disclosures: 0050b199a5138f50e516098a3ee54b8495638bd71a5f7e06a22439c83328b409
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| 0050b199a5138f50e516098a3ee54b8495638bd71a5f7e06a22439c83328b409 | 2023/Wolfenden,_Toni_K._5.8.23_-_23(b)(3).pdf | 2023 | Toni K. Wolfenden | Health Department | DISCLOSURE OF APPEARANCE OF CONFLICT OF INTEREST AS REQUIRED BY G. L. C. 268A, ยง 23(b)(3) PUBLIC EMPLOYEE INFORMATION STATE RECEIVED COMMISSION Name of public employee: Toni K. Wolfenden 2023 MAY -8 AH1021 Title or Position: Administrative Assistant Agency/Department: Health Department Agency address: 120 Main Street North Andover, MA 01845 Office Phone: 978-688-9540 Office E-mail: twolfenden@northandoverma.gov. In my capacity as a state, county or municipal employee, I am expected to take certain actions in the performance of my official duties. Under the circumstances, a reasonable person could conclude that a person or organization could unduly enjoy my favor or improperly influence me when I perform my official duties, or that I am likely to act or fail to act as a result of kinship, rank, position or undue influence of a party or person. I am filing this disclosure to disclose the facts about this relationship or affiliation and to dispel the appearance of a conflict of interest. APPEARANCE OF FAVORITISM OR INFLUENCE Describe the issue that is coming before Various septic issues. you for action or decision. What responsibility do you have for I forward septic plans to be reviewed to the Town Septic Consultant. taking action or making a decision? Explain your relationship or My son, John A. Wolfenden is a surveyor for Andover Consultants Inc., located at 1 East affiliation to the River Place Methuen, MA 01844. Andover Consultants from time to time will send septic person or plans to the health department to be reviewed and approved for homes in North Andover. organization. How do your official actions or decision Process septic plans and files. matter to the person or organization? Optional: Additional facts - e.g., why There is low risk of undue favoritism because I do not approve any of the septic plans. there is a low risk of undue favoritism or improper influence. WRITE AN X TO CONFIRM THE STATEMENT BELOW. If you cannot confirm this statement, _x_______________________ Taking into account the facts that I have disclosed above, I feel that I can perform my you should official duties objectively and fairly. recuse yourself. Employee signature: ToniK. Wolfenden Date: 05.03.2023 Attach additional pages if necessary. Not elected to your public position - file with your appointing authority. Elected state or county employees - file with the State Ethics Commission. Members of the General Court - file with the House or Senate clerk or the State Ethics Commission. Elected municipal employee - file with the City Clerk or Town Clerk. Elected regional school committee member - file with the clerk or secretary of the committee. Form revised July, 2012 | 2023/Wolfenden,_Toni_K._5.8.23_-_23(b)(3).pdf |