Bobby Gene Brown

r BD STATE ETHICS COMMISSION Date Received: 2 Ga vo MAR 2.9 201% ett’. 7 2019 STATEMENT OF ECONOMIC INTEREST —— NO-CHANGE FORM Checked tor completion _§L> This entire form must be completed to fulfill your scanned sls Date. q ethics filing obligation. —_—— z = TAcmrp er 4 55 i= SZ _Surzu7 74 %

= EINES RECEIVED = FOR STAFF USE ONLY, S 9070 Gr 2 STATE ETHICS COMMISSION Date Recaved: JAN 2 9 2018 21 dl g 2019 STATEMENT OF ECONOMIC INTEREST ‘STATE ETHICS COMMISSION . 5 ome PAA This entire form must be completed to fulfill your scannea 515 oe 21111 ethics filing obligation. ceremony Filer Name (Fst, Hidde, Last) [prefix | FirstName | mwiddlewame | tastName [sum 2 7 | Reason for ping (ehmptee al thot app State Government Job (Specify agency and position.) Board/Commission (List the complete names of all State arcs on uhich you ar sepuig or re being considered |_______ [eres s aes Judicial Officer (Specty office. Cegsator (Specty House or Senate.) AFFIRATION The information provided in this Statement of Economic Interest and any attachments are tru, complete, and accurate to the best of my knowiedoe and bell have not transferred, and wil not transfer, any asset, interes, or property for the purpose of concealing i from disclosure ie retainng an equiabi interest understand that my Statement of Economic Interest and any attachments excep for the Confidential Form Regarding Unemancpted Chidren publ records. have read and understand the folowing statutes: N.CG.S. § 1634-191. Conceaing or faling to disclose material information. A fing person who knowingly conceals or knowingly fis to disclose information that i required to be discosed on 3 Statement of economic iverest shall be Gul of 8 Class 1 midemeanor and. Subject to dscpiary action | Under G5. 163A-415. N.CG.S. § 1634152. Penalty for flse information Afling person who provides false information on statement of economic interest knowing that the information {5 ise = uty of a Class 1 felony and shall be subject to scipinary action under G.5. 1634415, I affirm that have reviewed my most recently filed 2018 Statement of Economic Interest and that as of December 31, 2018, my responses continua to be true, correct, and complete to the best of my knowledge and Delet. I affirm under penalty of perjury that the foregoing is true and correct. GHG Barn Bate 44 79 finted Note Submit signed, original documents only. Do not fax or e-mail this form. This entire document is a public record.

. NORTH CAROLINA STATE BOARD OF FOR COMPLIANCE UNIT USE ONLY /{ }; ELECTIONS AND ETHICS ENFORCEMENT Pate Baagima ) 2 &. 2018 STATEMENT OF ECONOMIC INTEREST aay ris — Kogan mewn-9 meso COC S10.814-3600 Op —— “THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL Sisamd bate YOUR SEI FILING OBLIGATION Incomplete} oe FILER NAME (FIRST, MIDDLE, LAST) etn | Fist ame | wissa rams | ingame Tee Mr, Bobb Gene. Brown — ET oo Those . _ Retirecl N/A Tn Te rE rth . REASON FO FILING (COMPLETE ALL THAT AFPLY) STATE GOVERNMENT 308 (Spec Agency and Poston) | BOARD/COMMISSION (Lit complete name of all State _ mPojRPO TAC JUDICIAL OFFICER (Speafy Office) LEGISLATOR (Specify House or Senate} 1 FF oy Srp ampp———————— Cives Joo rf EA i ERE ab LA ET ET oT Te Le eit, Lori Lester goss hh FULLNAME OF ADULTS & RELATIONSIP | EMPLOYER s08 Tinie ature oF The SE and any attachments, excluding the Confidential Form, are pubic records. sages 30 Br SCNT Ihe oT TI on Sr eI To Woke: You must list the full name of each minor child on the Confidential Form available at the banyan don ul oe INITIALS FOR | RELATIONSHIP empioven Jou Time pre oe ness MINORS | pd - PROPERTY INTERESTS i Pa PTs To TST TAT Si0iess or meres Noe: “ro owner of Reo sate | ow owner terest | tocatonty city Location by Gounty % 5 _ Rowan Bobby Gene Brown | /00% | Landis re tease or ent reat store or personel rapery To 52 AE rol with 3 ree vio o Cb A aves Xho I Mr Nome of Lessee | If Real Estate, Location Personal propery, TE I I EET OT ves Aro Name of Purchaser Name of Seller ] Type of Property The SEE and any attachments, excluding the Confidential Form, are public records. —— | FINANCIAL INTERESTS 13. As of December 31, 2012, id you, your spouse, or members of your immediate family own any of the following financial erect uahi oi af 10,000 or more? LIST EACH COMPANY INDIVIDUALLY. | A. Stock in 2 publicly owned company? [ves MN Bo mo ist ners Interests in 3 widely hed remand and (ncung mutual nds, reguated imvestmant Companies, or pension or ceferd compensation pins) i: () the fund Is SUBTElY traded or 1a assets are widely rs ed and (1) neither yo nor an amedite fariy erma are ab 0 2ontrol the asEets eid 1s the tel fd, investment company, of enon or Geferred compensation pan Owner of Interest Full Name of Company (Do not use a ticker symbol) . Stock Opti na company or business? es Xo a Nama of Company (0a not ue a ticker sym) | © interest in a pon-puicly owned ccmpany or bushes entity (ncludog interests n sole propristorsios, Datnershizs, Wied parinersnios, Jot ventures, HTted MABIY Comps, Wd ADA PaRnGrShDS, ad Cosel nla corporations)” ves Kft 17M, proceed to question 4 Owner of Interest Name of Company or Business Entity (1). Fo each non-public owned company or business entity (fo “primary Company”) 19ented in question SiC biov, please 458 he names of my Gther Comps of buses entiies i whch the praTY Company 2s Securioes o ety mares vehadd at er 310,000, f rom Non-publicly Owned Company or Business Entity Other Companies in which the Primary Company (the Primary Company) Owns Security or Equity Interests Wane or Not kon The SEI and any attachments, excluding the Confidential Form, are public records. Page 3 of 10 C2). vou know that ary company or business entity sted in 3.Cor 3.C(1) above has ony Material business enings or bss Conrad wih te Sate of North Caro, o 4 r69uoRed oy he Sete, Browse 3 Ber Gascon of hat sine arty. Name of Company or Business Entity Description of Business Activity with the State IIMs or fo Known fo of December 31,2017, were you, your spas, or mimes of your medic family Uh benehiar es of 3 vested rust witha vaio of 0,008 or more hak wa created, shapes, or cored on 1007 Do not ks 58ets hel in bin trusts. Se 2017 SEL epfl Tis for ta Gein of “Vested Trust” and Bind Trust” Dives Kno Name and Address of Trustee Description of the Trust Your Relationship to the Trust s. As of December 31, 2017 di you, your spouse, or members of your Immediate family have labilties of $10,000 or ore, CXOB he MSGR: on sour PATA Pers eseree’ Examples moot crea cord Gets, urs oa, vader pe NEA Cres How Name of Debtor (You, Spouse, Immediate Family | Type of Craditor (Commercial Bank, Credit Union, Member) Individual, etc.) oUt cach source of Income (1 specie amounts) of (ore han $5,000 received by 0, your Spouse, ambers of Your nmacate Tami Busts ZOLE. mciwte way, WoBh SAH Tove rehromonn. OR) Toto Stave an oder toe reams 0 ast chute fncorme received from Ye Following sources: > Capita gains + Federal government retirement » Miltary retirement + Social security income/ S501 Recipient of Income Name of Source Type of Type of Income Business Industry 1700 ho portable nome over 55,000 in 2017 ; ; Bobby Gene Brown NCStite Rebromit Stik NC. Retirement | The SEL and any attachments, excluding the Confidential Form, are public records. Page 4 of 10 PROFESSIONAL AND CIVIC RELATIONSHIPS i 761. During 2017, were you. your spouse or members of your amedate fami a drscor, offer, doverng board member, employee, pendant Contractor, o regulerad BEI f 3 NGI COTBGr8hon of ogaEdTon 656IAIng The State of North Caria pnmany fo rious, ChrRSDI, Samm. ery, PURI. Ea ard Sates ef educational purmoses? Gives po - 11a.” proceed to question 8 > 5 not Ist Stat boards or ntLes, Gr GALS created by a pol aT UBNTSon oF 7 SH > Do not st organizations of wich you 81 mere member. Name of Person His/Her Position Name of Nonprofit |" Nature of Business or te CE Organization purpose of Organization 700). 1 tn nonprof comarations or organ rations sted above de business wih the State of North Carling or receive State funds, pls Brows a DIE desc of he nature of that busiest. § kon or wih Wh don dlgonce ous resonatly be known, Name of Nonprofit Corporation or Organization Describe State Business or State Funding LINone or Not Known T Dun 2017. were vou, Jour Soe, oF TEES oar wimedite tomy drector, SCT, goeTng ov icmer GF any S4C4R, oT 8ton, or SNGCACH Sra WA 1 RETLS 1% atTrs Over WHE Your by or Based may Nave Rasta ves Mio 1 1Leqtotos ual Offices «You are ct roquired to compete this question you are ng hous Vou ro a eGo" 1 8 adel officer on You are mg a an appontee 1 those oes. 00 not st oaanizatons of which yo are oly & member (not Sering in leadership roe) Name of Person Name of Society, Organization Leadership Position { or Advocacy Group (Director, Officer, Board Member) The SEX and any attachments, excluding the Confidential Form, are public records. Page s of 10 | 52). List the name of each company or business with which you were associated where you or a member of your immediate. family was 30 en gloyes, rector, acer, porincr, IOAN, of member of manager os of December 31, 2617 Name of Person Relationship to Filer Name of Company Role of Person | Ao eusiness associauons S(b). If you know that any company or business entity listed in 9(a) above had any material business dealings or Busines contracts wath hi State of Nori Caroli or 43s e3uIated by th State a of Bestia 31, 2017, provide 3 ht descrpton of int business actin. Name of Company or Business Entity Description of Business Activity with the state ct apical (Na entries sted on #93) To. ve you» pracicng attomey? [EA CCT p— 1 Yes, check encn category of lel representation in whch you orth bu rm th which you re afl has earned legals of mare than $36,000 tring 2017. Decedent's Estes fmuronmenta insurance Lavor Cito! Goverment Rear property [3 Securies = Tort tigation (including utes Regulation [J Other category not ste nealgence) oo 11. Duting 2017. were you 3 Hcensed professional (ther than an itary) of 0 you provide consulting services Indus ar 5.8 mermher of A Professional 55506 ALOR for MACH YoU Charged or were bod bre 10,0007 Type of Business Nature of Services Rendered The SEI and any attachments, excluding the Confidential Form, are public records. Page of 10 Jrae— Name of Empiyer Type of netatonship _— (if applicable) a re Ko Name of tasiist ovis principal ootear hasisration THER brscLosures | ove gro Gate Hom Received | Name and Adare of Danas) | Deserve Team Receved Estimated Harker Th SEE and any atachment, excluding th Confident Form, are public records. rage 70110 15. Dung 2017 (Ou oly the ime ori er you wees apportad, employed, o ed ar were nomnated a5 a ondiate) dives + cept 2 “acholarsni exceeding $200 fom persan o Group of ers actin together and + those person(s) were outside North Carolina and | the cholrshi was red 0 your PUBIC os on? A scholarship” s a granting, ither direct of indirect, To attend a conference, meeting, 0 ilar vent, invading fulton, woveh dain; meni, ana ster po pb tig ¥en Jf uci Ofc: - Yu are ro rer o complte this question you ae ull effi or you re ing 05 3 pCa offer appomee. > 0 nt report gts tt hae previously been tart by you 1 te Degarcment of the Secretary of Sate on the pane Repent for Exempiod Puen > Legstatos are not requred to report schlships id nonrtsan leave crgaTiZaion of wh the egiator Date or | Name and Address of Donor(s) Oescrive Event Eetimated Market Scholarship Value 16. Were you appointed a are you being comsdered or an agpomtmen 1 a covered board by the Governor ar anther Council of State members are » Govermor » tt Governor » Secretary of ste [I » State Treasurer » Superintendent of Alc Tnsrucion Ces Mo If “Yes”, list all contributions you (NOT immediate family members) made during 2017 with a cumulative Lata of mote than $1,000 40 the Governor or other Counc of State memiser whe appoTnes you. Contributions re defined in 14.5. 163-2786(6) and includ, but are ras it to, “ony share, conmeyance, ———; one Amount Contributed to IN contriousen(s) win a cumulate foto of more than $1,000 The SEX and any attachments, excluding the Confidential Form, are public records. Page sof 10 17. rt You an appatee o prospect appoes to b. 0 Both Carols Supreme Cour sis, Cour of Appts, Superior or Dist Som usr . a mere of any of the flowing boards + A6C Commissan State ord of Educa Fives Yo ! * State Board of Elion | ~ Dwon of Emplevment Secuty No” procend to Eruronménta Management Comission Question 18. ~ ute Commis ~ man, Resources Commission ~ Gonrd of Transpomatin | UNC Board of Governors * tie Resources Commission _l 4 Fo, were you appointed or ae you being consdered for pore a tt | (Yes [Mo kc pono 5 Con of Stns mermprs Counc o hae memoers re sted | 1 mon” % in question 16. qu TE 150, you ust rca wnat daring 2017 you (nc immedi for meres) ana06d 1 an of th olowiad CNTs wilh espoct £06 on DER of Re cant of carvpan ermine f the Cour of Sate marbes wns | orommed vous rae mio peste Lives 6 | Conon: to Th Cinadan of commas? Contmaions ave ceted m | i. Valuneres or competes aces, which include, but are nt ted he Sut Da advances th Camomi of 3 cores Ove Xo offense Date of Canviction__ County of Conviction ____ State of Canviction concerning your comphance with the State Government Ethics Act? | Lives Ko. tyes, hence provide such formation be | The SEI and any attachments, excluding the Canfidentil Form, are public records. Pages of 10 AFFIRMATION § 1384-26. Concealing or failing to disclose material infornation, | G5 IRA / 3/32 /20/8 Submit SIGNED, ORIGINAL documents only. 0 not fax or email this form. The SEI and any attachments, excluding the Confidential Form, are public records. Page 1001 10