DRAFT

Virginia Conflict of Interest and Ethics Advisory Council

GENERAL ASSEMBLY STATEMENT OF ECONOMIC INTERESTS

NAME: James Leftwich, Jr.
OFFICE OR POSITION
HELD OR SOUGHT:
HOUSE OF DELEGATES
DISTRICT NO.
78
ARE YOU FILING THIS FORM AS A CANDIDATE FOR ELECTION TO THIS OFFICE?
[ ] Yes [X] No
BUSINESS ADDRESS: STREET
308 Cedar Lakes Drive
TELEPHONE:
CITY
Chesapeake
STATE
VA
ZIP
23322
OFFICE
757-382-4156
HOME
REDACTED
EMAIL ADDRESS: REDACTED
FIRST AND LAST NAMES OF MEMBERS OF IMMEDIATE FAMILY: Renee D. Leftwich, Logan A. Leftwich, Austin R. Leftwich, Minor A, Minor B, Minor C

I certify that I completed ethics training as required by § 30-129.1. [X] Yes [ ] No

Pursuant to § 30-129.1, although there is no penalty for your failure to attend the full or refresher orientation session, attendance is mandatory under the Code and you must disclose your attendance on this form.

This Statement of Economic Interests will be available to the public via the searchable database on the Virgina Conflict of Interest and Ethics Advisory Council website, as required by § 30-356.

REPORT TO THE BEST OF INFORMATION AND BELIEF Information required on this Statement must be provided on the basis of the best knowledge, information, and belief of the individual filing the Statement as of the date of this report.

AFFIRMATION

In accordance with the rules of the house in which I [shall] serve, if I receive a request that this disclosure statement be corrected, augmented, or revised in any respect, I hereby pledge that I shall respond promptly to the request. I understand that if a determination is made that the statement is insufficient, I will satisfy such request or be subjected to disciplinary action of my house.

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

James Leftwich, Jr. (Electronically Signed: 1/16/2017 11:37:54 PM)   1/16/2017 11:37:54 PM
Signature of Member/Member-elect/Candidate   Date
Any legislator who knowingly and intentionally makes a false statement of a material fact on the Statement of Economic Interests is guilty of a Class 5 felony and shall be subject to disciplinary action for such violations by the house in which the legislator sits.

DRAFT

General Assembly Statement of Economic Interests

SCHEDULE A

OFFICES, DIRECTORSHIPS, AND EMPLOYMENT

NAME: James Leftwich, Jr.

QUESTIONS:

1. Do you or a member of your immediate family receive remuneration, benefits, or compensation for service as an officer or director of a business?

Yes []
No [X]
If yes, complete the table for each such business.

2. Do you or a member of your immediate family receive salary or wages in excess of $5,000 annually from any employer? DO NOT INCLUDE salary received as a member of the General Assembly pursuant to § 30-19.11.

Yes [X]
No [ ]
If yes, complete the table for each such employer.

INSTRUCTIONS:

Disclose each:

NAME OF BUSINESS OR EMPLOYER LOCATION OF BUSINESS OR EMPLOYER (CITY OR COUNTY, AND STATE) POSITION HELD BY WHOM OFFICE OR DIRECTORSHIP OR EMPLOYMENT
Basnight, Kinser, Leftwich & Nuckolls, PC 308 Cedar Lakes Drive, Chesapeake, VA Attorney James A. Leftwich, Jr. EMPLOYMENT
Basnight, Kinser, Leftwich & Nuckolls, PC 308 Cedar Lakes Drive, Chesapeake, VA Paraprofessional Renee D. Leftwich EMPLOYMENT

DRAFT

General Assembly Statement of Economic Interests

SCHEDULE B

PERSONAL DEBTS

NAME: James Leftwich, Jr.

QUESTIONS:

1. Do you owe more than $5,000 to any one creditor, including any contingent debt to any one creditor?

DO NOT INCLUDE any debt owed to any government or any loan secured by a recorded lien on property if such lien is at least equal to the value of the loan.

Yes [X]
No [ ]
If yes, complete Table(s) 1A, 1B and/or 1C.

2. Does a member of your immediate family owe more than $5,000 to any one creditor, including any contingent debt to any one creditor?

DO NOT INCLUDE any debt owed to any government or any loan secured by a recorded lien on property if such lien is at least equal to the value of the loan.

Yes []
No [X]
If yes, complete Table(s) 2A, 2B and/or 2C.

TABLES 1A, 1B, and 1C

INSTRUCTIONS:

Disclose personal debts, including contingent debts, owed by you to each category of creditor by selecting the appropriate category listed in TABLE 1A. To calculate the amount of personal debt to disclose for each category of creditor, include all debts owed to creditors within each category, but DO NOT INCLUDE any debt owed to any one creditor in an amount of $5,000 or less.

If you owe a personal debt to a business creditor that is not included in any category of creditor listed in TABLE 1A, disclose such debt in TABLE 1B. List the name of the business creditor and its principal business activity.

If you owe a personal debt to an individual creditor, disclose such debt in TABLE 1C. Identify the name of the individual creditor and his principal business or occupation.

If you owe a personal debt jointly with another person who is not a member of your immediate family, disclose only your share of the debt.

If you owe a personal debt jointly with a member of your immediate family, disclose any such debt in TABLE 1A, 1B, or 1C, as appropriate, as if you are solely liable for the total amount of the debt, and DO NOT DISLCOSE such debt in TABLE 2A, 2B, or 2C.

DO NOT REPORT:

My personal debts are as follows:

Table 1A. Creditor Categories:
SELECT APPROPRIATE CATEGORIES AMOUNT OF PERSONAL DEBT
Not Applicable
Not Applicable
Not Applicable
Not Applicable
Not Applicable
Table 1B. Other Business Creditors:
NAME OF CREDITOR CREDITOR'S PRINCIPAL BUSINESS ACTIVITY AMOUNT OF PERSONAL DEBT
Not Applicable
Not Applicable
Not Applicable
Not Applicable
Not Applicable
Table 1C. Individual Creditors:
NAME OF CREDITOR CREDITOR'S PRINCIPAL BUSINESS OR OCCUPATION AMOUNT OF PERSONAL DEBT
Paul Obermayer Federal Private Security/Training $5,001 to $50,000
Not Applicable
Not Applicable
Not Applicable
Not Applicable

TABLES 2A, 2B, and 2C

INSTRUCTIONS:

Disclose personal debts, including contingent debts, owed by a member of your immediate family to each category of creditor by selecting the appropriate category listed in TABLE 2A. To calculate the amount of personal debt to disclose for each category of creditor, include all debts owed to creditors within each category, but DO NOT INCLUDE any debt owed to any one creditor in an amount of $5,000 or less.

If a member of your immediate family owes a personal debt to a business creditor that is not included in any category of creditor listed in TABLE 2A, disclose such debt in TABLE 2B. List the name of the business creditor and its principal business activity.

If a member of your immediate family owes a personal debt to an individual creditor, disclose such debt in TABLE 2C. Identify the name of the individual creditor and his principal business or occupation.

If a member of your immediate family owes a personal debt jointly with another person not yourself who is not a member of your immediate family, disclose only his share of the debt.

If you owe a personal debt jointly with a member of your immediate family, report any such debt in TABLE 1A, 1B, or 1C, as appropriate, as if you are solely liable for the total amount of the debt, and DO NOT DISCLOSE such debt in TABLE 2A, 2B, or 2C.

DO NOT REPORT:

The personal debts of members of my immediate family are as follows:

Table 2A. Creditor Categories:
SELECT APPROPRIATE CATEGORIES AMOUNT OF PERSONAL DEBT
Not Applicable
Not Applicable
Not Applicable
Not Applicable
Not Applicable
Table 2B. Other Business Creditors:
NAME OF CREDITOR CREDITOR'S PRINCIPAL BUSINESS ACTIVITY AMOUNT OF PERSONAL DEBT
Not Applicable
Not Applicable
Not Applicable
Not Applicable
Not Applicable
Table 2C. Individual Creditors:
NAME OF CREDITOR CREDITOR'S PRINCIPAL BUSINESS OR OCCUPATION AMOUNT OF PERSONAL DEBT
Not Applicable
Not Applicable
Not Applicable
Not Applicable
Not Applicable

DRAFT

General Assembly Statement of Economic Interests

SCHEDULE C

SECURITIES

NAME: James Leftwich, Jr.

QUESTION:

Do you or a member of your immediate family, separately or together, own securities valued in excess of $5,000 invested in one business or Virginia governmental entity?

INCLUDE securities held in (i) trusts; (ii) individual retirement arrangements (IRAs); (iii) defined contribution plans, including plans established in accordance with sections 401, 403, or 457 of the Internal Revenue Code; and (iv) any other type of investment account.

INCLUDE securities not held in your name or the name of a member of your immediate family if you or a member of your immediate family retains the right to control such securities or the right to receive the income from such securities.

Yes [X]
No [ ]
If yes, complete the table for each such security.

INSTRUCTIONS:

Disclose each business or Virginia governmental entity in which you or a member of your immediate family, separately or together, own securities valued in excess of $5,000.

INCLUDE securities held in (i) trusts; (ii) individual retirement arrangements (IRAs); (iii) defined contribution plans, including plans established in accordance with sections 401, 403, or 457 of the Internal Revenue Code; and (iv) any other type of investment account.

INCLUDE securities not held in your name or the name of a member of your immediate family if you or a member of your immediate family retains the right to control such securities or the right to receive the income from such securities.

“Securities" INCLUDES:
  • Stocks
  • Bonds
  • Mutual funds
  • Limited partnerships
  • Commodity futures contracts
“Securities" EXCLUDES:
  • Defined benefit plans, including pension plans
  • Certificates of deposit
  • Money market funds
  • Annuity contracts
  • Insurance policies
  • Securities issued by the U.S. government or other government securities not issued by the Commonwealth or its political subdivisions.

DRAFT

List the issuer and type of each security. List separately each security held in an IRA, defined contribution plan, or other type of investment account, if such security is valued in excess of $5,000.

For defined contribution plans administered by the Commonwealth or its political subdivisions, list the administering agency as the issuer of the security, unless the security is held in a self-directed brokerage account, in which case list the issuer of the security.

NAME OF ISSUER OF SECURITY TYPE OF SECURITY (STOCKS, BONDS, MUTUAL FUNDS, IRA, ETC.) VALUE OF SECURITY
Capital Income Builder CL A Mutual Fund $5,001 to $50,000
New Perspective Fund CL A Mutual Fund $5,001 to $50,000
Capital World GRW & Inc Fund A Mutual Fund $5,001 to $50,000
Putnam Fiduciary Trust Co Mutual Fund $5,001 to $50,000
Dominion Resources Inc. Stock $5,001 to $50,000
Baron Small Cap Fund Institutional CL Mutual Fund $5,001 to $50,000
Credit Suisse Commodity Return Strategy Fund Mutual Fund $5,001 to $50,000
Harbor Capital Appreciation Fund Institutional Class Mutual Fund $5,001 to $50,000
Massachusetts Investors Trust CL I Mutual Fund $5,001 to $50,000
MFS Research International Fund CL I Mutual Fund $5,001 to $50,000
New World Fund CL F2 Mutual Fund $5,001 to $50,000
T Rowe Price Equity Income Class I Mutual Fund $5,001 to $50,000
T Rowe Price Instututional Large Cap Growth Fund Mutual Fund $5,001 to $50,000
Ishares Core Russell US Growth Exchange Traded Fund Mutual Fund $5,001 to $50,000
IShares Core S&P Mid Cap ETF Mutual Fund $5,001 to $50,000
Ishares Core S&P Small Cap ETF Mutual Fund $5,001 to $50,000
Ishares Russell 1000 Value Fund Mutual Fund $5,001 to $50,000
Ishares S&P Midcap 400 Growth Fund Mutual Fund $5,001 to $50,000
Ishares S&P Smallcap 600 Growth Fund Mutual Fund $5,001 to $50,000
Ishares TR s&P Samallcap 600 Value Fund Mutual Fund $5,001 to $50,000
Powershares Exchange Traded FD INTL DIVID Acheivers Portfolio Mutual Fund $5,001 to $50,000
Vanguard High Dividend Yeild ETF SHS Mutual Fund $5,001 to $50,000
Vanguard FTSE All World Ex-US Small Cap Indes ETF Mutual Fund $5,001 to $50,000
Vanguard FTSE Emerging Markets Exchange Traded Fund Mutual Fund $5,001 to $50,000
Vanguard Index TR Vanguard Value ETF Mutual Fund $5,001 to $50,000
Vanguard Index Trust Vanguard Small Cap ETF Mutual Fund $5,001 to $50,000
VAnguard Inter Term BD ETF Mutual Fund $5,001 to $50,000
Vanguard International Equity FTSE All World EX USA ETF Mutual Fund $5,001 to $50,000
Vanguard Short Term BD ETF Mutual Fund $5,001 to $50,000
Vanguard Small Cap Value ETF Mutual Fund $5,001 to $50,000
IsharesTR MSCI EAFE Value Fund Mutual Fund $5,001 to $50,000
Ishares International Treasury Bond Exchange Traded Fund Bond $5,001 to $50,000
Mainstay High Yield Corporate Bond Fund CL I Bond $5,001 to $50,000

DRAFT

General Assembly Statement of Economic Interests

SCHEDULE D

BUSINESS INTERESTS AND RENTAL PROPERTY

NAME: James Leftwich, Jr.

QUESTIONS:

1. Do you or a member of your immediate family own, separately or together, a business that has a value in excess of $5,000?

OR

Do you or a member of your immediate family, separately or together, have an interest in a business and the interest owned by you or a member of your immediate family has a value in excess of $5,000? DO NOT INCLUDE any securities disclosed on Schedule C.

Yes [X]
No [ ]
If yes, complete Table 1.

2. Do you or a member of your immediate family own, separately or together, a rental property that has a value in excess of $5,000?

OR

Do you or a member of your immediate family, separately or together, have an interest in a rental property and the interest owned by you or a member of your immediate family has a value in excess of $5,000?

Yes [X]
No [ ]
If yes, complete Table 2.

Table 1: Business Interests

INSTRUCTIONS:

Disclose each business owned by you or a member of your immediate family with a value in excess of $5,000 and each interest in a business owned by you or a member of your immediate family with a value in excess of $5,000. DO NOT REPORT any securities disclosed on Schedule C.

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.

NAME OF BUSINESS OR NATURE OF BUSINESS LOCATION OF BUSINESS (CITY OR COUNTY, STATE, AND COUNTRY) GROSS INCOME
Basnight, Kinser, Leftwich & Nuckolls, PC Chesapeake, VA $50,001 to $250,000
Titlequest Greenbrier, LLC Chesapeake, VA $50,000 or LESS
Shiloh Shepherd, LLC Chesapeake, VA $50,000 or LESS

Table 2: Rental Property

INSTRUCTIONS:

Disclose each rental property owned by you or a member of your immediate family with a value in excess of $5,000 and each interest in rental property owned by you or a member of your immediate family with a value in excess of $5,000.

List each rental property individually.

If the rental property is owned or recorded under a trade, partnership, or corporate name, list that name. DO NOT LIST the street address for any rental property. No address will be redacted from this table.

NAME IN WHICH RENTAL PROPERTY IS OWNED OR RECORDED LOCATION OF RENTAL PROPERTY (CITY OR COUNTY, STATE, AND COUNTRY) TYPE OF RENTAL PROPERTY (RESIDENTIAL, COMMERCIAL, ETC.) GROSS INCOME
REDACTED Chesapeake, VA Professional Offices $50,000 or LESS

DRAFT

General Assembly Statement of Economic Interests

SCHEDULE E

REAL ESTATE

NAME: James Leftwich, Jr.

QUESTION:

Do you or a member of your immediate family, separately or together, hold an interest valued at more than $5,000 in real property? DO NOT INCLUDE your principal residence or any real estate disclosed on Schedule D. INCLUDE real estate held in trust.

Yes [X]
No [ ]
If yes, complete the table below.

INSTRUCTIONS:

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

DO NOT REPORT:

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

List 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.

TYPE OF REAL ESTATE LOCATION OF REAL ESTATE (CITY OR COUNTY, STATE, AND COUNTRY) NAME OR NAMES IN WHICH REAL ESTATE IS OWNED OR RECORDED
Residential Building Lot Moyck, NC James A. Leftwich, Jr. Revocable Trust

DRAFT

General Assembly Statement of Economic Interests

SCHEDULE F

PAYMENTS FOR TALKS, MEETINGS, AND CONFERENCES

NAME: James Leftwich, Jr.

QUESTION:

Did you receive in your capacity as a legislator any lodging, transportation, money, or other thing of value with a combined value exceeding $100 during the prior calendar year for:

DO NOT INCLUDE:

INCLUDE a payment if you donated it to a charity and claimed or plan to claim it as a charitable deduction on your taxes.

Disclose any lodging, transportation, money, or other thing of value received that does not satisfy the criteria listed above as a gift on Schedule G.

Yes [X]
No [ ]
If yes, complete the table below.

INSTRUCTIONS:

Disclose each source from which you received in your capacity as a legislator lodging, transportation, money, or any other thing of value with a combined value exceeding $100 for:

SOURCE OF PAYMENT DESCRIPTION OF EVENT LOCATION OF EVENT (CITY OR COUNTY, STATE, AND COUNTRY) DATE(S) OF EVENT TOTAL VALUE CHECK IF YOU RECEIVED A TRAVEL WAIVER FROM THE COUNCIL FOR THIS EVENT
Commonwealth of Virginia Southern Legislative Conference Lexington, KY 7/9/16 - 7/13/16 Btw $1,800 and 1,900 N/A

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General Assembly Statement of Economic Interests

SCHEDULE H

PAYMENTS FOR REPRESENTATIONS AND OTHER SERVICES GENERALLY

NAME: James Leftwich, Jr.

PAYMENTS FOR REPRESENTATIONS BY YOU

QUESTION 1:

Did you represent any business before any state governmental agency during the prior calendar year for which you received compensation in excess of $5,000 for such representation?

DO NOT INCLUDE compensation for the performance of other services unrelated to the representation before the state governmental agency when calculating the amount of compensation received from a business. 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 where the representation consisted solely of the filing of mandatory papers and any subsequent representation regarding the mandatory papers.

Yes []
No [X]
If yes, complete Table 1.

PAYMENTS FOR REPRESENTATIONS BY ASSOCIATES

QUESTION 2:

Did persons with whom you have a close financial association represent any business before any state governmental agency during the prior calendar year for which compensation was received in excess of $5,000 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. 

DO NOT INCLUDE compensation for the performance of other services unrelated to the representation when calculating the amount of compensation received from a business.  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 where the representation consisted solely of the filing of mandatory papers and any subsequent representation regarding the mandatory papers.

Yes []
No [X]
If yes, complete Table 2.

PAYMENTS FOR OTHER SERVICES GENERALLY

QUESTION 3:

Did you or persons with whom you have a close financial association furnish services to any business operating in Virginia during the prior calendar year for which compensation was received in excess of $5,000 for such services?

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.

DO NOT INCLUDE compensation reported on Table 1 or Table 2 of this schedule.

Yes [X]
No [ ]
If yes, complete Table 3.

TABLE 1

PAYMENTS FOR REPRESENTATIONS BY YOU

INSTRUCTIONS:

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.

For each business, list 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.

DO NOT INCLUDE compensation for the performance of other services unrelated to the representation before the state governmental agency when calculating the amount of compensation received from a business.

DO NOT REPORT:

TYPE OF BUSINESS NAME OF AGENCY PURPOSE OF REPRESENTATION AMOUNT OF COMPENSATION RECEIVED

TABLE 2

PAYMENTS FOR REPRESENTATIONS BY ASSOCIATES

INSTRUCTIONS:

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

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

DO NOT INCLUDE compensation for the performance of other services unrelated to the representation when calculating the amount of compensation received from a business.

DO NOT REPORT:

TYPE OF BUSINESS NAME OF AGENCY PURPOSE OF REPRESENTATION AMOUNT OF COMPENSATION RECEIVED

TABLE 3

PAYMENTS FOR OTHER SERVICES GENERALLY

INSTRUCTIONS:

Disclose each business operating in Virginia to which you or persons with whom you have a close financial association furnished services during the prior calendar year for which compensation was received in excess of $5,000 for such services.

Identify the businesses, by category, for which services were furnished and the type of service rendered to such businesses. To calculate the amount of compensation to report for each business category, include compensation received from all businesses within each category.

DO NOT INCLUDE compensation reported on Table 1 or Table 2 of this schedule.

BUSINESS CATEGORY TYPE OF SERVICE RENDERED AMOUNT OF COMPENSATION RECEIVED
Builders and Skilled Contractors Legal $50,001 to $250,000
Medical Care Legal $5,001 to $50,000
Insurance Companies Legal $5,001 to $50,000
Retail Companies Legal $5,001 to $50,000
Counties, Cities and Towns Legal $50,001 to $250,000
Small Businesses Legal $50,001 to $250,000
Equipment and Product Rental Companies Legal $5,001 to $50,000
Real Estate Rental Legal $50,001 to $250,000
Recycling and Alternative Energy Legal $5,001 to $50,000
Real Estate Investment Legal $50,001 to $250,000

Virginia Conflict of Interest and Ethics Advisory Council