Brownie Wayne Newman

The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 10 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 Brownie Newman Current Employer Job Title Headwaters Solar Manager Nature or Type of Business renewable energy development 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.) French Broad River MPO (TAC) 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 Beth Newman Spouse Bryson City Presbyterian Church Pastor religious The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 10 B. List only the initials of all unemancipated minors in your household below. A minor is a child under 18 years old. List the full name of each minor child on the Confidential Form at the end. Initials of Unemancipated Minors Relationship Employer Job Title Nature of Business LN Child TN Child 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% Asheville Buncombe (Self plus Spouse) 100.00% Lake Lure Rutherford (Self plus Spouse) 100.00% Black Mountain Buncombe Brownie Newman (Self) 50.00% Burnsville Yancey Brownie Newman (Self) 100.00% St Helena Pender 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 10 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) Tesla (Self plus Spouse) Apple (Self plus Spouse) Microsoft 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 Brownie Newman (Self) Headwaters Solar Brownie Newman (Self) Riverside Solar C (1). For each company or business entity identified in question 3.C. (the “Primary Company”), please list the names of any other companies or business entities in which the Primary Company owns securities or equity interests valued at over $10,000, if known. Non-Publicly Owned Company or Business Entity (the Primary Company) Other Companies in which the Primary Company Owns Security or Equity Interests None or Not Known C (2). If you know that any entity listed in 3.C or 3.C(1) above has any material business dealings or business contracts with the State of North Carolina, or is regulated by the State, briefly describe that business activity. Name of Company or Business Entity Description of Business Activity with the State None or Not Known 4. As of December 31, 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 4 of 10 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.) (Self plus Spouse) Individual 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 Brownie Newman (Self) FLS Energy renewable energy Business income Brownie Newman (Self) Buncombe County local government Salary Brownie Newman (Self) Headwaters Solar renewable energy Salary The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 10 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 Beth Newman (Spouse) Board Member Working Wheels transportation access for low income residents 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 6 of 10 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 Brownie Newman Self Headwaters Solar Manager Brownie Newman Self Riverside Solar Manager 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 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 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 7 of 10 12. Are you or your employer, or any members of your immediate family, or their employers currently:  licensed by the State board or agency with which you are or will be associated or  regulated by the State board or agency with which you are or will be associated or  in a business relationship with the State board or agency with which you are or will be associated? ☐ Yes ☒ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing solely because you are a legislator or judicial officer or as a candidate or appointee to those offices. Name of Person Name of Employer (if applicable) Type of Relationship (Licensing, Regulatory, Business) 13. Have you or a member of your immediate family been registered as a lobbyist or lobbyist principal within the 12 months preceding your filing of this form? ☐ Yes ☒ No Name of Lobbyist Lobbyist’s Principal Date of Registration Registration Expiration Other Disclosures 14. During 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 8 of 10 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 9 of 10 17. Are you an appointee or prospective appointee as: a. the head of a principal state department (e.g., cabinet secretary) appointed by the Governor; or b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District Court Judge; or c. a member of any of the following boards:  ABC Commission  Coastal Resources Commission  State Board of Education  State Board of Elections  Division of Employment Security  Environmental Management Commission  Industrial Commission  Human Resources Commission  Rules Review Commission  Board of Transportation  Utilities Commission  Wildlife Resources Commission ☐ Yes ☒ No If “No,” proceed to question 18. d. If so, were you appointed or are you being considered for appointment to that position by a Council of State member? ☐ Yes ☒ No If “No,” proceed to question 18. e. If so, you must indicate whether during 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 10 of 10 Affirmation The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form regarding Unemancipated Children are public records. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 04/18/2022 Signature Date Brownie Newman Printed Name

The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 10 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 Brownie Newman Current Employer Job Title Headwaters Solar Manager Nature or Type of Business renewable energy development 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.) French Broad River MPO (TAC) 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 Beth Newman Spouse Bryson City Presbyterian Church Pastor religious The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 10 B. List only the initials of all unemancipated minors in your household below. A minor is a child under 18 years old. List the full name of each minor child on the Confidential Form at the end. Initials of Unemancipated Minors Relationship Employer Job Title Nature of Business LN Child TN Child 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% Asheville Buncombe (Self plus Spouse) 100.00% Lake Lure Rutherford (Self plus Spouse) 100.00% Black Mountain Buncombe Brownie Newman (Self) 50.00% Cashiers Jackson Brownie Newman (Self) 50.00% Burnsville Yancey 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 10 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) Tesla (Self plus Spouse) Apple (Self plus Spouse) Microsoft 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 Brownie Newman (Self) Headwaters Solar Brownie Newman (Self) Riverside Solar C (1). For each company or business entity identified in question 3.C. (the “Primary Company”), please list the names of any other companies or business entities in which the Primary Company owns securities or equity interests valued at over $10,000, if known. Non-Publicly Owned Company or Business Entity (the Primary Company) Other Companies in which the Primary Company Owns Security or Equity Interests None or Not Known C (2). If you know that any entity listed in 3.C or 3.C(1) above has any material business dealings or business contracts with the State of North Carolina, or is regulated by the State, briefly describe that business activity. Name of Company or Business Entity Description of Business Activity with the State None or Not Known 4. As of December 31, 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 The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 10 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.) (Self plus Spouse) Individual 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 Brownie Newman (Self) FLS Energy renewable energy Business income Brownie Newman (Self) Headwaters Solar renewable energy Salary Brownie Newman (Self) Riverside Solar renewable energy Other type of income Brownie Newman (Self) Buncombe County local government Salary The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 10 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 Beth Newman (Spouse) Board Member Working Wheels transportation access for low income residents 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. French Broad River MPO (TAC) Name of Person Name of Society, Organization, or Advocacy Group Leadership Position (Director, Officer, Board Member) Brownie Newman (Self) French Broad River MPO Board Member Brownie Newman (Self) Buncombe County Commission Officer - Chair The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 10 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 Brownie Newman Self Headwaters Solar Manager Brownie Newman Self Riverside Solar Manager 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 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 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 7 of 10 12. Are you or your employer, or any members of your immediate family, or their employers currently:  licensed by the State board or agency with which you are or will be associated or  regulated by the State board or agency with which you are or will be associated or  in a business relationship with the State board or agency with which you are or will be associated? ☐ Yes ☒ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing 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 8 of 10 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 9 of 10 17. Are you an appointee or prospective appointee as: a. the head of a principal state department (e.g., cabinet secretary) appointed by the Governor; or b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District Court Judge; or c. a member of any of the following boards:  ABC Commission  Coastal Resources Commission  State Board of Education  State Board of Elections  Division of Employment Security  Environmental Management Commission  Industrial Commission  Human Resources Commission  Rules Review Commission  Board of Transportation  Utilities Commission  Wildlife Resources Commission ☐ Yes ☒ No If “No,” proceed to question 18. d. If so, were you appointed or are you being considered for appointment to that position by a Council of State member? ☐ Yes ☒ No If “No,” proceed to question 18. e. If so, you must indicate whether during 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 10 of 10 Affirmation The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form regarding Unemancipated Children are public records. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 04/15/2021 Signature Date Brownie Newman Printed Name

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 Brownie Newman 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.) French Broad River MPO (TAC) 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 04/15/2020 Signature Date Brownie Newman Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

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 Brownie Newman 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.) French Broad River MPO (TAC) 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 04/15/2020 Signature Date Brownie Newman Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

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 Brownie Wayne Newman 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.) French Broad River MPO (TAC) Land of Sky RPO (TAC) 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 04/15/2019 Signature Date Brownie Wayne Newman Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

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 Brownie Wayne Newman 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.) French Broad River MPO (TAC) Land of Sky RPO (TAC) 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 04/15/2019 Signature Date Brownie Wayne Newman Printed Name Submit signed, original documents only. Do not fax or e-mail this form.

OO CE EE N————————————_— ©. NORTH CAROLINA STATE BOARD OF £OR COMPLIANCE UNIT USE ONY J" ;;. ELECTIONS AND ETHICS ENFORCEMENT Shei yo) MC "#2018 STATEMENT OF ECONOMIC INTEREST | | enc) orca! vei Lard of Sky dip 519.814.3600 wsencsbe.gov/Ethics/sel BILAPR 17 10 1g 27 4g necked or completion THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL Seannes ae YOUR SEI FILING OBLIGATION ines ty Susp set Oote ™ Susp. Received Ove Enters mn atabase By FILER'S NAME (FIRST, MIDDLE, LAST) _ | prefix | First Name Middle Name Last Name | suffix roi | wayne fiewman | CURRENT EMPLOYER i} 208 TITLE EE S— Headwaters Solar and Riverside Solar Partner and President _ NATURE OR TYPE OF BUSINESS Renewmable Energy Development E— - REASON FOR FILING (COMPLETE ALL THAT APPLY) S— — STATE GOVERNMENT JOB (Specify Agency and Positon) | BOARD/COMMISSION (Lit complete name of all State L | boards on which you are serving or are being considered) French Broad River MPO and MPO; 1 am aiso Charman of the Buncombe County Commission | JUDICIAL OFFICER (Spectty Office) LEGISLATOR (Specly House or Senate) [A Do other immediate family members reside in your household? ares Oto When used throughout this form, the term Immediate family inclu your spouse (ness legal separated). 1 aso | Includes members of your extended family (your and your spouse's chien, grandchildren, parents, grandparents, and Sings, and the spouses of each of those parsons) who reside in your household. List the full name of all adults and emancipated minors in your househo. A minor is a chid under 18 years old Minors are amancipated by marrage, enlistment in the US miltary, or court order for emancipation FULL NAME OF ADULTS & | RELATIONSHIP | EMPLOYER | JOB TITLE NATURE OF | EMANCIPATED MINORS BusiNESS | Elizabeth Duttera Newnan | Vite Not employed nA wa BN To | | The SET and any attachments, excluding the Confidential Form, are public records. Page 10f 10 TH H sr/—/""" Unt ONLY the tials of ll unemancipated miners your household below. A minor i 3 cid under 18 years ol. | 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 | osTITLE | NATUREOF | | unegaCiearen | | BUSINESS | gi ES EE I ! 1 - . { sm oaugher None na w RP J ET — is ws SA — [NS AN EE SE | PROPERTY INTERESTS ROPER INTERES 7 of Deca 31. 2017, 4 you, your spouse, or members of your cada family 1 ave om onnersip interest in North Carolin real state (including your residence) with 3 market value of £10,000 or more? [yes [No | owner of Rest Estate| % Ownership Interest | Locationby ity | Location by County | | Ownerof Realtstate | % Ownership interest Lessin ®VCly jp SSRemVo— arownie avs Beth Newman | 100% Jas verre rete] some [prow ane Beth Newman __| tom 25 onord Avs Rotel suncombe brome Neon | 50% lof ats Crapen a, Cass) Yorcey arowne Newman [som Off KC 107, Lost Cove Ro. | Jackson | Sn A — — 6 Love or ve ros state or personal property 1. rom th Sta af North Carga witha market ae of | | S080 oro | Os gre Name of Lessor Name of Lessee | If Real Estate, Location T 1 Personal Property, | TT) Rewer) | bycHyS county lascrioe, [- 1 1 — tT 4 I 2. At any time curing 2016.01 2047, 4 you, your spouse, or members of your Immediate family sell 10 or buy from the | Gime oh Cardia personal property wih a market value of $10,000 a ore? ves geo | I of Purchaser ~ Nameotselier [ tpeotpoperny | I The SET and any attachments, excluding the Confidential Form, are public records. Page 201 10 FINANCIAL INTERESTS 3. As of December 31, 2017, 4d you, your Spouse, or members of our IMMadiate amily own any of he folowing nancial | Interests valued at $10,000 or more? LIST EACH COMPANY INDIVIDUALLY. A. Stock n publicly owned company? [550 at st owners Intersts in a widdly held investment fund {including mifual funds, required investment | companies, or pension or deferred compensation plans) if: (1) the fund is publicly traded or its assets are widely Gerad; and (1) neither yo nor an mmatiate family member are abe to contra the psets held in the mutbol und, investment company, or pension or defermed compensation pan. Owner of Interest Full Name of Company (56 not use a ticker symbol) | S— erases — |b. stock Ontions in a company or business? ore re - Owner of Stock Option Full Name of Company (Do not use a ticker symbol) | Interests 2 con-oublcy anne company or business enkty (including Interests in sole proprietorshis, Partnerships, med partnGrships, JO ventures, med habily companies, Imited habity partnersiips, and © Cosa meld corporations? Yes [10 - 1 "No," proceed to question 4. ! I Owner of Interest Name of Company or Business Entity [— Headwaters Solar, LLC and afflates Brownie fiewman Rerside Soar, LLC and affates (1). For each non publicly owned company or business entity (the “primary company”) dented in question | 51E hove, please 51 the names of any other companies or business entities 1 which the prevary company | owns secures or equty terest valued at over $10,000, inom. | Non-Publicly Owned Company or Business Entity. Other Companies in which the Primary Company | (the Primary Company) ‘Owns Security or Equity Interests 5 None or ot known Headwaters Solar, LLC B [Scotch Bonnet Solar, LLC; Morgan Sellers Solar, (LC; —— Cumberland Solar, LLC | The SEX and any attachments, excluding the Confidential Form, are public records. Page 3of 10 ©(2). If you know that any company or business entity listed in 3.C or 3.C(1) above has any material business | description of that business activity. N i Name of Company or Business Entity | Description of Business Activity with the State cr e—————— A | © Reo mr 12011, wre you yout spose, oar of ye is ly ne benaone o3 vened Do not list assets held in blind trusts. See 2017 SEI Helpful Tips for the definition of "Vested Trust” and "Blind Trust.” | Oves Xno omen saa vemes | esmigten of a tant] ves naseratg vom eum TT LTE ee ST To Ea Te Vs es a Oves Xho | en ee Tr mes | Comme | _— cc —— - 6. List each source of income (not speafic amounts) of mere than $5,000 received by you, your spouse, or members of | your immediate fanvly during 2017. Include salary, wages, statefiocal government retirement, professional fees, SR — ——; | » Capital gains » Federal government retirement | | » Military retirement » Social security income /SSDI | Recipient of Income Name of Source Type of ] Type of Income. ! Pe tnsusty (11 hat no reportable come over $5,000 in 2017. Brownie Newman Headwaters Solar, “ Renewable Energy bd Brownie Newman Buncombe County Commisah Local Goverment | Samy S158 a SHEA SHANI OANA HT Bl SNE ctr — PROFESSIONAL AND CIVIC RELATIONSHIPS | (a). During 2017, were you, your spouse or members of your immediate family a director, officer, governing board member, employes, Independent contractor, or registered lobbyist of 8 nonprofit corporation ar organzation aperating in he State of North Carolina. primanty for relio0s, chariae, sclentic iferary, publ. heath and safety, or educational purposes? [ves DNo - 10 "No," proceed to question 8 > Do not list State boards or entities, or entities created by a political subdivision of the State. BN | > Do not list organizations of which you are a mere member. oo ect li Name of Person | His/Her Position Name of Nonprofit Nature of Business or ! oo Corporation or Organization | Purpose of Organization | _— SN — - - Fm et — (0). If the nonprofit corporations or organizations listed above do business with the State of North Caralina or recone State funds, please provide a brief descriptian of the nature of that business, if known or with which due dilgence could | i reasonably be known. Name of Nonprofit Corporation or Organization Describe State Business or State Funding | | C1 None or Not Known EE 5. ig 2017, wes vou, your Spouse, or members of your imate family 3 Grados, Oc, or Governig bord | member of any Society, organization, o advocacy Group with an interest in matters over which your agency or board may Pave Joriscicton? (Ives [Na [Jiegislator judicial Officer - You are not required to complete this question if you are filing because: | Js are a gilator or a Judicial office or You are fing 5 an sppointee o those offices 2.00 not fis organizations of which you are only @ member (7ot serving in a leadership ole) | Name of person Name Soc ogaton | Leagermp positon | or Advocacy Group (Director, Officer, Board Member) Brownie Newman Buncombe County Commission [e—— of County Commession | A i ! The SEI and any attachments, excluding the Confidential Form, are public records. Page sof 10 D(a). List the name of each company or business with which you were associated where you or a member of your immediate | family was an employee, director, officer, partner, proprietor, or member or manager as of Dagember 31, 2017. ! eT rera——Teer——} Name ot person ator vie | ame of oman — I Brownie Newman Ser “Partner, 50% owner | SE T— ISS —_— 20 yo re a cgay ee ny etm oa ore avy rr enna dear Name of Company or business nt | beseipton of Sunes Act with th sate | 10. you » practicng attomey® EO —— legai fees of more than $10,000 during 2017. Ey e— Eyo— FEY m— ra Vowsten ss Citneronmarta JE Dotter | | [J Tort litigation (including {_) Utilities Regulation | Other category not listed. li Lot: a 11. Qurng 201Z.were you a licensed professional (other than an attorney) or did you provide consulting services | individually or as a member of 3 professional association for which you charged or were paid over $10,007 Oves (No Type of i Nature of Services Rendered | Tne SE1 and any arachments,exclcio th Confidential Form, ar bic ecards, F— 12. Are you or your employer, your spouse of members of yaur immediate family, or their employer currently: i + Licensed by the State board ar employing entity with which you are or will be associated or || + Bat tre Sate bar or employ ent with wich yu ar of wit ve ascatd an |» Have a business relationship vith the State board or employing entity with which you are or willbe associated” ves (Ne C]Leqsiatortiudicial Officer - You are not required to complete this question if you are ing because: You are a legislator or a Judicial officer (Judicial officer 1 defined In the SEI Helpful Tios) or you are filing as an appointee to those offices. Name of Person | Name of Employer Type of Relationship (if applicable) (Licensing, Regulatory, Business) 13. Are you, your spouse or a member of your immediate family currently registered as a lobbyist or lobbyist principal, or were you registered as such within the 12 months reading your fing of this form? Ores @no Name of Lobbyist | Lobbyist's Principal Date of Registration Registration Expiration | | OTHER DISCLOSURES B oo ] 14. During any calendar quarter in 2017 (but only the time period after you were appointed, employed or filed or were | nomineted 25 o candidate), did you | « receive any “git(s)” exceeding $200 per quarter from a person or group of persons acting together, and | « when both you and those persons) were outside North Carolina at the time you accepted the git), and |" + the gift(s) were given under circumstances that would lead a reasonable person to conclude that they were given for lobbying? Oves [Eto | »0 not report gifts given by members of your extended family. B 00 not report gifts that have previously been reported By you to the Department of the Secretary of State on the | “Expense Report for Exempted Persons.” Date Item Received | Name and Address of Donor(s) | Describe Item Received | Estimated Market Value The SE and any attachments, excluding the Confidential Form, are public records. Page 7 of 10 TE 15. During 2017 (but ony the tme period alter you were appointed, employed, o fled or were nominated 35 3 candidate) | did you + accept a “scholarship” exceeding $200 rom a person or group of persons acting together and + those person) were outside North Carolina and + the seharship was related to your public positon? A “scholarship” Is a grant-{n-aid, either direct or Indirect, to attend a conference, meeting, or similar event, including tuition, travel, lodging, meals, and other similar expenses. | | Ces (3No Judicial Officer - You are pot required to complete ths question i you are a udical office or you are | fing as a judicial officer appaintee. | | “Expense Report for Exempted Persons.” | » Legistators ae not required to report scholarships paid by a nonpartisan legislative organization of which the legisiator | | or the General Assembly Is 4 member or participant or an afiate o that organization. | Date of Name and Address of Donor(s) Describe Event Estimated Morket Scholarship Value | | | | E— — re————————— [ | 16. ware you appointed or are you being considered for an appartment to a covered board by the Governor or another Council of State member? ‘Councll of State members are » Govemor » Lt Governor » Secretary of State » State Auditor » State Treasurer > Superintendent of Public Instruction » Attorney General » Commissioner of Agriculture » Commissioner of Labor » Commissioner of Insurance Ove ®No | 11 "Yes", list all contributions you (NOT immediate family members) made during 2017 with a cumulative total of more than $1,000 to the Governor or other Council of State member who appointed you. 1 Contributions are defied in €.G.5. 163-278.5(6) and nciude, but are aot mite to, “any advarce, conveyance, | depot, distribution. transfer of nds, loan, payment, QI. edge or subscnpion of mane or anything of yak hatsobver.” Date. Amount Contributed to (70 contributions) with 2 cumulative total of more than $1,000 The SET and any attachments, excluding the Confidential Form, are public records. Pages of 10 [17. are you an appantes or prospective apporntee to 1 [a the head of a principa! 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 | a member of any of the following boards: | + ABC Commission | + Coastal Resources Commission | + State Board of Education ives [4No | + State Board of Elections | | + Division of Employment Security [1t “Nos proceed to | + Environmental Management Commission | question 18. + Industral Commission | | + Human Resources Commission { + Rules Review Commission + Board of Transportation + UNC Board of Governors + Utiities Commission + Willie Resources Commission _ 4. 1f 55, were you appointed or are you being considered for appointment to that | [Yes [No plc poston by Counc of Sete memo? Counc of tte Members 1 5163 | 11 oy” proceed ta in avests question 18. 2. 1150, you must indicate whether during 2017 you (not immediate famiy I | menibers) engaged in any of the following actwies with respect to or on behalf of | the candidate or campaign committee of the Counc of State member who. appointed you to your public position: Oves Ono +. Collected contributions from mltiple contributors, took possession of such multiple contributions, and transferred or delivered those collected contributions to the candidate or committee? Contributions are defined in question 16. | i. Hosted fundraiser at your residence or place of business? Ives [No ii Volunteered for campaign-related actuties, which incude, but are not Imted | | £0, phone banks, event assistance, mallngs, canvassing, surveying, or any | (1¥es [1No other activity that advances the campaign of a candidate? | J 18 Have you ever been convicted of a felony for which you have not received either: (1) a pardon of innocence; or (1) an | | ardor of expungement regarding that conviction? | Ove Ono | offense Date of Conviction | County of Conviction State of Conviction | 19. Are you aware of any other information that you believe may assist the State Ethics Commission In advising you Gonceming your compliance with the State Government Ethics Act? Cves (BNo if yes, please provide such information below. | - — The SET and any attachments, excluding the Confidential Form, are public records. Page 9 of 10 | AFFIRMATION | Vfl tht the nformarion provided n his Statement of Fconomic Interest and any attachments erst are true, complete, and accurate othe best of my know ledge and beet Vl certity dh have 1 ranserred, and wil ot transi, any ase, inert, o property for the purpose of concealing it from disclosure eile retaining an cquiable interest. 3 understand that my’ Statement of Fconaraic Increst and any arschments or supplements shereto (with he exception of the | Confidential Form regarding Unemancipated Children) are public record Lacknowledge hit have ead and understand N.€.G:S. 138A-26 regarding concealing or failing 1 disclose material | | information nd N.C... 1384-27 regarding providing false information | | § 1387-26. Concealing or failing to disclose material information. ! A filing person who knowingly conceals or knowingly Fils to disclose information that is required to be disclosed m8 irement of cconomic interest under tis Article shall be ify of Class | misdemeanor and shal he subject | to disciplinary action under 6.5. 138A35. § 138A27. Penuly for tls information A fling person who provides false information on a satment of economic infers ss required unde this Anite | Knowing that the information i false i guilty of + Class 1 felons and shal be subject to disciplinary ation under GS 138s Browne Nowma— Apo 14, 2016 | Somawre Bae | Browne Newman | Printed Name | Submit SIGNED, ORIGINAL documents only. D0 not fax or email this form. J The SET and any attachments, excluding the Confidential Form, are public records. Page 100t 10

OO CE EE N————————————_— ©. NORTH CAROLINA STATE BOARD OF £OR COMPLIANCE UNIT USE ONY J" ;;. ELECTIONS AND ETHICS ENFORCEMENT Shei yo) MC "#2018 STATEMENT OF ECONOMIC INTEREST | | enc) orca! vei Lard of Sky dip 519.814.3600 wsencsbe.gov/Ethics/sel BILAPR 17 10 1g 27 4g necked or completion THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL Seannes ae YOUR SEI FILING OBLIGATION ines ty Susp set Oote ™ Susp. Received Ove Enters mn atabase By FILER'S NAME (FIRST, MIDDLE, LAST) _ | prefix | First Name Middle Name Last Name | suffix roi | wayne fiewman | CURRENT EMPLOYER i} 208 TITLE EE S— Headwaters Solar and Riverside Solar Partner and President _ NATURE OR TYPE OF BUSINESS Renewmable Energy Development E— - REASON FOR FILING (COMPLETE ALL THAT APPLY) S— — STATE GOVERNMENT JOB (Specify Agency and Positon) | BOARD/COMMISSION (Lit complete name of all State L | boards on which you are serving or are being considered) French Broad River MPO and MPO; 1 am aiso Charman of the Buncombe County Commission | JUDICIAL OFFICER (Spectty Office) LEGISLATOR (Specly House or Senate) [A Do other immediate family members reside in your household? ares Oto When used throughout this form, the term Immediate family inclu your spouse (ness legal separated). 1 aso | Includes members of your extended family (your and your spouse's chien, grandchildren, parents, grandparents, and Sings, and the spouses of each of those parsons) who reside in your household. List the full name of all adults and emancipated minors in your househo. A minor is a chid under 18 years old Minors are amancipated by marrage, enlistment in the US miltary, or court order for emancipation FULL NAME OF ADULTS & | RELATIONSHIP | EMPLOYER | JOB TITLE NATURE OF | EMANCIPATED MINORS BusiNESS | Elizabeth Duttera Newnan | Vite Not employed nA wa BN To | | The SET and any attachments, excluding the Confidential Form, are public records. Page 10f 10 TH H sr/—/""" Unt ONLY the tials of ll unemancipated miners your household below. A minor i 3 cid under 18 years ol. | 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 | osTITLE | NATUREOF | | unegaCiearen | | BUSINESS | gi ES EE I ! 1 - . { sm oaugher None na w RP J ET — is ws SA — [NS AN EE SE | PROPERTY INTERESTS ROPER INTERES 7 of Deca 31. 2017, 4 you, your spouse, or members of your cada family 1 ave om onnersip interest in North Carolin real state (including your residence) with 3 market value of £10,000 or more? [yes [No | owner of Rest Estate| % Ownership Interest | Locationby ity | Location by County | | Ownerof Realtstate | % Ownership interest Lessin ®VCly jp SSRemVo— arownie avs Beth Newman | 100% Jas verre rete] some [prow ane Beth Newman __| tom 25 onord Avs Rotel suncombe brome Neon | 50% lof ats Crapen a, Cass) Yorcey arowne Newman [som Off KC 107, Lost Cove Ro. | Jackson | Sn A — — 6 Love or ve ros state or personal property 1. rom th Sta af North Carga witha market ae of | | S080 oro | Os gre Name of Lessor Name of Lessee | If Real Estate, Location T 1 Personal Property, | TT) Rewer) | bycHyS county lascrioe, [- 1 1 — tT 4 I 2. At any time curing 2016.01 2047, 4 you, your spouse, or members of your Immediate family sell 10 or buy from the | Gime oh Cardia personal property wih a market value of $10,000 a ore? ves geo | I of Purchaser ~ Nameotselier [ tpeotpoperny | I The SET and any attachments, excluding the Confidential Form, are public records. Page 201 10 FINANCIAL INTERESTS 3. As of December 31, 2017, 4d you, your Spouse, or members of our IMMadiate amily own any of he folowing nancial | Interests valued at $10,000 or more? LIST EACH COMPANY INDIVIDUALLY. A. Stock n publicly owned company? [550 at st owners Intersts in a widdly held investment fund {including mifual funds, required investment | companies, or pension or deferred compensation plans) if: (1) the fund is publicly traded or its assets are widely Gerad; and (1) neither yo nor an mmatiate family member are abe to contra the psets held in the mutbol und, investment company, or pension or defermed compensation pan. Owner of Interest Full Name of Company (56 not use a ticker symbol) | S— erases — |b. stock Ontions in a company or business? ore re - Owner of Stock Option Full Name of Company (Do not use a ticker symbol) | Interests 2 con-oublcy anne company or business enkty (including Interests in sole proprietorshis, Partnerships, med partnGrships, JO ventures, med habily companies, Imited habity partnersiips, and © Cosa meld corporations? Yes [10 - 1 "No," proceed to question 4. ! I Owner of Interest Name of Company or Business Entity [— Headwaters Solar, LLC and afflates Brownie fiewman Rerside Soar, LLC and affates (1). For each non publicly owned company or business entity (the “primary company”) dented in question | 51E hove, please 51 the names of any other companies or business entities 1 which the prevary company | owns secures or equty terest valued at over $10,000, inom. | Non-Publicly Owned Company or Business Entity. Other Companies in which the Primary Company | (the Primary Company) ‘Owns Security or Equity Interests 5 None or ot known Headwaters Solar, LLC B [Scotch Bonnet Solar, LLC; Morgan Sellers Solar, (LC; —— Cumberland Solar, LLC | The SEX and any attachments, excluding the Confidential Form, are public records. Page 3of 10 ©(2). If you know that any company or business entity listed in 3.C or 3.C(1) above has any material business | description of that business activity. N i Name of Company or Business Entity | Description of Business Activity with the State cr e—————— A | © Reo mr 12011, wre you yout spose, oar of ye is ly ne benaone o3 vened Do not list assets held in blind trusts. See 2017 SEI Helpful Tips for the definition of "Vested Trust” and "Blind Trust.” | Oves Xno omen saa vemes | esmigten of a tant] ves naseratg vom eum TT LTE ee ST To Ea Te Vs es a Oves Xho | en ee Tr mes | Comme | _— cc —— - 6. List each source of income (not speafic amounts) of mere than $5,000 received by you, your spouse, or members of | your immediate fanvly during 2017. Include salary, wages, statefiocal government retirement, professional fees, SR — ——; | » Capital gains » Federal government retirement | | » Military retirement » Social security income /SSDI | Recipient of Income Name of Source Type of ] Type of Income. ! Pe tnsusty (11 hat no reportable come over $5,000 in 2017. Brownie Newman Headwaters Solar, “ Renewable Energy bd Brownie Newman Buncombe County Commisah Local Goverment | Samy S158 a SHEA SHANI OANA HT Bl SNE ctr — PROFESSIONAL AND CIVIC RELATIONSHIPS | (a). During 2017, were you, your spouse or members of your immediate family a director, officer, governing board member, employes, Independent contractor, or registered lobbyist of 8 nonprofit corporation ar organzation aperating in he State of North Carolina. primanty for relio0s, chariae, sclentic iferary, publ. heath and safety, or educational purposes? [ves DNo - 10 "No," proceed to question 8 > Do not list State boards or entities, or entities created by a political subdivision of the State. BN | > Do not list organizations of which you are a mere member. oo ect li Name of Person | His/Her Position Name of Nonprofit Nature of Business or ! oo Corporation or Organization | Purpose of Organization | _— SN — - - Fm et — (0). If the nonprofit corporations or organizations listed above do business with the State of North Caralina or recone State funds, please provide a brief descriptian of the nature of that business, if known or with which due dilgence could | i reasonably be known. Name of Nonprofit Corporation or Organization Describe State Business or State Funding | | C1 None or Not Known EE 5. ig 2017, wes vou, your Spouse, or members of your imate family 3 Grados, Oc, or Governig bord | member of any Society, organization, o advocacy Group with an interest in matters over which your agency or board may Pave Joriscicton? (Ives [Na [Jiegislator judicial Officer - You are not required to complete this question if you are filing because: | Js are a gilator or a Judicial office or You are fing 5 an sppointee o those offices 2.00 not fis organizations of which you are only @ member (7ot serving in a leadership ole) | Name of person Name Soc ogaton | Leagermp positon | or Advocacy Group (Director, Officer, Board Member) Brownie Newman Buncombe County Commission [e—— of County Commession | A i ! The SEI and any attachments, excluding the Confidential Form, are public records. Page sof 10 D(a). List the name of each company or business with which you were associated where you or a member of your immediate | family was an employee, director, officer, partner, proprietor, or member or manager as of Dagember 31, 2017. ! eT rera——Teer——} Name ot person ator vie | ame of oman — I Brownie Newman Ser “Partner, 50% owner | SE T— ISS —_— 20 yo re a cgay ee ny etm oa ore avy rr enna dear Name of Company or business nt | beseipton of Sunes Act with th sate | 10. you » practicng attomey® EO —— legai fees of more than $10,000 during 2017. Ey e— Eyo— FEY m— ra Vowsten ss Citneronmarta JE Dotter | | [J Tort litigation (including {_) Utilities Regulation | Other category not listed. li Lot: a 11. Qurng 201Z.were you a licensed professional (other than an attorney) or did you provide consulting services | individually or as a member of 3 professional association for which you charged or were paid over $10,007 Oves (No Type of i Nature of Services Rendered | Tne SE1 and any arachments,exclcio th Confidential Form, ar bic ecards, F— 12. Are you or your employer, your spouse of members of yaur immediate family, or their employer currently: i + Licensed by the State board ar employing entity with which you are or will be associated or || + Bat tre Sate bar or employ ent with wich yu ar of wit ve ascatd an |» Have a business relationship vith the State board or employing entity with which you are or willbe associated” ves (Ne C]Leqsiatortiudicial Officer - You are not required to complete this question if you are ing because: You are a legislator or a Judicial officer (Judicial officer 1 defined In the SEI Helpful Tios) or you are filing as an appointee to those offices. Name of Person | Name of Employer Type of Relationship (if applicable) (Licensing, Regulatory, Business) 13. Are you, your spouse or a member of your immediate family currently registered as a lobbyist or lobbyist principal, or were you registered as such within the 12 months reading your fing of this form? Ores @no Name of Lobbyist | Lobbyist's Principal Date of Registration Registration Expiration | | OTHER DISCLOSURES B oo ] 14. During any calendar quarter in 2017 (but only the time period after you were appointed, employed or filed or were | nomineted 25 o candidate), did you | « receive any “git(s)” exceeding $200 per quarter from a person or group of persons acting together, and | « when both you and those persons) were outside North Carolina at the time you accepted the git), and |" + the gift(s) were given under circumstances that would lead a reasonable person to conclude that they were given for lobbying? Oves [Eto | »0 not report gifts given by members of your extended family. B 00 not report gifts that have previously been reported By you to the Department of the Secretary of State on the | “Expense Report for Exempted Persons.” Date Item Received | Name and Address of Donor(s) | Describe Item Received | Estimated Market Value The SE and any attachments, excluding the Confidential Form, are public records. Page 7 of 10 TE 15. During 2017 (but ony the tme period alter you were appointed, employed, o fled or were nominated 35 3 candidate) | did you + accept a “scholarship” exceeding $200 rom a person or group of persons acting together and + those person) were outside North Carolina and + the seharship was related to your public positon? A “scholarship” Is a grant-{n-aid, either direct or Indirect, to attend a conference, meeting, or similar event, including tuition, travel, lodging, meals, and other similar expenses. | | Ces (3No Judicial Officer - You are pot required to complete ths question i you are a udical office or you are | fing as a judicial officer appaintee. | | “Expense Report for Exempted Persons.” | » Legistators ae not required to report scholarships paid by a nonpartisan legislative organization of which the legisiator | | or the General Assembly Is 4 member or participant or an afiate o that organization. | Date of Name and Address of Donor(s) Describe Event Estimated Morket Scholarship Value | | | | E— — re————————— [ | 16. ware you appointed or are you being considered for an appartment to a covered board by the Governor or another Council of State member? ‘Councll of State members are » Govemor » Lt Governor » Secretary of State » State Auditor » State Treasurer > Superintendent of Public Instruction » Attorney General » Commissioner of Agriculture » Commissioner of Labor » Commissioner of Insurance Ove ®No | 11 "Yes", list all contributions you (NOT immediate family members) made during 2017 with a cumulative total of more than $1,000 to the Governor or other Council of State member who appointed you. 1 Contributions are defied in €.G.5. 163-278.5(6) and nciude, but are aot mite to, “any advarce, conveyance, | depot, distribution. transfer of nds, loan, payment, QI. edge or subscnpion of mane or anything of yak hatsobver.” Date. Amount Contributed to (70 contributions) with 2 cumulative total of more than $1,000 The SET and any attachments, excluding the Confidential Form, are public records. Pages of 10 [17. are you an appantes or prospective apporntee to 1 [a the head of a principa! 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 | a member of any of the following boards: | + ABC Commission | + Coastal Resources Commission | + State Board of Education ives [4No | + State Board of Elections | | + Division of Employment Security [1t “Nos proceed to | + Environmental Management Commission | question 18. + Industral Commission | | + Human Resources Commission { + Rules Review Commission + Board of Transportation + UNC Board of Governors + Utiities Commission + Willie Resources Commission _ 4. 1f 55, were you appointed or are you being considered for appointment to that | [Yes [No plc poston by Counc of Sete memo? Counc of tte Members 1 5163 | 11 oy” proceed ta in avests question 18. 2. 1150, you must indicate whether during 2017 you (not immediate famiy I | menibers) engaged in any of the following actwies with respect to or on behalf of | the candidate or campaign committee of the Counc of State member who. appointed you to your public position: Oves Ono +. Collected contributions from mltiple contributors, took possession of such multiple contributions, and transferred or delivered those collected contributions to the candidate or committee? Contributions are defined in question 16. | i. Hosted fundraiser at your residence or place of business? Ives [No ii Volunteered for campaign-related actuties, which incude, but are not Imted | | £0, phone banks, event assistance, mallngs, canvassing, surveying, or any | (1¥es [1No other activity that advances the campaign of a candidate? | J 18 Have you ever been convicted of a felony for which you have not received either: (1) a pardon of innocence; or (1) an | | ardor of expungement regarding that conviction? | Ove Ono | offense Date of Conviction | County of Conviction State of Conviction | 19. Are you aware of any other information that you believe may assist the State Ethics Commission In advising you Gonceming your compliance with the State Government Ethics Act? Cves (BNo if yes, please provide such information below. | - — The SET and any attachments, excluding the Confidential Form, are public records. Page 9 of 10 | AFFIRMATION | Vfl tht the nformarion provided n his Statement of Fconomic Interest and any attachments erst are true, complete, and accurate othe best of my know ledge and beet Vl certity dh have 1 ranserred, and wil ot transi, any ase, inert, o property for the purpose of concealing it from disclosure eile retaining an cquiable interest. 3 understand that my’ Statement of Fconaraic Increst and any arschments or supplements shereto (with he exception of the | Confidential Form regarding Unemancipated Children) are public record Lacknowledge hit have ead and understand N.€.G:S. 138A-26 regarding concealing or failing 1 disclose material | | information nd N.C... 1384-27 regarding providing false information | | § 1387-26. Concealing or failing to disclose material information. ! A filing person who knowingly conceals or knowingly Fils to disclose information that is required to be disclosed m8 irement of cconomic interest under tis Article shall be ify of Class | misdemeanor and shal he subject | to disciplinary action under 6.5. 138A35. § 138A27. Penuly for tls information A fling person who provides false information on a satment of economic infers ss required unde this Anite | Knowing that the information i false i guilty of + Class 1 felons and shal be subject to disciplinary ation under GS 138s Browne Nowma— Apo 14, 2016 | Somawre Bae | Browne Newman | Printed Name | Submit SIGNED, ORIGINAL documents only. D0 not fax or email this form. J The SET and any attachments, excluding the Confidential Form, are public records. Page 100t 10

. NORTH CAROLINA STATE ETHICS COMMISSION | rop ermics commission use ony » by 2017 STATEMENT OF ECONOMIC INTEREST | Date Rocewed: . | pecewven WR 24200 919-814-3600 www ethicscommission.nc.gov | THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL oT HF qmiction "YOUR SEI FILING OBLIGATION - ESTE cnn Dite mies | sim Sree m__ [Erp — ; J A (pron [rit name [dale name [Lastname SRY | Broume Wow | Newer amare oie TT Yekwnbtr Saw [Reber we worms Renee Ene dedopront™ RSOWFRFUN COMET MLTR) STATE GOVERNMENT JOB (Specify Agency) BOARD/COMMISSION (List complete name of all State | boards on which you are serving or are being considered) Fenn fred Bor Mo @l FO. \ aw ole whims of fe Busoni (owl bani UDICIAL OFFICER (Specy Office) | EGISLATOR (edty Hoven Senate [A Do other immediate family members reside in your housenold? or or | @Yes [No | When used throughout this form, the term Immediate family includes your spouse (unless legally separated). It also | Indus members of your seemed mh your 3h Your DOES et, arama, porens, srondpasits ad | Sin: nto Spouies of aeh of thas ants whe ves 1: yous ssaberd it th ll ame of ail adults rd emanated miners your user, A ine 3 hig ander 18 yours oe. ars 7 Spay aes Har hs US Ra: o cout Se for son” 8 FULL NAME OF ADULTS & | RELATIONSHIP | EMPLOYER | sopTImie | | WATUREoF Tenancipateo mons. | oN mere | I 4 Frabels War | wo kteratusbon I Yestor clergy Ey JE ne IT Vier] cee " | [St woueiart] The SE and any attachments, oxcuding the Confidential Form, are public records. Page 10110 st ONLY the initials of all unemancipated minors in your household below. A minors a hid undor 16 years od. Note: You must lst the full name of each minor child on the Confidential Form available at the “nd of this document. each miner child on the Conflden ne INTIAS FOR | RELATIONSHIP weioven | sosmime watuRe oF UEANCIATED ‘Sieess iNoRs or oo = Ls Morgner | wert | ule | wk — A Lv — PROPERTY INTERESTS FIT ———————r A. has an ownership intrest in Roth Caroll reat ete (inca yo residence) ith a market volo of Sidio0 or mar ves [Ne Ovener of Real Estate| 6 Ownership Interest | Location by Oty | Location by County Brant od abn Nsw vole [235 Mentfard Ave. Buncompe Pravme Nomen ot Ci Cpd Bl. | fae | 5 Loose or rnt ol atte o persons property 9. rom the Sate of orth Corsi wih a market vos of Nome of Lessor Name of Lessee | 1 Real Estate, Location | 1 Persona Property, _— — (Renter) | by Gity 8 County ~ ascrine | 2. AC any time during 2015 or 2016, dd you, your spouse, or members of your mediate family 5210 or buy fan the State of North Caroling personal property with a market value of $10,000 or more? Name of purchaser | Nameof Sar Trosotpropety rt ————— — ee— — The SEE and any atachments, excluding the Confidential Form, are public records. Page 2010 FINANCIAL INTERESTS 2. As of December 31, 2016, did you, your spouse, or members of your | immediate family own any of the following financial interests valued at $10,000 or ‘more? LIST EACH COMPANY INDIVIDUALLY. Xsan pag oes am? aves [fe ee ect oe Ts vig Tad vient und (reg ual finds, regaed esert OC Fe omponioton ta) 1 (1) th fund 15 Il ded to ssl ue widely Compas oe a marl ar bt irr he aves hel 1 the mol ue, ean of peng or Geen competion pon, ———RG eres Full Name of Company (Po not use a ticker symbol) _ [Ye p—— —_ CT ownerotstockoption —fr— nat une ter symbol) '< Interasts in a non-public. owned company or business entity (including interests in <ole proprietoships, It 1 a ait Compaen, Id ob paras, nd Bs protons [Yes CINo- If “No,” proceed to question 4. CC ownerstmmeest ame of Company or Business ety Brownie Neowin | Vedwdy Seb UC on hy alftek Wo | orca ro pa ove gan 3 ins any ne inary apo) denied n ution a oe aie o ons eet heh he primary company | owns securities or squty interests valued at over $10,000, known. _ ooger Sorpenne ownea Company or Business Entity | _ Other Companies in whieh ihe Primary Company primary Company) | owns Security o Equity Interests ____ iso Koown Uo, St 0] Suithund bir, UG Rogen Shon Hr Lp — (WelfeaSul, i S81 and ny attachments, excluding tha Confidential Form, ar public records. pee 30110 f © 21 IF you know tat any company or business entity Tnted in 5. o 3.C() sbove hos amy marl gnias | Senin or bios cana wih he Sar of Neh Coron. ess en So Ter sn Ry | amet company or susinsn ctty | oun ot Bsns cy wh se hone o Not Known So - I EE — EE | 4. sof Degember 31. 201, were you, your spouse, or members of your meds fom he beneiconcs of » vested st wih le oF $10.0 1 me ht sve mn meas fay 0 ot sts eld in bin rusts. Se 2017 SE lll To fo th tno of “Vested Trust ng “Bing Tr.” Oves [fio = B Name and Aderess of Trustee | Description of the Trust frm— 5. As of December 31 2016, 00 you, your spouse, of mermers of your Immediate aml have Tobie: of $10,000 or | 7S CIN Tris00t on yur cima ers roaence’ Exams me age ose as os 00 | To, samo a ro og | Name of Debtor (You, Spouse, Immediate Family | Type of Creditor Commercial Bank, Credit Union J nt or 6 Ust each source of incame (1% specific amounts) of mar an $5,000 receiv vy you, you spouse, 3 memes of Your immediate family during 2016. Include salary, wages, stateflocal government. retirement, professional fees, ora. ret, nds, ret come, Bune ore, I she 1s of mest et be eo C5 Soe an edna x re 00 nat includ income recived from the olowing sources: > Capital gains > Federal government retirement > Miltary retirement > Social secuity income/SS01 Recipient of Income | Name of Source. Type of Type of Income 21770) EA [11 had no reportable income over $5,000 in 2016. RE Br — rr ——————— Brome Nowmin | Wedukes Solar Penalle Gnogy Seley Broume Nomen |B Ene | Rawal brag) | Sie of hott ae Browne Navn | Ruonoe oy | Comty bamsis-in [Sur L Bzabetn Nieman, [Winer son Bogle. Chien | Sut, Chan F The SEL and any attachments, excluding th Confidential Form, are public records. Page dor 10 PROFESSIONAL AND CIVIC RELATIONSHIPS 7, Dung 2016, were you, you spovse or amber o your immediate arly drector, offer, govern board ES mtepmmin etoco,o edared bom os SenproN cova rgonEbNon cpa The tos of Nott Carob primary fo oi, char able, SCG, Tear, PU. heath nt sae, a cducaondl perpen Oven (fo No, proceed to question. > Do not list State boards or entities, or entities created by a political subdwision of the State. | TT > De ota organizations of which you re 8 mere members ‘Name of Person. His/Her Position Name of Nonprofit Nature of Business or | SS I EN SN — [769.1 he mongrt.corpratons or — vows sain win te Sate of rth Carolin o recov | State funds, please provide a brief description of the nature of that business, If Known or with which due difigence could | Feasonamy be know. Name of Nonprofit Corporation or Organization | Describe State Business or State Funding | Clone or tot Known I T I During 2016, Were you, your Spouse, or members of your immediata family a director, officer, of governing board ay ost o ey ros Ah 1 ern FES Ov aE your 3940 8 Boa oy Tove orien “ves [TNo [7 Lagstatorucicil Offer - You are nok recuired to complet ss auesto If you are lig cause a ein i thr o You a Hin 55 a appoint nce oH. | 0 no st rgaiztions of whic you re any member (rot serving in ade ro). | Name of Person Name of Saciety, Organization Leadership Position | or Aeneas Goon (iecton orice, Board Member) Brome Numi | Buncombe Conky Gomntiie| Cammsron Member J chianan The SEE and any attachments, excluding the Confidential Form, are public records. Page sof 10 a). Uist the name of cach company or business wih which you were associated where you or a member of our Inmediate an too, prophets o cor of mansOn of BELA 31 201. amie | nestor | vameorcompany | fleotpeon io times Assioins (0). 1 you know that any campany or business entity sted in 9(n) above had any material business dealings or business contracts with the State of North Carolina or was regulated by the State as of December 31, 2016, provide a ream of tr ins tw Wame of Company or Business Entity Description of Business Activity with the tate Sot applicable (No ents listed on #92) 10. Are you a practicing attorney? a. oo ; : - [EON p—— fe, check aah tery of og cptasntaton in whch yu of 0 lw with whch your afte a camo aoe on hm $1000 day Sts [ETv— Conary Domrte cima (oocadents Estates JE r— Climswance Cluster toca Government Ret propery secnties fo. orton (nckadng Cuties peution Cher category nc te protic ting 2016, wie you 3 Hoerusd rfesuonal (other tha an Wore) o dH you prove corso serves I motion fo sich yo hago or were Dod vs $10,007 Clves [¥% Type of Business Nature of Services Rendered he SEX and any attachments, excluding the Confidential Form, are public records. Page sor10 12. Are you or your employer, your spouse or members of your immediate family, or their employer currently: cused ty th Sate board or plying entity with wich you are or wil Bs assocted or ~ Reculate the State oor ar employing ety with wh yo ae or wil b asccated or Hove. busin cations withthe Sate bard or mplyin en with whch vou re or wil be asocted? [¥en [Mo CLeislator cil Ofer You a not realest complet ts ueston you ars ing becouse ou ar ior or 3 Jah oer Codi! ocr Gained he SE Hel Tot] o You re ig 2 on app th a: —— Tae Fe — | | Groohcaniey (ticensing, Regulatory, Business) - — ] 15 ve you, yor spose ar 4 mer of your IG: aly carry rgtared v8 obut a obowst pA, of were you registered as such within the 12 months preceding your filing of this form? fives © Name of Lobbyist Lobbyists Principal Date of Registration | | nomwanon | "Eepranion l i | OTHER DISCLOSURES oo _ 1. During any andar quarter in 2016 (ut an hm pic ar you wer apport, employed or fed or were Torney aha, 8 You 1" receive sy as xcending $200 per auto trom a person or grou of esons acu together, and | hen both ms nd those persons) were outside North Carlin a the vou ocapted th ito), and ~ ihe G(s were given under cimsances that would ad 3 essonate person to conclude tat thy wer gen for owns ves 10 ov rari er ars of Your ned Fry +00 hot rept its that ve previously been reported by You tthe Departmen o the Secrtay af Sat on the eens Reon for Enemies persone ote tem caved | ame and Adres of Soar | Gece em Recess | enioigke Veter The SEL and any attachments, excluding the Confidontial Form, are public records. Page 708 10 15. During 2016 (but ony the time period afer you were appointed, employed, or fled or were nominated as candidate) dd you + accept a “scholarship” exceeding $200 rom a person of graup of persons acting together and + those parsons) were outside North Carclna and. + the scholarship was related to your pubic position? A "scholarship" is a grant-in-aid, either direct or indirect, to attend a conference, meeting, or similar event, including tution, travel, lodging, meals, and other | similar expenses. | (ves Ro (]Judicl Officer - You are not require to complete this question f you are a Judicial office or you are fing 3s judicial officer appoints. ; chica coscica , _— » D0 not report gis tht have previously bean reported by you to the Department of the Secretary of State on the “Expense Report for Exempted Persons.” » Lagisiators are not required to report scholarships paid by a nonpartisan legislative organization of which the egiiator or the General Assembly is 3 member ar participant or an offiate of that organization. Dateot | Name and Address of Donor(s) Describe Event T Estimated Market | | scholarship | | =" Vaiue B EE EE T~ 1 | | 1 | tree ev ———— seers — I i 1 6. Ware you 3pponted or ae you bing considered or an apparent 03 covered board by th Gavernor or ater | Council of State member? | Council of state members are: | » Governor > Lt. Governor » Secretary of State » State Auditor » State Treasurer » Superintendent of Public Instruction » Attorney Generel > Commissioner of Agriculture» Commissioner of Labar » Commissioner of Insurance Dives [2 11 "Yes", list all contributions you (NOT immediate family members) made during 2016 with a cumulative | tat are ae 450055 he Govan or ch Counc f Soe member whe ‘appointed you. | | f— are defined in N.C.G.S. 163-278.6(6) and include, but are not limited to “ony advance, conveyance, | Gest, cistrivution, transfer of funds, loan, payment, if, ledge or subscription of money or anhing af vai | wnatsoever.” f ote “amount Contributed to i i To contribution(s) ih a cumulative total of more than $1,000 | The SEI and any attachments, excluding the Confidential Form, are public records. Page 8 of 10 17. Are you an appoint or prospective appeintee 0 a he her of a principal state department (6.9. cabinet secretory) 3ppanted by the Governor or b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District | Cour ud; oF . a member of any of th folowing boards: + Ae Commission © Cova Resources Commision ~ State Board of Education Oves (36 | © Stats ord of Fections. | ~ Divison of Employment Securty I Nos proceed to | + Environmental Management Commission question 18. | industria Common 1% Woman Resouces Commission ~ Ful Review Commission Board of Transportation | © UNC Board of Governors | Utes Commesion | white resources Commission LL ~ d. If 50, were you appointed or are you being considered for appointment to that [C)ves [INo public postin by Counc of State member? Counc of State members are 50 | xp “wo, proceed to Quasion 16. A. = i, you mst micte whether during 2016 you (nat immediate arly anes) engage ay of the owing acti wih respec 10.0 on bl of Te conte br. orpaloh commis af ne Coun of Ste member who Shponied you to your pubic poston: ! Oves (Mo 1. Collected contributions from multiple contributors, took possessian of sch lhe conibaions, and onsfamed or deere hose collected Comritont to the nada of om? Comebaons are eine in ion 6. ost a fndrase a your residence or place of business” ves (Ne i. Voluneered fo compaign-—elated acts, which incl, Bt are rot hited Lo phone bok ek pssstance, mains, comassiny, Surveios, or any | Yes CIN Sh ony ha advances the campaon of 5 Canam’ 15. rave you ever been convicted of a felony fo which you have nt received ahr: ) a pardon of Innocence; or (1) an onder of expungermentregorang that conviction’ Ove offense Date of Conviction | _ County of Conviction | _ State of Conviction To. Are you aware of any ahr information ha you belleve may avs the Sate Ethics Commission in 300s 10 Concern Your complonce with th State Goverment Enc ACL Des (Who If yes, please provide such information below. The SEE and any attachments, excluding the Confidential Form, ae public records. Page 9 of 10 [arrrasarion afi that the information provided in this Statement of Esononnic Interest and any altchments hereto ac rue, complete, and acute fo th best of my knovleds and belt | ts criy hata not afer and will os str, any se, reso prayer for he pps: of conc rom disclosure while etsning an equible nrc | derstand that my Stement of Econonnic ntrest and any atch or spleens thereto (with th excepion of the Comdentia Form regarding Unemancpaiod Children) ae pale record acknowledge that have read and understand N.C GS. 1387-26 regain concealing or fling 10 disclose material | information and N.C-G.S. 138A regarding providing alc information: | § 138A-26, Concealing or filing to disclose material information. | A ine person who knowin concen o owing is discos nominated 0 be iclosed ona sttement of comomic icret under this Avil shall be guilty of a Class | misdemeanor and shall be subject | to disciplinary action under G.S. 138A-45. 1 § 1387-27. Penalty for false information. | Knowing hat the information i fl 1 guilty of a Clas H felony and shall be subjes to disciplinary action under | | GS. 138A. pre i | Browne Nowwe— Hy Zoi H |e Bate Benoit Mawnan Printed Rare | | | Submit SIGNED, ORIGINAL documents only. Do not fax or emall this form. 1 The SEI and any attachments, excluding the Confidential Form, are public records. Page 100110

. NORTH CAROLINA STATE ETHICS COMMISSION | rop ermics commission use ony » by 2017 STATEMENT OF ECONOMIC INTEREST | Date Rocewed: . | pecewven WR 24200 919-814-3600 www ethicscommission.nc.gov | THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL oT HF qmiction "YOUR SEI FILING OBLIGATION - ESTE cnn Dite mies | sim Sree m__ [Erp — ; J A (pron [rit name [dale name [Lastname SRY | Broume Wow | Newer amare oie TT Yekwnbtr Saw [Reber we worms Renee Ene dedopront™ RSOWFRFUN COMET MLTR) STATE GOVERNMENT JOB (Specify Agency) BOARD/COMMISSION (List complete name of all State | boards on which you are serving or are being considered) Fenn fred Bor Mo @l FO. \ aw ole whims of fe Busoni (owl bani UDICIAL OFFICER (Specy Office) | EGISLATOR (edty Hoven Senate [A Do other immediate family members reside in your housenold? or or | @Yes [No | When used throughout this form, the term Immediate family includes your spouse (unless legally separated). It also | Indus members of your seemed mh your 3h Your DOES et, arama, porens, srondpasits ad | Sin: nto Spouies of aeh of thas ants whe ves 1: yous ssaberd it th ll ame of ail adults rd emanated miners your user, A ine 3 hig ander 18 yours oe. ars 7 Spay aes Har hs US Ra: o cout Se for son” 8 FULL NAME OF ADULTS & | RELATIONSHIP | EMPLOYER | sopTImie | | WATUREoF Tenancipateo mons. | oN mere | I 4 Frabels War | wo kteratusbon I Yestor clergy Ey JE ne IT Vier] cee " | [St woueiart] The SE and any attachments, oxcuding the Confidential Form, are public records. Page 10110 st ONLY the initials of all unemancipated minors in your household below. A minors a hid undor 16 years od. Note: You must lst the full name of each minor child on the Confidential Form available at the “nd of this document. each miner child on the Conflden ne INTIAS FOR | RELATIONSHIP weioven | sosmime watuRe oF UEANCIATED ‘Sieess iNoRs or oo = Ls Morgner | wert | ule | wk — A Lv — PROPERTY INTERESTS FIT ———————r A. has an ownership intrest in Roth Caroll reat ete (inca yo residence) ith a market volo of Sidio0 or mar ves [Ne Ovener of Real Estate| 6 Ownership Interest | Location by Oty | Location by County Brant od abn Nsw vole [235 Mentfard Ave. Buncompe Pravme Nomen ot Ci Cpd Bl. | fae | 5 Loose or rnt ol atte o persons property 9. rom the Sate of orth Corsi wih a market vos of Nome of Lessor Name of Lessee | 1 Real Estate, Location | 1 Persona Property, _— — (Renter) | by Gity 8 County ~ ascrine | 2. AC any time during 2015 or 2016, dd you, your spouse, or members of your mediate family 5210 or buy fan the State of North Caroling personal property with a market value of $10,000 or more? Name of purchaser | Nameof Sar Trosotpropety rt ————— — ee— — The SEE and any atachments, excluding the Confidential Form, are public records. Page 2010 FINANCIAL INTERESTS 2. As of December 31, 2016, did you, your spouse, or members of your | immediate family own any of the following financial interests valued at $10,000 or ‘more? LIST EACH COMPANY INDIVIDUALLY. Xsan pag oes am? aves [fe ee ect oe Ts vig Tad vient und (reg ual finds, regaed esert OC Fe omponioton ta) 1 (1) th fund 15 Il ded to ssl ue widely Compas oe a marl ar bt irr he aves hel 1 the mol ue, ean of peng or Geen competion pon, ———RG eres Full Name of Company (Po not use a ticker symbol) _ [Ye p—— —_ CT ownerotstockoption —fr— nat une ter symbol) '< Interasts in a non-public. owned company or business entity (including interests in <ole proprietoships, It 1 a ait Compaen, Id ob paras, nd Bs protons [Yes CINo- If “No,” proceed to question 4. CC ownerstmmeest ame of Company or Business ety Brownie Neowin | Vedwdy Seb UC on hy alftek Wo | orca ro pa ove gan 3 ins any ne inary apo) denied n ution a oe aie o ons eet heh he primary company | owns securities or squty interests valued at over $10,000, known. _ ooger Sorpenne ownea Company or Business Entity | _ Other Companies in whieh ihe Primary Company primary Company) | owns Security o Equity Interests ____ iso Koown Uo, St 0] Suithund bir, UG Rogen Shon Hr Lp — (WelfeaSul, i S81 and ny attachments, excluding tha Confidential Form, ar public records. pee 30110 f © 21 IF you know tat any company or business entity Tnted in 5. o 3.C() sbove hos amy marl gnias | Senin or bios cana wih he Sar of Neh Coron. ess en So Ter sn Ry | amet company or susinsn ctty | oun ot Bsns cy wh se hone o Not Known So - I EE — EE | 4. sof Degember 31. 201, were you, your spouse, or members of your meds fom he beneiconcs of » vested st wih le oF $10.0 1 me ht sve mn meas fay 0 ot sts eld in bin rusts. Se 2017 SE lll To fo th tno of “Vested Trust ng “Bing Tr.” Oves [fio = B Name and Aderess of Trustee | Description of the Trust frm— 5. As of December 31 2016, 00 you, your spouse, of mermers of your Immediate aml have Tobie: of $10,000 or | 7S CIN Tris00t on yur cima ers roaence’ Exams me age ose as os 00 | To, samo a ro og | Name of Debtor (You, Spouse, Immediate Family | Type of Creditor Commercial Bank, Credit Union J nt or 6 Ust each source of incame (1% specific amounts) of mar an $5,000 receiv vy you, you spouse, 3 memes of Your immediate family during 2016. Include salary, wages, stateflocal government. retirement, professional fees, ora. ret, nds, ret come, Bune ore, I she 1s of mest et be eo C5 Soe an edna x re 00 nat includ income recived from the olowing sources: > Capital gains > Federal government retirement > Miltary retirement > Social secuity income/SS01 Recipient of Income | Name of Source. Type of Type of Income 21770) EA [11 had no reportable income over $5,000 in 2016. RE Br — rr ——————— Brome Nowmin | Wedukes Solar Penalle Gnogy Seley Broume Nomen |B Ene | Rawal brag) | Sie of hott ae Browne Navn | Ruonoe oy | Comty bamsis-in [Sur L Bzabetn Nieman, [Winer son Bogle. Chien | Sut, Chan F The SEL and any attachments, excluding th Confidential Form, are public records. Page dor 10 PROFESSIONAL AND CIVIC RELATIONSHIPS 7, Dung 2016, were you, you spovse or amber o your immediate arly drector, offer, govern board ES mtepmmin etoco,o edared bom os SenproN cova rgonEbNon cpa The tos of Nott Carob primary fo oi, char able, SCG, Tear, PU. heath nt sae, a cducaondl perpen Oven (fo No, proceed to question. > Do not list State boards or entities, or entities created by a political subdwision of the State. | TT > De ota organizations of which you re 8 mere members ‘Name of Person. His/Her Position Name of Nonprofit Nature of Business or | SS I EN SN — [769.1 he mongrt.corpratons or — vows sain win te Sate of rth Carolin o recov | State funds, please provide a brief description of the nature of that business, If Known or with which due difigence could | Feasonamy be know. Name of Nonprofit Corporation or Organization | Describe State Business or State Funding | Clone or tot Known I T I During 2016, Were you, your Spouse, or members of your immediata family a director, officer, of governing board ay ost o ey ros Ah 1 ern FES Ov aE your 3940 8 Boa oy Tove orien “ves [TNo [7 Lagstatorucicil Offer - You are nok recuired to complet ss auesto If you are lig cause a ein i thr o You a Hin 55 a appoint nce oH. | 0 no st rgaiztions of whic you re any member (rot serving in ade ro). | Name of Person Name of Saciety, Organization Leadership Position | or Aeneas Goon (iecton orice, Board Member) Brome Numi | Buncombe Conky Gomntiie| Cammsron Member J chianan The SEE and any attachments, excluding the Confidential Form, are public records. Page sof 10 a). Uist the name of cach company or business wih which you were associated where you or a member of our Inmediate an too, prophets o cor of mansOn of BELA 31 201. amie | nestor | vameorcompany | fleotpeon io times Assioins (0). 1 you know that any campany or business entity sted in 9(n) above had any material business dealings or business contracts with the State of North Carolina or was regulated by the State as of December 31, 2016, provide a ream of tr ins tw Wame of Company or Business Entity Description of Business Activity with the tate Sot applicable (No ents listed on #92) 10. Are you a practicing attorney? a. oo ; : - [EON p—— fe, check aah tery of og cptasntaton in whch yu of 0 lw with whch your afte a camo aoe on hm $1000 day Sts [ETv— Conary Domrte cima (oocadents Estates JE r— Climswance Cluster toca Government Ret propery secnties fo. orton (nckadng Cuties peution Cher category nc te protic ting 2016, wie you 3 Hoerusd rfesuonal (other tha an Wore) o dH you prove corso serves I motion fo sich yo hago or were Dod vs $10,007 Clves [¥% Type of Business Nature of Services Rendered he SEX and any attachments, excluding the Confidential Form, are public records. Page sor10 12. Are you or your employer, your spouse or members of your immediate family, or their employer currently: cused ty th Sate board or plying entity with wich you are or wil Bs assocted or ~ Reculate the State oor ar employing ety with wh yo ae or wil b asccated or Hove. busin cations withthe Sate bard or mplyin en with whch vou re or wil be asocted? [¥en [Mo CLeislator cil Ofer You a not realest complet ts ueston you ars ing becouse ou ar ior or 3 Jah oer Codi! ocr Gained he SE Hel Tot] o You re ig 2 on app th a: —— Tae Fe — | | Groohcaniey (ticensing, Regulatory, Business) - — ] 15 ve you, yor spose ar 4 mer of your IG: aly carry rgtared v8 obut a obowst pA, of were you registered as such within the 12 months preceding your filing of this form? fives © Name of Lobbyist Lobbyists Principal Date of Registration | | nomwanon | "Eepranion l i | OTHER DISCLOSURES oo _ 1. During any andar quarter in 2016 (ut an hm pic ar you wer apport, employed or fed or were Torney aha, 8 You 1" receive sy as xcending $200 per auto trom a person or grou of esons acu together, and | hen both ms nd those persons) were outside North Carlin a the vou ocapted th ito), and ~ ihe G(s were given under cimsances that would ad 3 essonate person to conclude tat thy wer gen for owns ves 10 ov rari er ars of Your ned Fry +00 hot rept its that ve previously been reported by You tthe Departmen o the Secrtay af Sat on the eens Reon for Enemies persone ote tem caved | ame and Adres of Soar | Gece em Recess | enioigke Veter The SEL and any attachments, excluding the Confidontial Form, are public records. Page 708 10 15. During 2016 (but ony the time period afer you were appointed, employed, or fled or were nominated as candidate) dd you + accept a “scholarship” exceeding $200 rom a person of graup of persons acting together and + those parsons) were outside North Carclna and. + the scholarship was related to your pubic position? A "scholarship" is a grant-in-aid, either direct or indirect, to attend a conference, meeting, or similar event, including tution, travel, lodging, meals, and other | similar expenses. | (ves Ro (]Judicl Officer - You are not require to complete this question f you are a Judicial office or you are fing 3s judicial officer appoints. ; chica coscica , _— » D0 not report gis tht have previously bean reported by you to the Department of the Secretary of State on the “Expense Report for Exempted Persons.” » Lagisiators are not required to report scholarships paid by a nonpartisan legislative organization of which the egiiator or the General Assembly is 3 member ar participant or an offiate of that organization. Dateot | Name and Address of Donor(s) Describe Event T Estimated Market | | scholarship | | =" Vaiue B EE EE T~ 1 | | 1 | tree ev ———— seers — I i 1 6. Ware you 3pponted or ae you bing considered or an apparent 03 covered board by th Gavernor or ater | Council of State member? | Council of state members are: | » Governor > Lt. Governor » Secretary of State » State Auditor » State Treasurer » Superintendent of Public Instruction » Attorney Generel > Commissioner of Agriculture» Commissioner of Labar » Commissioner of Insurance Dives [2 11 "Yes", list all contributions you (NOT immediate family members) made during 2016 with a cumulative | tat are ae 450055 he Govan or ch Counc f Soe member whe ‘appointed you. | | f— are defined in N.C.G.S. 163-278.6(6) and include, but are not limited to “ony advance, conveyance, | Gest, cistrivution, transfer of funds, loan, payment, if, ledge or subscription of money or anhing af vai | wnatsoever.” f ote “amount Contributed to i i To contribution(s) ih a cumulative total of more than $1,000 | The SEI and any attachments, excluding the Confidential Form, are public records. Page 8 of 10 17. Are you an appoint or prospective appeintee 0 a he her of a principal state department (6.9. cabinet secretory) 3ppanted by the Governor or b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District | Cour ud; oF . a member of any of th folowing boards: + Ae Commission © Cova Resources Commision ~ State Board of Education Oves (36 | © Stats ord of Fections. | ~ Divison of Employment Securty I Nos proceed to | + Environmental Management Commission question 18. | industria Common 1% Woman Resouces Commission ~ Ful Review Commission Board of Transportation | © UNC Board of Governors | Utes Commesion | white resources Commission LL ~ d. If 50, were you appointed or are you being considered for appointment to that [C)ves [INo public postin by Counc of State member? Counc of State members are 50 | xp “wo, proceed to Quasion 16. A. = i, you mst micte whether during 2016 you (nat immediate arly anes) engage ay of the owing acti wih respec 10.0 on bl of Te conte br. orpaloh commis af ne Coun of Ste member who Shponied you to your pubic poston: ! Oves (Mo 1. Collected contributions from multiple contributors, took possessian of sch lhe conibaions, and onsfamed or deere hose collected Comritont to the nada of om? Comebaons are eine in ion 6. ost a fndrase a your residence or place of business” ves (Ne i. Voluneered fo compaign-—elated acts, which incl, Bt are rot hited Lo phone bok ek pssstance, mains, comassiny, Surveios, or any | Yes CIN Sh ony ha advances the campaon of 5 Canam’ 15. rave you ever been convicted of a felony fo which you have nt received ahr: ) a pardon of Innocence; or (1) an onder of expungermentregorang that conviction’ Ove offense Date of Conviction | _ County of Conviction | _ State of Conviction To. Are you aware of any ahr information ha you belleve may avs the Sate Ethics Commission in 300s 10 Concern Your complonce with th State Goverment Enc ACL Des (Who If yes, please provide such information below. The SEE and any attachments, excluding the Confidential Form, ae public records. Page 9 of 10 [arrrasarion afi that the information provided in this Statement of Esononnic Interest and any altchments hereto ac rue, complete, and acute fo th best of my knovleds and belt | ts criy hata not afer and will os str, any se, reso prayer for he pps: of conc rom disclosure while etsning an equible nrc | derstand that my Stement of Econonnic ntrest and any atch or spleens thereto (with th excepion of the Comdentia Form regarding Unemancpaiod Children) ae pale record acknowledge that have read and understand N.C GS. 1387-26 regain concealing or fling 10 disclose material | information and N.C-G.S. 138A regarding providing alc information: | § 138A-26, Concealing or filing to disclose material information. | A ine person who knowin concen o owing is discos nominated 0 be iclosed ona sttement of comomic icret under this Avil shall be guilty of a Class | misdemeanor and shall be subject | to disciplinary action under G.S. 138A-45. 1 § 1387-27. Penalty for false information. | Knowing hat the information i fl 1 guilty of a Clas H felony and shall be subjes to disciplinary action under | | GS. 138A. pre i | Browne Nowwe— Hy Zoi H |e Bate Benoit Mawnan Printed Rare | | | Submit SIGNED, ORIGINAL documents only. Do not fax or emall this form. 1 The SEI and any attachments, excluding the Confidential Form, are public records. Page 100110

.;4%s NORTH CAROLINA STATE ETHICS COMMISSION | ror emiics commission use onty SR Pi 2016 STATEMENT OF ECONOMIC INTEREST | Oste Received: 919-814-3600 www. ethicscommission.nc.gov mm me A221 it 202 THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL |= Checked for completion "YOUR SEI FILING OBLIGATION vm ail ncompleters Supp. Sent Date __ Supp. Received Date _|_, Entered in database 7/21'it, By (0C ame bere CURRENT EMPLOYER Mealuaktn Solr LC NATURE OR TYPE OF BUSINESS [RP a A [J STATE GOVERNMENT JOB (Please specify the agency | [YSOARD/COMMISSION (Please list complete name of all or which you work or are being considered) State boards on which you are serving or are being considered Font Breed Rute Mio od B10 JUDICIAL OFFICER (Please specify the office you hold) | LEGISLATOR (Please spec House or Senate) A. Do other Immediate Family members reside in your household? Ges ONo When used throughout this form, the term Immediate Family Includes your spouse (unless legally separated). It iso includes members of your extended fomily (your and your spouse's children, grandchiidren, parents, grandparents, and siblings, and the spouses of each of those persons) who reside in your household. List the full name of al adults and emancipated minors in your household. A minor is a chid under 18 years od. Minors are emancipated by marriage, enlistment In the US milftary or court order for emancipation. | "emANCIPATED MINORS BUSINESS Erna Da Neon rk 65 | Fes | cemy | 1 | The SEI and any attachments, excluding the Confidential Form, are public records. Page 10 10 List ONLY the initials of al unemancipated minors in your household below, A minor is chid under 18 years old. Minors are emancipated by marriage, enlistment in the US military or court order for emancipation. Note: You must list the full name of each minor child on the Confidential Form available at the ‘end of this document. Tuma For sos TIE ATURE OF | UNEmANCIPATED ‘susiness | iNons on Leen | dea [wen Tx | wx] I-A of Bicember 31, 2015, 00 You, your spouse, or members of your Immediate family: A. Have an ownership interest in North Carolina real estate (Including your residence) with a market value of $16,000 or more? ies [iN % Ownership Interest | Location by Gty | _ Location by County Brownie Newhsmy o4 he, 1057s 25 Month) MJ] Bnunbe TC EE Bowne Newman 53% ener Tackeson 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? Oves © Name of Lessor Name of Lessee | If Real Estate, Location | If Personal Property, Ranta by City & County Describe. 2. At any time during 2014 or 2015, did you, your spouse, or members of your immediate family sell to or buy from the State of North Carolina personal property with a market value of $10,000 or more? Ores @fo Nome of purchaser TE The SET and any attachments, excluding the Confidential Form, are public records. Page 20f10 FINANCIAL INTERESTS 3. As of December 31, 2015, did you, your spouse, or members of your immediate family own any of the following financial interests valued at $10,000 or more? A. Stock in a publicly owned company? Oves[Erfo J »Do not list ownership interests in a widely held investment fund (including mutual funds, regulated investment companies, or pension or deferred compensation plans) if: (i) the fund is publicly traded or its assets are widely diversified; and (if) neither you nor an immediate family member are able to control the assets held In the mutual fund, investment company, or pension or deferred compensation plan. [ ownerorimterest ruil Name of Company (Do not use a ticker symbol) B. Stock Options in a company or business? @Yes [No oll Nar f Company (9 nt an 3 ticker yb) Fis Beg Ine: C. Interests in a non-publicly owned company or business entity (including interests in sole proprietorships, partnershizs, (mited partnerships, joint ventures, limited liabity companies, imited liabilty partnerships, and closely held corporations)? [%s [IN - If "No," proceed to question 4. Owner of Interest Name of Company or Business Entity Brune Noam Headwudod Soler , LLC C (1). For each non-publicly owned company or business entity (the “primary company") identified in question 3.C above, please lst the names of any other companies or business entitles in which the primary company ons securities or equity Interests valued at over $10,000, If known. Non-Publicly Owned Company or Business Entity | Other Companies in which the Primary Company (the Primary Company) ‘Owns Security or Equity Interests fone or Not Known The SEX and any attachments, excluding the Confidential Form, are public records. Page30f 10 vee —— (2). If you know that any company or business entity sted In 3.C or 3.C(1) above has any material business dealings or business contracts with the State of North Carolina, or is regulated by the State, provide 5 briet description of that business activity. Name of Company or Business Entity Description of Business Activity with the State None or Not Known TT } oo - 1 4. As of December 31, 2015, were you, your spouse, or members of your immediate family the beneficiaries of a vested trust with a vaiue of $10,000 or more that was created, established, or controled by you? Do not list assets held in blind trusts. See 2016 SEI Helpful Tips for the definition of "Vested Trust” and “Blind Trust.” | Ove Go Nome and Address of Trustee Description of the Trust| Your Relationship to the Trust 5. AS of December 31, 2015, dd you, your spouse, or members of your Immediate family have abies of $10,000 or more, excluding the mortgage on your primary personal residence? Examples Include credit card debts, auto ans, student loans, personal loans and intra-family debt. Oves [ho ‘Name of Debtor (You, Spouse, Immediate Family | Type of Creditor (Commercial Bank, Credit Union, Member) " Individual, ete.) 6. List each soutcs of income (not speci amounts) of mars. han $5,000 receved by you, your spouse, or members of | your immediate family during 2015. Include salary, wages, state/local goverment retirement, professional fees, | Ronorara interest, dividends, rental Income, business Income, and other types of income required tb reported on your | State and federa! tox retums. Do at include Income received from the following sources: > Capital gains » Federal government retirement > Military retirement > Sacial security income/ SDT Recipient of Income Name of Source Type of Type of Income = Business Industry J nad no reportable income over $5,000 n 2015. Buoue Notun FLS Grav, nc: Seng Brownie Navan Buncombe lok) Lommsioner’ Salery B Beth Ntwmun WAC Reesbftvion dauch hath Salar The SEZ and any attachments, excluding the Confidential Form, are public records. Page 4of 10 EE —————————————————————————————— —y PROFESSIONAL AND CIVIC RELATIONSHIPS 7(a). During 2015, were you, your spouse or members of your immedate family a director, officer, governing board member, employee, independent contractor, or registered lobbyist of & nonproft corporation o organization operating in the State of North Carolina primarily for religious, charitable, scientific, literary, public health and safety, or educational purposes? [ves [JNo - If “No,” proceed to question 8. 55 not ist State boards or ene, or ents created by a polical subdivision of fe State. > Do not st organizations of which you are a mere member. ee His/Her Position Name of Nonprofit Nature of Business or Corporation or Organization | Purpose of Organization = 7(b). If the nonpralk corporations or organizations ted above do business with the State of North Caralna or receive State funds, please provide a brief description of the nature of that business, If known or with which due diligence could reasonably be known "Name of Nonprofit Corporation or Organization Describe State Business or Stata Funding None or Not Known 8. During 2015, were you, your spouse, or members of your immediate family a director, officer, or governing board member of any Society, organization, or advocacy Group with an interest in matters over which your 896ncy of board may have jurisdiction? [fes [#0 [J Legisiator/Judicial Officer - You are not required to complete this question if you are fling because ‘You are a legislator or judicial officer or you are fling as an appointee to those offices. Do not list organizations of which you are only a member (not serving in a leadership role). Name of Person Name of Society, Organization Leadership Position or Advocacy Group (Director, Officer, Board Member) Brownie Nowmin Bontombe Contr Committ | Boad ob Commisnim The SEZ and any attachments, excluding the Confidential Form, are public records. Page 5 of 10 9(a). List the name of each company or business with which you were associated where you or a member of your [mmediate. family was an employee, director, officer, partner, proprietor, or member or manager as of December 31, 2015. Name of Parson Relationship to Filer Name of Company Role of Parson [J No Business Associations ~- If "No," proceed to question 10 Burns Nemmun Heddurhy Salas Fuh oro 3(b). If you know that any company or business enthy sted In 9(a) above had any material business dealings or business contracts with the State of North Carolina or was regulated by the State as of December 31, 2015, provide a ref Gescrption of that business activity. 3 Name of Company or Business Entity Description of Business Activity with the State [1 Not applicable (No entities listed on #9a) [fo relationship / Not known 10. Are you a practicing attorney? D¥es fo [Judicial Offcer/State Attorney | 1 Ves", check each category of legal representation in which you or the law fin with which you are affliated has eared legal fees of more than $10,000 during 2015. 0) Administrative 0 admiraty 0) Corporate. Ocrimnal [J Decedent's Estates 0 Environmental O Insurance. 0 Labor 0 Local Government [Real Property 0 Securities Dax Tort litigation (including [0 utiiities Regulation [[ Other category not listed. negligence) 11. During 2015, were you a licensed professional (other than an attorney) or did you provide consulting services individually or as a member of a professional association for which you charged or were paid over $10,000? Oves [0 Type of Business Nature of Services Rendered The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 10 EE —— EE ————— 42. Are you or your employer, your spouse or members of your immediate family, or ther employer curently: + Licensed by the State board or employing entity with which you are or wil be associated or + Requiated by the State board or employing entity with which you are or wil be associated or + Have 2 business relationship with the State board or employing entity with which you are or wil be associated? Dives [flo []Legislator/udicial Officer - You are not required to complete this question If you are filing because ‘you are a legisiator or a judicial officer ("judicial officer is defined in the SEI Helpful ToS) or You are fling as an appointee to those offices. Name of Employer Type of Relationship (F applicable) (Licensing, Regulatory, Business) 13. Are you, your spouse or a member of your immediate family currently registered as lobbyist or lobbyist principal, or were you registered as such within the 12 months preceding vour ling of this form? Oves Eo Lobbyist's Principal Date of Registration Registration ‘Expiration OTHER DISCLOSURES _ i} 14. During any calendar quarter in 2015 (but only the time period after you were appointed, employed or fled or were nominated as a candidate), id you + receive any *gifi(s)" exceeding $200 per quarter from a person or group of persons acting together, and = when bath you and those person(s) were outside North Carolina at the time you accepted the git), and + the gift(s) were given under circumstances that would ead a reasonable person to conclude that they were given for lobbying? Oves [Efo Ba not report Gifts Given by members of your extended family. D0 not report ifs that have previously been reported by you to the Department of the Secretary of State on the “Expense Report for Exempted Persons.” Date Item Received | Name and Address of Donor(s) | Describe Item Received | Estimated Market Value ‘The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 10 - YY YL —- -mrm 15. During 2015 (but only the time period afer you were appointed, employed, or fled or were nominated as a candidate) | did you + accept a scholarship" exceeding $200 from a person or group of persons acting together and + those person(s) were outside North Carolina and « the scholarship was related to your pubic positon? A "scholarship is a grant-In-aid, either direct or Indirect, to attend a conference, meating, or similar event, including tuition, travel, 16dging, meets, and other similar expenses. [es [fio [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. > D0 not report ifs that have previously been reported by you tothe Department of the Secretary of State an the “Expense Report for Exempted Persons.” > Legisiaors are not required to report scholarships paid by a nonpartisan legislative argarization of which the legislator or the General Assembly is a member or participant o on affiate of that organization. Date of Name and Address of Donor(s) Describe Event Estimated Market | scholarship Value 16. Were you appointed or are you being considered for an appointment to a covered board by the Governor or another Council of State member? Councll of State members are: | > Govemor > 2. Governor > Secretary of Sate i » State Auditor » State Treasurer » Superintendent of Public Instruction > Attomey General > Commissioner of Agriculture» Cothmissoner of Labor > Commissioner of Insurance Oves @fo If "Yes", list all contributions you (NOT Immediate family members) made during 2015 with a cumulative total of more than $1,000 to the Governor or other Council of State member who appointed you. > Contributions are defined in N.C.G.5. 163-278.6(6) and include, bu are not limited to, “any advance, conveyance, depost, distribution, transfer of funds, loan, payment, gift ledge o subscpton of money of arstbind of vale whatsoever.” Date ‘Amount B B Contributed to B [FNo contribution(s) with a cumulative total of more than $1,000 The SEX and any attachments, excluding the Confidential Form, are public records. Page 8 of 10 17. Are you an appointee or prospective appointee to: ] a. the head of a principal state department (e.g. cabinet secretary) appointed by the Governor; or b. 2 North Carolina Supreme Court Justice, Court of Appeals, Superior or District Court Judge; or . a member of any of the following boards: + ABC Commission + Coastal Resources Commission + State Board of Education OYes @fo + State Board of Elections + Division of Employment Security Ir No” proceed to | « Environmental Management Commission question 18. | « Industrial Commission | « Human Resources Commission | + Rules Review Commission i = Board of Transportation + UNC Board of Governors + tities Commission + Wife Resources Commission d. If so, were you appointed or are you being considered for appointment to that OYes [INo public position by a Council of State member? Council of State members are listed “Noy” in question 16. rs e. If so, you must indicate whether during 2015 you (not immediate family members) engaged in any of the following activities with respect to or on behalf of the candidate or campaign committee of the Council of State member who appointed you to your public position: Oves (Ne i. Collected contributions from multiple contributors, took possession of such ‘multiple contributions, and transferred or delivered those collected contributions to the candidate or committee? Contributions are defined in auestion 16. 1. Hosted a fundraiser at your residence or place of business? Oves Oo i. Volunteered for campaign-related activities, which Include, but are not Imited to, phone banks, event assistance, mailings, canvassing, surveying, or any other activity that advances the campaign of a candidate? 18. Have you ever been convicted of a felony for which you have not received either: (i) a pardon of innocence; or (ii) an order of expungement regarding that conviction? Oves @fo | omeme | oateot Conviction | County of Conviction | state of Conviction 19. Are you aware of any other information that you believe may assist the State Ethics Commission In advising you concerning your compliance with the State Government Ethics Act? OYes [No If yes, piease provide such information below. The SEI and any attachments, excluding the Confidential Form, are public records. Pages of 10 AFFIRMATION 1affirm that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate fo the best of my knowledge and belief. Talso certify that [ have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it rom disclosure while retaining an equitable interest. {understand that my Statment of Economic Interest and any attachments or supplements thereto (with the exception of the Confidential Form regarding Unemancipated Children) are public record. 1 acknowledge that [ 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 filing 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. 138A45. § 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 GS. 138A45 [Hf Agree . BN Brsuwase Nwrwr—— Apu 15, Zot Signature Date Roun Nomen Fmteatame 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

.;4%s NORTH CAROLINA STATE ETHICS COMMISSION | ror emiics commission use onty SR Pi 2016 STATEMENT OF ECONOMIC INTEREST | Oste Received: 919-814-3600 www. ethicscommission.nc.gov mm me A221 it 202 THIS ENTIRE FORM MUST BE COMPLETED TO FULFILL |= Checked for completion "YOUR SEI FILING OBLIGATION vm ail ncompleters Supp. Sent Date __ Supp. Received Date _|_, Entered in database 7/21'it, By (0C ame bere CURRENT EMPLOYER Mealuaktn Solr LC NATURE OR TYPE OF BUSINESS [RP a A [J STATE GOVERNMENT JOB (Please specify the agency | [YSOARD/COMMISSION (Please list complete name of all or which you work or are being considered) State boards on which you are serving or are being considered Font Breed Rute Mio od B10 JUDICIAL OFFICER (Please specify the office you hold) | LEGISLATOR (Please spec House or Senate) A. Do other Immediate Family members reside in your household? Ges ONo When used throughout this form, the term Immediate Family Includes your spouse (unless legally separated). It iso includes members of your extended fomily (your and your spouse's children, grandchiidren, parents, grandparents, and siblings, and the spouses of each of those persons) who reside in your household. List the full name of al adults and emancipated minors in your household. A minor is a chid under 18 years od. Minors are emancipated by marriage, enlistment In the US milftary or court order for emancipation. | "emANCIPATED MINORS BUSINESS Erna Da Neon rk 65 | Fes | cemy | 1 | The SEI and any attachments, excluding the Confidential Form, are public records. Page 10 10 List ONLY the initials of al unemancipated minors in your household below, A minor is chid under 18 years old. Minors are emancipated by marriage, enlistment in the US military or court order for emancipation. Note: You must list the full name of each minor child on the Confidential Form available at the ‘end of this document. Tuma For sos TIE ATURE OF | UNEmANCIPATED ‘susiness | iNons on Leen | dea [wen Tx | wx] I-A of Bicember 31, 2015, 00 You, your spouse, or members of your Immediate family: A. Have an ownership interest in North Carolina real estate (Including your residence) with a market value of $16,000 or more? ies [iN % Ownership Interest | Location by Gty | _ Location by County Brownie Newhsmy o4 he, 1057s 25 Month) MJ] Bnunbe TC EE Bowne Newman 53% ener Tackeson 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? Oves © Name of Lessor Name of Lessee | If Real Estate, Location | If Personal Property, Ranta by City & County Describe. 2. At any time during 2014 or 2015, did you, your spouse, or members of your immediate family sell to or buy from the State of North Carolina personal property with a market value of $10,000 or more? Ores @fo Nome of purchaser TE The SET and any attachments, excluding the Confidential Form, are public records. Page 20f10 FINANCIAL INTERESTS 3. As of December 31, 2015, did you, your spouse, or members of your immediate family own any of the following financial interests valued at $10,000 or more? A. Stock in a publicly owned company? Oves[Erfo J »Do not list ownership interests in a widely held investment fund (including mutual funds, regulated investment companies, or pension or deferred compensation plans) if: (i) the fund is publicly traded or its assets are widely diversified; and (if) neither you nor an immediate family member are able to control the assets held In the mutual fund, investment company, or pension or deferred compensation plan. [ ownerorimterest ruil Name of Company (Do not use a ticker symbol) B. Stock Options in a company or business? @Yes [No oll Nar f Company (9 nt an 3 ticker yb) Fis Beg Ine: C. Interests in a non-publicly owned company or business entity (including interests in sole proprietorships, partnershizs, (mited partnerships, joint ventures, limited liabity companies, imited liabilty partnerships, and closely held corporations)? [%s [IN - If "No," proceed to question 4. Owner of Interest Name of Company or Business Entity Brune Noam Headwudod Soler , LLC C (1). For each non-publicly owned company or business entity (the “primary company") identified in question 3.C above, please lst the names of any other companies or business entitles in which the primary company ons securities or equity Interests valued at over $10,000, If known. Non-Publicly Owned Company or Business Entity | Other Companies in which the Primary Company (the Primary Company) ‘Owns Security or Equity Interests fone or Not Known The SEX and any attachments, excluding the Confidential Form, are public records. Page30f 10 vee —— (2). If you know that any company or business entity sted In 3.C or 3.C(1) above has any material business dealings or business contracts with the State of North Carolina, or is regulated by the State, provide 5 briet description of that business activity. Name of Company or Business Entity Description of Business Activity with the State None or Not Known TT } oo - 1 4. As of December 31, 2015, were you, your spouse, or members of your immediate family the beneficiaries of a vested trust with a vaiue of $10,000 or more that was created, established, or controled by you? Do not list assets held in blind trusts. See 2016 SEI Helpful Tips for the definition of "Vested Trust” and “Blind Trust.” | Ove Go Nome and Address of Trustee Description of the Trust| Your Relationship to the Trust 5. AS of December 31, 2015, dd you, your spouse, or members of your Immediate family have abies of $10,000 or more, excluding the mortgage on your primary personal residence? Examples Include credit card debts, auto ans, student loans, personal loans and intra-family debt. Oves [ho ‘Name of Debtor (You, Spouse, Immediate Family | Type of Creditor (Commercial Bank, Credit Union, Member) " Individual, ete.) 6. List each soutcs of income (not speci amounts) of mars. han $5,000 receved by you, your spouse, or members of | your immediate family during 2015. Include salary, wages, state/local goverment retirement, professional fees, | Ronorara interest, dividends, rental Income, business Income, and other types of income required tb reported on your | State and federa! tox retums. Do at include Income received from the following sources: > Capital gains » Federal government retirement > Military retirement > Sacial security income/ SDT Recipient of Income Name of Source Type of Type of Income = Business Industry J nad no reportable income over $5,000 n 2015. Buoue Notun FLS Grav, nc: Seng Brownie Navan Buncombe lok) Lommsioner’ Salery B Beth Ntwmun WAC Reesbftvion dauch hath Salar The SEZ and any attachments, excluding the Confidential Form, are public records. Page 4of 10 EE —————————————————————————————— —y PROFESSIONAL AND CIVIC RELATIONSHIPS 7(a). During 2015, were you, your spouse or members of your immedate family a director, officer, governing board member, employee, independent contractor, or registered lobbyist of & nonproft corporation o organization operating in the State of North Carolina primarily for religious, charitable, scientific, literary, public health and safety, or educational purposes? [ves [JNo - If “No,” proceed to question 8. 55 not ist State boards or ene, or ents created by a polical subdivision of fe State. > Do not st organizations of which you are a mere member. ee His/Her Position Name of Nonprofit Nature of Business or Corporation or Organization | Purpose of Organization = 7(b). If the nonpralk corporations or organizations ted above do business with the State of North Caralna or receive State funds, please provide a brief description of the nature of that business, If known or with which due diligence could reasonably be known "Name of Nonprofit Corporation or Organization Describe State Business or Stata Funding None or Not Known 8. During 2015, were you, your spouse, or members of your immediate family a director, officer, or governing board member of any Society, organization, or advocacy Group with an interest in matters over which your 896ncy of board may have jurisdiction? [fes [#0 [J Legisiator/Judicial Officer - You are not required to complete this question if you are fling because ‘You are a legislator or judicial officer or you are fling as an appointee to those offices. Do not list organizations of which you are only a member (not serving in a leadership role). Name of Person Name of Society, Organization Leadership Position or Advocacy Group (Director, Officer, Board Member) Brownie Nowmin Bontombe Contr Committ | Boad ob Commisnim The SEZ and any attachments, excluding the Confidential Form, are public records. Page 5 of 10 9(a). List the name of each company or business with which you were associated where you or a member of your [mmediate. family was an employee, director, officer, partner, proprietor, or member or manager as of December 31, 2015. Name of Parson Relationship to Filer Name of Company Role of Parson [J No Business Associations ~- If "No," proceed to question 10 Burns Nemmun Heddurhy Salas Fuh oro 3(b). If you know that any company or business enthy sted In 9(a) above had any material business dealings or business contracts with the State of North Carolina or was regulated by the State as of December 31, 2015, provide a ref Gescrption of that business activity. 3 Name of Company or Business Entity Description of Business Activity with the State [1 Not applicable (No entities listed on #9a) [fo relationship / Not known 10. Are you a practicing attorney? D¥es fo [Judicial Offcer/State Attorney | 1 Ves", check each category of legal representation in which you or the law fin with which you are affliated has eared legal fees of more than $10,000 during 2015. 0) Administrative 0 admiraty 0) Corporate. Ocrimnal [J Decedent's Estates 0 Environmental O Insurance. 0 Labor 0 Local Government [Real Property 0 Securities Dax Tort litigation (including [0 utiiities Regulation [[ Other category not listed. negligence) 11. During 2015, were you a licensed professional (other than an attorney) or did you provide consulting services individually or as a member of a professional association for which you charged or were paid over $10,000? Oves [0 Type of Business Nature of Services Rendered The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 10 EE —— EE ————— 42. Are you or your employer, your spouse or members of your immediate family, or ther employer curently: + Licensed by the State board or employing entity with which you are or wil be associated or + Requiated by the State board or employing entity with which you are or wil be associated or + Have 2 business relationship with the State board or employing entity with which you are or wil be associated? Dives [flo []Legislator/udicial Officer - You are not required to complete this question If you are filing because ‘you are a legisiator or a judicial officer ("judicial officer is defined in the SEI Helpful ToS) or You are fling as an appointee to those offices. Name of Employer Type of Relationship (F applicable) (Licensing, Regulatory, Business) 13. Are you, your spouse or a member of your immediate family currently registered as lobbyist or lobbyist principal, or were you registered as such within the 12 months preceding vour ling of this form? Oves Eo Lobbyist's Principal Date of Registration Registration ‘Expiration OTHER DISCLOSURES _ i} 14. During any calendar quarter in 2015 (but only the time period after you were appointed, employed or fled or were nominated as a candidate), id you + receive any *gifi(s)" exceeding $200 per quarter from a person or group of persons acting together, and = when bath you and those person(s) were outside North Carolina at the time you accepted the git), and + the gift(s) were given under circumstances that would ead a reasonable person to conclude that they were given for lobbying? Oves [Efo Ba not report Gifts Given by members of your extended family. D0 not report ifs that have previously been reported by you to the Department of the Secretary of State on the “Expense Report for Exempted Persons.” Date Item Received | Name and Address of Donor(s) | Describe Item Received | Estimated Market Value ‘The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 10 - YY YL —- -mrm 15. During 2015 (but only the time period afer you were appointed, employed, or fled or were nominated as a candidate) | did you + accept a scholarship" exceeding $200 from a person or group of persons acting together and + those person(s) were outside North Carolina and « the scholarship was related to your pubic positon? A "scholarship is a grant-In-aid, either direct or Indirect, to attend a conference, meating, or similar event, including tuition, travel, 16dging, meets, and other similar expenses. [es [fio [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. > D0 not report ifs that have previously been reported by you tothe Department of the Secretary of State an the “Expense Report for Exempted Persons.” > Legisiaors are not required to report scholarships paid by a nonpartisan legislative argarization of which the legislator or the General Assembly is a member or participant o on affiate of that organization. Date of Name and Address of Donor(s) Describe Event Estimated Market | scholarship Value 16. Were you appointed or are you being considered for an appointment to a covered board by the Governor or another Council of State member? Councll of State members are: | > Govemor > 2. Governor > Secretary of Sate i » State Auditor » State Treasurer » Superintendent of Public Instruction > Attomey General > Commissioner of Agriculture» Cothmissoner of Labor > Commissioner of Insurance Oves @fo If "Yes", list all contributions you (NOT Immediate family members) made during 2015 with a cumulative total of more than $1,000 to the Governor or other Council of State member who appointed you. > Contributions are defined in N.C.G.5. 163-278.6(6) and include, bu are not limited to, “any advance, conveyance, depost, distribution, transfer of funds, loan, payment, gift ledge o subscpton of money of arstbind of vale whatsoever.” Date ‘Amount B B Contributed to B [FNo contribution(s) with a cumulative total of more than $1,000 The SEX and any attachments, excluding the Confidential Form, are public records. Page 8 of 10 17. Are you an appointee or prospective appointee to: ] a. the head of a principal state department (e.g. cabinet secretary) appointed by the Governor; or b. 2 North Carolina Supreme Court Justice, Court of Appeals, Superior or District Court Judge; or . a member of any of the following boards: + ABC Commission + Coastal Resources Commission + State Board of Education OYes @fo + State Board of Elections + Division of Employment Security Ir No” proceed to | « Environmental Management Commission question 18. | « Industrial Commission | « Human Resources Commission | + Rules Review Commission i = Board of Transportation + UNC Board of Governors + tities Commission + Wife Resources Commission d. If so, were you appointed or are you being considered for appointment to that OYes [INo public position by a Council of State member? Council of State members are listed “Noy” in question 16. rs e. If so, you must indicate whether during 2015 you (not immediate family members) engaged in any of the following activities with respect to or on behalf of the candidate or campaign committee of the Council of State member who appointed you to your public position: Oves (Ne i. Collected contributions from multiple contributors, took possession of such ‘multiple contributions, and transferred or delivered those collected contributions to the candidate or committee? Contributions are defined in auestion 16. 1. Hosted a fundraiser at your residence or place of business? Oves Oo i. Volunteered for campaign-related activities, which Include, but are not Imited to, phone banks, event assistance, mailings, canvassing, surveying, or any other activity that advances the campaign of a candidate? 18. Have you ever been convicted of a felony for which you have not received either: (i) a pardon of innocence; or (ii) an order of expungement regarding that conviction? Oves @fo | omeme | oateot Conviction | County of Conviction | state of Conviction 19. Are you aware of any other information that you believe may assist the State Ethics Commission In advising you concerning your compliance with the State Government Ethics Act? OYes [No If yes, piease provide such information below. The SEI and any attachments, excluding the Confidential Form, are public records. Pages of 10 AFFIRMATION 1affirm that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate fo the best of my knowledge and belief. Talso certify that [ have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it rom disclosure while retaining an equitable interest. {understand that my Statment of Economic Interest and any attachments or supplements thereto (with the exception of the Confidential Form regarding Unemancipated Children) are public record. 1 acknowledge that [ 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 filing 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. 138A45. § 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 GS. 138A45 [Hf Agree . BN Brsuwase Nwrwr—— Apu 15, Zot Signature Date Roun Nomen Fmteatame 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