Statement of Disclosure of Interests (ss-8004)

Report Year

2016

Date of Filing

2016-04-01

Filer Contact Information

DERRICK SCHOFIELD View all statements
Member-Governors Cabinet
RACHEL JACKSON BUILDING, 6TH FLOOR,
NASHVILLE, TENNESSEE 37243

Sources of Income

Part A

TDOC
320 6th Avenue North, Nashville, TN
Income received by: Filer

Augusta University
University Drive, Augusta, GA
Income received by: Spouse

Part B None

Positions Held

None

Blind Trust

None

Investments

Peach State Reserves 401k Held by: Filer

Fidelity 401K Held by: Spouse

Empower Retirement Held by: Filer

Legislative Expenses

Part A None

Part B None

Lobbying

None

Professional Services

None

Retainer Fees

None

Bankruptcy

None

Loans

None

Services to State Entities

None

Leadership PACs

None

Certification

I certify.
I understand that, pursuant to Tenn. Code Ann. 8-50-507, submitting a disclosure or amendment to a disclosure form which contains false or incomplete information may subject me to the penalties of perjury. The information contained in this disclosure or amendment to a disclosure form is true, complete, and correct to the best of my knowledge, information, and belief.

I, the undersigned, do hereby witness that the above information was entered in my presence.

Witness Name Patricia Crockett

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