disclosures: 005958759791302d51275848141e55973b63f41ae362f3bacb83cecdd849e410
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| 005958759791302d51275848141e55973b63f41ae362f3bacb83cecdd849e410 | 2014/LyneisAnne.pdf | 2014 | Anne Lyneis | Match Charter Public School and Match Community Day Charter Public School | §6 Determination RECEIVED STATE ETHICS COMMISSION DISCLOSURE BY NON-ELECTED STATE EMPLOYEE OF FINANCIAL INTEREST 7014 MAY 28 AM IO: 35 AND DETERMINATION BY APPOINTING AUTHORITY AS REQUIRED BY G. L. c. 268A, § 6 STATE EMPLOYEE INFORMATION Name: Anne Lyneis Title or Position: Teacher at Match Charter Public School (the "Match School") State Agency: Match Charter Public School and Match Community Day Charter Public School (collectively with the Match School, the "Schools") Agency Address: 1001 Commonwealth Avenue Boston, MA 02215 Office Phone: (617) 232-0300 Office E-mail: anne.lyneis@matcheducation.org My duties to the Match School require me to participate in a particular matter in which an organization with whom I am negotiating an arrangement concerning prospective employment has an interest, and I may not participate because of a financial interest that I am disclosing here. I request a determination from my appointing authority about how I should proceed. PARTICULAR MATTER Particular matter Please describe the particular matter. E.g., a judicial or other I am a teacher at the Match School, and I am negotiating prospective employment with The MATCH proceeding, application, School Foundation, Inc. (the "Foundation"). The Foundation may make donations to the Schools submission, request for a ruling or other and may provide services to the Schools. In particular, the Foundation donates back office support to the Schools, and the Foundation may hold fundraisers for the benefit of the Schools. determination, contract, claim, controversy, charge, accusation, arrest, decision, determination, or finding. Your required Please describe the task you are required to perform with respect to the particular matter. participation in the particular matter: I teach students at the Match School. As a donor to the Match School, the Foundation has an interest in the operations of the Schools, including in the quality of teaching at the Match School. In E.g., approval, addition, I may be required to attend fundraisers held by the Foundation for the benefit of the disapproval, decision, Schools. recommendation, rendering advice, investigation, other. FINANCIAL INTEREST IN THE PARTICULAR MATTER Write an X by all that apply. I have a financial interest in the matter. My immediate family member has a financial interest in the matter. My business partner has a financial interest in the matter. I am an officer, director, trustee, partner or employee of a business organization, and the business organization has a financial interest in the matter. 1 am negotiating or have made an arrangement concerning future employment with a person or organization, and the person or organization has a financial interest in the matter. Financial interest Please explain the financial interest and include a dollar amount if you know it. in the matter Donations to Schools: The value of back-office services donated to the Schools by the Foundation is not ascertainable. In fiscal year 2014, the Foundation expects to donate up to $500,000.00 to the Schools. Employee signature: Ame lyness Date: May 23 232014 DETERMINATION BY APPOINTING OFFICIAL APPOINTING AUTHORITY INFORMATION Name of Appointing Stig Leschly Authority: Title or Position: Chief Executive Officer Agency/Department: Match Charter Public School and Match Community Day Charter Public School Agency Address: 1001 Commonwealth Avenue Boston, MA 02215 Office Phone: (617) 232-0300 Office E-mail sleschly@matcheducation.org DETERMINATION Determination by As appointing official, as required by G.L. C. 268A, § 6, I have reviewed the particular matter and the appointing authority: financial interest identified above by a state employee. Write an X I am assigning the particular matter to another employee, or by your selection. I am assuming responsibility for the particular matter, or I have determined that the financial interest is not so substantial as to be deemed likely to affect the integrity of the services which the Commonwealth may expect from the employee. Appointing Authority signature: By: Stig Leschly, Match Charter Public School and Match AS Chief Executive Luy Officer of Community Day Charter Public School Date: May 21 , 2014 Comment: Attach additional pages if necessary. File copy with: State Ethics Commission, One Ashburton Place, Room 619, Boston, MA 02108 Form Revised February, 2012 | 2014/LyneisAnne.pdf |