DRAFT

Virginia Conflict of Interest and Ethics Advisory Council

STATE AND LOCAL STATEMENT OF ECONOMIC INTERESTS

NAME: Bryan Fowler
OFFICE
HELD OR SOUGHT:
DEPUTY REGIONAL DIRECTOR
AGENCY NAME:
Virginia DEQ
ARE YOU FILING THIS FORM AS A CANDIDATE FOR ELECTION TO THIS OFFICE?
[ ] Yes [X] No
BUSINESS ADDRESS: STREET
4411 EARLY ROAD
TELEPHONE:
CITY
Harrisonburg
STATE
VA
ZIP
22801
OFFICE
540-574-7812
HOME
REDACTED
EMAIL ADDRESS: REDACTED
FIRST AND LAST NAMES OF MEMBERS OF IMMEDIATE FAMILY: JANE FOWLER

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

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

Bryan Fowler (Electronically Signed: 1/11/2018 3:43:05 PM)   1/11/2018 3:43:05 PM
Signature of Officer or Employee   Date
Any filer 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.

DRAFT

State and Local Statement of Economic Interests

SCHEDULE A

OFFICES, DIRECTORSHIPS, AND EMPLOYMENT

NAME: Bryan Fowler

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 from a state or local governmental or advisory agency.

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
Redeemer Classical School Harrisonburg, VA Teacher Jane Fowler EMPLOYMENT

SCHEDULE B

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

Yes [] No [X]

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?

Yes [] No [X]

DRAFT

State and Local Statement of Economic Interests

SCHEDULE C

SECURITIES

NAME: Bryan Fowler

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
Vanguard Mutual Fund $50,001 to $250,000
PIMCOINCOMECL Mutual Fund $5,001 to $50,000
Clearbridge Mutual Fund $5,001 to $50,000
Bank of America Stock $5,001 to $50,000
SPDR Mutual Fund $5,001 to $50,000
Starbucks Corp. Stock $5,001 to $50,000
Peoples Bank of the South Stock $5,001 to $50,000
Dominion Resources Stock $5,001 to $50,000
Intel Corp. Stock $5,001 to $50,000
Rockwell Automation Stock $5,001 to $50,000
Comcast Corp. Stock $5,001 to $50,000
Nuveen Muni Hi Inc Oppty Fd Mutual Fund $5,001 to $50,000
American Century Mutual Fund $5,001 to $50,000
Pfizer Inc. Stock $5,001 to $50,000
Apple Inc. Stock $5,001 to $50,000
Amgen Inc. Stock $5,001 to $50,000
Rockwell Collins Inc Stock $5,001 to $50,000
Allstate Corp Stock $5,001 to $50,000
Sempra Energy Stock $5,001 to $50,000
CVS Health Corp. Stock $5,001 to $50,000

SCHEDULE D

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?

Yes [] No [X]

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 [] No [X]

SCHEDULE E

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 [] No [X]

SCHEDULE F

Did you receive in your capacity as an officer or employee of your agency any lodging, transportation, money, or other thing of value with a combined value exceeding $100 during the prior calendar year for: your presentation of a talk or series of talks at the same event, or participation in a meeting

OR

your attendance at a meeting, conference, or event where your attendance at the meeting, conference, or event was designed to educate you on issues relevant to your duties as an officer or employee of your agency, or to enhance your knowledge and skills relative to your duties as an officer or employee of your agency?

Yes [] No [X]

SCHEDULE G

Did you or a member of your immediate family receive from any (i) lobbyist; (ii) lobbyist’s principal; or (iii) contractor any gift or combination of gifts with a value exceeding $50 during the prior calendar year?Did you or a member of your immediate family receive from any (i) lobbyist; (ii) lobbyist’s principal; or (iii) contractor any gift or combination of gifts with a value exceeding $50 during the prior calendar year?

Yes [] No [X]

SCHEDULE H

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?

Yes [] No [X]

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?

Yes [] No [X]

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?

Yes [] No [X]

SCHEDULE I

Do you or a member of your immediate family, separately or together, hold an interest valued in excess of $5,000 in real estate that is the subject of a contract with a governmental agency?

Yes [] No [X]
Virginia Conflict of Interest and Ethics Advisory Council