OKLAHOMA ETHICS COMMISSION PHONE: (405) 521-3451 • FAX: (405) 521-4905 • WEBSITE: WWW.OK.GOV/ETHICS FINANCIAL DISCLOSURE STATEMENT 1. FILER INFORMATION AMENDED:NO Full Name of Filer Filing Year MARY COPELAND FALLIN Expiration of Term of Office 2015 Date of Appointment, if applicable 1/14/2019 Name of Office Held/Sought OR Name of Agency and Position GOVERNOR GOVERNOR Appointing Authority, if applicable Filing Status 1/12/2015 ELECTED STATE OFFICER Work Phone Number (xxx) xxx-xxxx + ext. Electronic Mail Address STATE EMPLOYEE OR OFFICER Mailing Address, City, State, Zip Code FROM PREVIOUS YEAR'S FILING … NO CHANGE FOR INFORMATION … FINAL FORM Last Date of Service: 2. FILER'S PRIVATE EMPLOYMENT INFORMATION (CURRENT EMPLOYER OR, IF RETIRED, LAST EMPLOYER) … CURRENT OR … RETIRED SECTION 2. Nothing reported 3. STATE AGENCY PROVIDING SALARY OR SIMILAR COMPENSATION IN THE AMOUNT OF $5,000.00 OR MORE RECEIVED DURING THE FILING YEAR BY THE FILER, FILER'S SPOUSE OR DEPENDENTS. Full Name of State Agency Filer/Spouse/Dependent Mailing Address of State Agency, City, State, Zip Code UNIVERSITY OF OKLAHOMA SPOUSE 660 PARRINGTON OVAL NORMAN, OK 73019 COMPSOURCE OKLAHOMA SPOUSE 1901 WALNUT OKLAHOMA CITY, OK 73105 GOVERNOR FILER RM 212 2300 N LINCOLN BLVD OKLAHOMA CITY, OK 73105 4. OTHER ENTITIES PROVIDING INCOME OF ANY KIND WHICH THE FILER, FILER'S SPOUSE OR DEPENDENTS RECEIVED IN THE AMOUNT OF $5,000.00 OR MORE DURING THE FILING YEAR. Name of Entity Category of Business, Profession or Industry Filer/Spouse/Dependent REAL ESTATE HOLDINGS RENTAL INCOME FILER CHRISTENSEN LAW GROUP LAW FIRM SPOUSE REAL ESTATE HOLDINGS RENTAL INCOME SPOUSE 5. ENTITIES IN WHICH THE FILER HELD SECURITIES VALUED AT $5,000.00 OR MORE AT ANY TIME DURING THE FILING YEAR. Type of Security Category of Business, Profession or Industry OPERS RETIREMENT FUND FOR STATE EMPLOYEES FILER DOES NOT CONTROL SELECTION OF SECURITIES 6. PROFESSIONAL OR OCCUPATIONAL PERMITS OR LICENSES HELD BY FILER. SECTION 6. Nothing reported 7. BUSINESS OR PROFESSIONAL RELATIONSHIPS WITH REGISTERED LOBBYISTS THAT RESULTED IN INCOME IN ANY AMOUNT TO THE FILER, FILER'S SPOUSE OR DEPENDENTS DURING THE FILING YEAR. BE SPECIFIC AS TO NATURE OF RELATIONSHIP SECTION 7. Nothing reported Filing Date: 4/19/2016 1:59 PM Printing Date: 7/28/2016 10:39:52 AM Page 1 of 2 8. OFFICE, DIRECTORSHIP, TRUSTEESHIP OR SIMILAR POSITION HELD BY THE FILER IN AN ENTITY DOING BUSINESS WITH ANY STATE AGENCY DURING THE FILING YEAR AND THE STATE AGENCY WITH WHICH THE ENTITY WAS DOING BUSINESS. SECTION 8. Nothing reported 9. CONTRACTS (OTHER THAN CONTRACT OF EMPLOYMENT) BETWEEN AN AGENCY AND THE FILER, THE FILER'S SPOUSE OR DEPENDENTS OR ANY ENTITY IN WHICH THE FILER, THE FILER'S SPOUSE OR DEPENDENTS HAS A MATERIAL FINANCIAL INTEREST. SECTION 9. Nothing reported 10. IDENTIFY WHETHER THE FILER, FILER'S SPOUSE, DEPENDENTS, EMPLOYER THEREOF OR ENTITIES IN WHICH THE FILER, FILER'S SPOUSE OR DEPENDENTS HAVE A MATERIAL FINANCIAL INTEREST IS REGULATED OR LICENSED BY THE FILER'S AGENCY. SECTION 10. Nothing reported … Amended Financial Disclosure Statement Certification. I certify this amendment is not made for the purpose of reporting information that was intentionally omitted or misstated on the original or previously filed Financial Disclosure Statement. By signing, electronic or otherwise, my name below, I, acknowledge that the information submitted is complete, true and accurate as of the date submitted. I understand the failure to provide such information is a violation of the Ethics Rules of Oklahoma. I understand that I can update the information above at any time by filing an amended Financial Disclosure Statement. 4/19/2016 Date Submitted Filing Date: 4/19/2016 1:59 PM MARY COPELAND FALLIN Officer Signature Printing Date: 7/28/2016 10:39:52 AM Page 2 of 2