Brenda Alston Lucas

This entire document is a public record. STATE ETHICS COMMISSION 2024 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM ELECTRONIC FILING This entire form must be completed to fulfill your ethics filing obligation. Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Ms. Brenda Lucas Reason for Filing (Complete all that apply.) Are you a CANDIDATE for elected office? ☐ Yes ☒ No If yes, for what position are you seeking election? (Specify name of office seeking in box below.) Do you currently hold this position? ☐ Yes ☐ No 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.) Upper Coastal Plain RPO (TAC) Judicial Officer or Filing Post-Service (Specify office.) Legislator or Filing Post-Service (Specify House or Senate.) AFFIRMATION I have carefully reviewed my most recently filed Statement of Economic Interest Long Form and my responses continue to be true, correct, and complete to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my No Change Form is a public record. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 03/22/2024 Signature Date Brenda Lucas Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

” FoR STAFF USE ONLY Gi STATE ETHICS COMMISSION sis Rosives: Rie Wl 2023 STATEMENT OF ECONOMIC INTEREST RECEIVED 2 No Change Form MPO-RPO APR 17 2023 This entire form must be completed to fulfill your SEI filing obligation. NG ETHICS COMMISSION Fiers Nome (Frst, Middle, Last) foe [Bente 12 [Loew 1 | nN ren r ” Reason for Filing (Complete all that apply.) "Sate Government Job (Specify agency and position.) | Board/Commission (Lt the complete names of al Sate boards on which you are serving or are being considered.) Currently Serving or Served ss 8 Judicial Officer in 2022 | Currently Serving or Served a5 a Legislator in 2022 (Specify (Specty office, &.9. Judge, lek of cour, district attorney.) House or Senate.) AFFIRMATION I have carefully reviewed my most recently fled Statement of Economic Interest Long Form and my responses continue to be true, correct, and complete to the best of my knowledge and belief. 1 have not transferred, and will not transfer, any asset, interest, or property for the purpase of concealing t from discosure while retaining an equitable Interest. understand that my No Change Form is 8 public record. Ihave read and understand the following statutes: N.C.G.5. § 1384-26. Concesling or failing to disclose material information. A fing person who knowingly conceals or knowingly fais to disclose information that is required to be disclosed on’ stement of economic interest. shall be Quity of a Class 1 misdemeanor and... . subject to disciplinary action under G.5. 138A-45. N.C.G.S. § 1384-27. Penalty for fase information. A fling person who provides false information on a statement of economic intrest... knowing that the information is flsa 5 Quity of 3 Class H felony and shall be sublect to disciplinary acion under G.5. 1384-45. I affirm under penalty of perjury that the foregoing is true and correct. Signature - be Printed Name Submit signed, original documents only. Do not fax or e-mail this form. “This document is a public record.

a GT STATE ETHICS COMMISSION Bate esas if al fi] 2022 STATEMENT OF ECONOMIC INTEREST RECEIVED == No Change Form FEB 93 200 ‘This entire form must be completed to fulfill i. Your SEI filing obligation. NG ETHICS COMMISSION | [Prefix | Firstiame — T middie nome | Last Name = lucas State Government Job (Specly agency and postion) | Board Commission (List the complete names of al State boards on which you are serving or re being considered) Ne Spiny ee Teun Gomvansioner Currently Serving 5 a Judical Officer (Spey ofice:) __| Currently Seving 3 a Legislator (Specify House or Senate.) PS. ‘Are you a CANDIDATE for a covered clected office? | | If Yes, speciy the office and Distnit/Courty: (District or Superior Court, Court of Appeas, Supreme Court, Clerk f Cour, District Attorney) Oves fNo AFFIRMATION 1 have carefully reviewed my most recently fled Statement of Economic Interest Long Form and my responses continue to be true, correct, and complete to the best of my knowledge and bel. Ihave not transferred, and wil no transfer, any asset, intrest, or property for the purpose of concealing from | disclosure while retaining an equitable Interest. T understand that my No Change Form Is public record Ihave read and understand the folowing statutes: N.C.G:S. § 138A-26. Concealing o falling to disclose material Information. A fling person who knowingly conceals or knowingly al o disclose information tht is required to be disclosed on a statement of economic interest... shal be Quity of a Cass 1 misdemeanor and. Subject to clsciplnary action under G.5. 138-45, N.C.GS. § 1384-27. Penalty for fase information. A fing person who provides false information on a statement of economic terest... knowing that the Information fs fase 15 Quity of a Class H felony and shall be subject t ciscplinay action under G.5. 138-45. T affirm under penalty of perjury that the foregoing is true and correct. Brunt Qow fuee) 2refa0 2 Signature Gate Broad Abn acas Printed Name ‘Submit signed, original documents only. Do not fax or e-mail this form. This document is a public record,

Ci RR STATE ETHICS COMMISSION [= __— | (8 7 2021 STATEMENT OF ECONOMIC INTEREST | &Y NO CHANGE FORM | RECEIVED This entire form must be completed to fulfill MAR 25 2021 | your SEI filing obligation. | NC ETHICS COMMISSION giv Filer's Name (First, Middle, Last) —~ 2 Prefix | FirstName Middle Name Last Name Suffix Fada | Abs Lucas Reason for Fg (Compete al that apply.) State Government 105 (Specty 39eny and postion) | Board Commission (Lat he complete nome of ll Sate ere oats on YEH 30 08 SErving o arg being gonsiesse.) Na Spans Hope oars OF Cmmsnontss Judicial Officer (Specify office.) _ Legisiator (Specify House or Senate.) Na Ala AFFIRMATION have caret reviewed my most recently filed Statement of Ecanomic Interest Long Form and my responses continue. | 10 be tre, comec, and complete to the bet of my knowledge and belt Ihave not transferred, and will ot transfer, any asset, interest, o property for the purpose of concealing it from sciosure whi retaining an equtable terest understand that my No Change Form is a pubic record. Ihave read and understand the following statutes | N.C... § 138826. Cancenin or fllg to dscose mater formation. | A filing person who knowingly conceals o knownaly fais to disclose Information that is required to be disclosed on a statement of economic intrest -. shall be GuIty of a Class 1 misdemeanor and . Subject to disciplinary action under G.5. 13845. | recess samen sets or tse tomato. | A ling person who orovids fase information on a statement of economic terest. knowing that Ue | information is fis. GUIty of & lass felony and shal be Subject 10 iscpinary acon under G.5. 136A-45, Taffirm under penalty of perjury that the foregoing is true and correct. renpe Geo Aucoo 2/0 ly Signature me “Doindg Alva Lucas | Printed Name | Submit signed, original documents only. Do not fax or e-mail this form. " = This entire document is 3 public record.

. mm | PERN STATE ETHICS COMMISSION Date Recewed: RECEIVED Ela dn (3 {/5/ 2020 STATEMENT OF ECONOMIC INTEREST WAR 19 200 SY NO CHANGE FORM This entire form must be completed to fulfill NC ETHICS COMMISSION your SEI filing obligation. Pig, [A scamedllC"” ome 3-192 Emerein0s by Filers Name (First, Middle, Last) prefix First Name Middle Name. Last Name. my lB nda Alster Lucas "Sate Government 0b (Speci agency and postion) | Board Commission (Lt he complete names of al Sate a boards on which you are serving or are being considered.) mL ——————— 3pr ing Pope Toor do OF Lg me SION SS NA Af «Comtex lan ur GuuanmenT Eon NC SL I acai +o oto or adie Judicial Officer (Speciy office) Legisator (Specty House or Senate) Na [a AFFIRMATION have carefully reviewed my most recently filed Statement of Economic Interest Long Form and my responses continue to be true, correct, and complete to the best of my knowledge and bole. Ihave not transferred, and will not transfer, any asset, interest, or property forthe purpose of concealing it from disclosure whi retaining on equitable Interest. | Tunderstand that my No Change Form i a public record. have read and understand the folowing statues: N.C.G:S.§ 1384-26. Concealing or failing to disclose material information A filing person who knowingly conceals o knowingly fait to disclose information tha s required to be disclosed on statement of economic interest - . . shal be guilty of 8 Class 1 misdemeanor and . subject to disciplinary action under G.5. 1384-45. N.C.G.S. § 1384-27. Penalty for faise information. | A fling person wh provides fase information on a Statement of economic Interest .. . knowing tha the information is fais i Guity ofa Clas H felony and shail be subject o disciplinary action under G.5. 138A-4S; =m Taffiem under penalty of perjury that the foregoing is true and correct. £ Liurto Qiao A ucad 3/11/40 Bate Brenda Asha Jy cas Printed Name Submit inal documents only. Bo not fax or e-mail this form. = — This entire document is a public record.

RECEIVED cas For STA RE ONY po Gro) STATE ETHICS COMMISSION Dat Recees FEB O 1201 SWF nm (dg §/) 2019 STATEMENT OF ECONOMIC INTEREST STATE ETHICS COMMISSION = NO-CHANGE FORM coches or compton 515 This entire form must be completed to fulfill your scannea S15 owe_201 [19 ethics filing obligation. HN [Fer Name (Fst, wide, Last) Profi [FirstName | widdieName | asthame [sux | ms Mshn | Cucay 1 7] Reason for Fling (Complete ll that app State Government Job (Specly agency and poston) | Boord/Commision (Ls the complete names ofall State Reisman boards on which you are serving or ae being considered.) Tp Constat Mn Rural 11ann myer] [sm ome pat ees i | N Ia N/a AFFIRMATION 1 ‘The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to | | he best of my knowiedge and beet | 1 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. | unserstan tht my stent of cori rst an any attaches excep for the Conn Form Regard Unemancpated Chidren publ records | | have read and understand the owing statutes: N.CG.5. § 1634-191. Concesing or filing to disclose material information A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on | 2 Statement of economic eret hall be QUI of 3 las 1 misdemeanor and. subject to disciplinary action | Under GS. 163415. | N.C.G.S. § 163A-192. Penalty for false information. 1 A fling person who provides false information on a statement of economic nerest knowing tht the information is als 15 Gly of 2 Cass felony an shall be subject to Gcplnary action under G.5. 1634-415. | ZL affiem that I have reviewed my most recently filed 2018 Statement of Economic Interest and that as of | December 31, 2018, my responses continu 0 be true, correct, and complete 10 the best of my knowledge and | beet, ro under penalty of perjury that the foregoing is true and correct. | | Lister Boob Fuca faa) Samature Bate {Benda Albin lucas Printed Name | Submit signed, original documents only. Do mot fax or e-mail this form. This entire document is a pubic record.

NORTH CAROLINA STATE ETHICS COMMISSION 2018 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM FILER'S NAME (FIRST, MIDDLE, LAST) Prefix First Name Middle Name Last Name Suffix Ms. Brenda Alston Lucas REASON FOR FILING (SELECT ALL THAT APPLY) STATE GOVERNMENT JOB (Specify the agency for which you work or are being considered) BOARD/COMMISSION (List complete name of all State boards on which you are serving or are being considered) Upper Coastal Plain RPO (TAC); JUDICIAL OFFICER (Specify the office you hold) LEGISLATOR (Specify House or Senate) The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 2 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 hereby affirm that I have reviewed my most recently filed 2017 Statement of Economic Interest and that as of December 31, 2017, my responses continue to be true, correct, and complete to the best of my knowledge and belief. 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 4/11/2018 Signature Date Brenda Alston Lucas Printed Name The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 2

COMPLETE THIS FORM AND MAIL SIGNED, ORIGINAL TO STATE ETHICS COMMISSION, 1324 MAIL SERVICE CENTER, RALEIGH, NC 27699-1324 NORTH CAROLINA STATE ETHICS COMMISSION 2017 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 Brenda Alston Lucas CURRENT EMPLOYER JOB TITLE Gem Management Part-time Site Manager NATURE OR TYPE OF BUSINESS Housing REASON FOR FILING (SELECT ALL THAT APPLY) STATE GOVERNMENT JOB (Specify Agency) BOARD/COMMISSION (List complete name of all State boards on which you are serving or are being considered) Upper Coastal Plain RPO (TAC); JUDICIAL OFFICER (Specify Office) LEGISLATOR (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 B. List ONLY the initials of all unemancipated minors in your household below. A minor is 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. INITIALS FOR UNEMANCIPATED CHILDREN RELATIONSHIP EMPLOYER JOB TITLE NATURE OF BUSINESS PROPERTY INTERESTS 1. As of December 31, 2016, 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 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 2015 or 2016 , 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, 2016, 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? 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) 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 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, 2016, 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 2017 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, 2016, 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.) You PNC Bank - Auto loan 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 2016. 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 2016. Brenda Lucas Gem Mgmt. Housing Salary Brenda Lucas NC State Retirement State Government Retirement Brenda Lucas American Kennel Club Nonprofit Retirement Brenda Lucas Social Security Government Widow Social Security PROFESSIONAL AND CIVIC RELATIONSHIPS 7(a). During 2016, 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: Upper Coastal Plain RPO (TAC) 8. During 2016, 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, 2016. Name of Person Relationship to Filer Name of Company Role of Person No Business Associations 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, 2016, 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 The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 11 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 2016. 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. 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? Yes No Type of Business Nature of Services Rendered Please answer the following question as it pertains to the following board/agency: Upper Coastal Plain RPO (TAC) 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) The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 11 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 14. During any calendar quarter in 2016 (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 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: Upper Coastal Plain RPO (TAC) 15. During 2016 (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 Please answer the following question as it pertains to the following board/agency: Upper Coastal Plain RPO (TAC) 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 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.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: Upper Coastal Plain RPO (TAC) 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 2016 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 3/10/2017 Signature Date Brenda Alston Lucas Printed Name The SEI and any attachments, excluding the Confidential Form, are public records. Page 11 of 11

<5, NORTH CAROLINA STATE ETHICS COMMISSION i FOR ETHICS COMMISSION USE ONY vl . Ji 2016 STATEMENT OF ECONOMIC INTEREST | Ot Received: 919-814-3600 ww ethicscommission.nc.gov 08 10 90 on Checket for completion THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL YOUR SEI FILING OBLIGATION i Scared ose comperers | Sop. Seat Date o Supp. Receive Oto ____ [— FILER'S RANE (FIRST, MIDDLE, LAST) Co . ] praic | Fist ame wade ame | Last ame Teun A ee AD lueas oo comment EOE] ~osTme Gorn print gemnad | Sag manages J NATURE OF TYPE OF BUSINESS oo _ Laneung Apeck mad Completes EE LL | REASON FOR FILING (SELECT ALL THAT APPLY) | | C1 STATE GOVERNMENT JOB (please specify the agency | (BOARD/COMMISSION (Please st complete name of all for which you work or are being considered) | State boards on which you are serving or arc being | | oo. | considered) i. I i Sprmy type Town Gomasones” CJ UDICIAL OFFICER (Please specty the office you hold) | (1 LEGISLATOR (lease specify House or Senate) | A. Do other Inmediate Family members reside in your household? oo Ove: fo When used throughout this form, the term Tmmediate Family includes your spouse (unless egal separated). It also | Includes members of your extend fami (Your And your HOUSE’ ChIGHen, tance, parents, arondpercots, amd Siblings, and the spouses of cach of hese persons) who reside In your household. {Uist the full name of all adults and emancipated minors in your household. minor is child under 18 years od. | Minos oe emancipated by mariage, cnment i the US milary o cout order for aman pation FULL NAME OF ADULTS & | RELATIONSHIP | EMPLOYER Jon TITLE NATURE OF | EMANCIPATED MINORS _ CORTE Susmess The SEL and any attachments, excluding the Confidential Form, are public records. Page 1.0f 10 an th ef amano as er vl: Air ne 1 ews | ar oe emancioted by mars erent the US ay o cous order fo amandponon Note: You must list the full name of each minar child on the Confidential Form available at the | end of this document. " " a. ne | INITIALS FOR | RELATIONSHIP EMPLOYER [ 308 TITLE NATURE OF UNEMARCIPATED Business NE NoRS . _ _ oo — ~ | p— E— PROPERTY INTERESTS Hove an owners tart i North Carlin rel esate nluding your reece) with 3 market vale of $10,000 or mores ves fiw | Owner of Real Estate “% Ownership Interest Location by City. | Location by County | -- — : _ | | B. Lease or rent real estate or personal property to or from the State of North Caroling with a market value of | SE ves Go | te _ . — _ i. Nome of Lessor Nameof Lessee | 1 Real Estate, Location | It Personal Property, | renter) by City & County. Describe [ - T TT BN - —t - 1 - | y : i . - S i. [72. at any time during 2034 or 2015, cid you, your spouse, or members of your Immediate family 2 to or buy from the Sime at Cora pant Propet wit o marks value of 16.000 & mare? | | Ove fo atv | vari wets The SEL and any attachments, excluding the Confidential Form, are public records. Page 20110 3. As of December 31, 2015, did you, your spouse, or members of your immediate family own any of the following financial I _ : ] | : I ~ | | oo oo oo 1] Cves Ano owner of stock option |Full Name of Company (0 not use a ticker symbol) C. Interests in a non-publicly owned company or business entity (including interests in sole proprietorships, i | Darinrshipe. Wed porershin, Jom ventures, Ime ogy companies, Imitad vaviay povinerings, and | | Owner of Interest Name of Company or Business Entity _ [ | ovins Socuriies or equty Iner¢ te valued at over $10,000, 1 known. ve | Non-Publicly Owned Company or Business Entity ‘Other Companies in which the Primary Company (2.1 you know that any company or business entity ised in 3.C or 3.C1) above has any materia business ing or kiness comtroct with th State of North Carolin, o 4 reguBted by th Stat, provide bret Gescrshon of hat business activity Name of Company or Business Entity Description of Business Activity with the State one or ot Known | Clone or oc IE —T— SE 1 | — - _ . - _ _ i 4. As of December 31, 2015, were you, your spouse, or members of your immediate family the beneficiaries of a vested Teese of $16,000 o more hot was ested, stabi, a controled by your D0 nt ft ast held n bing rusts. Sc 2046 SEL Helpful Tie fr th defntion of “Vested Tost” and “Bing Tosi” | | awe we a ET Ir I - _ - - | i. _ J 5. A of December 31, 2015, 9 you, you spouse, or members of your immediate family have [bis of $10,000 or re, Sangh rage a Ye Ary arta Fo Gane Xplore ad des, ut ans, dent | fears, persons oans and iva tomy oer | ove pee Name of Debtor (You, Spouse, Immediate Family | Type of Creditor (Commercial Bank, Credit Union, Member) | Sndwidon, ete) | | - - - 1 - i. _. 6. Li each sarc of income (nt specific amour) of Toe thar $5,003 received by you, You spouse, or members of | Your immediate fom during 2015. Incode salary, wages, state/ocl government retirement, professional fecs, | Romoraria, interest, dividends, rental income, business income, and other types of income required to be reparted on your State nd federal tax returns. Do not include income received from the following sources: | | » Capital gains » Federal government retirement » Miltary retirement > Social security income/SSOF pe — [rm Tosarmame | I " "| Blness/mndustry mem | C1113 no reportable income over $5,000 in 2015. Bh — - a [RY J EVEARETS if I 1 5 | SE [SNES [FIVE I YY TN The SEI and any attachments, excluding the Confidential Form, are public records. Page 4of 10 Lives [@o-1f "No," proceed to question 6. » Do not list State boards or entifics, or entities created by a political subdivision of the State. oo ca a eS STRDB3wis we ese ~ | | oat css rv EE 7(0). If the nonprofit corporations or organizations listed above do business with the State of North Caroling or receive 6. During 2015, were you, your spouse, or members of your immediate family 3 director, officer, or governing board | (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, directo, officer, partner, proprietor, or member or manager 98 of December 31, 2015, Name of Person | Relationship to Filer Name of Company | Role of Person 07 No Business Associations - It “No,” proceed to question 10 1 | | L (0). 11 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 35 of December 21, 2015, provide a rit description of that business activ. Name of Company or Business Entity Description of Business Activity with the State [Not applicable (No entities listed an #9a) [No relationship / Not known 10. Ave you a practicing attorney? ves (Re [Judicial Offcer/State Attorney “Yes, check each category of legal representation in which you or the law fim with which you are offiated has eomed legal fees of more than $10,000 during 2015 [) Administrative: [2 Agmiratty Corporate 0) criminal [Decedent's Estates Environmental insurance 1 tabor 0] Locol Government Real Property [securities Otor C1 Tor inition (including 01 Unites Regulation Other category not sted. Sage " 11. During 2015, were you a licensed professional (other than an attorney) or did you provide consulting services individually or a5 member of @ professional association for Which you charged or were paid over $10,0007 Oves dine 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 or your employer, your spouse or members of your immediate famly, or their employer currently: | Licensed by the Stote 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 of wil be associated or [ves [1No (7 Cegislator/lucicol Officer - You are not reuired to complete this question f you are fing because You are a egulator or a ydical officer (oda officer fs defined in th SEI Helpful Tip) or you are fing a3 on appointed to those ffces Name of Person | Name of Employer Type of Relationship | 13. Are you, your spovse or a member of your inmate family currently registered as lobbyist or lobbyist principal, or ere you ristered as such within the 12 month orecediog your ling of his form? Oves [ho Name of Lobbyist Lobtyist’s Prncipal Date of Registration Registration Expiration OTHER DISCLOSURES _— 14. During any calendar quarter in 2015 (but only the time period ater you were appointed, employed or fied or were nominated 5 condiote), did you | rece any "gH(=)” excaeding $200 per quarter from a person or group of persons acting together, and | when both you and those person(s) were outside forth Carolina at the ume you accepted the gis), and | i GI) wer Ge under cumstances at woud 1d reasonable person 0 conclude tha they vere gen | for abbying? | Oves eo | »00 not report gifts given by members of your extended family. »00 not repart gts that have previously been reported by You to the Department of the Secretary of Stale on the | “Expense Report for Exempted Persons I Date Item Received | Name and Address of Donor(s) | Describe Item Received | Estimated Market | Value | I | | The SEL and any attachments, excluding the Confidential Form, are public rocords. Page 70f 10 I T5. During 2015 (but only the time period after you were appointed, employed, o filed of were nominated a5 3 candidate) aid you | accept a scholorhi exceeding $200 from a person or group of parsons acting together and | 1 those parsons) were outside North Carolina and ne schotarahp sas elated o your public position? A “scholarship” 1s a gran-in-ald, either direct or indirect, attend a conference, meeting, or Similar event, Including tuition, travel, lodging, meals, and other | similar expenses. (ves (fo [5 Judicial Officer - Vou are not required to complete ths question f you are a judicial officer or you ore i Ting as a judicial officer appoint. | Do no rept git that have previously been rgorted by you to the Department of the Secretary of State on the “Bpense Report for Exempted persons.” + Legions are not required to report scholarships paid by a nonpartisan legislative Grganization of which the legisator | a the General Assembly is 2 member or partipant of an afiate of that ganization. -_ —— vurcor | amend addresof boner) | esto Bunt | Estimated ket | | scholarship | Value | | { | | | | 36. Were you appainted or are you being considered for an appointment to a covered board by the Governor or anather | Counc of Stale member? Council of State members are: » Governor > 11. Governor » Secretary of State | » State Autor » State Treasurer » Superintendent of Public Instruction » Atomey General » Commissioner of Agticuliure » Commissioner of abr | » Commissioner of Insurance | Ove ae Jf +Yes' list all contributions you (NOT immediate family members) made during 2015 with a cumulative | otro mre Shan 1,000 1 she Governor thr Counc of Sats member Who sppanied vou: | Contributions are defined in .C.G:5. 163-275.6(6) and include, bu are not Imited to, “any advance, conveyance, Seon, istaistion, transfer of funds, loan, payment, aif, pled or subscription of money or anything of valus | whatsoever.” | I! A _— — NT | Date i Amount i Contributed to | Cfo contribution(s) with a cumulative tata of more than $1,000 i f oo | rr | The SEI and any attachments, excluding the Confidential Form, are public records. Page 8 of 10 a. the head of a principal state department (e.g. cabinet secretary) appointed by the | 1 Governor; or Ii | ca member of any of he following boars: | | ABC Commission | | | | State Board of Education ISTE State Board of Elec: | enironmenta nagerment Gammission | question 1. ! | Human Resources Commission | i | Rules Review Commission | | URC Bot of Coverirs 9. 1 so, were you appointed or arc you being considered for appointment to that | [1¥es [No | [aves Ce contributions to the candidate or committee? Contributions are defined in Il Question 16. | in. Mosted a fundraiser at your residence or place of business? Oves Cine | | other activity that advances the campaion of 3 candidate? | | | 16. Have you ever been convicted of a felony for which you have not received either: (i) a pardon of innocence; or (i) an | order of ava regarding that conviction? | ove ottense | Date of Conviction | County of conviction | sta of conviction | Concring ot oman wt Sons Sov oes | [ies [FNo If yes, please provide such information bron. | The SEE and any attachments, excluding the Confidential Form, are public records. Pages aria . | AFFIRMATION | ¥tfm stot provided is Stent of Fumo test and any hts rt ss ri, amit nd acute the best of oy knowledge and belie. | so ceriy thn have nt transferred, and will not eanser, any set, nest, o property fo the purpose of concesling i | from disclose while taining an qiable ners. | understand hat my Statement of Feanomic nest and any atachments of supplements thereto (with the exception of the | Contdenia Fon aig, Uncrniped Children) i public cord | acknowledge that have read and understand N.C... 138-26 regarding concealing or Glin 1 disclose materi | information and N.C. 387-27 regarding providing false nonin: 5138.26, Conceal or fallin to disclose material information | | A fling person wha knowingly conse or knowingly ful disclose information tha is required to be disclosed | ona tment of ccanomis interest under tis Ail shall be guilty ofa Class 1 misdemeanor and shall be subict | 10 disciplinary action under G.S. 138A-45. A filing person who provides fas information an statement of conan interest a required under his Ariele Romi hat he formation is fils i guy of a Clas 1 felony and shal be subject to disciplinary action under | asad [Agree . | I one hue ny Swe Baie I Prenda A Cues | | printed Name | | | | Submit SEGHED, ORIGINAL documents sy. Do nt fo ev his frm. . | The SEI and any attachments, excluding the Confidential Form, are public records. Page 100f10

#3 NORTH CAROLINA STATE ETHICS COMMISSION | ro emics commission use ony ¥ A J; 2016 STATEMENT OF ECONOMIC INTEREST | Date Received: - 919-814-3600 ww. sthicscommission.nc.gov ms zt fh 13 “THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL ok or Snppistin "YOUR SEI FILING OBLIGATION anid Iompetern__ op. Semone by Supp. Recoed Date Entered in database J By. SA FILER'S NAME (FIRST, MIDDLE, LAST) [prefix First Name middle Name Last Name |omenremnioen estme NATURE OR TYPE OF BUSINESS manayng Apock mat Completes CJ STATE GOVERNMENT J0 (Pease spec the agency | [26OARD/COMMISSION (Pease lst complete nome of al Tor which you work o ae being considered) State Baars on wich you are serving o ae being CI UDICIAL OFFICER (Please specify the office you hold) | [J LEGISLATOR (Please specify House or Senate) A Doct mediate Family mers resid i yer Fes? Ove @fo When used throughout ths form, the term Immediate Family includes your spouse (unless egal separated) It aso includes members of your extended family (your and your spouse's hldren, randchidren, parent, grandparents, snd siblings, and the spouses of each of those persans) who reside In your household. List the full name of all adults and emancipated minors in your househald. A minor i a chid under 18 years oid. Minors are mancipated by mariage, enlistment in he US miltry or cour order fr emancipation. ‘EMANCIPATED MINORS ‘Business The SE and any attachments, excluding the Confidential Form, are public records. Page toro IB. List ONLY the Initials of il unemancipated minors In your household below. A minor is child under 18 years : Si. Minors ve emancipated by marrage, enlistment i the US milary or cout order for emancipation. Note: You must list the full name of each minor child on the Confidential Form avaliable at the end of this document. INITIALS FOR EMPLOYER 08 TITLE NATURE OF | UNEMANCIPATED ‘BUSINESS MINORS 1s of December 31, 2013, 0K you, your spouse, of members of your Immedlals family: . Have an ownership interest In North Carolina real estate (including your residence) with @ market value of $10,000 or more? ves orfe Owner of Reat Estate| % Ownership Interest | Location by Cty | _ Location by County _| 5, Lease or rent real esta or personal property o or from the State of North Carolina with a market value of $10,000 or more? Oves OF Name of Lessee | Hf Real Estate, Location |X Personal Property, (Renter) by City & County Describe 2. At any time during 2014 or 2015, did you, your spouse, or members of your immediate family sell to or buy from the 15a personal property wih a market velue of $10,000 or mre? Ove fo [ Nemeotpuchaser | Wemeotssier | Typeoferopety | The SEX and any attachments, excluding the Confidential Form, are public records. Page 2ari0 FINANCIAL INTERESTS 5 of Becares 31.2015, 01 you, you spouse, of armors of Your ENS army own any ofthe owing franc Tenet vues sc $16,060 o meres a. Sock 72 phy swned company? Oves go Se Dat IF overs ares nS wl Ted Test ard (nuding uke unde, Teguated ies Compas, of person o detered compenation pansy 1 () the und 1s PUY aded Gr 1s assets re woes Cerne nd) neRrer ve no an mente omy Mel a ale 5 CATO) ne eet eld tr mute fds investment company, o person or deleeed sampeniation pln. [ Owneroffmterest | Full Name of Company (Do not use a ticker symbol) | 5. Stos Ontong 3 company or business? ve | Owner of Stock Option _ Full Name of Company (Do not use a ticker symbol) C. Interests in a ron-publicly owned company or business entity (including interests in sole proprietorships, om vires. Imes 10510 open, ced obey potnesrs, ond closely held cozporations)? ves Fier proceed to question 4. ES — m— 3) For soc mar pula owed company 5 Burts ey ih “primary Comany) entied raves Ea es camo o Srarins sais 1 whieh to momo ompont ans Secu or enaty Eres ohod stove 310000 Frown, - Nar-Publicy Owned Company or Business Entity | _ Other Companies in which the Primary Company ne primary Compa) own Securty or Equny Tmerests ffare or ot Known The SEE and any attachments, excluding the Confidentia Form, are pubic records. [Pr C2). you know that any company or business entity listed in 3.C or 3.C(1) above has any material business Geslings or business contracts with the State of North Caroline, or 1s regulated by the State, provide a brief description of tha business acti. " ee Name of Company or Business Entity Description of Business Activity with the State | fone or Not Known EE 4. As of December 31, 2015, were you, your spouse, or members of your immediate family the beneficiaries of a vested | ut win 3 vals of $10,000 o more tha wes created. established, or controlled by you? Do not lst assets held In blind trusts. See 2016 SEI Helpful Tigs for the definition of "Vested Trust” and “Blind Trust.” ove offs ‘Name and Address of Trustee Description of the Trust Your Relationship to the Trust 5. As of Dacember 31, 2015, 0 you, your Spouse, or members of your [mmedlala far have IbIltes of $10,000 or ‘more, excluding the mortgage on your primary personal residence? Examples include credit card debts, auto loans, student oan, personal loans ond ntro- family debt. ove we ‘Nome of Debtor (You, Spouse, Immediate Family | Type of Creditor (Commercial Bank, Cred Union, Member) Individun) etc) 6 Ls each source of income (not specific amounts) of mae. than $5,000 received by You, your $pouse, or members of your immediate family during 2015. Include salary, wages, state/local government retirement, professional fecs, Honorana nrest, Widens, renal income, business incom, and other &ypes of Income required to b reported on your State and federal tax returns Do nat Include income received from the following sources: » Capital gains > Federal government retirement > Military retirement » Social security Income/SSDX Recipient of Income Name of Source Type of Type of Income Business/ Industry inal (31 had no reportable income over $5,000 n 2015. Dread Laws Gay vigor | fondu story [ped rns Yh toe nts BH Can TAKS ey yi doy er {12 urs cnn 2 NMC , Drea bata PE A Ar [SV Yahvtoat [Sit Bote laitas Seta indy My uy vipa d | biy Sens See The S61 and any attachments, excluding the Confidential Form, are public records. Page acto 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 Cardin primary for elgious, charitable, scenic eran, pubic health and safety, or educational purposes” ves fe 1°00, proceed to questions. Go ho Ist Sta beards or tics, or ence Created by a paial subaviion of th Ste. > D6 no lis organizations of which you are a mere member. Name of Person His Her Position Name of Nonprofit Nature of Business or Corporation or Organization | Purpose of Organization 706). 1 the nonprofit corporations or organizations listed above do business with the State of North Carla or receive Stake uns, please provide & brief deserion of the nature of that business, If Known or with which due diligence could reasonably be known. pm of Nowpraf Corporation ar Grganicaion | Describe tate Business or Site Funding None or Not Known “5. During 2015, Were you, Yur Spouse, or Members of your Immediate family a director, GHicer, oF Governing board ember o any society, organization, or SGvOCacy GroUR Wh an Interest In mattrs over Which Your 99¢n6y or board may. Rave orsdcupr Jou are legislator or a Judicial officer of you are fing 05 on appointee to those offices +00 not Ist organizations of which you are oly & member (not serving in leadership role). Name of Person Name of Society, Organization Leadership Position or Advocacy Group (Director, Officer, Board Member) The SEX and any attachmants, excluding the Confidential Form, are public records. Pages af 10 . (a). List the name of each company or business with which you were associated where you or a member of your immediate fomily was an employee, director, officer, partner, propriator, or member or manager as of December 31, 2015. Name of Person Relationship to Filer Name of Company “Role of Person [Ro Business Associations ~ If “No,” proceed to question 10 (0). If you know that any company or busines: entity sted 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 act. ‘Name of Company or Business Entity Description of Businass Activity with the State [Riot applicable (No entities sted on #5a) [No relationship / Not known 10. Are you a practicing ttorney? Oves @ffo 0 usia) ofcer/state Atarney 1f+Yes®, check each category of legal representation in Which you or the law firm with which you are affliated has earned legal fees of more than $10,000 during 2015. Oagministrative: CAgmiraly 0 corporate. 0 criminal [Decedent's Estates. 0 Environmental insurance Dtevor toca! Government 0 Real Property Dsecurities [=i Tort tigation (including [J titties Regulation. Cl 0ther category not listed. negligence) 11. Dung 2015, ere you 8 lensed professional (other than an attorney) or did you provide consulting services Individual or 85 member of professional association for which you charged or were paid over $10,007 Cves (Avo TT Typeof Business Nature of Services Rendered The SE1 and any attachments, excluding the Confidential Form, are public records. Page Goro 12. Are you or your employer, your spouse or members of your immediate fami, or ther employer cure: © Licansad by the State bos or employing entity with which you arc or willbe associated or (1Reculatad b the State board or employing entity with which you are or willbe associoed or 0 the State board or employing entity with which you are or will be sociated? ves Dito leoisiotor/udcial Officer - You oe nok required to complete tis questo i you ar fing because "you are a legislator or a dca fcr (Juda offer s Gained in the SEI Helpful Tos) or you are fing 25 an apaointe to thos offices, Name of Employer Type of Relationship Gt applicable) (Licensing, Regulatory, Business) 13. Are you. your spouse oo member of your mumedate fri currently regisored oa lobbyist or 196 principal, or were you registered 9s such within the 12 months preceding your filing of this form? ves re Name of Lobbyist [eS — Date of Registration Registration Expiration OTHER DISCLOSURES _____ ES 16. During any calendar quarter in 2015 (but only the time period Ser you were appanted, employed or fied or were nominated 5 » candidote), dd you receive any gIt(s" exceeding $200 per quarter from 3 person or group of persons acting together, and ha both yu and those person(s) were outs North Carolina ot he ime you accepted e 9I(), and 1th GI) were given under circumstances that wid lead & reasonable person ta concude tha they were iven for Boing oves evo 6 ot report gis gen by members of your evenaed amt 05 not report gifts that have previously bocn reported by You to the Deparment of the Secretary of State on the “expense Report fo Exempted Persons.” Date Item Received | Name and Address of Donor(s) | Describe Item Received [| ronmpet eet | | The SEL and any sttachmants, excluding the Confidential Form, are public records. Page7ori0 15. During 2015 (ot only the ime parod after ya were sppomtec, employed, or fled or were nominated as candidate) diya accept oscholaship exceeding $200 from a parson o group of persons acting together and those person(s) were outside North Carolina and the scholarship was related to your publ pasion? A schalarsnip” I a grantln-ald, either direct or Indirect, to attend a conference, meeting, ar similar event, Including tution, travel, Iodging, meats, and other Simin expenses. Oves oe per Officer You are not required to complete this question if you are a Judicial officer or you are Ting 250 nical officer appoites. Do not report ifs cht have previously ben reported by You £ the Department of the Secretary of Sate 0 the Expense Report or Exempted persons.” » Legislators are no required to roport scholarships. pid by 2 nonpartisan logisiativo organization of whic th leilator or the General Asser 1s a membar or pa-UCant of an fhe of that OrganEAEN Date of ‘Name and Address of Donor(s) Estimated Market scholarship Value | 6. Were you appointed ar are you being considered fo an appoment ta covered board by the Governor o anotner | Council of State member? Council of State members are: » Governor > Ut. Governor > Secretary of State » state Audior » State Treasurer » Superintendent of Public Instruction » Atomey General » Commissioner of Agicuturs ~~» Commissioner of Lobor . » Commissioner of Insurance Ove @fo 11+ Yes, list all contributions you (NOT immediate family members) made during 2015 with a cumulative Lotalof more than $3,000 0 the Gavernar or other Counc of tate member wha appointed you. » Coiributions ar defined In .C.G.. 163-276.6(6) 9nd Include, but re not limited to, “any advance, conveyance, Capos, Gaon, ante Of (nds, oon, Payment, Ot, pede or SUbSCpRon of money or Ann of va prtebing [ome amen Comributea to 6 contibation(s) with cumulative total of mor than $1,000 The SEE and any attachments, excluding the Confidential Form, are public records. Page sorta 17. Are you an appointee or prospective appointee to: a. the hes of 2 principal state depariment (0. cabinet secretary) appcited by the Governor; or 5. » North Carolina Supreme Court Justice, Court of Appeals, Superior or District Court Judge; or <. a member of any of the following boards: ABC Commission Coastal Resources Commission © State Board of Education Qves mo 0 State Board of Elections © Division of Employment Security 11 “No process to © Environmental Management Comission question 18. © Industrial Commission 0 Human Resources Commission © Rules Review Commission © Board of Transportation 0 UN Board of Governors © Utites Commission 0 wide Resources Commission A oo 0 1750, were you appolned or arc you being coriidered fr appointment to thax | (Ives (JNo otc postion Counc of Ste member? Counc of Stata members re 150 | 11 no, proceed to i avestion 16. estion 18. © 150, you must indicate whether during 2015 you {rot immedate family members engaged in any of the Glowing acts with Tespoc to or on behalf of the Candidate o campaian commitiae of the Counc of Sate member Wha appented you to your pUbIE pasion: Cives [No i. Collected contributions from multpi coneibutars, took possession of such itipie cantrburions, and transferred or delivered those collected Contributions o the candidate or committee? Contriutions are cefined in Question 16. i. Hosted » fundraiser ot your residence or place of business? Oves (No Ti, Vatuntesred fo compaign-reated acts, which include, but are nt imited Lo, phone bans, event assistance, mallngs, canvassing, surveying, or any | [1¥es CINo ther acti het advances the campaign of & Canodate? 16. rave you ever been convicted of a felony for Which yo have nat received einer: () a pardon of innocence; or (1) an 2raar of expungggHen: regoding that conviction” ves pa offense. Date of Conviction | _ County of Conviction | _ State of Conviction 5. Ave you aware of any other information that you believe may assist the State Ethics Commission in advising you | Canderning your compliance ith the Ste Government EXncs ACT Oves Po yes, please provide such information below. The SEI and any sttachments, excluding the Confidentlal Form, are public records. Page 9 of 10 oo [arrmmamion I affirm that the information provided in this Statement of Economic Interest and any attachments hereto arc true, complete, and accurate to the best of my knowledge and belief. 1 alo certify that 1 have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from diclosr whi ening an cquable iret understand that my Sateen f Bonomi nest and ay atachments or supplements thereto Cth te axcpton of te | Confidential Form egaring Uneranciaied Carer we public reso. acknowledge ha have read and understand N.C.GS. 138A-26 rearing conenling or fling to dsclce mtr | formation snd N.C. 139A-27 regain providing Fe tomar: § 138A-26. Concealing or filing to disclose material information. fing pesen who knowingly cones or knowingly ils o discos information thts required o be disclosed ‘on a statement of economic interest under this Article shall be guilty of a Class | misdemeanor and shall be subject to dicpary scion under G5. 13845. § 138.27. Penalty for fle information A ling person ho provides fs information ana ssn of conc ners as roquired ues his Ail Kawing dt he infomation i se gly of Clas H lon aod ll bsbjet dislpiaty scion ude GS T3aAcs. [Rare . B A JQ Jr J ri Buca Bunko Q-dwcos fam) Yen Son ote Vrende A Lucas € Brinda A (lucas Printed fame | Submit SIGNED, ORIGINAL documents only. Do not fax or email his form. _ Th SE1 and any attachments, excluding the Confidential Farm, are publi rcords. Page 100110