Statement of Disclosure of Interests (ss-8004)

Report Year

2014

Date of Filing

2014-04-10

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

Hasbitt II, LLC
, ,
Income received by: Filer

Hasbitt III, LLC
, ,
Income received by: Filer

Haslam Blind Trust
, ,
Income received by: Filer and Spouse

LVL Partners, LLC
, ,
Income received by: Filer

Pilot Corporation
, ,
Income received by: Filer

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

PTC, Inc.
, ,
Income received by: Filer

TIAA-CERF
, ,
Income received by: Spouse

Part B None

Positions Held

Charis Foundation President from Sep 2001 to Apr 2014

Cornerstone Foundation Board Member from Dec 1996 to Apr 2014

Hasbitt II, LLC Managing Member from Jun 2008 to Apr 2014

Hasbitt III, LLC Managing Member from Jun 2008 to Apr 2014

Haslam Family Foundation Director from Apr 1997 to Apr 2014

LVL Properties Managing Member from Jun 2008 to Apr 2014

Tennessee Board of Regents Ex-Officio Board Chair from Jan 2011 to Apr 2014

Tennessee Student Assistance Corporation Board Member from Jan 2011 to Apr 2013

University of Tennessee/ Board of Trustees Ex-Officio Board Chair from Jan 2011 to Apr 2014

Young Life Board Member from Aug 2011 to Apr 2014

Southern Growth Policies Board Chariman of the Board from Jun 2011 to Feb 2014

Southern Growth Policies Board Board Member from Feb 2011 to Jun 2011

Southern Growth Policies Board Board Member from Mar 2013 to Sep 2013

Blind Trust

Haslam Blind Trust, Robert R. Campbell, Jr. Trustee
511 Union Street, Ste. 2700, Nashville, TN
Received by: Filer and Spouse

Investments

Hasbitt II, LLC Held by: Filer

Hasbitt III, LLC Held by: Filer

Haslam Blind Trust Held by: Filer and Spouse

Lost Valley Ranch Corporation Held by: Filer

LVL Properties, LLC Held by: Filer

Pilot Corporation Held by: Filer

PTC, Inc. Held by: Filer

Teachers Insurance and Annuity Association Held by: Spouse

UBS, Custodian for Cristen G. Haslam IRA/Ruby Tuesday, Inc. Held by: Spouse

UBS, Custodian for William E. Haslam IRA/Ruby Tuesday, Inc. 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.

Janet McGaha


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