Bonner Lee Stiller

JOAN NORTH CAROLINA STATE BOARD OF FOR COMPLIANCE WVFF. SE Guy &/' ELECTIONS AND ETHICS ENFORCEMENT [oat receies ©" 2018 STATEMENT OF ECONOMIC INTERESHI} APR -9 ty @ gq NO CHANGE FORM 3S same NI vue! THIS ENTIRE FORM MUST BE COMPLETED TO [ci es00 oy FULFILL YOUR ETHICS FILING OBLIGATION bl [FILER'S NAME (FIRST, MIDDLE, LAST) fren | Fist vame Viddie Name Last Name [sor | MR | BONNER lee I smuer SEASON FOR FILING (COMPLETE ALL THAT APPLY) | STATE GOVERNMENT JO (Spey Agency and Position) | BOARD/COMMISSION (Lst the complete nome of al State ~ boards on which you are serving or are being considered) | | CAPE FEAR RIVER NAVIGATION & PILOTAGE COMMISSION | ] AFFIRWATION Taffem that the information provided in this Statement of Economic Interest and any attachments hereto are true, | compete, and accurate to the bast of my knowiedge and beer. | | 12150 cert that 1 have not transferred, and wil not transfer, any asset, interest, or property for the purpose of | ‘concealing it from disclosure while retaining an equitable interest. | understand that my Statement of Economic Interest and any attachments or supplements thereto (with the exception of the Confidential Form regarding Unemancipated Children) are public record §acknonledoe that have read and understand N.C.G.S. 1363-26 regarding concealing or faing to disclose material | information ana N.c.G.5. 138A-27 regarding providing flse information | § 1384-26. Concealing or fang to disclose material information | A ting person who knowingly conceals o knowingly ais to disclose information tht s required to be disclosed on a Statement of economic interest undar this Arce shal be guity of a Class 1 misdemeanor and shal be | Slbject to disciplinary action under G.5. 135-45, 5 1384-27. Penalty fo flse informatio. Hing person who provides fais information on a statement of economic interes a5 required under this Article knowing that the Information s false 5 Guilty of a Class H felony and shal be subject to disciplinary action under. 1388.35 SHH pean Loge SHI “32013 | Signature Bate | BONNER LEE STILLER 1 Printed Name | | Suit STGNED, ORIGINAL documents ony. Do ot fax or ama thi orm. This entire document is a public record.

pe NORTH CAROLINA STATE ETHICS COMMISSION | for emntcs commission use ony # Pi 2017 STATEMENT OF ECONOMIC INTEREST | Date Receives: 919-614-3600 ww ethicscommission. nc. gov v THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL en SCRE 108 SOMA or YOUR SEI FILING OBLIGATION —— Sate tncompiere sdb. 15 Supp. Som ute oo S090. Recerwed Date 2/22] [Fens wave rr, moni, asm —] [Prefix | First Name middie Name Last Name Suffix we owen | ue Stuer | CURRENT EMPLOYER 108 TITLE 1 [tien aw. pe PRESIDENT/OWNER | NATURE OR TYPE OF BUSINESS | [rune OFFICE/LEGAL SERVICES, REASON FOR FILING (COMPLETE ALL THAT APPLY) I RE BR boards on which you are serving or are being considered) CAPE FEAR RIVER NAVIGATION & PILOTAGE COMMISSION JUDICIAL OFFICER (specty Office) LEGISLATOR (Specty House or Senate) | | oo other immediate fami members reste in your household? Yves Cito | When used throughout this form, th term Tmmediate family Includes vour spouse (unless legally separated). I also | includes members of your extended family (Your and your Spouses chicren, arandchidrén, parents, grandparents. and Sings, and the Spouses of ch of thse pron) wh reside in your housenold. | Ls the 1 name of ai cuts ar emancipated miners i your househela A mins Iso ch under 18 years os. | Hinors are emancipated by marriage, enSiment n he US milan o court order or emancipation FULL NAME OF ADULTS & | RELATIONSHIP | EMPLOYER son TILE aTURE oF | Emancrpateo uinons — i — BUSINESS JULIE CARVER STILLER Shouse ONC BERG] VASO GWER/OPERATOR | RECREATIONAL | LL So |smuerenrenomises, imc VIEPRES. | SOTO | BONNER LEE STILLER, Il SON | nA NA | wa Era son 1 [7 7 — J 7 The SET and any attachments, excluding the Confidential Form, are public records. Page 1of 10 B. List ONLY the initials of ll unemancipated minors in your household below. A minor 5 2 chid under 18 years od | Note: You must lis the full name of each minor child on the Confidential Form available at the | b end of this document. oo ~ oo INITIALS FOR RELATIONSHIP EMPLOYER 0B TITLE i NATURE OF l | UNEMANCIPATED BUSINESS | iors SE } | PROPERTY INTERESTS | 1. As of December 31, 2016, did you, your spouse, or members of your immediate family: A. Have an owmersip interest in Roth Colin ea state (inclucing your residence) with a market va of £10,000 or more> Wes Ono | owner of Reni Estate| ownership Interest | Location by ty | Location by County | | BONNER 8 JULIE STILLER 100% OAK ISLAND, NC BRUNSWICK COUNTY, NC rn ET | fr SaUTHRORT, NE BRUNSWICK COUNTY, HE | 170. Lease or rent real estate o personal property to o from the State of Harth Carolin wih a market vlue of $1000 1 mores ve Hite Nome of Lessor Nome of Lessee | 1 RealEstate, Location | If Personal Property, B I Sl S| 2. ay time during 2015 a 2016, dd you, your soe: or members of your Tea fy sel 0 bo rom the State of North Caroling personal property with a market value of $10,000 or more? | | [ves Wwe F ametuer | omer ser Teotpropuy | rr i The SEE and any attachments, excluding the Confidential Form, are public records. Page 20110 FINANCIAL INTERESTS ] 3s of December 31, 2016, 1d you, your Shouse, Oars of your EDmedgte family own any of te along nancial | interests valued at 510,000 or more? LIST EACH COMPANY INDIVIDUALLY. | A Stock in a publicly owned company? | | Ove ww | 00 tal list ownership interests in 8 widely held investment fund (including mutual funds, regulated investment companies, or pension or deferred compensation plans) if. () the fund is publicly traded or ts assets are widely | diversified; and (i) nether you nor an immediate family member arc abi to contol the assets held n the mutual fund, investment company, or pension or deferred compensation plan. CC Ownerofmmerest Full Name of Company (Do not use a ticker symbol) BONNER LEE STILLER 100% STILLER LAW, 7.C. BONER L6F STILLER 50% SILER ENTERPRISES, IC. ONNER LEE STILLER 0% STILLER ENTERPRISES, INC | pms ! —— SS | ©. Stock Options in a company or business? | | Dives Fino | Owner of Stock Option Full Name of Company (Do not use a ticker symbol) | i N— { Interests in non-publicly cwned company or business entity (including interests in sole proprietorships, partnerships, mited partnerships, Jin ventures, limited Nabily companies, limited liabity partnerships, and closely held corporations)? ! | Oves iNo- 1170." proce o question 4. CL ownerofinterest 1 Name of Company or Business Entity I ————— _ | 3.C above, lease lst the names of any other companies or busingss entries in Which the primary company owns secuniies or equity Interests valued at over $10,000, known. | Non-Publicly Owned Company or Business Entity | Other Companies in which the Primary Company | he primary Company) | Owns Security or Equity Interests | {1 None or Not Known | ‘The SET and any attachments, excluding the Confidential Form, are public records. Page 3 of 10 (2). you know that any company or business entity sted in 3.C or 3.C(1) above has any material business ings or business contracts with the State of Korth Carolia, o s regulated oy the Stat, provide a bret description of that business activity. ” I Name of Company or Business Entity | Description of Business Activity with the State: {Mone or hot known oo —— | 4. As of December 31, 2016, were you, your spouse, or members of your immediate family the beneficiaries of a vested | 1 trust with velo of 10,000 or more tho ws created, estabisncd, or Comrie oy you? 00 na st assets hf n bind trusts. See 2017 SEF Helpful Tis or the definition of Vested Trust” and "Blind Trust.” Yes iN Name and Address of Trustee Description of the Trust ] Your Relationship to the Trust I SE S| 5. As of December 31, 2016, did you, your spouse, or members of your immediate family have abies of $10,000 or | more, excluding the mrtgage on your primary personal rescence? Exampis Include credit card debts, auto loans, dnt {oans, personal ons and intra. family debt | ve ome | | Mame of Debtor (You, Spouse, Immediate Family | Type of Creditor (Commercial Bank, Credit Union, Member) Individual, etc) i | omeLe sen STUDENT LOAN-COLLEGE (EIR | SIOTTIOMONR® | 5. Ust each source of income (not specific amounts) of mate han $5,000 rECeved by you, your spouse, or members of | your immediate family during_2016. Include salary, wages, state/iocal government retirement, professional fees, Ronoraria, terest, Qidends, rental Income, BUsICss income, 3nd other ypes of income required to be reported on your State and federal to returns. » Capital gains > Federal government retirement i » Military retirement > Social security income/SSDT Recipient of Income Name of Source Type of Type of Income Business Industry | C1 nad no reportable income over 35,000 n 2016, nr Lec shar SER AY, PC | aw orice SALARY Vcr Le (Ar | sestomma senna sastan wena RENTAL | | | The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 10 PROFESSIONAL AND CIVIC RELATIONSHIPS 7(a). During 2016, were you, your spouse or members of your (mmegiate family a director, officer, governing board | evi empioveé, ndapendent coniactor, or regtered IOboyIt of nao Corparation o organization perating in | The Stare of Hoh Carona primary fo Telus, chantable, scientific, Inerary, public health and safety, or educational | Durposes? [Jes [No "Ho." proceed to question § i 5 not st State boards or snlies, or eaties created by a poltical subdivision of the State. | > Do no ist crganizations of which you are 2 mere member. ) | [= wamearrerson | wiser postion | Namo of Nonproti | Nature of Business or Corporation or Organization | Purpose of Organiation | I [757.1 the nonprofit corporations or organizations sted above do business with he State of North Carolina o receiv. | ate nd phase provide a res deschpmon af the nature of that Busnes, i Knawn ar wih which due dilgence could reasonably be know. Name of Nonprofit Corporation or Organization Describe State Business or State Funding Fone or Not known ] Hl ed J Duin 2016, were you, your Spouse, of members of your IMmEale family 3 Greer, officer, or governing beard ember of any 50cey, orGanizakon, of A040CAC up wth an Inter St In matters ver WHAGh Your agency or bard may Yes PINo [Legislator/Judicial Officer - You are nol required to complete this question if you are filing because Vou art a 4Giaor or 3 JIC officer o You are a5 an appoIntee those offices. D0 not st organizations of which you ar any a member (not serving in a leadership ole) Nama of person 1 Name of Society, Organization | Leadership position | I! or Advocacy Group | (birector, OHicer, Board Member) The SEI and any attachments, excluding the Confidential Form, are pubic records. Page 5 of 10 9(a). List the name of each company or business with which you were associated where you or a member of your immediate ] | fomiy was an employee, director, office, partner, proprietor, or member or manager a of December 31, 2016. | [ Name of Person | Relationship to Filer Nome of Company | Roleof person | Ho Business Associations Voocis is ree | same STILLER Law, nC. owenpesior | Vener fe Chir | same STILLER ENTERPRISES, INC. | QWNER/PRESIDENT. [ ¢ Conver SH | spouse STILLER ENTERPRISES, INC. VICE-PRESIDENT | | business contracts with the State of North Caroling or was regulated by the State as of December 21, 2016, provide a | brief escrption of int busines actin | | Name of Company or Business Entity | Description of Business Activity with the state | E J Not applicable (No entities listed on #92) | 110. Are you a practicing attorney? | ves [IN [Judicial Offcer/State Attorney | | est, check each category of legal representation in which you arth fv im with which you ae aflated has earned legal fs of more than $10,000 in, 2016 | | namie ndmiraty 7 Corporate © Comins ! (Decedent's Estates 1envronmental Ctosurance Ctavor | Local Government Rea Proerty [securities Oar | | X) Tort litigation (including [1 tities Regulation (@) Other category not listed. -FAMILY LAW. 1 on Sa 1 11. During 2016, were you a licensed professional (other than an attorney) or did you provide consulting services | individually or as a member of a professional association for which you charged or were paid over $10,000? ves Bio Type of Business Nature of Services Rendered I — | The SET and any attachments, excluding the Confidential Form, are public records. Page 6 of 10 { 12. Av you or your employer, your spouse o members of your immediate family, or their employer current: Licensee by the State board os employing entity uth which you are or wi be associated or | « Regulated by the State board or employing entity with which you re or wil be sociated or « Hove a busts. clans ith the Skate board or employing nt wih which you are will be assocted? | || Coves Slo Leastotor vail Officer - ou ae not requires to complete ths question you are fig because | vate a egal o a ada ofict (hia aficr 5 defined inthe SEL tpl Tp) or vou | | are filing as an appointee to those offices. | Name of Person Name of Employer Type of Relationship | it applicable) (Licensing, Regulatory, Business) | I 15. A va, your spouse or » member of your mediate omy curently registered as lobbyist of bbyist prinbal, or er vo roars a Such wi the 12 mont, preceding yout 11g of 1 orm? | ves Ewe Name of Lobbyist Lobbyists Principal ote of Registration | Registration | Expiration i | SE H— | S— | OTHER DISCLOSURES _ oo _ | 14. During any calendar quarter in 2016 (5uk only th me period Aer you wer ppOINEd, employed ar fled o were pominated 2 » andidatey. ak you 1 rece amy “ai(s" exceeding $200 por Quarter fom a person o 9roup of ersans acting together, and | ~ when both you and those person) were outside North Carlin ot he time you accepted the iR(s, and | ~ the gif) were ven unde circumstance that would lead 3 reasonable person to conclude tha they were giver | for ai | ives Bwo 5 ook report is given bY meTbS f your ese Tomy. E— +00 not report its that have previously been reported by you t the Department of the Secretary of Sate an the “Eupense Report lor Exempted persons.” ] Date Item Received | Name and Address of Donor(s) | Describe Item Received | Estimated Market | Value | i The SEX and any attachments, excluding the Confidential Form, are pubic records. Page 70t 10 15. During 2016 (but only the time period after you were appointed, employed, or filed or were nominated as a candidate) | did vou » accept a “scholarship” exceeding $200 from a person or group of persons acting together and + those person(s) were outside North Carolina and | | + the scholarship was related o your public postion? A "scholarship is a grant-in-aid, either direct or indirect, | | t attend a conference, meeting, or Similar event, including tution, travel, odaing, meas, and ner | Similar expenses. | | Dives [IMo [Judicial Officer - You are not required to complete this question if you are a judicial officer or you arc | fiing 323 Jun officer apporntee. > Do not report its that hae previously been reported by you to the Department of the Secretary of State on the “Expense Report fo Exempted parsons. | > Leaistators ae not required to report scholarships paid by a nenpartisan legislative arganization of which the Iegsiator | or the General Assemly 1s 8 member or partipant o an fate of hat rganizaion Datoof | Name and Address of Donor(s) Describe Event catimated Market Scholarship | Value rsh = | Caimi of State member | Council of State members are: | » Governor » Lt. Governor » Secretary of State. > Sate Auditor » State Treasurer » Superintendent of Pubic Instruction » fitorney General » Commissioner of Agriculture» Commissioner of Labor » Commissioner of Insurance | | ®ve One | X¢"Yes", ist all contributions you (NOT immediate family members) made during 2016 with a cumulative | total of more than $1,000 to the Governor or other Councl of State member who appointed you. | | | > Cantibutions are defined n 1 C.G.5. 163-275.6(6) and include, but re nat ied to, “any advance, converance, depasit, istribution, eansfer of ands, 109m, payment, Gift, pede or ubSCHPUON of maney or ATG of value Whatsotver.” pate T Amount Contributed to Jo contribution(s wih a cumulative total of more than $1,000 wa Ii B oo I The SEL and any attachments, excluding the Confidential Form, are public records. Pages of 10 17 ve you a spp o prospec appomen youn spporiee orpospecthe apponieele____________ 5 th ad of prio stat deparment (e9. cone secretary) apponted by he | ou dodges a a member of any of te ong bares | hac Commission ~ Coastal Resources Commission ~ | + State Board of Education [Yes fine | state sora of ction | + Division of Employment Security It “No proceed to | Enuronmentl Management Commission | Question 16. H + Industrial Commission | 1 + Human Resources Commission | © Rules Review Commission | Soaraor amportaen i + UNC Board of Governors. ~ iis Commission IAs iins Ny — d. If so, were you appointed or are you being considered for appointment to that Ces [No uc pon yo Counc of Se. moar Coon of Ste mem ME 1120 | 11 ono proceed to | Reine | Te ise, you mast macate whether during 2016 you (not immediate amy | Mrmr) Capon an ofthe ming acti wih resect t o on behalf of | Comite or campo commis of ne Counc of Site mermoes whe Shponed you 1 your pusle poston [Yes [No i. Gollcte contbutons fom multiple cotrioutor, fo possession of such | die cortisone, and anid a dees those colected i | Conon th Conan of Commated? Conrinsians av aeined in i ason 16 | ii. Hosted a fundraiser at your residence or place of business? [Yes [No | i. Vluresre for compan related cis, whch cide, bu re ot med | 1 hon sas, even sssstoncs, MAINS, canta. vexing, or any | [Ives [No | other activity that advances the campaign of a candidate? | 18. Have you ever been convicted of a felony for which you have not received either: (i) a pardon of innocence; or (if) an | ier of cementing 1a som? ves no Offense 1 Date of Conviction County of Conviction ‘State of Conviction 15. Av you aware of any thr information tht yu eave hay 5st the State EVES Commision nad you Concent omhaRCe ih te Ske Gover mens Eu Act Ives {No If yes, please provide such information below. i I i The SET and any attachments, excluding the Confidential Form, are public records. Page sof 10 J. [mom Forming Gomaepact Chen me at | | A filing person sho knowingly conceals or knowingly fail o disclose information that s required to be disclosed. | a SR GS. 1387-45. ft Awe < NEA Sse-s7 | sa 7% Ln Ls SIGNED, ORIGINAL documents only. Donotfaxoremail thistorm. J Tha SRM ry SEMA AHI 8 OR PALE SO eR rose 0 10 oo T— N — - N "For Office Use Only 1 , NORTH CAROLINA STATE ETHICS COMMISSION | ty SUPPLEMENT TO THE |! REcEvED ao 4 H EIVED APR I. | sow srarEmenT or comcmeic sereRest ED APR 2 42017 | L — — w—— EE SU — p— wal Name of Person Filing Supplement: 1 Zuuscr Lee Sh led Name of Agency or Board: ope WA Keer Jiladern 2 1 ge Commis Date: _Hioelan] SE 5(6). 1f you know that any company or business entity sted i 9(a) above had any materia business dealings or business contracts with the State of North Carolina or was regulated by the State as of December 31, 2016, provide a brief description of that business activity. Name of Company or Business Entity Description of Business Activity with the State Jot applicable (No entities listed on #93) | 15. During 2016 (but only the time period after you were appointed, employed, or filed or were nominated as a candidate) | did you | + accept a “scholarship” exceeding $200 from a person or group of persons acting together and + those person(s) were outside North Carolina and + the scholarship was related to your public position? A scholarship” is a grant-in-aid, either direct or indirect, to attend a conference, meeting, or similar event, including tuition, travel, lodging, meals, and other | similar expenses. | | [Yes (YNo Judicial Officer - You are not required to complete this question if you are 3 judicial officer or you | Gre Hing as a judicial oficer appointee. | | » Do not report aifts that have previously been reported by you to the Department of the Secretary of State onthe | “Expense Report for Exempted Persons.” | » Legisiators are not required to report scholarships paid by a nonpartisan legislative organization of which the legsitor or the General Assembly 15 A member of participant or an afiate of that organization. Date of Scholarship | Name and Address of Describe Event | Estimated Market Value Donor(s) AFFIRMATION ffir that the information provided in this Statement of Economie Interest and any attachments hereto ar ue. complet. and acurate 0 the best of my knowledge and beet. also certify that | have not cansferred, and will not transfer, any asset. interest, or property for the purpose of concealing. it from disclosure while retaining an equitable interest understand that my Statement of Economic Interest and any attachments or supplements thereto (with the exception of the Confidential Form regarding Unemancipated Children) are public record. Tacknowledge that | have read and understand N.C.G.S. 1384-26 regarding concealing or fling to disclose material information and N.C GS. 1384-27 regarding providing flsc information § 1382-26. Concealing or filing to disclose material information A filing person who knowingly conceals or knowingly fails to disclose information that is required 10 be disclosed on a statement of economic interest under this Article shall be guilty of a Class | misdemeanor and shall be subject to disciplinary action under G.S. 1384-45 § 1380-27. Penalty for false information A filing person who provides false information on a statement of economic infest a required under this Article Knowing that the information s false is guilty ofa Class H felony and shall be subject o disciplinary action under GS. 138745 Io i oe ~ Signature Bate Printed Name Submit SIGNED, ORIGINAL documents only. Do not fax or email this form. This entire document and any attachments are public record.

COMPLETE THIS FORM AND MAIL SIGNED, ORIGINAL TO STATE ETHICS COMMISSION, 1324 MAIL SERVICE CENTER, RALEIGH, NC 27699-1324 NORTH CAROLINA STATE ETHICS COMMISSION 2016 STATEMENT OF ECONOMIC INTEREST 919-814-3600 www.ethicscommission.nc.gov FILER'S NAME (FIRST, MIDDLE, LAST) Prefix First Name Middle Name Last Name Suffix Mr. Bonner L Stiller CURRENT EMPLOYER JOB TITLE Stiller Law, P.C. Senior Partner/Owner NATURE OR TYPE OF BUSINESS Private Attorney REASON FOR FILING (SELECT ALL THAT APPLY) STATE GOVERNMENT JOB (Please specify the agency for which you work or are being considered) BOARD/COMMISSION (Please list complete name of all State boards on which you are serving or are being considered) Cape Fear River Navigation and Pilotage Commission; JUDICIAL OFFICER (Please specify the office you hold) LEGISLATOR (Please specify House or Senate) The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 11 A. Do other immediate family members reside in your household? Yes No 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 children, grandchildren, parents, grandparents, and siblings, and the spouses of each of those persons) who reside in your household. List the full name of all adults and emancipated minors in your household. A minor is a child under 18 years old. Minors are emancipated by marriage, enlistment in the US military or court order for emancipation. FULL NAME OF ADULTS & EMANCIPATED MINORS RELATIONSHIP EMPLOYER JOB TITLE NATURE OF BUSINESS Julie C Stiller spouse n/a n/a n/a Christian Cullen Stiller child n/a n/a n/a B. List ONLY the initials of all emancipated minors in your household below. A minor is a child under 18 years old. Minors are emancipated by marriage, enlistment in the US military or court order for emancipation. Note: You must list the full name of each minor child on the Confidential Form available at the end of this document. INITIALS FOR UNEMANCIPATED CHILDREN RELATIONSHIP EMPLOYER JOB TITLE NATURE OF BUSINESS PROPERTY INTERESTS 1. As of December 31, 2015, did you, your spouse, or members of your immediate family: A. Have an ownership interest in North Carolina real estate (including your residence) with a market value of $10,000 or more? Yes No Owner of Real Estate % Ownership Interest Location by City Location by County Bonner L & Julie C Stiller 100 Oak Island Brunswick Bonner L. & Julie C Stiller 100 Southport Brunswick B. Lease or rent real estate or personal property to or from the State of North Carolina with a market value of $10,000 or more? Yes No Name of Lessor Name of Lessee (Renter) If Real Estate, Location by City & County If Personal Property, Describe The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 11 2. At any time during 2014 or 2015 , did you, your spouse, or members of your immediate family sell to or buy from the State of North Carolina personal property with a market value of $10,000 or more? Yes No Name of Purchaser Name of Seller Type of Property FINANCIAL INTERESTS 3. As of December 31, 2015, did you, your spouse, or members of your immediate family own any of the following financial interests valued at $10,000 or more? A. Stock in a publicly owned company? Yes No Do not list ownership interests in a widely held investment fund (including mutual funds, regulated investment companies, or pension or deferred compensation plans) if: (i) the fund is publicly traded or its assets are widely diversified; and (ii) neither you nor an immediate family member are able to control the assets held in the mutual fund, investment company, or pension or deferred compensation plan. Owner of Interest Full Name of Company (Do not use a ticker symbol) 100 Stifel Investments B. Stock Options in a company or business? Yes No Owner of Stock Option Full Name of Company (Do not use a ticker symbol) C. Interests in a non-publicly owned company or business entity (including interests in sole proprietorships, partnerships, limited partnerships, joint ventures, limited liability companies, limited liability partnerships, and closely held corporations)? Yes No If "No", proceed to question 4. Owner of Interest Name of Company or Business Entity Bonner L. Stiller Stiller Law, P.C. The SEI and any attachments, excluding the Confidential Form, are public records. Page 3 of 11 C (1). For each non-publicly owned company or business entity (the “primary company”) identified in question 3.C above, please list the names of any other companies or business entities in which the primary company owns securities or equity interests valued at over $10,000, if known. Non-Publicly Owned Company or Business Entity (the Primary Company) Other Companies in which the Primary Company Owns Security or Equity Interests None or Not Known C (2). If you know that any company or business entity listed in 3.C or 3.C(1) above has any material business dealings or business contracts with the State of North Carolina, or is regulated by the State, provide a brief description of that business activity. Name of Company or Business Entity Description of Business Activity with the State None or Not Known 4. As of December 31, 2015, were you, your spouse, or members of your immediate family the beneficiaries of a vested trust with a value of $10,000 or more that was created, established, or controlled by you? Do not list assets held in blind trusts. See 2016 SEI Helpful Tips for the definition of “Vested Trust” and “Blind Trust.” Yes No Name and Address of Trustee Description of the Trust Your Relationship to the Trust 5. As of December 31, 2015, did you, your spouse, or members of your immediate family have liabilities of $10,000 or more, excluding the mortgage on your primary personal residence? Examples include credit card debts, auto loans, student loans, personal loans and intra-family debt. Yes No Name of Debtor (You, Spouse, Immediate Family Member) Type of Creditor (Commercial Bank, Credit Union, Individual, etc.) Bonner L & Julie C Stiller commercial bank The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 11 6. List each source of income (not specific amounts) of more than $5,000 received by you, your spouse, or members of your immediate family during 2015. Include salary, wages, state/local government retirement, professional fees, honoraria, interest, dividends, rental income, business income, and other types of income required to be reported on your State and federal tax returns. Do not include income received from the following sources: Capital gains Federal government retirement Military retirement Social security income/SSDI Recipient of Income Name of Source Type of Business/Industry Type of Income I had no reportable income over $5,000 in 2015. Bonner & Julie Stiller renters landlord rental income Bonner Stiller Stiller Law, P.C. Attorney business income PROFESSIONAL AND CIVIC RELATIONSHIPS 7(a). During 2015, were you, your spouse or members of your immediate family a director, officer, governing board member, employee, independent contractor, or registered lobbyist of a nonprofit corporation or organization operating in the State of North Carolina primarily for religious, charitable, scientific, literary, public health and safety, or educational purposes? Yes No If "No", proceed to question 8. Do not list State boards or entities, or entities created by a political subdivision of the State. Do not list organizations of which you are a mere member. Name of Person His/Her Position Name of Nonprofit Corporation or Organization Nature of Business or Purpose of Organization 7(b). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive State funds, 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 The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 11 Please answer the following question as it pertains to the following board/agency: Cape Fear River Navigation and Pilotage Commission 8. During 2015, were you, your spouse, or members of your immediate family a director, officer, or governing board member of any society, organization, or advocacy group with an interest in matters over which your agency or board may have jurisdiction? Yes No Legislator/Judicial Officer - You are not required to complete this question if you are filing because you are a legislator or a judicial officer or you are filing as an appointee to those offices. Do not list organizations of which you are only a member (not serving in a leadership role). Name of Person Name of Society, Organization or Advocacy Group Leadership Position (Director, Officer, Board Member) 9(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, 2015. Name of Person Relationship to Filer Name of Company Role of Person No Business Associations Bonner L. Stiller same Stiller Law, P.C. President 9(b). If you know that any company or business entity listed in 9(a) above had any material business dealings or business contracts with the State of North Carolina or was regulated by the State as of December 31, 2015, provide a brief description of that business activity. Name of Company or Business Entity Description of Business Activity with the State Not applicable (No entities listed on #9a) No relationship / Not known 10. Are you a practicing attorney? Yes No Judicial Officer/State Attorney If “Yes”, check each category of legal representation in which you or the law firm with which you are affiliated has earned legal fees of more than $10,000 during 2015. Administrative Admiralty Corporate Criminal Decedent’s Estates Environmental Insurance Labor Local Government Real Property Securities Tax Tort litigation (including negligence) Utilities Regulation Other category not listed. The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 11 11. During 2015, were you a licensed professional (other than an attorney) or did you provide consulting services individually or as a member of a professional association for which you charged or were paid over $10,000? Yes No Type of Business Nature of Services Rendered Please answer the following question as it pertains to the following board/agency: Cape Fear River Navigation and Pilotage Commission 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 will be associated? Yes No Legislator/Judicial Officer - You are not required to complete this question if you are filing because you are a legislator or a judicial officer (“judicial officer” is defined in the SEI Helpful Tips) or you are filing as an appointee to those offices. Name of Person Name of Employer (if applicable) Type of Relationship (Licensing, Regulatory, Business) 13. Are 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 filing of this form? Yes No Name of Lobbyist Lobbyist’s Principal Date of Registration Registration Expiration OTHER DISCLOSURES The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 11 14. During any calendar quarter in 2015 (but only the time period after you were appointed, employed or filed or were nominated as a candidate), did you • receive any gift(s) exceeding $200 per quarter from a person or group of persons acting together, and • when both you and those person(s) were outside North Carolina at the time you accepted the gift(s), and • the gift(s) were given under circumstances that would lead a reasonable person to conclude that they were given for lobbying? Yes No Do not report gifts 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." Date Item Received Name and Address of Donor(s) Describe Item Received Estimated Market Value Please answer the following question as it pertains to the following board/agency: Cape Fear River Navigation and Pilotage Commission 15. During 2015 (but only the time period after you were appointed, employed, or filed or were nominated as a candidate) did you • accepted a “scholarship” exceeding $200 from a person or group of persons acting together and • those person(s) were outside North Carolina and • the scholarship was related to your public position? A “scholarship” is a grant-in-aid, either direct or indirect, to attend a conference, meeting, or similar event, including tuition, travel, lodging, meals, and other similar expenses. Yes No Judicial Officer - You are not required to complete this question if you are a judicial officer or you are filing as a judicial officer appointee. 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.” Legislators are not required to report scholarships paid by a nonpartisan legislative organization of which the legislator or the General Assembly is a member or participant or an affiliate of that organization. Date of Scholarship Name and Address of Donor(s) Describe Event Estimated Market Value The SEI and any attachments, excluding the Confidential Form, are public records. Page 8 of 11 Please answer the following question as it pertains to the following board/agency: Cape Fear River Navigation and Pilotage Commission 16. Were you appointed or are you being considered 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 • Superintendent of Public Instruction • Attorney General • Commissioner of Agriculture • Commissioner of Labor • Commissioner of Insurance Yes No If “Yes”, list all contributions you (NOT immediate family members) made during 2015 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.S. 163-278.6(6) and include, but are not limited to, “any advance, conveyance, deposit, distribution, transfer of funds, loan, payment, gift, pledge or subscription of money or anything of value whatsoever.” Date Amount Contributed to No contribution(s) with a cumulative total of more than $1,000 The SEI and any attachments, excluding the Confidential Form, are public records. Page 9 of 11 Please answer the following question as it pertains to the following board/agency: Cape Fear River Navigation and Pilotage Commission 17. Are you an appointee or prospective appointee to: a. the head of a principal state department (e.g. cabinet secretary) appointed by the Governor; or b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District Court Judge; or c. a member of any of the following boards: • ABC Commission • Coastal Resources Commission • State Board of Education • State Board of Elections • Division of Employment Security • Environmental Management Commission • Industrial Commission • Human Resources Commission • Rules Review Commission • Board of Transportation • UNC Board of Governors • Utilities Commission • Wildlife Resources Commission Yes No If "No", proceed to question 18. d. If so, were you appointed or are you being considered for appointment to that public position by a Council of State member? Council of State members are listed in question 16. Yes No If "No", proceed to question 18. e. If so, you must indicate whether during 2015 you (not immediate family members) engaged in any of the following activities with respect to or on behalf of the candidate or campaign committee of the Council of State member who appointed you to your public position: i. Collected contributions from multiple contributors, took possession of such multiple contributions, and transferred or delivered those collected contributions to the candidate or committee? Contributions are defined in question 16. Yes No ii. Hosted a fundraiser at your residence or place of business? Yes No iii. Volunteered for campaign-related activities, which include, but are not limited to, phone banks, event assistance, mailings, canvassing, surveying, or any other activity that advances the campaign of a candidate? Yes No 18. Have you ever been convicted of a felony for which you have not received either: (i) a pardon of innocence; or (ii) an order of expungement regarding that conviction? Yes No Offense Date of Conviction County of Conviction State of Conviction The SEI and any attachments, excluding the Confidential Form, are public records. Page 10 of 11 19. Are you aware of any other information that you believe may assist the State Ethics Commission in advising you concerning your compliance with the State Government Ethics Act? Yes No If yes, please provide such information below. AFFIRMATION I affirm that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate to the best of my knowledge and belief. I also certify that I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments or supplements thereto (with the exception of the Confidential Form regarding Unemancipated Children) are public record. I acknowledge that I have read and understand N.C.G.S. 138A-26 regarding concealing or failing to disclose material information and N.C.G.S. 138A-27 regarding providing false information: § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest under this Article shall be guilty of a Class 1 misdemeanor and shall be subject to disciplinary action under G.S. 138A-45. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest as required under this Article knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I Agree. It is my intention that this check box constitutes my electronic signature. By checking this box I certify that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate to the best of my knowledge and belief. Filed Electronically 3/31/2016 Signature Date Bonner L Stiller Printed Name The SEI and any attachments, excluding the Confidential Form, are public records. Page 11 of 11