleve may assist the Eis Commission saving you concerning your compliance with the State Government Ens aos Des wp If yes, please provide that information below. The SEI and any attachments, excluding the Confidential Form, are public records. Page of 10 7% formato provided nis Statement of Ecnamic ners nd ny stacumerts are as, ote, rg eco ne be oy ade nave pt raters, ara ll nt raster, ary ase, res, or prspryfor h prose of cen rom Canine vi eng or ter nderstan nat my Saran of Economic ters nt any aachment exces forte Content Form ering Unemanpsed Crp seek Ener have read and understand the owing saute NCGS. § 1634-151, Coneaing or olin to disclose ter formation fig person uno knoinly cones knowingly ais discos formation ht rear to be cones emer cana Tr nao or Coe Sem ed o be de Seon unger 6. seem NCGS. § 1630152. Pent or fase information. fing person who provides tis format an a statement of economic ers owing vt re loan ase Guy f cos los rt Sr os Be ron hate S31 1 av eis mst recent le 2018 Stamens of Economic rs an ho of Secor a1. 2535 my responses cone vb uh, neh aed co eh See Itrest and tetas aff under penaty of perry that the fregaing is true and correct, Bula F Cera, 2-19 Sine Er Bil Neve Finis Submit signed, origina documents only. 05 nt fox or emai tis fom. The SEE and any stachments, excluding the Confidential Form, are pubic records, Page 100110
2018 South Piedmont Community College Trustees
Document text
Foeasy NORTH CAROLINA STATE BOARD OF FOR COMPLIANCE UNIT USE ONLY ot] TE ELECTIONS AND ETHICS ENFORCEMENT Ste Recoved: 8 i 2018 STATEMENT OF ECONOMIC INTEREST - TOFEB 19 PH 5:02 919-614-3600 www ncsbe.gov/Ethics/SEl Creed for campletin THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL | —S®Med ate YOUR SEI FILING OBLIGATION fncomplete ts __ Supp. Sent One o Supp. Received ote, ; ners ngoovsse STE 6, TES [ue | sin, Frank Norvoad [| State Utility Contractors, Inc. Board Chairman REASON FOR FILING (COMPLETE ALL THAT APPLY) STATE GOVERNMENT JOB (Specify Agency and Position) | BOARD/COMMISSION (List complete name of all State. boards on which you are serving or are being considered Board of Trustees of South Piedmont Community College JUDICIAL OFFICER (Specty Office) LEGISLATOR (Specty House or Sante) A. Do other immediate family members reside In your household? Res (No When used throughout tis form, the term Immediate family includes your spouse (unless legally separated). Tt oso includes members of your extended family (your and your spouse's chGIe, orandehidren, porene,sroncparents. and Ding, and the spouses of cach of 1050 persons) who reside in your RouGehold. List the ll name of al adults and emancipated minors in your household. A minor s a chid under 1 years od. Minors are emancipated by marriage, enlisument in the US Mary. o court Ser Tor emoncption FULL NAME OF ADULTS & NATURE OF 4 EMANCIPATED MINORS BUSINESS The SEE and any attachments, excluding the Confidential Form, are public records. Page 1of 10 Note You must st the fll arm of each minor child on the Confidential Form svaiale at the ‘end of this document. yes [No Owner of Real Estate | 9% Ownership Interest | Location by City Bly T. ¢ Res REL = nin Eh | an 35% | oem tle tent | oromice | Billy F. & Norwood w Ocean Isle Beach runswick B. Lease or rent real estate or personal property to or from the State of North Carolina with a market value of Name of issses | Ran Estate, Location | persona propery hems or ov Comm Sevens 2. At any time during 2016 or 2017, did you, your spouse, or members of your immediate family sell to or buy from the [ emeotrwossr | Wemeorseis | eotropens | 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? ‘companies, or pension or deferred compensation plans) if: (i) the fund is publicly traded or its assets are widely OvYes EINo ‘Owner of Stock Option Full Name of Company (Do not use a ticker symbol) (the Primary Company) ‘Owns Security or Equity Interests 2). you know that any company o business ena sed n 3. or 3.C(1) above has amy material Business dealings or business contracts with th State of North Carolin, o 5 repulsed oy the Sines peovi » oes description of hat business sci. Description of Business Activity with the State 4. AS of Dacumbar AL 2017. were you, your spouse, or members of your Imadate for To benefitores of 3 vested LASSE WE 3 Value of $10,000 or more that was created, esablined, or conrated an youn 00 ot Ist asses hed I bind trusts. See 2017 SET Helo Tips fo the defintin of "ested Trust” and “lind Tru” Ove gro Seseipton ot the Trt | veux ristonsig oer 5. As of December 31. 2012, dd you, your spouse, or members of your immedias family have abies of $10,000 or more, axcling £1 MOTEGage on your primary personal residence? EXempies meses crea Kons debuts ote nsen Ioans, persona loans and mba fom Gabe. Oves ro | Name of Debtor (You, Spouse, Immediate Family | Type of Creditor (Commercial Bank, Credit Union, Vember) Individus, ste) 6 List each source of income (not specific amounts) of mare than $5,000 received by you, your youse, or ems of your immediate fomiy during 2017. Tncuda- soar, wages, STreHocl ‘sovermmert sediment honoraria, interest, dividends, ent income, business income, and oer Ypes of meme feqieed sob paces on oot Stat and federal tox recor, D0 not include income received from the following sources: > Capital gains > Federal government retirement > Miltary retirement > Social security income/50T Recipient of Income Type of Tvpe of Income Bliness/ Industry Billy F. Nowa Property Sale | Nortsage payment Bly F. Norwood [Tin Ratliff | property sale | ortage Payment Billy F. & Refecedor [su Tovestnents Real Estate Property Rental Billy F. & e ULE Contractor-i Vages & 1 id RSo8oa | ESAEELEE MY Tne, actor Employer | Wages & Note 1 1e The SEI and any attachments, excluding the Confidential Form, are public records. Pages of 10 PROFESSIONAL AND CIVIC RELATIONSHIPS * | 74). During 2017, viere 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 of organization operating in the State of North Carolina primary for religious, charitable, scientific, literary, public health and safety, or educational purposes? [Yes No - 1f"No," proceed to question 8. > Do not lst State boards or entities, or entities created by 3 political subdivision of the State. > Do not list organizations of which you are a mere member. amen His/Her Position Name of Nonprofit Nature of Business or Corporation or Organization | Purpose of Organization 7(6). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive State funds, please provide a brief description of the nature of that business, if known or with which due diligence could reasonably be known. Name of Nonprofit Corporation or Organization Describe State Business or State Funding None or Not Known. 8. During 2017, Were you, your spouse, or members of your [RmEdiats family a director, oFicar, or Governing board member af any Society, organization, or advocacy Group with an Interest in matters over Which your ag6néy or board may have jurisdiction? [Cl¥es @No [J Legislator Judicial Officer - You are not required to complete this question if you are fing because You are a legislator or a judicial officer or you are fling a5 an appointee to those officas. Do not lst organizations of which you are only a member (not serving in a leadership role) Name of Society, Organization Leadership Position ‘or Advocacy Group (Director, Officer, Board Member) ‘The SE and any attachments, excluding the Confidential Form, are public records. Pages of 10 Ek a Ei I EE EE ‘business contracts with the State of North Carolina or was regulated by the State as of December 31, 2017, provide a State Utility Contractors, Inc. |Subcontracts from contractors on NCDOT work 10. Are you a practicing attorney? [ves EKINo [Judicial Officer/State Attorney Oves RNo 12. Are you or your employer, your spouse or members of your immediate family, or their employer currently: * Licensed by the State board or employing entity with which you are or will be associated or + Regulated by the State board or employing entity with which you are or will be associated or « Have a business relationship with the State board or employing entity with which you are or wil be associated? Yes [INo [J Legisiotor/Judicial Officer - You are not required to complete this question If you are fling because you are a legislator or a judicial officer (judicial officer” s defined in the SEI Helpful Tips) or you are filing as an appointee to those offices. Name of Employer Type of Relationship (if applicable) (Licensing, Regulatory, Business) o Ueili rac Qualifier for compa ulated) Billy F. Norwood State Utility Contracigrs, |@uaRiffer, for gompa™ res 13. Ate you, your spouse or a member of your immediate family currently registered as a lobbyist or lobbyist principal or were you registered as such within the 12 months preceding your fling of this form? Oves Eno Name of Lobbyist Lobbyist's Principal Date of Registration Registration Expiration OTHER DISCLOSURES | 14. During any calendar quarter in 201 (but only the time period after you were appointed, employed or fled or were nominated as candidate), did you + receive any "gif(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 at the time you accepted the gifi(s), and + the gif(s) were given under circumstances that would lead a reasonable person to conclude that they were given for lobbying? Oves Eno 50 nat report ifs given by members of your extended family. >Do not report gifts that have previously been reported by you to the Department of the Secretary of State on the “Expense Report for Exempted Persons.” [eee Receives Name and Address of Donor(s) | Describe Item Received [mapper The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 10 CE ee ——L 15. During 2017 (but only the time period after you were appointed, employed, or filed or were nominated as a candidate) [Ryes [Iho deposit, distribution, transfer of funds, loan, payment, gift, pledge or subscription of money or anything of value == - I —— combate [Tee p—— 2 ha head of 3 princi stte depriment (3. cane econ) sopaed By b. 3 ori Carl Supreme Court sic, Court of Apes, Superior or Dri aS . 2 ember of any of the following boards: hac Cammesien Jo — + State Board of Education OYes M@No Sow Soto rn Sivion of Employer: sey 3 We proceed to Enromena Vanagamen Commission aston 6. Insear Common bran ress Commision Rus Reve Commision Barto Tamron © DNC Bordo Governors ~ ties mmr * Wide Resources Commision Tver you spite ae you beng crsdere or sppemmen vor Dves Cie cpio 5 Cone of Sb mass onc of ete embed [0 ome Fa | Tn, yon mus wre whe og 01 yor ro aa errs ngs a of he log ae we ese alo Can capa cos oo Coon Sms on ca on rine OvYes [No I otected contours rom mucous, tok pesesion of such corn nd vom oa es Conan the conan comes Comes snd mons To Volutersd or compar eoted aces, wh nce, 5 7 noted Le hone vo en vane, ing, comes enn, or am | Cves Ie nr sey ht stv he compl ont 18. Have you ever been convicted of a felony for which you have not received either: (i) a pardon of innocence; or (if) an a een act tery fr DOYes [XNo [ omeme | oweorconieton | coutyarcomiion | state af comviion 9.4 you ave of ay thr formato ht au beers may 357 th Ste E68 Camm Sv you Coan Yr omens he Ss Cente 2 ves No tyes, plese provide such formation bein. The SEL and any attachments, excluding the Confidential Form, ae public records. Pages ar 10 __ EE PT HS SA to trai rid ts Sn Loctite, a wil sont st, rs property Fo he pops cmt inden ft my Sm of consi nr nd ry tshirts hts (it he cpio oe es of Ernie et snd an stacker contd eed a sesand N.C... 3826p nealing iio dics mtg ls Tod ein C5, 59026 ti § 1990.26 Conn flo de mtr ron BE Boo oe So iol fl of fan tt eit bed oed ps of omic mat wes § 1560.2. Pi tr le nfemon A ing eon sto provi a forme tment f nois ert ert es Akl enum en a me of soto tt entre Arle om Beam) rams B41 £. tort TTT R—— FINANCIAL INTERESTS 34 Owner of Interest Full Name of Company Silly. Norwood 88&T BP Midstream Partners Unit Genworth Financial AUBABA Group American Axle & Mfg. Ares Capital Corp Barings Global Blackrock Enhanced EQ Blackrock Health/Science Blackrock Science/Technology Bristol Myers Squibb Citi Group Cohen & Steers Reit Corning Cree inc. DXL Technology Co. First Trust =r. Loan First Trust - Dynamic Europe Flaherty & Crumrine Income General Dynamics Corp General Motors Co. Intel Corp Kinder Morgan, Inc. Nuveen Amt Free Pimco Dynamic Credit & Mortgage Income Square, Inc. Stone Castle Financial Corp TESLA, Inc. ‘Williams Co. Blackstone Group 3c Billy F. & Rebecca s. Norwood SU Investment Corp. Billy F. Norwood Goldmine Generations, LLCI EC Golf Group, LLC. Sun Valley Commons, LLC Sun Valley Commons Lot 18 LLC EEE EEE TTT — FINANCIAL INTERESTS 9a. Relationship Name of Person tofiler Company, Role of Person Bil F. Norwood self State Utilty Contractors, Inc. Chairman of Board ill. Norwood Self SU Investment Corp. president Billy. Norwood self State Building Group, Inc. Chairman of Board Billy F. Norwood Self Goldmine Generations | Member Bill F. Norwood Self Sun Valley Commons, LLC Member Rebecca s. Norwood wire State Utilty Contractors, Inc. ~~ Employee Rebecca s. Norwood wite SU Investment Corp. % Owner Bil. Norwood self EC Golf Group, LC Member/Manager Bill F. Norwood Self Sun Valley Commons Lot 18 LLC Member EES,
2017 South Piedmont Community College Trustees
Document text
J. NORTH CAROLINA STATE ETHICS COMMISSION | rox eres commission use ont Sh Pp 2017 STATEMENT OF ECONOMIC INTEREST | Dole feces: 919-814-3600 www ethicscommission.nc.gov | 170 1D LD Bl THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL | "ocd or compton YOUR SEI FILING OBLIGATION . —- be J— Sun. Sort Date or Supp. Reco Dote | vere autre 2 wy Br FILER'S NAME (FIRST, MIDDLE, LAST) ~ Prefix | First Name Middle Name. Lost Name Suffix Mr. | Billy Frank Norwood CURRENT EMPLOYER oo oeTme | state utility Contractors, Tne. Board Chairman oo oo | naTure oR vee oF usiness BN l [titi ty/puilding Contractor 1 [weason For FING (compere A Thar Ary — | STATE GOVERNMENT 108 (spect Agency) OARO/COMMISSION (List complete name of all Stare | } RE boards on which you are serving or are being considered Board of Trustees of South Piednont Community College JUDICIAL OFFICER (Speci Office) N LEGISLATOR (Speci House or Senate) - A. Do other immediate family members reside in your household? Wes Oho | When used throughout this form, the term Immediate family includes your spouse (unless legally separated). It also includes members of your extended family (your and your spouse's chidren, aradchikden, parents, randoaténts, ond blngs. ond the spouses of 2ach of those parsons) who raside in your household. List the full name of all adults and emancipated minors in your household. A minor 5 3 hid under 18 years od. | Minors are emancipated by marriage, enlistment in the US miltary, or court order for emancpation FULL NAME OF ADULTS & | RELATIONSHIP | EMPLOYER | J0B TITLE NATURE OF EMANCIPATED MINORS or | | ousmess | State Utility | 1 1 Rebecca S. Norwood | Wife (Contractors. the. Accounts Payable | Contractor The SEI and any attachments, excluding the Confidential Form, are public records. Page 10110 B. List ONLY the initials of all anemancipated minors in your household below. A minor i a child under 18 years old. Note: You must list the full name of each minor child on the Confidential Form available at the end of this document. - 3 . oo INITIALS FOR | RELATIONSHIP EMPLOYER 308 TITLE NaTUREOF | UNEMANCIPATED susness | | PROPERTY INTERESTS 1. As of December 33, 2016, did you, your spouse, or members of your (mediate: family: Have an ownership nerest in North Carolina real estate: (including your residence) with a market volue of 510,000 or more? Wes Ono owner of Rest Exate | 30 ownership Tmerest |__ Location by iy | Location by Couny_| Billy Fo & Rebgeen | 10x one ton Dilly Fo & Regge og | 321 Ocean Tsle Beach | Brunswick “6. Lease or rent real estate or personal property to ar from the State of Harth Caroling with a market value of 310.000 or more? Oves Eto Name of Lessor Name of Lessee If Real Estate, Location | If Personal Property, (Renter) by City & County Describe "2. At any ume dunno 2015 or 2016, 34 yau, your spouse, or members of your Immediate fami lL t or buy fom the | Siate of th Carina personal property wiih a market vaive of $10,000 or more’ | Ov ®Mo Name of purchaser | Name of Seller Type of Property | The SEX and any attachments, excluding the Canfidential Form, are public records. Page 20f 10 FINANCIAL INTERESTS 3. of December 31,201, 6 you, your spouse. or members of your Immediate family own any of the folowing financial interests valued a $10,000 or more? LIST EACH COMPANY INDIVIDUALLY, A. Stock ina publicly owned company? Mv LiMo _ Do not lst ownership interests in a widely held iwestment fund (ncluding mural funds, requated investment companies, or pension or deferred compensation plans) if: (1) the fund is publicly traded or Its assets are widely | versed; and (i) nether you nor an immediate family member are able to control the assets held in the mutual fund, | investment company or pensicn or deferred compensation pian Owner of Interest Full Name of Company (Do not use a ticker symbol) See Attached. ; 6. Stock Options in company or business” 1 Oves (380 Owner of Stock Option _ Full Name of Company (Do not use a ticker symbol) erste in non. publicly duned company or business entity (including Interests in sole propritorships, 1 Partnerships, Imied parnersips, Joi ventures, iad laity companies, imited abilty porters, and | Closely ned corporations)? | Kes [INo- If "No," proceed to question 4. { - Owner of Interest I Name of Company or Business Entity See Attached. _ . = ER 1 JE } (1). For each non-publicly owned company or busircss entity (the primary company”) dented in question $12 "above, lease Ist the names of any ctr companies or dusness enites 1m whch the arimary company Shins securities oF Equity interests valued at over $10,000, known — Non-Publicly Owned Company or Business Entity | Other Companies in which the Primary Company (tne primary Company) i “Owns Security or Equity Interests XI None or Not Known, | The SEI and any attachments, excluding the Confidential Form, are public records. Page 30f 10 C2) 1 you vow that amy company or business entity Usted n 3.C or 3.C(1) above has any material business esings or business conteacts sith the State of orth Caroling, or i requited by the State. provide » bet description of that business actty ; Name of Company or Business Entity | Description of Business Activity with the State 3 Mone or Hot Known. To 1 i | I — 4 of Dacember 31, 2016, were you, your spouse, or members of your immediate fom the benicaries of a vested Cust wth 3 valde of $10,000 or mere that was created, established, or controlled by you? Do na st assets held n bind trusts. Se 2017 SEL Helpful Tis fo the definition of “Vested Trust” and "Bind Trust” Over © Name and Address of Trustee Description of the Trust Your Relationship to the Trust | |Your Relationship to the Trust | 15. As of December 31, 2016, did you, your spouse, or members of your immediate family have liabilities of $10,000 or | ore, caching the MoTgag: oh your MY personal Feaenca? Examples mcude cro Card debts, auto oans, Student oan, personal tans and mira-fomiy Geb. Oves Bo Name of Debtor (You, Spouse, Immediate Family Ii Type of Creditor (Commercial Bank, Credit Union, Viember) Individual, etc) Ppp PY py Typ ——— Your immediate family during, 2010. Tnchude. sairy, Wages, state/ocal government retirement, professional fees, Pomorana teret, dwidonds, Final OME, busine Core, and Uber YP’ of Com required 19 be ported on your State and ert ton rotons Do not include income received from the following sources: » capital gains » Federal goverment retirement | > mary retirement » Social security income/SSDT | Recipient of Income Name of Source Type of [ typeorzncome | | BlRiness/andustey TE ——ry EE — Billy F. Norwood Jovi dice | operty sate | Billy F. Norwood Tim Ratliff | Property Sale | Mortgage Paynent Tilly F. & Repeca | itl eR cefod 2 Investments | Real Estate Property Rental Tilly F. & Rebecca [State Ueility ractor © ages & No PIE & Reet Contractors, tne. | ERDHEER Ee byabte | The SEL and any attachments, excluding the Confidential Form, are public records. Page dof 10 PROFESSIONAL AND CIVIC RELATIONSHIPS | 7(a). During 2016, were you, your spouse or members of your immediate family @ director, officer, governing board foursome Apbaniiivimdhinl co dpdtnpdud mpd | Stan of a Earl rma o rlhous, <hartabe, SCT. Weary. PoE ea’ An ster o evcanon ver No 1°N0 proceed to question. | » D0 not list State boards or entities, or entities created by a political subdwision of the State. 1 Go ot scepter f which fos re mee member - 1 Name of Parson Wis er Position Namo of Nonprofit | Notre of Business or Corporanen or orpemsation | Purpose of orsemmtton i —— S—— T0011 sonore comorotons or crams cd ee 30 Lanes wih th Ste of Hor Carino rc | SE fas, lens Drow 5 De Susan of es arate of hak tress anon wit inh fe agence om | Tessonaiy bt now Name of Nanpraft Corporation or Organization | Daseibe State Business or Stte Funding — 0 ore or fo Known [8 During 2016, were you, your spouse, or members of your immediate family a director, officer, or governing board | ea octet oF Svetoct ro wt mama re ens ae po Soyo ote | ove rena | [Yes [No [7 Legislator/ Judicial Officer - You are not required to complete this question if you are filing because | ar a Se soe rs | D0 no st organizations of which you ar any a member nat srving in a fenders role]. | Name of Parson Name of Society, Organization | Leadarani position or Any Goon (iroctor, Grice, board member) The SEL and any attachments, sxcluding the Confidential Form, are public records. Page sof 10 | (a). List the name of each company or business with which you were associated where you or a member of your immediate. | family was an employee, director, officer, partner, proprietor, or member or manager as of December 31, 2016. Name of Person | Relationship to Filer | Name of Company Role of Person [Io Business Associations I (0). 1 you know (hat any company or business entity sted n 9(z) abave had any material business dealings or business contracts with the State of Korth Caroling owas regulated by the State 5¢ of December 31. 2016, provide a ret description of tha business actu | Name of Company or Business Entity Description of Business Activity with the State | Veo 008 0A Soman ce Busines Bntity Eriptiom of Busine hyvithtuesisre | (0 Not applicable (No entities sted on #53) ] | State Utility Contractors, Inc. | Subeontracts fram contractors on NCDOT work | 10. Are you a practicing attorney? | Cves EINo Chute Offcer/Stae Attorney i | egal fe of more than $10,000 during 2016. 1 | Dr aamimstrone Clagmeaty conor 0) criminal | Decedent's Estates Environmental Cltnsurance [Labor | toca Government Real Property 0 securities Tax Tort gation (nciuding [ities Regulation 0 other category not sted. negligence) Ce me 11. Dunng 7016, were you a licensed professional (ather than an attorney) or did you provide consulting services | inGviGualy 0 a5 3 member of 3 professional ssscciaton or which you Charged of wert pau ver $10,067 | [Ives @No | Type of Business Nature of Services Rendered ] The SEX and any attachments, excluding the Confidential Form, are public records. Page 6 of 10 [/ 12. Are you ar your employer, your spouse or members of your immediate family, or their employer currently: |» Licensed by the State board or employing entity with which you are ar willbe associated or | + Reguiated by the State board or employing entity with which you are or will be associated or + Have business relationship with the State board or employing entity with which you are or wil be associated” [Ives [INe [Legislator/udicial Officer - You are not required to complete this question if you are fling because ‘You are a legislator or judicial fficer (“udicil officer” fs defined in the SEI Helpful Tips) or you | are fing a5 an appointee to those offices, Name of Person [ Name of Employer Type of Relationship. if applicable) (Licensing, Regulatory, Business) Billy F. Norwood State Utility Contractops, | WATLFIEr Tor company reaulat BELLY Vs DONO m— Ind. by NC License Poard 13. Are you, your spouse or a member of your immediate family currently registered as a lobbyist or lobbyist principal, or were you registered 25 such within the 12 month preceding your ling of this form? Oves Eno Name of Lobbyist Lobbyist's Principal Date of Registration | registration Expiration OTHER DISCLOSURES _ : | 14. During any calendar quarter in 2016 (but only the time period after you were appointed, employed or filed or were nominated a5 a candidate), did you | + receive any "gift(s)" exceeding $200 per quarter from a person or group of persons acting together, and + when both you and thase person(s) were outside North Carolina at the time you accepted the gifs), and + the gif(s) were given under circumstances that would lead a reasonable person to conclude that they were given for lobbying” ves Eto D0 not report gifts given by members of your extended family B a. »D0 not report gifts that have previously been reported by you to the Department of the Secretary of State on the “Expense Report for Exempted Persons.” Date Item Received | Name and Address of Donor(s) | Describe Item Received | Estimated Market Value The SEI and any attachments, excluding the Confidential Form, are public records. Page 7.0f 10 15. During 2016 (but only the time period after you were appainted, employed, or fled or were nominated as a candidate) ad you + accept a scholarship” exceeding $200 from a person or group of persons acting together and + those person(s) were autside North Carolina and. « the scholarship was related to your public position A “scholarship” is a grant-in-aid, either direct or indirect, to attend a canference, meeting, or similar event, including tuition, travel, 1odging, meals, and other | similar expenses. 01 ves Mo. (J Judicial Officer - You are no required to complete this question if you are a judicial oficer or you are fling a5 a judicial officer apoarntee > Do nt report gifs that have previously been reported by you to the Department of the Secretary of State on the “Expense Report for Exempted Persons.” > Legislators are not required to report scholarships paid by a nonpartisan legislative organization of which the legisiator ar the General Assembly is o member or participant or an afflate of that organization Date of Name and Address of Donor(s) Describe Event Estimated Market | scholarship Value ] 16. Were you appointed or are you being considered for an appointment to a covered board by the Governor or anather Council of State member? Council of State members are » Governor » Lt. Governor » Secretary of State » State Auditor » State Treasurer » Superintendent of Public Instruction | » Attomey General » Commissioner of Agriculture » Commissioner of Labor | } » Commissioner of Insurance ves Cito If "Yes", list all contributions you (NOT immediate family members) made during 2016 with a cumulative total of more than $1,000 to the Governor or other Council of State member who appointed you. | » Contributions are defined in N.C.G.5. 163-278.6(6) and include, but are not limited to, “any advance, conveyance, deposit, distribution, transfer of funds, loan, payment, ait, pledge or subscription of money or a0ythin of value hatsoiver, ome | Amount | Contributed to 1 No contribution(s) with a cumulative total of more than $1,000 The SEL and any attachments, excluding the Confidential Form, are public records. Page 8 of 10 2 ort Corin Suceme Cours: sce, Couto pests, Superior o itt Court Judge, or | * Giveion of Employment Security 2 “No proceed to «+ Environmental Management Commission question 18. ford of rnsonation Dn ars of ovmrars | | d. 1f 50, were you appainted or are you being considered for appointment to that {QOves CiNa e. If so, you must indicate whether during 2016 you (not immediate family | ves Cine 1 Hosted a fundraiser at your residence or place of business? [Dives (no order of expungement regarding that convic on’ | Clves Kino ottense one ar Comicon | ouny of Conviction Sate of Comicon (Yes XiNo If yes, please provide such information below. The Set and any attachments, excluding the Confidential Form, ar public record: Page sot 10 | AFFIRMATION | | tem aha he formation provided in this Statement of Vomomic Interest and any attachments hereto are rc complet, | nd scout to the best of ny owed and bli. | sso cori thar have mot ans. and wil nos wns, any ass, interes, or property forthe purpose of concealing it | | rom disclosure while retaining an cquiable interest | | 1 undersea that ny Statement of Economic terest nd any atachaneots or supplements thereto (wih the exception ofthe | | Confidential Form regarding Unemancipared Children) ane public record | ackmoodze harave red and onderstand NCGS. 139A-26 radio concealing on ling o disclose material | | information and N.C.G.8. 138A-27 regarding providing: Gls information | | 5138026 Conceating or iting 0 disclose terial intonation, | | A iin person who knowingly conceals o knowingly fils 0 disclose information tha s required 10 be disclosed | | an stacment of conomic nrerest under this Anite shall be guilty of a Clase | misdemeanor end shall be sbjeet | | todiseplinary action under G5. 13745. | | SI38A27. Penalty for fale information | | A ig person who provides Fs information on a statement of ccononnie meres as rewiced unde his Anite | owning that the information is Fs i zy of a Clas 1 felony and shall be subject t disciplinary ction under | Gs as | ELE agres | Siknature Baie | | 8111 F. Norwood | | Printed Name Submit SIGNED, ORIGINAL documents only. Do not fax or email this form. 1 The SEE and any attachments, excluding the Confidential Form, are public records. Page 10 of 10 FINANCIAL INTERESTS ERS Owner of interes Full Name of Company Billy. Norwood Ares Capital Corp. Bank of America Corning, Inc General Dynamics General Electric Intel Corp. Wiliams Company, Inc BB&T Genworth Financial Linn Energy American Arle & Mfg. Holdings Teslar, Inc Stane Castle Financial Corp Pimco Dynamic & Mtg. Line KinderMorgan General Motors Ford Cree nc. 3c Billy F. & Rebecca S. Norwood SU Investment Corp. Billy F. Norwood SU Carolinas. Goldmine Generations, LLC % I Sun Valley Commons, LLC 9A. Relationship Name of Person to Filer Company. Role of Person Billy F. Norwood self State Urility Contractors, Inc. Chairman Billy F. Norwood self SU Investment Corp. president Billy F. Norwood self State Building Group, Inc. Chairman Billy F. Norwood self Goldmine Generations | & I, LLC Member Billy F. Norwood self Sun Valley Commons, LLC Member Rebecca s. Norwood Wife State Utility Contractors, Inc Employee Rebecca s. Norwood Wife SU Investment Corp. 5% Owner Billy F. Norwood self EC Golf Croup, LLC Member/Manager silly F. Norwood Self Sun Valley Commons Lot 9, LLC Member
2016 South Piedmont Community College Trustees
Document text
, NORTH CAROLINA STATE ETHICS COMMISSION | ros evinics commission use ony /{;; 2016 STATEMENT OF ECONOMIC INTEREST | oo feccies 2 919-814-3600 ven athicscommission.nc.qov wt 700] A “ WEN 1 M3 THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL Checned tor completion "YOUR SEI FILING OBLIGATION eonned pate Incompiete 75 | sn. sexome or | Sump. Received Owe __ | enters in coomase 27 a, [Pues nave (First, moot, sn) [prefix [Firstname | middie Name [Lasthome Suffix | me | pany Frank Norwood | comment empiover wosTmE | State Utility Contractors, Toc. | President li | nature or vee oF eusiness } i} | _veility/puilding Contractor oo oo 1 | REASON FoR FILING (SELECT ALL THAT ASPLY) ~ CI STATE GOVERNMENT 10 (Please speck the agency | £] BOARD/COMMISSION (Please list complete name of ll | for which you work or are being considered) State boards on whch you are serving or are being A | Board of Trustees of South Plednont, | Community College | C3upiCiAL Office (Pease specify the office you hold) | (J LEGISLATOR (Pease speclfy Hause or Senate) [A Do other immediate Family members reside in your household? | Eves Ono Vihen used throughout this form, the term Immediate Family includes your spouse (unless legally separated). It also includes. members of your extended famly (your and your $90USE' children, orandchidren, parents, grandparents, ond ings, and the spouses of each of (hose persons) wha reside in your household. Lt the fll name of al adults and emancipated minors n your household A minor is a child under 16 years oid. | Hinors are emancipated by marriage, enlistment in the US miltoy or court order for emanpation. FULL NAME OF ADULTS & | RELATIONSHIP | CMPLOYER | 308 TITLE NATURE OF EMANCIPATED MINORS | _ a - | Business | | echecen 5. orood | site| Sate SHY | hccomte rayablh comtrocter | The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 10 B. List ONLY the initats of ll imemancipated minors in your household below. A minar is chi under 18 years i Sars are emanopatEd by Marage, enbsamars i the US mary or cout rder for smanciaaton | Note: You must lit the full name of each minor child on the Confidential Form available at the |__end of this document. om . INITIALS FOR RELATIONSHIP empLoveR josTImie | waTume oF UNEMANCIPATED | ousivess PROPERTY INTERESTS 1s of December 31,2015 6 you. your spouse, of members of your fmmedate famiv: | A. Mave an cwnership interest in orth Carolin rea estate Cnduting your residence) with a market valas of | ses Wes Cito Owner of Real Estate| % Ownership Interest | Location by City Location by County PAE CRs) | woo Nonroe | toon J | Billy F. &febeceg | am Ocean Tsle Beach | Brunswick | i | ] 6. Lease or ent real esate or persona property 1o.or fm the State of North Carsina with a market value of $10,000 or more? Ces Kiko Momo of Lessor | Name of Lessar | If Real Estate, Location | 1 Personal property, | 1 Renter) by City & County. Gescrive - TT T — g rag as TATRLT yt yoe che LSA Tr geo mea | Sunt of forth Carga personal property wih a market vaioe of $10,000 or more? ! Oves somo [—T— Nama of salar ET | The SEX and any attachments, excluding the Confidential Form, are public records. Page 20t 10 [FnaNcIAL INTERESTS | 3. As of Dacamber 31, 2015. id you, your 90s, or Emer of your Immediate famiy ow any of the following financial | Interests valued ot $10,000 or more> A. Stock In a publcy owned company? EE a1 S— JE +00 not 1s€ ownership intersars Tn 3 widely held investment fond (nduding mutual funds, regulated investment Companies, or pension or deferred compensation plan): () the fund 1 publidy traded or 1a sets are widely | arses! and (1) nafhr you or an Ima fay member ar abi contrl te sees ed fn he itu nd, | Investment company, or pension or defered compensation pian. - Owner of Interest | ot ame Som oe eer ] See Attached. | 1 | Oves {No Owner of Stock Option |Full Name of Company (Do not use a ticker symbol) C_ Interests 12 non-public ouned company o business entity (mekuding interests n sole proprietorship, | Dartnerahips, mid partnerships, jor ventares, lied labity companies, 1mited abity partnershios and Cisely hed eorporations)? Yes [Wo - Ifo, proceed to question 4. | Owner of Interest Name of Company or Business Entity | i —— EE FE | } | C.(1). For each non-publicly owed company or business entity (the “primary company”) identited in question | Cabot, please st the names of any other companies or business entries in Which the primary company Sans Securiies or equty merests valued ot over $10,000, 1 known. me pm om 1 | on-publicly Owned Company or Business Entity | Other Companies in which the Primary Company | (the Primary Company). | Owns Security or Equity Interests | [mane or ot known | [ | | The SET and any ttachments, excluding the Confidential Form, are public records. Page 3of 10 Name of Company or Business Entity | Description of Business Activity with the state | 4. As of December 31, 2015, were you, your spouse, or members of your immediate family the beneficiaries of a vested TR i vach 1 ELb.000 o ore hr wat nen, tobe, or omg Evers 0 ts assets eld n bi rts. Sa 2016 SEL lg Tis for the deft of “Vege Trt” ans Bing Tru” Ove Xto er—" Address of Trustee | Description of the Trust Your Relationship to the Trust 5. 5s of December 31, 215, 00 you, you spouse or members of your mmedits fami have Tobie of $10,000 or Oves [Jno Nama of Debtor (You, Spouse, Immediate Family | Type of reditor (Commercial Bank, Credit Union, iy ember" Fe ida, ate Billy F. Norwood CT comercial ak l 00 tat include income received from the folowing sources: + Capital gains + Federal government retirement + Miltary retirement + Socal security income/SSO1 Recpientof Tncome | Wameotsowce | Typeol mp m— [ nitty F. Norwood | avid Justice Property Sale Yortzaze Payment |_Billy F. Norwood Tim Ratliff | Property Sale _ Mortgage Payment | Billy F. & Reheged SU_Tnvestments Real Estate rty Rental Bill bec TState Utili nract Em $1ly F. § ebeccs State Utilin Factor - doses & 8 VE CROSSE Cath Vie. ERNEST eses forgo | The SEL and any attachments, excluding the Confidential Form, are public records. Page a0 10 | PROFESSIONAL AND CIVIC RELATIONSHIPS 70). Dating 2015, ware you, your spouse or members of your mimedinte for a director, ffcer, govering bond | member, employee, indopandent CoNTactor, or registered lobbyist of 3 nanoroft corporation of orgamcation operating i | the State of North Carolina primarily for religious, charitable, scientific, etary, publ health and safety, or aducations! | | purposes? Cves [to If "No," proceed to question & Do nat lst State boards or entities, or entities created by a political subdivision of the State. oo | 00 not st organizations of which you are a mere member. BR a Name of Person | His/Her Position | Name of Nonprofit | Nature of Business or | (ETE companion or Grgamaston purpose of orgsmeaton | | 7002. 1 the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive. | State funds, picasa provide a bref description of the nature of that business, f known or with whch due dilgence could | reasonably be known | Name of Nonprofit Corporation or Organization | Describe State Business or State Funding | | £3 Hone or ot known | | 8. puting 2015, vere you, your spouse, or members of your Immediate fami a drector, oficer, or goverming board | | member of any society, organization, o atvocacy aroun wh an interest im matters over which your agency of bod may. | Rave unsticton? | Doves mmo CLegisatonsautical Officer - You are not require to compete this question if you ar fling becouse | Vou are legisiator or a Judical oficer or you are Hing a5 an appointee to (hose ifccs. | 300 not lst organizations of whieh you are only @ member (not serving in a leadership role) | Name of person | Name of Society, Organization Leadership position | | | or Advocacy Group (Director, Officer, Board Member) | The SEL and any attachments, excluding the Confidential Form, are public records. Page 5 of 10 | family was an employee, director, officer, partner, proprietor, or member or manager 2s of December 31, 2015. Name of person | meistanship trier | nameot company | Rolo of per [0 No Business Associations = If “No,” proceed to question 10 oO See Attached. Ln you kom tt ay Stroy or Pes ry edn 4a) hea tr bs dear | Name of Company or Business Entiy Deseimtan of Busines Actity wht te Sate frp —— | ET A p—— legai fees of more than $10,000 during 2015. [) Administrative [0 Admiralty (J Corporate. LJ Crminat DO Oecedent’s Estates [O Enviranmental [insurance Clusbor ie saan 5 i po Sona vr i oe S903 Oves Kino ES a : The SE and any attachments, excluding th Confidential Form, aro pubic records. Paaesar10 12. Are you or your employer, your spouse or members of your immediate family, or their employer currently: | + Licensed by the State board or employing entity with which you ore or il be associated or + Beaulated by the State board or employing entity with which you are or will be associated or + Hae 3 business roltionship with the State board or employing entity with which you are or will be assaciated? | [ves [Io CItepisitor/iudical Officer - You oe not required t complete this question you are fling becouse i You are a legislator or a Judicial officer (‘judicial officer” s defined In the SEI Helpful Tips) o you are fing a5 an appointee to those offices. Name of Person Name of Employer Type of Relationship it appicable) (Licensing, Regulatory, Business) Billy F. Norwood State Utility Contractors, | Qualifier for company reaulatad EE Tosmse Board 13. Are you, your spouse or a member of your immediats family currently registered as a lobbyist or Iabbyist principal, or | vr Yu ree a such wh th 12 Hn SR vou ino ns | Ove ino i Name of Lobbyist Lobbyist's Principal Date of Registration | i Registration Expiration OTHER DISCLOSURES _— _— — — 13. Dung any calendar quarter in 2015 (out only the time period after you were eppointed, employed or fled or viere | Rommated as canaidons, 5d vou | + rece any “gits)” exceeding $200 per quarter from a parson or group of persons acting together, and | + when bath you and those person(s) were outside North Carolina at the time you accepted the 9if(s), and | + the gifs) were given under circumstances that would lead a reasonable person to conclude that they wer given for lobbying? Oves Sno #Do not report gifts given by members of your extended family. - B o 200 not report gifts that have previously been reparted by you to the Department of the Secretary of State on the | “Expense Report for Exempted Parsons.” Date Item Received | Name and Address of Donor(s) | Describe Item Received | Estimated Market i Value The SE and any attachments, excluding the Confidential Form, are public records. Page 7 of 10 | 15 Dios 2005 bur rt te time perio ater you were appt, employes, o ied or wer nominated 0s» condiote) | aid vou | + accept a” schalarahip” exceeding $200 from a person or droup of persons acting together and | + those persons) were outside Horth Carolina and | + the scholareup vias rated your publ postion” A scholarship” is a grantin-aid, either direct or indirect, to attend a conference, meeting, or similar event, including tuition, travel, lodging, meats, and other | similar expenses. (01 ¥es 3 Ho (0 Judicial Office - You are not required to complete this question f you are a judicial officer or you are fing as a judicial officer appointee D0 not report gifts that have previously been reported By you to the Department of the Secretary of State on the “Expense Report for Exempted Persons.” |» Logisttors are not recurs to report scholars paid by a nonpartisan legislate organization of which the egiatr | | or the General Assembly 1 a member or participant or an affiate of that organization Date of ‘Name and Address of Donor(s) Describe Event Estimated Market scholarship Value 16. Vere you appointed or are you being cansidered for an appointment to a covered board by the Governor or another Council of State member? Council of State members are: » Governor > Lt Governor » Secretary of State » State Auditor > State Treasurer > Supenntendant of Public Instruction » Attorney General > Commissioner of Agriculture > Commissioner of Labor » Commissioner of Insurance Yes Dio 10 Yes", list all contributions you (NOT immsdiate family members) made during 2015 with a cumulative I~ ‘of more than $1,000 to the Governor or other Council of State member who appointed you. Contributions are define iy 1.C.G.5. 163-278.6(6) and inclu, but ar nat mitad to, “any advance, conveyance, | deposi, distribution, transfer of funds, loan, payment, a, pledge or subscription of money or amAng of ya. | Date Amount Contributed to Mo Contribution(s) wth a cumuist toral of mare than 51,000 i | Th SEI and any attachments, excluding the Confidential Form, are public records. Page sof 10 17. Are you an appantee or prospective ppaintee to: | a. the neat of 3 principal sate department (e.6. cabinet secretary) appointed by the |" Govemor; or |b. 2 orth Caroline Supreme Court Justice, Court of Appeals, Superior or District | | Court ude; or | |< a member of any of the following boards: 1 | + REC Commission | | + Coumtal Resources Commission | | « State Board of Education [Yes XINo | + State Board of Elections | + Division of Employment Security [If “No,” proceed to | + Industrial Commission | | + Human Resources Commission + Rules Review Commission + Bowrd of Transportation + UNC Board of Governors | + tities Commision @. 1 so, were you appointed or are you being considered for appointment to that [Yes [No PU Dost Counc of State membar? Counl of Sate Members Sd | 14 wo,” procend to 1 in question question 18. | members) €ngaged In any of the 110A ACTS with respEet to OF on behalf of | | The candate or campaign committee of the Counc of Sate member who | | appointed you to your public positon | | [CYes Ome | 1. Collected contribution from multiple contriutars, took possession of such | Multiple contributions, and transferred or deliversd those collected | cantributians o the Candidate or commitee? Contributions ore defined in | auestion 16 | i. Wastes fundraiser at your residence of place of business? Lives [No 1 Velunteered for compaign-related activities, which induce, but are not Imted 1, phone banks, event atsstance, maiings, conasiing, surveying, or any | C1¥es [No ther act Bat sdvances the campaign of 8 cand date’ 16. Have you ever bean convicted of a felony for which you have not received ether: (1) a pardon of innocence; or (1) an order of expungament regarding that conviction” | aves xe | [ offense Date of Conviction | County of Conviction | State of Conviction | | DE ~T T . — Concaming your compliance with the State Government Ens A Cives So If yes, please provide such information below The SEL and any attachments, excluding the Confidential Form, are public records. Page 9 of 10 | aFrramaTION | affirm that the information provided in this Statement of Ficonomi Interest and any attachments hereto ace te, complete, | and accurate 10 the best of my knowledge and hit | 1s cenity har have not canst ad will no teaser, any ssc, erst of property for he pupose of concealing it | from disclosure while rersnio an cstable erst. | 1 understand that my Statement of Economic ntrest and any ttachments or supplements thereto (withthe cxcepion of the | Confidential Form regarding Unemancipaed Children) are public econ. 1 Tacknowladge that {have read and understand N.C.G.8. 138-26 regarding concealing or iin to disclose material information and N.C.G.5. 184-27 sesardin providing false information: § 1382-26. Conceal or filing to disclose material information A fling person who knowingly conceals or knowingly ils o disclose information the is required 1 be disclosed on statement of ccomomic terest under this Arce shall be uly of a Class | misdemeanor and shall be subject 1 todiscplinary action under 6.5. 1337-45. § 1380-27, Penaly for fle infomation. A Filing perso who provides tse infomation on a statement of cconornic test as required under his Aticle Kanone tha he infomation ise is guilty of Class 1 felony and shall be sabiet ta disciplinary action under GS. 138045 [EH Agree, 9% 1/2316 | Signature Bate | po ~ | Poire FNovmbod Frinked Name Submit SIGNED, ORIGINAL documents only. Do not fax or email this form. The SEX and any attachments, excluding the Confidential Form, ar public records. Page 1001 10 FINANCIAL INTERESTS 2a Owner of Interes Full Name of Company. Billy F. Norwood Ares Capital Corp Bank of America Corning, fnc. General Dynamics General Electric Intel Corp. Williams Company, Inc. BEAT 3c Billy F. & Rebecca 5. Norwood SU Investment Corp. Billy F. Norwood SU Carolinas. ‘Goldmine Generations, LLC | & I EC Golf Group, LLC Sun Valley Commons, LLC 9A Relationship Name of Person _to Filer Company. Role of Peron ily F. Norwood Self State Utility Contractors, Inc Presiden Bill F. Norwood self SU Investment Corp. Presiden Billy F. Norwood self State Building Group, Inc. Presiden Bill F. Norwood self Goldmine Generations 1& Il, LC Member Billy F. Norwood self un Valley Commons, LLC Member Rebecca s. Norwood Wife State Utility Contractors, Inc Employ Rebecca s. Norwood Wife SU Investment Corp. % Owner Billy F. Norwood self 5U Carolinas, LLC Member Billy F. Norwood Self EC Golf Group, LLC Member, Manager Billy F. Norwood self Sun Valley Commons Lot 9, LLC Member
2015 South Piedmont Community College Trustees