This is the executive summary for the report "North Carolina Pre-K Pyramid Model Evaluation Study: Implementation and Outcomes Evaluation Study Final Results." The report is an assessment of a pilot implementation of the NC Preschool Pyramid Model (Pyramid Model), a social-emotional coaching program to support NC Pre-K teachers to engage in practices that are evidence-based. This pilot implementation of Pyramid Model was an expansion of implementation in NC Pre-K classrooms located in public school settings. An outcomes evaluation included 40 classrooms and a process evaluation focused on what supports may be necessary to implement the Pyramid Model to fidelity in NC Pre-K classrooms. Piloting the Pyramid Model in private center-based settings resulted in improved use effective teaching practices, reduced referral identification of children, and improved children's confidence and independence. Study findings reflect classrooms prepared for implementation, were more favorable than previous studies, and similar effects may be observed upon scaling but with classrooms that are likely less ready than those reflected in this study.