DRAFT
| NAME: Jeff Bourne | |||||
| OFFICE OR POSITION HELD OR SOUGHT: HOUSE OF DELEGATES | DISTRICT NO. 71 | ARE YOU FILING THIS FORM AS A CANDIDATE FOR ELECTION TO THIS OFFICE? [ ] Yes [X] No | |||
| BUSINESS ADDRESS: | STREET 900 East Main St | TELEPHONE: | |||
| CITY Richmond | STATE VA | ZIP 23219 | OFFICE 804-698-1071 | HOME REDACTED | |
| EMAIL ADDRESS: REDACTED | |||||
| FIRST AND LAST NAMES OF MEMBERS OF IMMEDIATE FAMILY: Anedra, Sydney, Joseph | |||||
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.
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.
| Jeff Bourne (Electronically Signed: 2/1/2019 9:44:10 AM) | 2/1/2019 9:44:10 AM | |
| Signature of Member/Member-elect/Candidate | Date |
DRAFT
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?
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.
| NAME OF BUSINESS OR EMPLOYER | LOCATION OF BUSINESS OR EMPLOYER (CITY OR COUNTY, AND STATE) | POSITION HELD | BY WHOM | OFFICE OR DIRECTORSHIP OR EMPLOYMENT |
| The Branch Group | Roanoke, VA | General Counsel | Self | EMPLOYMENT |
| Venture Richmond | Richmond, VA | Deputy Executive Director | Anedra (wife) | EMPLOYMENT |
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?
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?
DRAFT
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.
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?
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 |
| Jeffrey & Anedra Bourne | Henrico County Virginia | Residenttial | $50,000 or LESS |
DRAFT
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.
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 | Annapolis, Maryland | Anedra Bourne & Christopher Wiseman |
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?
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?
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?
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?
1. Have you or a member of your immediate family registered as a lobbyist with the Secretary of the Commonwealth during the prior calendar year?
2. Did you or a member of your immediate family registered as a lobbyist relationship during the prior calendar year?