North Carolina

Brian S. Cromwell

9 filings · 2016–2024
Indigent Defense Services Commission

Filings

2024 Indigent Defense Services Commission
Document text
The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 11 STATE ETHICS COMMISSION 2024 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 Mr. Brian Cromwell Current Employer Job Title Parker Poe Partner Nature or Type of Business Law firm 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.) Indigent Defense Services Commission Judicial Officer or Judicial Officer Appointee(Specify office.) Legislator or Appointee to Legislative Office(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 Alexis Sinclair Cromwell Child N/A N/A N/A Jennifer Morgan Cromwell Spouse First Presbyterian Church Tacher pre-school The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 11 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 TC Child N/A N/A N/A Property Interests 1. As of December 31, 2023, 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% Charlotte Mecklenburg Alexis Sinclair Cromwell (Child) 2.00% Supply Brunswick Brian Cromwell (Self) 10.00% Supply Brunswick TC (Child) 2.00% Supply Brunswick B. lease or rent real estate or personal property to or from the State of North Carolina with a market value of $10,000 or more? ☐ Yes ☒ No Name of Lessor Name of Lessee (Renter) If Real Estate, Location by City & County If Personal Property, Describe 2. At any time during 2022 or 2023, 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 11 Financial Interests 3. As of December 31, 2023, 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 ► Include stocks held individually of in a portfolio managed by a financial services company 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 (Self plus Spouse) Pfizer (Self plus Spouse) Home Depot (Self plus Spouse) Pepsico (Self plus Spouse) Essential Utilities (Self plus Spouse) Disney (Self plus Spouse) Visa (Self plus Spouse) MasterCard Alexis Sinclair Cromwell (Child) Walmart Alexis Sinclair Cromwell (Child) Apple, Inc. Brian Cromwell (Self) Alphabet Brian Cromwell (Self) Nvidia Brian Cromwell (Self) Microsoft Brian Cromwell (Self) CVS Brian Cromwell (Self) Cisco Systems Brian Cromwell (Self) Apple Inc. Brian Cromwell (Self) General Electric Brian Cromwell (Self) Advanced Micro Devices Brian Cromwell (Self) IBM Brian Cromwell (Self) Bristol Myers Squibb Brian Cromwell (Self) Amazon Brian Cromwell (Self) Aflac Jennifer Morgan Cromwell (Spouse) Target TC (Child) Walmart TC (Child) Apple, Inc. The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 11 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 Alexis Sinclair Cromwell (Child) SJC FLP Brian Cromwell (Self) SJC FLP TC (Child) SJC FLP 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 SJC FLP 274 Lenox, LLC SJC FLP 274 Lenox, LLC SJC FLP 274 Lenox, LLC SJC FLP 308 Lenox LLC SJC FLP 308 Lenox LLC SJC FLP 308 Lenox LLC SJC FLP 8th Avenue, LLC SJC FLP 8th Avenue, LLC SJC FLP 8th Avenue, LLC 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, 2023, 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 2024 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 5 of 11 5. As of December 31, 2023, 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 2023. 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, survivors, or disability benefits Recipient of Income Name of Person or Entity from Which Income Was Received Type of Business/Industry Type of Income Brian Cromwell (Self) Parker Poe Law firm Salary Jennifer Morgan Cromwell (Spouse) First Presbyterian Church pre-school Salary The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 11 Professional and Civic Relationships 7(a). During 2023, were you or any members of your immediate family a director, officer, governing board member, employee, independent contractor, or registered lobbyist of a nonprofit corporation or organization operating in North Carolina 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 Brian Cromwell (Self) Board Member Blumenthal Performing Arts Center Arts 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 2023, 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 7 of 11 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, 2023. Name of Person Relationship to Filer Name of Company Role of Person Brian Cromwell Self Parker Poe Board Member 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, 2023, briefly describe that activity. Name of Company or Business Entity Description of Business Activity with the State Parker Poe 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 2023. ☐ 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 Civil litigation and internal investigations 11. During 2023, 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 8 of 11 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 2023, 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 9 of 11 15. During 2023, 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 2023 with a cumulative total of more than $1,000 to the Council of State member who appointed you. Do not include contributions from immediate family members. ► Contributions are 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 10 of 11 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 yes, 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 yes, you must indicate whether during 2023 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 11 of 11 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 05/02/2024 Signature Date Brian Cromwell Printed Name
2023 Indigent Defense Services Commission
Document text
The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 11 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 Mr. Brian Cromwell Current Employer Job Title Parker Poe Partner Nature or Type of Business Law firm 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.) Indigent Defense Services Commission 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 Alexis Sinclair Cromwell Child N/A N/A N/A Jennifer Morgan Cromwell Spouse First Presbyterian Church Tacher pre-school The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 11 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 TC Child N/A N/A N/A 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% Charlotte Mecklenburg Alexis Sinclair Cromwell (Child) 2.00% Supply Brunswick Brian Cromwell (Self) 10.00% Supply Brunswick TC (Child) 2.00% Supply Brunswick B. lease or rent real estate or personal property to or from the State of North Carolina with a market value of $10,000 or more? ☐ Yes ☒ No Name of Lessor Name of Lessee (Renter) If Real Estate, Location by City & County If Personal Property, Describe 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 11 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 (Self plus Spouse) Pfizer (Self plus Spouse) Home Depot (Self plus Spouse) Pepsico (Self plus Spouse) Essential Utilities (Self plus Spouse) Disney (Self plus Spouse) Visa (Self plus Spouse) MasterCard (Self plus Spouse) PayPal Alexis Sinclair Cromwell (Child) Walmart Alexis Sinclair Cromwell (Child) Apple, Inc. Brian Cromwell (Self) Alphabet Brian Cromwell (Self) Nvidia Brian Cromwell (Self) Microsoft Brian Cromwell (Self) CVS Brian Cromwell (Self) Cisco Systems Brian Cromwell (Self) Apple Inc. Brian Cromwell (Self) General Electric Brian Cromwell (Self) Advanced Micro Devices Brian Cromwell (Self) IBM Brian Cromwell (Self) Bristol Myers Squibb Brian Cromwell (Self) Amazon Brian Cromwell (Self) Aflac Jennifer Morgan Cromwell (Spouse) Target TC (Child) Walmart TC (Child) Apple, Inc. The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 11 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 Alexis Sinclair Cromwell (Child) SJC FLP Brian Cromwell (Self) SJC FLP TC (Child) SJC FLP 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 SJC FLP 274 Lenox, LLC SJC FLP 274 Lenox, LLC SJC FLP 274 Lenox, LLC SJC FLP 308 Lenox LLC SJC FLP 308 Lenox LLC SJC FLP 308 Lenox LLC SJC FLP 8th Avenue, LLC SJC FLP 8th Avenue, LLC SJC FLP 8th Avenue, LLC 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 5 of 11 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 Brian Cromwell (Self) Parker Poe Law firm Salary Jennifer Morgan Cromwell (Spouse) First Presbyterian Church pre-school Salary The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 11 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 Brian Cromwell (Self) Board Member Blumenthal Performing Arts Center Arts 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 7 of 11 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 Brian Cromwell Self Parker Poe Board Member 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 Parker Poe 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 Civil litigation and internal investigations 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 8 of 11 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 9 of 11 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 10 of 11 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 11 of 11 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 04/14/2023 Signature Date Brian Cromwell Printed Name
2022 Indigent Defense Services Commission
Document text
The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 11 STATE ETHICS COMMISSION 2022 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 Mr. Brian Cromwell Current Employer Job Title Parker Poe Partner Nature or Type of Business Law firm 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.) Indigent Defense Services Commission Judicial Officer (Specify office.) Legislator (Specify House or Senate.) A. Do other immediate family members reside in your household? ☒ Yes ☐ No On this form, ”immediate family” includes your spouse (unless legally separated). It also includes members of your extended family (your and your spouse’s children, grandchildren, parents, grandparents, and siblings, and the spouses of each of those persons) who reside in your household. 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 Alexis Sinclair Cromwell Child N/A N/A N/A Jennifer Morgan Cromwell Spouse First Presbyterian Church Tacher pre-school The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 11 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 TC Child N/A N/A N/A Property Interests 1. As of December 31, 2021, 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% Charlotte Mecklenburg Alexis Sinclair Cromwell (Child) 2.00% Supply Brunswick Brian Cromwell (Self) 10.00% Supply Brunswick TC (Child) 2.00% Supply Brunswick B. lease or rent real estate or personal property to or from the State of North Carolina with a market value of $10,000 or more? ☐ Yes ☒ No Name of Lessor Name of Lessee (Renter) If Real Estate, Location by City & County If Personal Property, Describe 2. At any time during 2020 or 2021, did you or any members of your immediate family sell to or buy from the State of North Carolina personal property worth $10,000 or more? ☐ 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 11 Financial Interests 3. As of December 31, 2021, 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 (Self plus Spouse) Pfizer (Self plus Spouse) Home Depot (Self plus Spouse) Pepsico (Self plus Spouse) Essential Utilities (Self plus Spouse) Twitter (Self plus Spouse) Disney (Self plus Spouse) Visa (Self plus Spouse) MasterCard (Self plus Spouse) PayPal Alexis Sinclair Cromwell (Child) Walmart Alexis Sinclair Cromwell (Child) Apple, Inc. Brian Cromwell (Self) Nvidia Brian Cromwell (Self) Microsoft Brian Cromwell (Self) CVS Brian Cromwell (Self) Cisco Systems Brian Cromwell (Self) Apple Inc. Brian Cromwell (Self) General Electric Brian Cromwell (Self) Advanced Micro Devices Brian Cromwell (Self) IBM Brian Cromwell (Self) Bristol Myers Squibb Brian Cromwell (Self) Amazon Brian Cromwell (Self) Aflac Brian Cromwell (Self) Alphabet Jennifer Morgan Cromwell (Spouse) Target TC (Child) Walmart The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 11 TC (Child) Apple, Inc. 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 Alexis Sinclair Cromwell (Child) SJC FLP Brian Cromwell (Self) SJC FLP TC (Child) SJC FLP 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 SJC FLP 274 Lenox, LLC SJC FLP 274 Lenox, LLC SJC FLP 274 Lenox, LLC SJC FLP 308 Lenox LLC SJC FLP 308 Lenox LLC SJC FLP 308 Lenox LLC SJC FLP 8th Avenue, LLC SJC FLP 8th Avenue, LLC SJC FLP 8th Avenue, LLC 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, 2021, 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 2022 SEI Helpful Tips for the definition of “Vested Trust” and “Blind Trust.” https://ethics.nc.gov ☐ 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 5 of 11 5. As of December 31, 2021, 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. ☐ 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 2021. 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. Please remember to disclose your receipt of salary or wages from any governmental or private entity. 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 Alexis Sinclair Cromwell (Child) Levine Jewish Community Center Community Center Wages Brian Cromwell (Self) Parker Poe Law firm Salary Jennifer Morgan Cromwell (Spouse) First Presbyterian Church pre-school Salary The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 11 Professional and Civic Relationships 7(a). During 2021, 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. ► 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 Brian Cromwell (Self) Board Member Blumenthal Performing Arts Center Arts 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 2021, 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 7 of 11 9(a). List the name of each business with which you were associated where you or a member of your immediate family was an employee, director, officer, partner, proprietor, or member or manager as of December 31, 2021. Name of Person Relationship to Filer Name of Company Role of Person Brian Cromwell Self Parker Poe Board Member 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, 2021, briefly describe that activity. Name of Company or Business Entity Description of Business Activity with the State Parker Poe None or Not Known 10. Are you a practicing attorney? ☒ Yes ☐ No ☐ Judicial Officer/State Attorney If “Yes”, check each category of legal representation in which you or the law firm with which you are affiliated has earned legal fees of more than $10,000 during 2021. ☐ 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 Civil litigation and internal investigations 11. During 2021, 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 8 of 11 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 2021, 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 9 of 11 15. During 2021, 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 2021 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 10 of 11 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 2021 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 11 of 11 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 03/29/2022 Signature Date Brian Cromwell Printed Name
2021 Indigent Defense Services Commission
Document text
The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 11 STATE ETHICS COMMISSION 2021 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 Mr. Brian Cromwell Current Employer Job Title Parker Poe Partner Nature or Type of Business Law firm Reason For Filing (Complete all that apply.) 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.) Indigent Defense Services Commission Judicial Officer (Specify office.) Legislator (Specify House or Senate.) A. Do other immediate family members reside in your household? ☒ Yes ☐ No On this form, ”immediate family” includes your spouse (unless legally separated). It also includes members of your extended family (your and your spouse’s children, grandchildren, parents, grandparents, and siblings, and the spouses of each of those persons) who reside in your household. 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 Jennifer Morgan Cromwell Spouse First Presbyterian Church Tacher pre-school The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 11 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 AC Child N/A N/A N/A TC Child N/A N/A N/A Property Interests 1. As of December 31, 2020, 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% Charlotte Mecklenburg Brian Cromwell (Self) 10.00% Supply Brunswick B. lease or rent real estate or personal property to or from the State of North Carolina with a market value of $10,000 or more? ☐ Yes ☒ No Name of Lessor Name of Lessee (Renter) If Real Estate, Location by City & County If Personal Property, Describe 2. At any time during 2019 or 2020, did you or any members of your immediate family sell to or buy from the State of North Carolina personal property worth $10,000 or more? ☐ 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 11 Financial Interests 3. As of December 31, 2020, did you or any members of your immediate family own any of the following financial interests valued at $10,000 or more? List each company individually. 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 (Self plus Spouse) Pfizer (Self plus Spouse) Home Depot (Self plus Spouse) Pepsico (Self plus Spouse) Essential Utilities (Self plus Spouse) Twitter (Self plus Spouse) Disney (Self plus Spouse) Visa (Self plus Spouse) MasterCard (Self plus Spouse) PayPal AC (Child) Walmart AC (Child) Comcast Brian Cromwell (Self) Nvidia Brian Cromwell (Self) Microsoft Brian Cromwell (Self) CVS Brian Cromwell (Self) Cisco Systems Brian Cromwell (Self) Apple Inc. Brian Cromwell (Self) General Electric Brian Cromwell (Self) Advanced Micro Devices Brian Cromwell (Self) IBM Brian Cromwell (Self) Bristol Myers Squibb Brian Cromwell (Self) Amazon Brian Cromwell (Self) Aflac Jennifer Morgan Cromwell (Spouse) Target TC (Child) Comcast TC (Child) Walmart The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 11 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 Brian Cromwell (Self) SJC FLP 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 SJC FLP 274 Lenox, LLC SJC FLP 308 Lenox LLC SJC FLP 8th Avenue, LLC 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, 2020, 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 2021 SEI Helpful Tips for the definition of “Vested Trust” and “Blind Trust.” https://ethics.nc.gov ☐ Yes ☒ No Name and Address of Trustee Description of the Trust Your Relationship to the Trust 5. As of December 31, 2020, 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. ☒ Yes ☐ No Name of Debtor Type of Creditor (commercial Bank, credit union, individual, etc.) Brian Cromwell (Self) Commercial Bank Jennifer Morgan Cromwell (Spouse) Commercial Bank The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 11 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 2020. 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. Please remember to disclose your receipt of salary or wages from any governmental or private entity. 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 AC (Child) Levine Jewish Community Center Community Center Wages Brian Cromwell (Self) Parker Poe Law firm Salary Jennifer Morgan Cromwell (Spouse) First Presbyterian Church pre-school Salary The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 11 Professional and Civic Relationships 7(a). During 2020, 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. ► 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 Brian Cromwell (Self) Board Member Charlotte Symphony Orchestra Music Brian Cromwell (Self) Board Member Blumenthal Performing Arts Center Arts 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 2020, 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 because you are a legislator or judicial officer or you are filing as an appointee to one of those offices. ►Do not list organizations of which you are only a member and do not serve in a leadership 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 7 of 11 9(a). List the name of each business with which you were associated where you or a member of your immediate family was an employee, director, officer, partner, proprietor, or member or manager as of December 31, 2020. Name of Person Relationship to Filer Name of Company Role of Person Brian Cromwell Self Parker Poe Partner 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, 2020, briefly describe that activity. Name of Company or Business Entity Description of Business Activity with the State Parker Poe None or Not Known 10. Are you a practicing attorney? ☒ Yes ☐ No ☐ Judicial Officer/State Attorney If “Yes”, check each category of legal representation in which you or the law firm with which you are affiliated has earned legal fees of more than $10,000 during 2020. ☐ 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 Civil litigation and internal investigations 11. During 2020, 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 8 of 11 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 because you are a legislator or a judicial officer or you are filing as an appointee to one of those offices. Name of Person Name of Employer (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 2020, 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 9 of 11 15. During 2020, 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 a judicial officer or you are filing as a judicial officer appointee. ► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” ► Legislators are not required to report scholarships paid by a nonpartisan legislative organization of which the legislator or the General Assembly is a member, participant, or affiliate. Date of 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 2020 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 10 of 11 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 2020 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 11 of 11 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 03/16/2021 Signature Date Brian Cromwell Printed Name
2020 Indigent Defense Services Commission
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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 Brian Cromwell 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.) Indigent Defense Services Commission 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 04/10/2020 Signature Date Brian Cromwell Printed Name Submit signed, original documents only. Do not fax or e-mail this form.
2019 Indigent Defense Services Commission
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This entire document is a public record. STATE ETHICS COMMISSION 2019 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 Commi ssioner Brian Cromwell 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.) Indigent Defense Services Commission 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. § 163A-191. 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. 163A-415. N.C.G.S. § 163A-192. 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. 163A-415. I affirm that I have reviewed my most recently filed 2018 Statement of Economic Interest and that as of December 31, 2018, 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 04/09/2019 Signature Date Brian Cromwell Printed Name Submit signed, original documents only. Do not fax or e-mail this form.
2018 Indigent Defense Services Commission
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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 Mr. Brian Steven Cromwell 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) Indigent Defense Services Commission; 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 6/6/2018 Signature Date Brian Steven Cromwell Printed Name The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 2
2017 Indigent Defense Services Commission
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NORTH CAROLINA STATE ETHICS COMMISSION 2017 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM FILER'S NAME (FIRST, MIDDLE, LAST) Prefix First Name Middle Name Last Name Suffix Brian Steven Cromwell 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) Indigent Defense Services Commission; 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 2016 Statement of Economic Interest and that as of December 31, 2016, 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 3/26/2017 Signature Date Brian Steven Cromwell Printed Name The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 2
2016 Indigent Defense Services Commission
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; NORTH CAROLINA STATE ETHICS COMMISSION | FoR ETHICS COMMISSION USE ONLY Hy po 2016 STATEMENT OF ECONOMIC INTEREST | Oe Recover 019-814-3600 wm athicscommission. nc. gov a A) THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL ~~ completion YOUR SEI FILING OBLIGATION B Seainty bse | susp. sen ware oy [ FILER'S NAME (FIRST, MIDDLE, LAST) Prefix First Name | Middle Name Last Name | suffix [protic [FirstName [middle Name __ Name swe Ha, 7 comm svmoren lose 1 L [9 foe Iams « Bourised) (LP | Poudre (mo Fem _ ~ REASON FOR FUNG (SELECT ALTHAT APL) — C1 STATE GOVERMENT 108 (ren sect the agency | 2 GonRD)COMISSION (Pea st complete mame of for which you work or are being considered) ‘State boards on which you are serving or are being ht Ra | 7 Luli Deborse Sizes | 5 WUBICIAL OFFICER (Please spect the office you hla) | CJ LEGISLATOR (Please specly House or senate) | |i tr rms Fo re ee ys 1 [bes Do | nen use heoughot th for, the ter Immediate Family icles your pouse (uniess legal separated). aso tes fonts (your and your spocse’s nln, gfandcndren, sorent, srandparents, and | | {Eiinas, ant the spouses of each of those persons) who reside in your household. | se sre “same of all adults and emancipated minors i your household. A minor is a chid under 18 years old. | nas ae ce oy aos SS PETE 1 US a ox eu cder 5 amo cpati . FULL NAME OF ADULTS & | RELATIONSHIP | EMPLOYER osm | waTuRe oF inane. | CLATIONSMIP | EMPLOYER | ORT | lsmess | i bi Feb Moola _5Po052_| np [nf | Nie IC JN NR SS S— I i | | | The SE and any attachments, excluding the Confidential Farm, are public records. page 1010 B. List ONLY the init of al umemaneipated minors i your housched bow, A mor is 2 cid ander 18 years brriimbyeisddipiosimpriisimibe ori i Note: You must list the full name of each minor child on the Confidential Form available at the __end of this document. _— ” INITIALS FOR RELATIONSHIP EMPLOYER JOB TITLE NATURE OF ERATED ines [MINORS | EE — SE | hsCc | gt SY SE | TPC | s#nt Me win | we 1 | I | 1] | PROPERTY INTERESTS 1. 7 of Dscamber 31. 2015, dd you, your spouse, or members of your ELEM familys i. Have an oumership interest 1 arth Carlin réa estate (inching your residence) wth 3 market value of Rig fb One ovener of meat erate |e ovmereng svarert | voron oye | Lowaton oy my TT = [Bui Comm [| CS i [Meck fer yi | wwiden A $0 ~~ "| Chmdoffe | Meghler buy | Bure Cromwell | 77 | Wlews fone | rr ASC [TPC | 2% erch | HolowBerch | Fansite | 5. Lens or tt rea ste or eraonel Soper GE KL HES of Hort, Carling wih a market vale of | 310500 or mae | ove ae Name of Lessor | Name of Lessee If Real Estate, Location 1f Personal Property, - | (Renter) | bycity & County Describe | EE | SE — 2. At any tro suring 20d 2015, a you. your spouse, o ebro your gatas footy SL a iy fam | State of North Caroling personal property with a market value of $10,000 or more? | mearwone| Name o ster peatriopery The SEI and any attachments, excluding the Confidential Form, are public records. Page 20110 [Frepm—— | Te of cum 12213 4 you, our spots, o rembers of your Satta Yom ow ay ofthe olon anc | | interests valued at $10,000 or more? b | a stogin a publicly owned company? | Ee a ——— ee] Do arts 3 Pod vase Fan Cong rT onde, egies | I a rs may mua | ee ps mma ng eno re ov 1 <r tao nls i ret foe | I * Ownerofinerest | Full Name of Company (3 not use a eker symbol) | Bum Comal |cvsCmomek, Howe Degly Mctosoft | [ fhilip Moeets Tubantionst, Fesartnl, | Meek Pevmpeenin, tops Blac | ache Drs Allo i emir] | | Towner Coompel[ lt Dives ) Lied czabinls | rr ——————— | ©. Steck Options in » company or business? cums | Fai ame or Campy (ou i vee veer vm | C. Interests in a non-publicly owned company or business entity (including interests in sole proprietorships, 1 Ee wears Tacs wots ora, tod Losey pero, and | en sop | fen OMo- fo. proceed to auestion 4. | Owner of Interest 1 Name of Company or Business Entity well | Priker Poe Pols t Boews@i cc 1] sTe 279 Levey fue FCI T | TTC), For each ron-publicly owned company or business entity (the “primary company”) identified in question | tne as oy toes compari in artes roche ro savory | 1. owns securities or equity interests valued at over $10,000, # known. — — Non-Publicy Owned Company or Business Entity | Other Companies in which the Primary Company | a (the Primary Company) 1 ‘Owns Security or Equity Interests i None or Not Known The SEL and any attachments, excluding the Confidential Form, are public records. page sof 10 [Coton rat amy comm 5 bus ry Ved 3 ar ELT] aoe as ay mater ness emo a ho Sosmen mety [ Name of Company or Business Entity |" Description of Business Activity with the State | [[] None or Not Known oo [fmlea (ve Pebtms + Beonslerd (P] lew Prod | [s7C 27 lenrefve PLP Owns puoperty wlovg NE corgt which) eo Cae 2015 wee vou yo pause, embers your imme foby th benaiaanes of 3 weed rn So sy 0 mt ok aeate t lid tte, S0201G SEL tg Th efi af Vesta Tut an “ln Tous.” re fe | ame amt Ans oF Troms ouacrption of tne rust | vous Rtationahip to the Trost mans vesora sone Eo ar devs rs os sen | ans, persomai oan intra family eb | | Name of Debtor (You, Spouse, Immediate Family | Type of Creditor (Commercial Bank, Credit Union, ! Member) | Individual, etc.) ©. List each source of income (not specific amounts) of mare than $5,000 received by you, your pause, or members of or mcs Fam dp Si ute, ages Saal overnite Tstreman. poresoral Toe Do ta include income received from th following seurces: + Capital gains + Federal government retirement Miltary retcement + Social security income/S501 Es — ame of Sauce Typeof TT reearmeome | | had no reportable income over $5,000 in 2015 Aer | Imad foe Alas t Bus, Lows brim | Prehics Dau | ond] IT ge 214 tewow mic bite fropecty | total Lacome. | The SEE and any attachments, excluding the Confidential Form, are public rocords. rage tor 10 7(2). During 2015, were you, your spouse or members of your immediate family a directar, officer, governing board Yes [No - If "No," proceed to question 8. » Do not ist State boards or entities, or entities created by a politcal subdivision of the State, - Ahly " Ol 0 Bn Camel] ae bdy Orchester I So T 1 a — 1 | 7001. 1t the nonprofit corparations ar organizations listed above do business with the State of North Carolina or receive N Napié of Nonprofit Corporation or Organization | Describe State Business or State Funding "8. Buring 2015, were you, your spouse, or members of your Immediate family a director, officer, or governing board member of any Society, Grganization, or advocacy group with an interest in matters over which your agency or board may | Fr, | Do not list organizations of which you are only a member (not serving in a leadership role) l or Advocacy Group. (Director, Officer, Board Member) [tap st te mame of ah company or sivas wil whic you were associated where yaar & rome of yout EEats | | family was an employee, director, officer, partner, proprietor, or member or manager as of December 31, 2015. { | Name or person Relationship to Filer Name of Company Role of person | [C30 Business Associations - If “No,” proceed to question 10 ] [nied Come] self rakes Pro Pedus 1 wp Vrelver| [Bums Comal TSF Tse aty ona rl ashen | 900). if you know that any company or business entity sted n 9(a) above had any maternal business dealings or | business contracts with the State of North Carolina or was requiated by the State as of December 31, 2015, provide a | ref eserption of ht Business activiy. | | Name of Company or Business sy Description of Business Activity with the State | C1 ot pphcable (Na erties sted on #92) [¥io reltionshp / Not known | 10 reeves pr— a | es [No [Judicial Officer/State Attorney | | | | 11 "Yes", check sach.category of legal representation in which you or the law firm with which you are affiliated has eamed | | Tega fees of mare than $10,000 during 2015. | ET r— Sepia Wonporne mr | Becesents sates Fogronmentat Ongurance ano: | | oca Government heal property acres wr | | fort ingatin (mclucing 1 Utities Reguiation Giver coegory nt sen. ! | negligence) | 11. During 2015, were you a licensed professional (other than an attorney) or did you provide consulting services | | inivudaly or a5 a amber of a professional sssaciaton for whch you ERaTged or ere bo ever $10,000% | I Type of Business I Nature of Services Rendered ] ; he ——p crtri»”/™dchh { | 1 The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 10 12. Av You o your employer, your spose or members of your mediate fami, or ther employer curenty: « License by the State board or employing entity wih which you are o il be associated or ! | + Reguiates by the State board or employing entty with which you are or will be associated or | | . —— the State board or employing entity with which you are or will be associated? | l [ves (No [)legislator/Judicial Officer - You are not required to complete this question if you are filing because: re atiaor o a dal afc {Yoda ofbcer defined im th SE1 Helgi 155) or you Ir fi son appa ta those oes Name of Parson I wameotempiorer | Type of Relationship | | appicanie) | icansinge Regains, Business) | | — JE — | SE RR, SU | 157 Are vou, your spouse or member of your Tada family currently registered 35 3 obbyst o lobby principal, o | were you registered,as such within the 12 months preceding your filing of this form? | ove we | TT emeotiomn | ooh incon omeor | registration | | Registration | Expiration | | | i ee — | SNR SS — lomeroiscosures | | Dut any colondar arte in 2015 (su ony tv ne period afte you were ppd, Sey ox fed or were [ Rormated os canada, dv you Lo aceive any aft exceeding $200 per quate from a person or rou 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 | 2 the gifts) were given under circumstances that wou lead a reasonable person to conclude that they vere given tor Sh Dives fo I © mk report. ita tha Wave, previously been reported by you to the Deparment of the Secretary of State on the “Expense Report for Exempted Persons.” | ate Item Received | Name and Address of Danar(s) | Describe Item Received | Estimated Market | Vowe | | | | | The SEI and any attachments, excluding the Confidential Form, are public records. Page 7010 15. During 2015 (ut ony the ime penod afte you were appoNted, employed, or fled or were nominated as a candidate) aid you || + sca schol” exces $200 om a garson a rou of persons atin ogee ang + those person(s] were outside North Carolina and © the scholarship wos rated to your public poston? A scholarship” is a grant-n-aid, either direct or indirect, | Lo attend a conference, meeting, or similar event, including tuition, travel, Iodging, meals, and other | similar epgienses. Jes fo [J Judi! Officer You are nt required to complete this question f you are a judicial officer or you are | fing a5 a yucca ofcer appaintee | + 0 nt report gifs that have previously been reported by you to the Department ofthe Secretary of State onthe | | CE pense Report for Exempted Persons.” |» Lecisators are not require to report scholarships paid by 3 nongartisen legislative organization of which the legisator 5 the General Assay 5 3 member or participant or an afflate of that organization. | Date of Name and Address of Donor(s) | Describe Event Estimated Market | ile nL | a | l- SE ES EA SS——— 16. Were you appointed or re you being considered for an appanment to» covered board by the Governor or anther Counc of tate member? Council of State members are | | > Governor » Lx Governor > Secrotary of State » State Auditor » state Treasurer > Superimendent of Puc Instruction | | » Attorney General » Commissioner of Agriculture » Commissioner of Labor - a of insurance Cives 0 | | 16 “ves”, list all contributions you (NOT immediate family members) made during 2015 with a cumulative total of more than $1,000 £0 the Governor or other Council of State member who appointed you. | Contributions are dines in ..G.5. 163-275.6(6) and incu, ut are not lie to, “any advance, conveyance, Gepost tion, wansfo of funds, oan, payment, 3, ped of subscription of money or anyihing of value shatsaéver,” I Date Amount Contributed to SR aroon “ith a cumulative total of more than $1,000 1 rt — - EE SS The SET and any attachments, excluding the Confidential Form, are public records. Page 8 of 10 17. Ave you an appointee or prospective appointee to: | a. the head of a principal state department (e.g. cabinet secretary) appointed by the | Governor, or J | 5 st Comins sure Cut ute, Count of as, Spr rss | | Court udae: or | © a member of any of the oling boards | + ABC Commission © Consol Resources Commission + State Board of Education Oves (ve © State Board of Elections | + Division of Employment Security It “Nos proceed to | © Environments! Management Commision question 18. | + Industrial Commission | | + Human Resources Commission | | + Rules Review Commission | | | Seweot ramsportavon | | sao Govemors | | + Unites Commission | | « Wildife Resources Commission | | | re a er er 1 [70 30, were you appoint or are you beg considera fr gpontment to mat | Yes [No I Dublc bostion by a Counc of State member? Counc of Stats members a6 1StEd | 11 ono,” proceed to | | vemos. | question 15. i [et 30, you must indicate whether during 2015 you (not mmeaiate family | ! mane) ndaged in any af the fo owing acti es with respect to or on behalf of | | the candidate or campaign committee of the Council of State member who 1 l] apponted you 10 your Buble pon: | | Cives Tine I. Coliactad contributions from mutple contributors, took possession of such | URI Contributions, and transferred of delivered those collected Contributions to the candidate or committee? Contributions are defined in Guestion 16. | osted a narra you residence or plac of business? Cves (No [i Volunteered for camaagn-—elated actvits, which ncude, but are not limited | | 16, PONE Danks, event ass stance, maiings, canvases, surveying, or any | [1¥es [No I Sih actuy that advances the CAMA of a candidate? | 16 Hove you ever been comced of felony fo which you have not received ener: (1) 3 pardon of nocence: or (1) on | | order of expungameps regarding that cons chon? | | ove mf i I ontense | Date of Conviction | County of Conviction | _ state of Conviction | 49. Are you aware of any other information that you believe may assist the State Ethics Commission in advising you | | Canceming your coiance wih the State Government Ethics Ac? | | Caves ae ives, ease provi sue information bow | | | | i The SEI and any attachments, excluding the Confidential Form, are public records. Page 9 of 10 | afte thst the infirmation provided in this Statement of Economic Interest and any attachments hereto are rie, complete | and accurate tthe best of my knowledge and belief 1 understand that ms Statement of Economic Interest and any attachments or supplements there (sith he exception of the Confidential Foun regnding Unemancipated Children) are public record i | Lucknow led that have red and understand N.€.G8. 1387-26 reganding concealing o filing 0 disclose material information and NC. 8. 1387-27 regnding providing fals: information: § 1387-26, Concealing or filing w disclose material information | A filing person who knowingly conceals or knowingly fails t disclose information that bs required (1 be disclosed | on a statement of economic interest under this Article shall be guilty of a Class | misdemeanor and shall be subject | to disciplinary action under GS. 1387-45. A Bling person who provides fas information on a statement of cconomic inferest as required under this Article | Knowing that the information i fase s guily of a Class 1 felony and shall be subject to disciplinary action wider | 5S ISAS, - | (agree ST | fing” 3/29/10 | Signaturg | __ Date | el] G | | 2 w, | Printed Name | | Submit SIGNED, ORIGINAL documents only. Do not fax or email this form. - | The SEI and any attachments, excluding the Confidential Form, are public records. Page 10 of 10 Confidential Form Unemancipated Children . «> 2016 Statement of Economic Interest Confidential: Not subject to public disclosure pursuant to N.C.G.S. § 138A-24(a)(1) Name of eran img sey ____201) woe] JO— Tnnigealt Defedse Seauces Please list the full names of those children who were identified by initials on your Statement of Economic Interest. tata Chis Name _ msc | Megs Smclmr Compel Tre Theodore Tors Com 6 i [7 Date: 2/29/16 This Confidential Form is NOT a public record; and the Commission will NOT make it available on the Commission's website.