02802241767 Date Filed: 5/28/2014 Elaine F. Marshall NC Secretary of State 'Y201415800014 Form PRILA Page 1 of 2(Rey. 11/13) ee Elaine P. Marshall, Seeretry of State Principal Registration and Lobbyist Authorization Statement 2014 Principal Information Complete Name of Principal: Judicial Associates, LLC Physical Business Address of Principal (NOT a P.O. Box): 615 Oberin Road, Suite 40 Releiah NC 27605 Name of Principal's Authorized Officer ee Me De): Susan Mulins Title of Principal's Authorized Otticer: Manager “Mailing Address of Principal's Authorized Officer: 615 Oberlin Road, Suite 40 Raleigh NC 27605 Telephone No. of Principal's Authorized Officer: (919) 538-1667 ‘E-Mail Adress of Principal's Authorized Officer: slmulling@ncr-com Optional secondary e-mail address (Example: Administrative Assistant Principal Legal Structure: (Check One) 'NC Corporation Limited Liability Company “Unincorporated Association Foreign Corporation (Foreign State of Incorporation) T'Non-Profit Professional Limited Liability Company. "Person Other (Describe legal structure) If the entity is an unincorporated association , the authorized officer must provide a list of all officers . Please attach the list to this registration, F Lwish to add additional authorized officers and have attached Form AAOS-I1. Lobbyist Information Complete Name of Lobbyist (mims/Dr) George Teague Fim Name of Lobbyist (If Applicable) Nelson Mullins, Physical Business Address of Lobbyist (NOT a P.O. Box): 4140 Parklake Avenue, GlenLake One, Ste 200 Raleigh NC 27612 Mailing Address of Lobbyist: 4140 Parklake Avenue, Glentake One, Ste. 200 RaleighNC 27612 _ Telephone No. of Lobbyist: 919-877-3837 Fax No, E-Mail Address of Lobbyist: linda.goodwinanelsonmulins.com Optional secondary e-mail address (Example: Administrative Assistant: Report Preparer’s Identity/Signature (Rule 18 NCAC 12.0209) Print name of Preparer (if other than lobbyist) - Signature of Preparer _ Date CERTIFICATION I certify that Ihave the authority to sign this form on behalf of the principal. T certify that Thave the authority to make the following additional certifications on behalf ofthe principal: Uhereby certify that all information disclosed inthis “Principal Registration and Lobbyist Authorization Statement 2014” is true, complete and correct in accordance with GS. §120C-206, and authorize the above named lobbyist to lobby on behalf of the Principal for the calendar year 2014. 1 eertfy that the principal understands its affirmative duty to comply with the Lobbying Law and rules, ineluding filing reports required by law under Chapter rae. susan Mullins 5/28/2014 Signature of Principal's Authorized Officer Date