Statement of Disclosure of Interests (ss-8004)

Report Year

2018

Date of Filing

2018-04-11

Filer Contact Information

WILLIAM HASLAM View all statements
Governor
600 CHARLOTTE AVE,
NASHVILLE, TENNESSEE 37219

Sources of Income

Part A

Governor's Salary (returned to State), State of Tennessee
, ,
Income received by: Filer

Lost Valley Ranch Corporation
, ,
Income received by: Filer

William E. Haslam 2015 GRAT
, ,
Income received by: Filer

Elizabeth Leigh Haslam QSST
, ,
Income received by: Spouse

Pilot Corporation
, ,
Income received by: Filer

Pinnacle National Bank
, ,
Income received by: Filer and Spouse

Hasbitt Realty
, ,
Income received by: Filer

TIAA-CERF
, ,
Income received by: Spouse

Robert W Nesbitt
, ,
Income received by: Filer

Henry F and SHeila S Bertelkamp III
, ,
Income received by: Filer and Spouse

Part B None

Positions Held

Charis Foundation President from Sep 2001 to Apr 2018

Haslam Family Foundation Director from Apr 1997 to Apr 2018

Tennessee Board of Regents Ex-Officio Board Chair from Jan 2011 to Apr 2018

Tennessee Student Assistance Corporation Board Member from Jan 2011 to Apr 2018

University of Tennessee/ Board of Trustees Ex-Officio Board Chair from Jan 2011 to Apr 2018

Young Life Board Member from Aug 2011 to Apr 2018

Blind Trust

Haslam Blind Trust, Robert R. Campbell, Jr. Trustee
511 Union Street, Ste. 270, Nashville, TN
Received by: Filer and Spouse

Investments

Haslam Blind Trust Held by: Filer and Spouse

Lost Valley Ranch Corporation

Held by: Filer

Pilot Corporation Held by: Filer

PTC, Inc. Held by: Filer

Teachers Insurance and Annuity Association Held by: Spouse

Charles Schwab, Custodian for Cristen G. Haslam IRA Held by: Spouse

Charles Schwab, Custodian for William E. Haslam IRA Held by: Filer

Wells Fargo, Custodian for William E. Haslam 401k accounts 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 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.

Lindsey Bales


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