disclosures: 004e06bdd3b9f1c7be85e3346fd6b451b9d8fa916f6428fdad1f06d18967682e

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004e06bdd3b9f1c7be85e3346fd6b451b9d8fa916f6428fdad1f06d18967682e 2022/Fowler,_Mary_1.10.22_-_Cmr_6.06(2).pdf 2022 Mary Fowler     RECEIVED STATE ETHICS COMMISSION 2022 JAN 1.0 AMII: 32 DISCLOSURE BY STATE EMPLOYEE OF A FINANCIAL INTEREST IN A CONTRACT TO PROVIDE SERVICES FOR THE COMMITTEE FOR PUBLIC COUNSEL SERVICES AS REQUIRED BY 930 CMR 6.06(2) STATE EMPLOYEE INFORMATION Name of state Mary Fowler employee: Title/ Position Please provide information about your state employee position. Professor Agency: Worcester State University Agency address: 486 Chandler Street Worcester, MA 01602 Office phone: 508-929-8576 Office e-mail: mfowler@worcester.edu I am a state employee. The Committee for Public Counsel Services ("CPCS") provides representation and services to persons with regard to various matters in the state courts and assigns attorneys and personnel to work on the matters. In connection with these matters, I expect to provide representation or services to, or on behalf of, such persons, attorneys or personnel. I respectfully request written approval of the arrangement from CPCS and (if I am not an elected state employee) from my appointing authority in my state position. CPCS SERVICES Describe the nature of the representation or services you expect to Statistical expert testimony in defense of provide to or for Jose Serratos CPCS. with Attorney Jose Serratos If you are providing services through a company, please Racial Equity Partners, LLC provide its name and address, Who will pay you for your services? CPCS, directly. An attorney or personnel assigned by CPCS, If not CPCS, please provide the name and address of the person or entity who will pay you or your company for your services. What is your financial Please explain your financial interest and provide the dollar amount if you know it. interest in providing these services? I am being contracted to provide statistical analysis which might include writing a report and giving testimony. Please include both compensation and The court allowed a motion for $2,500. Depending on what is found in the data analysis, the obligations, etc. project could further require additional funds. I approximate the additional funds could be as high as $10,000. Employee signature: ManStawn 10/12/2021 APPROVAL BY COMMITTEE FOR PUBLIC COUNSEL SERVICES Name and title of CPCS employee giving approval Attorney Brian DeMott Office phone 508-368-1850 Office e-mail bdemott@publiccounsel.net Signature by By signing here, I indicate that I have reviewed the facts that the state employee has disclosed CPCS employee above BR and approve the arrangement proposed by the state employee. Date: 10/12/21 FOR NON-ELECTED STATE EMPLOYEES ONLY: APPROVAL BY APPOINTING AUTHORITY AT STATE AGENCY WHICH YOU SERVE Name and title of appointing authority. or Linda Larrivee his or her designee, at Dean School of Education, Health and Natural Science the state agency which you serve Office phone 508-929-8333 Office e-mail llarnvee@worcester.edu Signature by By signing here, I indicate that I have reviewed the facts that the state employee has disclosed appointing authority above approve the arrangement proposed by the state employee. Date: 12/6/2021 Attach additional pages If necessary. File copy with: State Ethics Commission One Ashburton Place, Room 619 Boston, MA 02108 Form revised March, 2013 What is your financial Please explain your financial interest and provide the dollar amount if you know it. interest in providing these services? A motion for funds has been approved for $475. If more work is needed from me on this case, it could be as much as an additional $2,500 or more depending on what is needed. Please include both STATE ETHIGS COMMISSION compensation and obligations, etc. 2022 JAN 10 AM11:32 Employee signature: mary Stoully 10/24/2021 APPROVAL BY COMMITTEE FOR PUBLIC COUNSEL SERVICES Name and title of CPCS employee giving approval Attorney Connor Barusch Office phone 617-209-5500 Office e-mail cbarusch@publiccounsel.net Signature by By signing here, I indicate that I have reviewed the facts that the state employee has disclosed CPCS employee above and approve the arrangement proposed by the state employee. on Date: 11/9/21 FOR NON-ELECTED STATE EMPLOYEES ONLY: APPROVAL BY APPOINTING AUTHORITY AT STATE AGENCY WHICH YOU SERVE Name and title of appointing authority, or Linda Larrivee his or her designee, at Dean School of Education, Health and Natural Science the state agency which you serve Office phone 508-929-8333 Office e-mail llarrivee@worcester.edu Signature by By signing here, I indicate that I have reviewed the facts that the state employee has disclosed appointing authority above and approve the arrangement proposed by the state employee. Date: 12/6/2021 Attach additional pages if necessary. File copy with: State Ethics Commission One Ashburton Place, Room 619 Boston, MA 02108 Form revised March, 2013 DISCLOSURE BY STATE EMPLOYEE 2022/Fowler,_Mary_1.10.22_-_Cmr_6.06(2).pdf