(“Long Form”) COP Statement of Economic Interest | _Candidates for offices subject to the State Government Ethics Act must file their Statement of Economic Interest ("SEI") in the same place and in the same manner as their notice of candidacy according to G.S. 163-106. For assistance completing this form, you may call 919-807-4620 or e-mail: ethies.commission@nemail.net. CONTACT INFORMATION FEB 1 9 2008 Willian C. "Bib" Owens, Jaw Name of Person Filing Mailing or Home Addresst__773 Hunters Trail éast ékizaheth City, WC 27909 Job Title/Employer flanagen = W.ll. Owens & Sons Avg. & Stg., Ince Daytime Phone Number __ 252-335-7650 E-Mail Address $$ If you are filing because you are serving on or being considered for appointment to a State board, commission, task force, authority, or similar public body (“board”), please list the full name(s) of all boards on which you are serving or to which you are being considered for appointment: Worth Cacotina State House of Representatives Worth Canolina State Economic Development Board Please provide the following information concerning your spouse and other members of your immediate family.’ If the information requested does not apply, please indicate “none.” Name (First, Last)* Occupation Employer Business, NONE * With the exception of judicial officers (including Justices or judges of the General Court of Justice, district attomeys, and clerks of ‘court, persons holding or seeking an elected office with a residency requirement nnist provide a home address. ° Immediate family includes your spouse (unless legally separated) and members of your extended family (your and your spouse's children, grandchildren, parests, grandparests, and siblings, and the spouses of each of those persons) that reside in your household. ° Judicial officers and candidates for those offices may use the initials of unemancipated children instead of those children’s names. If initials are used, the children’s names should be provided on a supplemental form evailable on the Commission's website$10,000 PLUS DISCLOSURES ok ee Og? If you, your spouse, or other members of your immediate family have assets or liabilities with a market value of at least $10,000 in the following categories, please provide the requested information as of December 31°of the preceding year, unless another time period is specified in the question, > Do not list the value of those assets or liabilities. > Do not list assets or liabilities held in a “blind trust.” REAL ESTATE 1, List all North Carolina real estate in which you, your spouse, or other members of your immediate family have an ownership interest with a market value of $10,000 or more. Owner of Real Estate Location by County and City % Ownership Interest SEE ATTACHMENT 1 2, List all North Carolina real estate with a market value of $10,000 or more that is rented to or from the State by you, your spouse, or other members of your immediate family. Please identify the State agency involved in the property lease. Identity of Lessor _Identity of Lessee (Renter) Location by County and City NONE * A “blind trast” isa rust shat meets all of the following criteria: (a) the owner ofthe ass assets is unaware ofthe trust's holdings andl sources of income, (b) the individual or entity managing the tmus's assets ("the trustee”) ig not a member of the covered person's extended family and is aot associated with or employed by she covered persoa or his or her immediate family, and (¢) the Imustee hes soe discretion to manage te trust's assets. GS. 138A-3(1). IF YOU DO NOT HAVE INFORMATION TO DISCLOSE IN RESPONSE TO A PARTICULAR QUESTION, PLEASE INDICATE “NONE. Page 2 of 10PERSONAL PROPERTY 3. List personal property with a market value of $10,000 or more that was sold to or purchased from the State by you, your spouse, or other members of your immediate family within the preceding two years. Please identify the State agency involved in the purchase or sale of the property. Identity of Purchaser Identity of Seller _ Nature and Location of Property NONE 4, List personal property with a market value of $10,000 or more that was leased or rented to or from the State by you, your spouse, or other members of your immediate family. Please identify the State agency involved in the property lease. Identity of Lessor Identity of Lessee (Renter) ‘Nature and Location of Property INTERESTS IN PUBLICLY OWNED COMPANIES 5(a), List the name of each publicly owned company in which you, your spouse, or other members of your immediate family own interests valued at $10,000 or more. > 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 publicly traded or its assets are widely diversified and (ii) neither you nor an immediate family member are able to control the assets held in the mutual fund, investment company, or pension or deferred compensation plan, > Do not disclose the value of your interests. Owner of Interests Name of Company i [_W.C. Owens, ga. Gateway Bank & Taust _ WC. Owens, Jn. | Windswert Envinomental Gaoup IF YOU DO NOT HAVE INFORMATION TO DISCLOSE IN RESPONSE TO A. PARTICULAR QUESTION, PLEASE INDICATE “NONE.” Page 3 of 105(b). List the name of each company in which you, your spouse, or other members of your immediate family hold stock options valued at $10,000 or more. > Do not disclose the value of the stock option(s). > Do not list companies disclosed in response to previous questions. Owner of Stock Option Name of Company in which Option is Held UC. Owens, Ire Gateway Bank & Trust ENTITIES INTERESTS IN NON-PUBLICLY OWNED COMPANIES OR BUSI 6(a). List financial interests valued at $10,000 or more that you, your spouse, or other members of your immediate family have in a non-publiely owned company or business entity (including interests in partnerships, limited partnerships, joint ventures, limited liability companies, limited liability partnerships, and closely held corporations). Specify if the owner is an officer, ‘employee, owner, director, or partner Name of Company ‘of the company, or a member or Owner of Interest ‘or Business Entity. manager of a limited lability compan SEE ATTACHMENT 2 IF YOU DO NOT HAVE INFORMATION TO DISCLOSE IN RESPONSE TO A PARTICULAR QUESTION, PLEASE INDICATE “NONE.” Page 4 of 106(b). For each of those non-publicly owned companies or business entities identified in question 6(a) (the “primary company”), please list the names of any other companies in which the primary company ‘owns securities or equity interests valued at over $10,000, if known. NomPublicly Owned Company Other Companies in which the Primary Company (Ghe Primary Company) ‘Owns Securities or Equity Interests |é-u. Ovens & Sons ftug. & Stg. Ine.] Gateway Bank & Trust Suntpa ry Gateway Bank & Tause THO Parinens, LLC feigey bank 4 Tey 40G Development, LLC Gateway Bank & 7aust Consolidated Development, Inc. Clankavilée Paopeaties, TIC Consotidated Development, Inc. dil Grice, TIC RA Peopentios of Rocky Mount, Lt 6(c). If you know that any company or business entity listed in 6(a) or (b) above has any material business dealings, contracts, or other involvement with the State, or is regulated by the State, provide a brief description of that business activity. __Identity Company or Business Nature of Business Relationship with the State “SEE ATTACHMENT 3 VESTED TRUSTS 7. If you, your spouse, or other members of your immediate family are the beneficiaries of a vested trust with a value of $10,000 or more that is created, established, or controlled by you, provide the following information. > Do not list blind trusts. Please see footnote 4 on page 2 for the definition of “blind trust.” Name & Address of Trustee Description of the Trust ‘Your Relationship to the Trust HOWE IF YOU DO NOT HAVE INFORMATION TO DISCLOSE IN RESPONSE TO A PARTICULAR QUESTION, PLEASE INDICATE “NONE.” Page 5 of 10LIABILITH 8, List each liability of $10,000 or more incurred by you, your spouse, or other members of your immediate family, excluding indebtedness on your primary personal residence. ‘Type of Creditor Name of Debtor (You, Spouse, Family Member) __ (Commercial Bank, Credit Union, Individual, ete.) UC. Owens, Ine nial Bank La Os 2 a | Il. OTHER DISCLOSURES 9. If you, your spouse, or other members of your immediate family were at any time during the preceding calendar year (not just on December 31) a director, officer, governing board member, ‘employee, independent contractor, or registered lobbyist of a nonprofit corporation or organization “operating in the State primarily for religious, charitable, scientific, literary, public health and safety, or educational purposes, provide the following information. > Do not list State boards or entities, or entities created by a political subdivision of the State. >If the listed nonprofit corporations or organizations do business with the State or receive State funds, please provide a brief description of the nature of that business, if known, or which with due diligence could reasonably be known. Identify Person Name of Nonprofit Nature of Business Describe State Business (id hivher Position __Corp. or Organization _ or State Funding one IF YOU DO NOT HAVE INFORMATION TO DISCLOSE IN RESPONSE TO A PARTICULAR QUESTION, PLEASE INDICATE “NONE.” Page 6 of 1010, List the name of each source of income (not specific amounts) of more than $5,000 received by you, Your spouse, or other members of your immediate family during the preceding year if that source was not previously listed in response to questions 1-9. Include salary, wages, professional fees, honoraria, interest, dividends, rental income, and business income. Please do not include income received from the following sources: > Capital gains > Federal government retirement > Military retirement > Social security income Business or Industry ‘Type of Income Owens & Sons Rental of Stoadge Safaay Recipient of Income H.C. Owens, W.C. Owens, Ja. Vaylor Mueller Redlty Real Estata |Conniasion/Bua. Theone IC Genenat Assemefy Representativd Sabaay Y.C. Owens, WC. Owens, Ja. | Gateway Bank Banking Dénector Fees HC. Ovens, gn. WC State 7reasuces State Agency | Retizement Déistalikutios H.C. Owens, HLgenante Mind Whhe. Storage Rental Busines Income| WiC. Owens, Ja. | Consotidated Devfopment Real Estate Business Incoke H.C. Owens, Jr. JOG Development Real Estate Business Income ¥.C. Owens, Ja. Owens & Rokentson Real Estate Partnership: Diats U1. Are you area practicing attorney? _Yes_x No If so, please check each category of legal representation in which you or the law firm with which you are associated has earned legal fees of $10,000 or more during the preceding year. (.) Administrative ( ) Admiralty (Corporate (_-) Criminal (_) Decedents’ Estates) Environmental (.) Insurance (_} Labor ( } Local Government (_) Real Property ( ) Securities (-) Tax (_ ) Tort litigation (including negligence) ( ) Utilities regulation 12. Are you a licensed professional (other than an attorney) or do you provide consulting services individually or as a member of a professional association? _X_Yes __No If so, provide the following information for those services for which you charged or were paid over $10,000 during the preceding year. ‘Type of Business Nature of Services Rendered Real Estate Real Estate Agent IF YOU DO NOT HAVE INFORMATION TO DISCLOSE IN RESPONSE TO A PARTICULAR QUESTION, PLEASE INDICATE “NONE.” Page 7 of 1013. If, as of December 31” of the preceding year, you or your employer, or your spouse or other members of your immediate family, or their employer, were licensed or regulated by, or had a business relationship with, a board or employing entity with which you are or will be associated, please provide the following information. > You are not required to complete this question if you are a legislator or a judicial officer (“judicial officer” is defined in footnote 1). Please indicate if this is the case. Identify Person Identify Employer (if applicable) _ Business or Regulatory Relationship 1 WiC, Owens, ga. NC General Assembly 14, If, as of December 31” of the preceding year, you, your spouse, or other members of your immediate family were a director, officer, or governing board member of any societies, organizations, or advocacy groups which had an interest in issues or areas over which your agency or board may have jurisdiction, please provide the following information, > You are not required to complete this question If you are a legislator or a judicial officer. Please indicate if this is the eas > Do not list organizations of which you are only a member. Identify Name of Society, Leadership Position Identify Person Organization, or Advocacy Group (Director, Officer, Board Member) YC. Owens, gre WC General Assenkty 15, Have you ever been convicted of a felony for which you have not received cither (i) a “pardon of innocence” or Gi) an order of expungement regarding that conviction? __ Yes_X_ No If yes, please provide the following information. Offense Date of Conviction County and State of Rowe : IF YOU DO NOT HAVE INFORMATION TO DISCLOSE IN RESPONSE TO A. PARTICULAR QUESTION, PLEASE INDICATE “NONE.” Page 8 of 1016. During any calendar quarter in the preceding year (but only the time period after you were appointed, employed, or filed or were nominated as a candidate), did you receive any gifts while both you and the donor were outside North Carolina and under circumstances that would lead a reasonable person to conclude that the gifts were given for the purpose of lobbying? If so, and the total value of those gifts from a person or a group of persons acting together exceeds $200 per quarter, please provide the following information, > Do not report gifts given by members of your extended family. > Do not report gifts that have previously been reported by you to the Department of the Secretary of State. Date Item Recelved Name and Address of Donors) Describe Items Received Estimated Market Value HONE au ae | 17, During the preceding year (but only the time period after you were appointed, employed, or filed or were nominated as a candidate), have you accepted a “scholarship” (a “grant-in-aid to attend a conference, meeting, or similar event”) from a donor outside North Carolina and that was related to your public position? If so, and the value of that scholarship from a person or group of persons acting together exceeds $200, please provide the following information. Date of Scholarship Name and Address Describe Event Estimated Market ‘of Donor(s) Yalue NONE 18. Are you or a member of your immediate family currently registered as a lobbyist or lobbyist principal, or have you been registered as such within the preceding 12 months? — Yes_X No If so, please provide the following information, Name of Lobbyist___ Lobbyist Principal Date of Registration Registration Expiration HONE 19. Are you aware of any other economic or financial information necessary to fully disclose any actual ‘or potential conflicts of interest you may have had during the preceding year or have currently? Yes _x_No If so, please provide that information. Please indicate “none” if you do not have any additional information to disclose. HOWE IF YOU DO NOT HAVE INFORMATION TO DISCLOSE IN RESPONSE TO A PARTICULAR QUESTION, PLEASE INDICATE “NONE.” Page 9 of 10Please ensure that you have responded to all questions, specifically including question number 19, and that you have stated “None” in response to those questions in which you haye nothing to disclose. In the event you fail to answer a question, your disclosure statement will be returned and you will be required to correct any deficiencies, reaffirm the content of the form, and have the reaffirmation notarized. “* North Carolina law establishes a fine of $250 for failure to timely file a complete Statement of Economic Interest. In addition, it is a Class 1 misdemeanor to knowingly conceal or fail to disclose required information, and a Class H felony to provide false information on a Statement, Such actions can also subject you to disciplinary action in connection with your employment.** Qath or Affirmation I hereby swear or affirm, under penalty of perjury and other penalties established by North Carolina law, that I have read this Statement of Economic Interest and any attachments thereto and that the information provided on the Statement and any attachments is true, correct, and complete to the best of my knowledge and belief, I also certify that I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an eqitable interest. Signature of Person Filing STATE OF NORTH CAROLINA COUNTY OF {pei Signed and sworn to or affirmed before me this day by LA. a (Name of Person Filing) Date: Wis oP Kos f (Official Sealy Official Stenaifire of Notarf Pubic Notary’s printed or typed name: Ko £2 DWI RA ‘My Commission Expires: Go f 19 200% IF YOU DO NOT HAVE INFORMATION TO DISCLOSE IN RESPONSE TO A PARTICULAR QUESTION, PLEASE INDICATE “NONE.” Page 10 of 10William C. Owens, Jr. Real Estate Attachment 1 WC. Owens, Jr. et # Prope! Location ‘Ownership 113 Hunters Trail East Pasquotank Co., Elizabeth City 100% 101 E. Main Street Pasquotank Co., Elizabeth City 100% 101 Planters Run (lot 1) Pasquotank Co., Elizabeth City 100% (Colerain Bertie Co. 100% ‘Condo, 237 Newbern Place Wake Co., Raleigh _ 100% Condo, 245 Newbern Place Wake Co., Raleigh 100% Townhouse, 3934 Lake Ferry Dr. ~ Wake Co., Raleigh 100% house, 3936 Lake Ferry Dr. Wake Co., Raleigh 100% | Seatree Lot #2 j 33 1/3% [Condo A-3 Las Terrazas 50% Condo 8-1 Los Balcones = 100% Plaza Commercial Property Dominican Republic 50% JOG Development, LLC _ Property —_tocation ‘Ownership Habit Building | Pasquotank Co., Elizabeth City 3.1/3 % ‘Temple Tract (Northside) Pasquotank Co., Elizabeth City 33.1/3% Grandy Street aH 33.1/3% Grandy Street 3.1/3 % Industrial Park (Blackwater) 33.1/3% Condo D-i La Puntilla Dominican Republic 33:1/3% Rock Properties _ a Property ____ Location ‘Ownership (Elizabeth Street Pasquotank Co., Elizabeth City 50% FHO Partners, LLC Be Property Location Ownership _ [Former Oxford Printing Building Granville Co., Oxford 33.1/3 % Former Oxford Bank Building ~ Granville Co., Oxford 33:1/3 % Former Cooper Standard Building Nash Co., Rocky Mount 33.1/3.% Salisbury Street Property Wake Co., Raleigh 33:1/3°% [ Mulberry/George Street Property Wayne Co., Goldsboro 33:1/3 % [Lots at Walnut St/James St I Wayne Co., Goldsboro _33 13 %William C. Owens, Jr. Real Estate Attachment 1 Continued Qwens and Robertson General Partnership Property _ Location Ownership | 505 E. Main Pasquotank Co., Elizabeth City 50% 500-512 E. Main Street _ Pasquotank Co., Elizabeth City 50% | Pasquotank Co., Elizabeth City 50% Pasquotank Co., Elizabeth City 50% Pasquotank Co., Elizabeth City 50% 405 E. Fearing Street Pasquotank Co., Elizabeth City 50% 109 N. Poindexter Street Pasquotank Co., Elizabeth City 115 N. Poindexter Street Pasquotank Co., Elizabeth City 210 N. Martin Street Pasquotank Co., Elizabeth City 50% "109 -115N Mc Morrine Street 50% 220-222 N. Poindexter Street 50% “113 Eliott Street Pasquotank Co., Elizabeth City 50% 208 S. Poindexter Street Pasquotank Co., Elizabeth City 50% }4 E, Colonial Avenue Pasquotank Co., Elizabeth City 50% 405 €. Main Street Pasquotank Co., Elizabeth City 50% 116 N. Poindexter Street Pasquotank Co., Elizabeth City | 50% Professional Building A: Property Location Ownership Raleigh Professional Building Wake Co., Raleigh __12.5° 609, LLC sisisinonstel Property Ownership 609 Main St. Culpepper Inn | Pasquc ity, 25% Waterworks of Elizabeth City, LLC Property Location ‘Ownership 400 S. Water Street-Waterworks Bldg. | Pasquotank Co., Elizabeth City 33 1/3% Qwens & Jones, TIC eee Property Locatic Ownership Waterworks Bidg- Condo 301 |” Pasquotank 50% Waterworks Bldg- Condo 302 Pasquotank Co., Elizabeth City 50% Ha]William C. Owens, Jr. Real Estate Attachment 1 Continued ‘Sosua Properties, TIC Property Location Condo D-2 Las Terrazas__ Dominican Republic ean SEN eee eee ~ Property af Location (Condo E-2asTerrazas | Dominican Republic DR Properties, TI¢ oe Property Location _ eH Condo C-3 Las Terrazas Dominican Republic NV, TEC i Fe Property a Location Benjamin House Dominican RepublicWilliam C. Owens, Jr. Non-Publicly Owned Companies Attachment 2 ‘Owner of Interest Name of Company Position ___W.W. Owens & Sons Mvg. & Stg. Inc. President Albemarle Mini Warehouses, Inc. President Consolidated Development, Inc. Secretary/Treasurer Taylor Mueller Reaity, Inc. JOG Development, LLC ‘wens & Robertson General Partnership _ Partner Rock Properties Partner Red Oak, Inc. President ~FHO Partners, LIC Partner _ Raleigh Building Associates, LLC Member 609, LLC ‘Member Waterworks of Elizabeth City, LLC ‘Owens & Jones, TIC Sosua Properties, TIC E2 Sosua, TIC DR Properties, TIC W.C. Owens, Jr. Hoy, TICBusiness with the State Attachment 3 [Identify Company I Nature of Business with the State (CFO Partners, LLC Leases Rental Property [Raleigh Bullding Associates, LLC I Leases Rental Property ‘Owens & Robertson ae Leases Rental Property [30G Development, LLC Leases Rental Property