Brenda B. Jackson
Sandhills Community College Employees
Filings
2023 Sandhills Community College Employees
Document text
The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 10
STATE ETHICS COMMISSION
2023 STATEMENT OF ECONOMIC
INTEREST
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
Preside
nt
Brenda Jackson
Current Employer Job Title
Sandhills Community College Interim President
Nature or Type of Business
community college
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 complete names of all State boards
on which you are serving or are being considered.)
Sandhills Community College Employees - Interim
President
Judicial Officer or Filing Post-Service (Specify office.) Legislator or Filing Post-Service(Specify House or Senate.)
A. Do any immediate family members reside in your household?
☒ Yes ☐ No
On this form, ”immediate family” includes your spouse (unless legally separated) and unemancipated children (minors
under 18 years of age). 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. Minors are children under 18. They are
emancipated by marriage, enlistment in the US military, or court order for emancipation.
Full names of Adults and
Emancipated Minors
Relationship Employer Job Title Nature of Business
John Jackson Spouse NA
The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 10
B. List only the initials of all unemancipated minors in your household below. A minor is a child under 18 years old.
List the full name of each minor child on the Confidential Form at the end.
Initials of
Unemancipated
Minors
Relationship Employer Job Title Nature of Business
Property Interests
1. As of December 31, 2022, did you or any members of your immediate family:
A. have an ownership interest in North Carolina real estate (including your residence) with a market value of
$10,000 or more?
☒ Yes ☐ No
Owner of Real Estate % Ownership Interest Location by City Location by County
(Self plus Spouse) 100.00% Rockingham Richmond
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
2. At any time during 2021 or 2022, did you or any members of your immediate family sell or buy personal property
worth $10,000 or more to or from the State of North Carolina?
☐ Yes ☒ No
Name of Purchaser Name of Seller Type of Property
The SEI and any attachments, excluding the Confidential Form, are public records. Page 3 of 10
Financial Interests
3. As of December 31, 2022, did you or any members of your immediate family own any of the following financial
interests valued at $10,000 or more? List each company individually.
A. Stock in a publicly owned company?
☐ Yes ☒ No
►Do not list interests in a widely held investment fund (including mutual funds, regulated investment companies, or
pension or deferred compensation plans) if:
1. the fund is publicly traded or its assets are widely diversified; and
2. neither you nor an immediate family member are able to control the underlying assets.
Owner of Interest Full Name of Company or 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? These include 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
C (1). For each company or business entity identified in question 3.C. (the “Primary Company”), please list the
names of any other companies or business entities in which the Primary Company owns securities or equity
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 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, briefly describe 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, 2022, were you or any members of your immediate family the beneficiaries of a vested trust with
a value of $10,000 or more that you created, established, or controlled?
Do not list assets held in blind trusts. See 2023 SEI Helpful Tips for the definition of “Vested Trust” and “Blind Trust.”
https://ethics.nc.gov/seis
☐ Yes ☒ No
Name and Address of Trustee Description of the Trust Your Relationship to the Trust
The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 10
5. As of December 31, 2022, did you any 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. Do not disclose the amount of the debt.
☐ Yes ☒ No
Name of Debtor Type of Creditor (commercial Bank, credit union,
individual, etc.)
6. List each source of income (not specific amounts) of more than $5,000 received by you or any members of your
immediate family during 2022. Include salary, wages, state/local government retirement income, professional fees,
honoraria, interest, dividends, rental income, business income, and other types required to be reported on State and
federal tax returns. You must disclose your receipt of salary or wages from any governmental or private
entity, including those already listed in response to other SEI questions.
Do not include income received from the following sources:
► Capital gains ► Federal government retirement
► Military retirement ► Social security retirement, suvivors, or disability benefits
Recipient of Income Name of Source Type of
Business/Industry
Type of Income
Brenda Jackson (Self) Sandhills Community
College
Educational institution Salary
John Jackson (Spouse) FirstHealth Richmond
Memorial hospital
healthcare Salary
The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 10
Professional and Civic Relationships
7(a). During 2022, were you or any members of your immediate family a director, officer, governing board member,
employee, independent contractor, or registered lobbyist of a nonprofit corporation or organization operating in North
Carolina primarily for 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 local governments.
► Do NOT list organizations of which you are a mere member.
Name of Person Position Name of Nonprofit
Corporation or Organization
Nature 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, briefly describe the nature of that business, if known or with due diligence could reasonably be known.
Name of Nonprofit Corporation or Organization Describe State Business
None or Not Known
8. During 2022, were you or any members of your immediate family a director, officer, or governing board member of
any society, organization, or advocacy group with an interest in matters over which your agency or board may have
jurisdiction?
☐ Yes ☒ No ☐ Legislator/Judicial Officer -You are not required to complete this question if you are filing solely
because you are a legislator or judicial officer or as a candidate or appointee to those offices.
►Do not list organizations of which you are only a member and do not serve in a leadership role.
Name of Person Name of Society, Organization,
or Advocacy Group
Leadership Position
(Director, Officer, Board Member)
The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 10
9(a). List the name of each for profit business with which you or a member of your immediate family was an employee,
director, officer, partner, proprietor, or member or manager as of December 31, 2022.
Name of Person Relationship to Filer Name of Company Role of Person
No Business Associations
9(b). If you know that any 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, 2022, briefly describe that activity.
Name of Company or Business Entity Description of Business Activity with the State
None or Not Known
10. Are you a practicing attorney?
☐ Yes ☒ No ☐ Judicial Officer/State Attorney/In House/Employee 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 2022.
☐ 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 2022, 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
The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 10
12. Are you or your employer, or any members of your immediate family, or their employers currently:
licensed by the State board or agency with which you are or will be associated or
regulated by the State board or agency with which you are or will be associated or
in a business relationship with the State board or agency 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 solely
because you are a legislator or judicial officer or as a candidate or appointee to those offices.
Name of Person Name of Employer
(if applicable)
Type of Relationship
(Licensing, Regulatory, Business)
13. Have you or a member of your immediate family been registered as a lobbyist or lobbyist principal within the 12
months preceding your filing of this form?
☐ Yes ☒ No
Name of Lobbyist Lobbyist’s Principal Date of
Registration
Registration
Expiration
Other Disclosures
14. During 2022, 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,
when both you and those person(s) were outside North Carolina,
under circumstances that would lead a reasonable person to conclude the gifts were given for lobbying?
To answer Yes, all three conditions must apply
☐ Yes ☒ No
► Do not report gifts given by members of your extended family.
► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.”
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 10
15. During 2022, after you were appointed, employed, or filed or were nominated as a candidate, did you
accept a “scholarship” exceeding $200 related to your public position from a person or group of persons acting
together,
when those person(s) were outside North Carolina?
To answer Yes, both conditions must apply
A “scholarship” is a grant-in-aid, either direct or indirect, to attend a conference, meeting, or similar
event, including tuition, travel, lodging, meals, and other similar expenses.
☐ Yes ☒ No ☐ Judicial Officer - You are not required to complete this question if you are filing solely because you
are a legislator or judicial officer or as a candidate or appointee to those offices.
► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.”
► Legislators are not required to report scholarships paid by a nonpartisan legislative organization of which the legislator
or the General Assembly is a member, participant, or affiliate.
Date of
Scholarship
Name and Address of Donor(s) Describe Event Estimated Market
Value
16. Have you been appointed or considered for 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 made in 2022 with a cumulative total of more than $1,000 to the Council
of State member who appointed you. Do not include contributions from immediate family members.
► Contributions are defined broadly in N.C.G.S. 163-278.6(6) and include “any advance, conveyance, deposit,
distribution, transfer of funds, loan, payment, gift, pledge or subscription of money or anything of value
whatsoever.”
Date Amount Contributed to
The SEI and any attachments, excluding the Confidential Form, are public records. Page 9 of 10
17. Are you an appointee or prospective appointee as:
a. the head of a principal state department (e.g., cabinet secretary) appointed by the
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
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
position by a Council of State member?
☐ Yes ☒ No
If “No,” proceed to
question 18.
e. If so, you must indicate whether during 2022 you 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:
i. Collected contributions from multiple contributors, took possession of such
multiple contributions, and transferred or delivered those collected
contributions to the candidate or committee?
☐ Yes ☐ No
ii. Hosted a fundraiser at your residence or place of business? ☐ Yes ☐ No
iii. Volunteered for campaign-related activities, including 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; or (ii) an order of
expungement?
☐ Yes ☒ No
Offense Date of Conviction County of Conviction State of Conviction
19. Are you aware of any other information that you believe may assist the Ethics Commission in advising you
concerning your compliance with the State Government Ethics Act?
☐ Yes ☒ No If yes, please provide that information below.
The SEI and any attachments, excluding the Confidential Form, are public records. Page 10 of 10
Affirmation
The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate
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 Statement of Economic Interest and any attachments except for the Confidential Form regarding
Unemancipated Children are public records.
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 02/20/2023
Signature Date
Brenda Jackson
Printed Name
2022 Sandhills Community College Employees
Document text
i FORSTFUSEOY |
Gr STATE ETHICS COMMISSION Date Received:
aa! 3/i] 2022 STATEMENT OF ECONOMIC INTEREST
3 7]
dig [ geceven
Se No Change Form |
APR 04 202
This entire form must be completed to fulfill
your SEI filing obligation. NCETHS Commission
Filers Name (First Vide, Last) 7
Prefix First Name Middle Name Last Name Suffix
| Beonge, | | Vogrg |
i Reason for Filing (Complete all that apply):
State Government Io (Speciy agency and pusiion) | Board Commission (LSE ihe commie names of al Sate
[or boards on which you are serving or aré being considered.)
Saunelbiits (opus Gee | |
Currently Serving as a Judicial Officer (Specify office.) Currently Serving as a Legislator (Specify House or Senate.)
Are you & CANDIDATE for a covered elected office? | | If Yes, spect office and District County 1, applkanier
(District, Superior, or Supreme Court, Court of
Clerk of Court, District Attorney, General Assembly)
Oves [No
AFFIRMATION
have careful reviewed my most recently fled Statement of Economic Interest Long Form and my responses continue
to'be true, comect, and complete ta the best of my knowledge and bell
have not transferred, and will ot transfer, any asset, Interest, or property for the purpose of concealing It from
disclosure whie retaining an equitable Interest.
T understand that my No Change Form is publi record.
hove read and understand the folowing statutes:
N.C.G.5. § 1384-26. Concealing or fang to disclose material information. |
Afling person vio Knowingly conceals or knowingly fa to disclose Iormatioh ERE s requiréd be disclosed |
on a statement of economic interest . shal be gully of a Clas 1 misdemeanor and... subject to iscpinary |
action under G.. 138A.45.
N.C.G.5. § 1384-27. Penalty for false information.
A fing person who provides fase information on a statement of economic interest... knowing tht the |
information is flse is uilty of a Class felony and shal be subject to disciplinary action under GS. 1384-45.
0
Lund Opes 3-28-55 ]
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fl oa, KL ledtn,
Printed Name !
‘Submit signed, original documents only. Do not fax or e-mail this form. |
This document is a public record
2021 Sandhills Community College Employees
Document text
This entire document is a public record.
STATE ETHICS COMMISSION
2021 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
Brenda Jackson
Reason for Filing (Complete all that apply.)
State Government Job (Specify agency and position.) Board/Commission (List the complete names of all State
boards on which you are serving or are being considered.)
Community College System Employees - Exec VP
Judicial Officer (Specify office.) Legislator (Specify House or Senate.)
AFFIRMATION
The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate
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 Statement of Economic Interest and any attachments except for the Confidential Form Regarding
Unemancipated Children public records.
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 that I have reviewed my most recently filed 2020 Statement of Economic Interest and that as of
December 31, 2020, my responses continue to be true, correct, and complete to the best of my knowledge
and belief.
I affirm under penalty of perjury that the foregoing is true and correct.
Filed Electronically 02/25/2021
Signature Date
Brenda Jackson
Printed Name
2020 Sandhills Community College Employees
Document text
This entire document is a public record.
STATE ETHICS COMMISSION
2020 STATEMENT OF ECONOMIC INTEREST
NO-CHANGE FORM
This entire form must be completed to fulfill your
ethics filing obligation.
FOR STAFF USE ONLY
Date Received:
Checked for completion ______
Scanned _______ Date______
Entered in DB ____by______
Filer’s Name (First, Middle, Last)
Prefix First Name Middle Name Last Name Suffix
Brenda Jackson
Reason for Filing (Complete all that apply.)
State Government Job (Specify agency and position.) Board/Commission (List the complete names of all State
boards on which you are serving or are being considered.)
Sandhills Community College Employees - Executive Vice
President
Judicial Officer (Specify office.) Legislator (Specify House or Senate.)
AFFIRMATION
The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate
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 Statement of Economic Interest and any attachments except for the Confidential Form Regarding
Unemancipated Children public records.
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 that I have reviewed my most recently filed 2019 Statement of Economic Interest and that as of
December 31, 2019, my responses continue to be true, correct, and complete to the best of my knowledge
and belief.
I affirm under penalty of perjury that the foregoing is true and correct.
Filed Electronically 02/28/2020
Signature Date
Brenda Jackson
Printed Name
Submit signed, original documents only. Do not fax or e-mail this form.
2019 Sandhills Community College Employees
Document text
a RECEIVED
Jor Toe aE oe,
2) STATE ETHICS COMMISSION Ton ness FB 2.1 2019
ad .
lr 2019 STATEMENT OF ECONOMIC INTEREST STATE ETHICS COMMISSION
NO-CHANGE FORM Checked for completion 315
This entire form must be completed to fulfill your conned ls pore 2610
ethics filing obligation. I
Filer's Name (First, Middle, Last)
[prefix | Firstname | widdlename [| asthame | sutix |
| preende | Boker Jathso—
Reason for Filing (Complete all that apply. 4
‘State Government Job (Specify agency and position.) Board/Commission (List the complete names of all State
i
Commopity dalled
Suda Officer (Spey ofice.) Legato (Speci House o Senate)
AFFIRMATION
The information provided in tis Statement of Economic Interest and any attachments re true, complete, and accurate to
The best of my kbowiedge and beet
hove not transferred, and wil not transfer, any asset, interest, o property or the purpose of concealing i from disclosure
ie eta an eagtape mieret
understand that my Statement of Economic Interest and any attachments except for the Confidential Form Regarding
Unemancpated Chidren pus records:
have read and understand the folowing statutes:
N.C.G.. § 1634-191, Concesing or fling o disclose material formation.
A fing person who knowingly conceals or knowinly fist disclose information that is required o be discised on
oman of canoe mare aha 56 Gu of 3 Clas 3 misdemeanor and. spec disciplinary acon
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NCGS. § 1634-152. Penalty for flse information
A fling person wh provides fie information on a statement of economic interes... knowing that th information
Te al cu 1 2 Crass eon and shal be Super t dsclinary acon under G.5. 163415.
affirm that have reviewed my most recently fied 2018 Statement of Economic Interest and that as of
December 31, 2015, my responses continue t be rue, Correct, and complete 0 the best of my knowledge and
Satie.
I affirm under penalty of perjury that the foregoing is true and correct.
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Printed Name
Submit Signed, orginal documents only. Do not fax or e-mail this form.
This entire document is a pubic record.
2018 Sandhills Community College Employees
Document text
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2017 Sandhills Community College Employees
Document text
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2016 Sandhills Community College Employees
Document text
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1 4/2016 STATEMENT OF ECONOMIC INTEREST
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| Breman | Edeed Haddin Lg
| REASON FOR FILING (SELECT ALL THAT APPLY) FS
| CL STATE GOVERNMENT JOB (Please specily the agency for | [| BOARD/COMMISSION (Please list complete neme of all |
yor on ars a comsgered) Come boats on whieh yo a8 serving or re ben
Le |condee)
Com tis College | EU |
| PICAL orc sn pect ofc var CIEGBLATOR Gas sac Foe or seve) |
AFFIRMATION oo oo — oo oo 3
1 also certify that I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing {
Coon oh ega-ang Unmandpstcd Cre) ar ubT recs,
| emai dW C.G.5- 38a. 27 ragaring providing false formation:
5 1388.26, Conceting o fling to csciose mater formation.
A fling person whe knasngly conceals or knowingly falls 1 disclose formation that requir t be disclosed an
er tenor misress ander this Alcs shall ne iy of 8 Clos 1 misdemeanor and shall be subject 15
| Eiinary acon under G5. 13845.
|
| ting person no proves se norman on statement of sconaic res 0 rested uncer ths arcs |
[I
| nereby affirm that have reviewed my most recently fled 2013 Statement of Economic Interest and that ss
|S Si 015! responses cis ob ae, Tac, and Compicte ( he Bes f Y KnowIeise
ong betr,
EE Agree | \ /
Bondi Silo whe
ETro— Re |
| Brenda Jar kson
| Finted Nam |
| Submit SIGNED, ORIGINAL documents anty. Do not fax or email this form. _ oo]
This entire document is a public record.
2015 Sandhills Community College Employees
Document text
7%, NORTH CAROLINA STATE ETHICS COMMISSION
JR
i ‘gi 2015 STATEMENT OF ECONOMIC INTEREST
we NO CHANGE FORM
FILER'S NAME (FIRST, MIDDLE, LAST) 5 FEB 23 M 1G 48
Brando. [Poker | Judken [|
REASON FOR FILING (SELECT ALL THAT APPLY)
[STATE GOVERNMENT JOB (Please specify the agency for | [7] BOARD/COMMISSION (Please list complete name of ail
which you work or are being considered) ‘State boards on which you are serving or are being
Considered
CI JUDICIAL OFFICER (Please spect the office you hold) _| (J LEGISLATOR (Please specify House or Senate)
after tht the information provided in this Statement of Economic Interest and any attachments hereto are tue,
Complete, and accurate to the best of my knowledge and belle.
1 iso certify tht T have not transferred, and will not ransfe, any asset, Interest, or property fo the purpose of concealing
trom disclosure whe retaining an equitable Interest
understand that my Statement of Economic Interest and any attachments or supplements thereto (with the exception of
the Confidential For regarding Unemancipated Children) are public record.
{acknowledge tha have read and understand N.C.G.S. 138A-26 regarding concealing or falling to dscose material
formation and N.C.G.5. 138A-27 regarding providing alse information:
§ 1384-25. Concealing a fing to disclose material information
A fling person who knowingly conceals or knowingly fals to disclose information that required to be disclosed on
Cearbent of economic imtorest under tis Arce shall be gully of a Class 1 misdemeanor and shall be subject to
Srscninary action under G.5. 1384.45.
§ 1384-27. Penalty for false information.
A filing person who provides false information on a statement of economic Interest as required under ths Article
Knowing thas the Information ts false 1s Gully of a Cass H felony and shall be subject to disciplinary action under
Gs. 1364S.
I hereby affirm that X have reviewed my mast recently filed 2014 Statement of Economic Interest and that as
oH amamber 31, 3014, my responses continue to be true, correct, and complete to the best of my knowledge
and bell,
ow
Brenda. Bak er Jackson TENS
Frintea Rome ate
A J Submit SIGNED, ORIGINAL documents only.
This entire document is a public record.