DRAFT

VIRGINIA CONFLICT OF INTEREST AND

ETHICS ADVISORY COUNCIL

FINANCIAL DISCLOSURE STATEMENT

NAME:David H. Hallock, Jr.
OFFICE OR POSITION HELD OR TO BE HELD:Board member, Longwood University
ADDRESS:REDACTED
TELEPHONE:REDACTED
EMAIL ADDRESS:REDACTED
FIRST AND LAST NAMES OF IMMEDIATE FAMILY:Megan Healy

DRAFT

I. OFFICES, DIRECTORSHIPS, AND EMPLOYMENT

Disclose each business of which you or a member of your immediate family is an officer or director and receives remuneration, benefits, or compensation for such service as an officer or director.

Disclose each employer paying you or a member of your immediate family salary or wages in excess of $5,000 annually.

DO NOT INCLUDE any salary you receive from the governmental or advisory agency for which you are completing this disclosure statement.

NAME OF BUSINESS OR EMPLOYER LOCATION OF BUSINESS OR EMPLOYER (CITY OR COUNTY, AND STATE) POSITION HELD BY WHOM OFFICE OR DIRECTORSHIP OR EMPLOYMENT
Two Capitols Consulting Richmond, VA President self EMPLOYMENT
Virginia Community College System Richmond, VA Asst Vice Chancellor Megan Healy EMPLOYMENT


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II. BUSINESS INTERESTS

Disclose each business owned by you or a member of your immediate family, separately or together, with a value in excess of $5,000 or in which you or a member of your immediate family has an interest with a value in excess of $5,000.

If the business is owned or operated under a trade, partnership, or corporate name, list that name. If the business is not owned or operated under a trade, partnership, or corporate name, describe the nature of the business.

DO NOT INCLUDE stocks and bonds unless your interest in that business exceeds more than three percent of the total equity of the business.

NAME OF BUSINESS OR NATURE OF BUSINESS LOCATION OF BUSINESS (CITY OR COUNTY, AND STATE)
Two Capitols Consulting Richmond VA
RKHH LLC Richmond VA


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III. REAL ESTATE

Disclose all real estate, including rental property, in which you or a member of your immediate family, separately or together, holds an interest valued at more than $5,000. List each parcel individually. INCLUDE real estate held in trust.

DO NOT INCLUDE your principal residence.

List only the city or county, and state where each real estate is located. DO NOT LIST any street addresses. No addresses will be redacted from this section.

Disclose the name or names in which the real estate is owned or recorded. If you or a member of your immediate family holds an interest in the real estate but it is owned or recorded in a name other than your name or your immediate family member's name, list that name.

LOCATION OF REAL ESTATE (CITY OR COUNTY, AND STATE) TYPE OF REAL ESTATE NAME OR NAMES IN WHICH REAL ESTATE IS OWNED OR RECORDED
Richmond VA Commercial RKHH LLC


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IV. BUSINESSES TO WHICH SERVICES WERE FURNISHED

Part One

Disclose each business that you represented before any state governmental agency during the prior calendar year for which you received compensation in excess of $5,000 for such representation.

When calculating the amount of compensation you received from a business, DO NOT INCLUDE any compensation for the performance of other services unrelated to the representation before the state governmental agency. If you have job responsibilities other than those involving such representation, you should prorate your salary to determine the portion attributable to your representation.

DO NOT REPORT any business that you represented before a court or judicial officer or any business where the representation consisted solely of filing mandatory papers and subsequent representation regarding those mandatory papers.

For each business, identify the type of business, the name of the state governmental agency before which you appeared on behalf of the business, and the purpose of the representation.

TYPE OF BUSINESS NAME OF STATE GOVERNMENTAL AGENCY PURPOSE OF REPRESENTATION
Health care Office of the Governor Lobbying
Energy General Assembly Lobbying
Manufacturing General Assembly Lobbying

Part Two

Disclose each business that, to your knowledge, persons with whom you have a close financial association represented before any state governmental agency during the prior calendar year for which compensation in excess of $5,000 was received for such representation.

DO NOT INCLUDE members of your immediate family when determining with which individuals you have a close financial association, unless you and your immediate family member are employed by or work for the same business or organization.

When calculating the amount of compensation received from a business, DO NOT INCLUDE any compensation for the performance of other services unrelated to the representation before the state governmental agency. If your associate has job responsibilities other than those involving such representation, you should prorate his salary to determine the portion attributable to his representation.

DO NOT REPORT any business that such persons represented before a court or judicial officer or any business where the representation consisted solely of filing mandatory papers and subsequent representation regarding those mandatory papers.

For each business, identify the type of business, the name of the state governmental agency before which you appeared on behalf of the business, and the purpose of the representation.

TYPE OF BUSINESS NAME OF STATE GOVERNMENTAL AGENCY PURPOSE OF REPRESENTATION

Part Three

Disclose each business that operates in Virginia to which you furnished services during the prior calendar year pursuant to an agreement between you and such business and for which the total compensation received for such representation was in excess of $5,000.

For each business, identify the type of business and the type of service rendered. DO NOT INCLUDE any business disclosed in Part One or Part Two of this section.

TYPE OF BUSINESS TYPE OF SERVICE RENDERED
Financial services Strategic advice
Political Strategic advice
Trade association Strategic advice


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V. PAYMENTS FOR MEETINGS AND EVENTS

Disclose each source from which you received during the prior calendar year lodging, transportation, money, or any other thing of value with a combined value in excess of $100 in connection with your attendance at any meeting or other event to which you were invited in your official capacity as a member of the governmental or advisory agency for which you are completing this disclosure statement.

DO NOT REPORT payments or reimbursements you received from the Commonwealth or its political subdivisions. DO NOT REPORT payments or reimbursements you received from a business or employer identified in Section I or II of this disclosure statement.

List the person, association, or other source paying for or providing the lodging, transportation, money, or any other thing of value. Provide a brief description of the meeting or event and list the total value of the payments or reimbursements received in connection with that meeting or event.

SOURCE OF PAYMENT DESCRIPTION OF EVENT TOTAL VALUE OF PAYMENTS


I swear or affirm that the information provided on this statement is full, true, and correct to the best of my knowledge.

David H. Hallock, Jr. (Electronically Signed: 1/10/2017 1:08:55 PM)   1/10/2017 1:08:55 PM
Signature   Date

Virginia Conflict of Interest and Ethics Advisory Council