Virginia Conflict of Interest and Ethics Advisory Council

STATE AND LOCAL STATEMENT OF ECONOMIC INTERESTS

NAME: Janardan Pandey
OFFICE HELD OR SOUGHT: Air Permit Manager		AGENCY NAME: Department of Environmental Quality-Agency	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 540-574-7817	HOME REDACTED
EMAIL ADDRESS: REDACTED
FIRST AND LAST NAMES OF MEMBERS OF IMMEDIATE FAMILY: Susma Pandey and Avishek Pandey

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.

Janardan Pandey (Electronically Signed: 1/22/2018 9:57:49 AM)		1/22/2018 9:57:49 AM
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.

State and Local Statement of Economic Interests

SCHEDULE A

OFFICES, DIRECTORSHIPS, AND EMPLOYMENT

NAME: Janardan Pandey

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:

Business of which you or a member of your immediate family is an officer or director and receives remuneration, benefits, or compensation for service as an officer or director
Employer paying you or a member of your immediate family salary or wages in excess of $5,000 annually

NAME OF BUSINESS OR EMPLOYER	LOCATION OF BUSINESS OR EMPLOYER (CITY OR COUNTY, AND STATE)	POSITION HELD	BY WHOM	OFFICE OR DIRECTORSHIP OR EMPLOYMENT
United States Postal Service	Luray, Virginia	Supervisor	Susma Pandey	EMPLOYMENT

SCHEDULE B

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

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?

State and Local Statement of Economic Interests

SCHEDULE C

SECURITIES

NAME: Janardan Pandey

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.

“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.

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
USPS 401 Plan	Mutual Funds	MORE THAN $250,000
Honeywell	Stocks	$5,001 to $50,000
JP Morgan	Stocks	$5,001 to $50,000
Apple	Stocks	$5,001 to $50,000
DowDupont	Stocks	$5,001 to $50,000
Activision	Stocks	$5,001 to $50,000
United Health	Stocks	$5,001 to $50,000
Lowes	Stcocks	$5,001 to $50,000
Microsoft	Stocks	$5,001 to $50,000
Walmart	Stocks	$5,001 to $50,000
Alibaba	Stocks	$5,001 to $50,000
Virginia Deferred Retirement Plan	Mutual Funds	$50,001 to $250,000
Facebook	Stock	$5,001 to $50,000
Cisco	Stocks	$5,001 to $50,000
Visa	Stocks	$5,001 to $50,000
Exxon Mobil	Stocks	$5,001 to $50,000
VANGUARD	Stocks , Mutual Funds	$5,001 to $50,000
Artisan Funds	Mutual Funds	$5,001 to $50,000
Dominion	Stocks	$5,001 to $50,000

State and Local Statement of Economic Interests

SCHEDULE D

BUSINESS INTERESTS AND RENTAL PROPERTY

NAME: Janardan Pandey

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?

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 []

No [X]

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?

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 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
Janardan and Susma Pandey	Harrisonburg, Virginia	Residential	$50,000 or LESS

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.

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

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?

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?

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?

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?

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?

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?