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008e3567b62110ec01d31692c64e779cc25fd202ea374a3d1f4a27dc3636eebb 2014/golar_Richie_Charlotte_Disc..pdf 2014 2014 Charlotte Golar Richie SEP 24     THE COMMONWEALTH OF MASSACHUSETTS ENSE COMMISSION AGAINST DISGRIMINATION: RECEIVED SION OVIETEM COMMISSION time PETIT ONE ASHBURTON PLACE, BOSTON. MA 02108- 15183 2014 OCT tiil AGAINST DISCRIMINATORY Deval L. Patrick Jamie R. Williamson Governor Chairwoman October 17, 2014 Sunila Thomas George Commissioner Charlotte Golar Richie Commissioner Lauren E. Duca Deputy Chief/SFI, Legal Division State Ethics Commission One Ashburton, Room 619 Boston, MA 02108 Dear Ms. Duca: Please find enclosed my resubmitted signed and dated disclosure form. Thank you, Commissioner Tel: (617) 994-6000 TTY: (617) 994-6196 Fax: (617) 994-6024 DISCLOSURE BY SPECIAL STATE EMPLOYEE 20-14-5500 RECEIVED OF FINANCIAL INTEREST IN A STATE CONTRACT STATE ETHICS AS REQUIRED BY G. L. C. 268A, ยง 03 THIS Name of special state employee: 2014 SPECIAL Charlotte STATE EMPLOYEE Golar INFORMATION Richie SEP 24 PM 4: 03 I am a special state employee because: Put an X beside one I serve in a state position for which no compensation is provided. statement. I am not an elected official, and I earned compensation for fewer than 800 hours in the preceding 365-day period. By the classification of my position by my state agency or by the terms of a contract or my conditions of employment, I I am permitted to have personal or private employment during normal business hours. I work for a company or organization which has a contract with a state agency, and I am a "key employee" because the contract identifies me by name or it is otherwise clear that the state is contracting for my services in particular, and the contract states that I am a special state employee or indicates that I meet one of the three requirements listed above. Title/ Position Incoming Vice Chair of umass Boston's Centerfor External Advisory Board for If you are a special state employee because women a state agency in has Politics contracted with Public your company Policy or Fill in this box organization, please provide the name and address of the company or organization. if it applies to you. (CWPPP) N/A State Agency/ This is "my State Agency." Department: umass/Boston, Center for Women in Politics R Agency Address: University of Massachusetts, Boston Public Policy Boston, MA 02125 100 momssey Blvd 10th fl, Rm 12 Office phone: 617-287-5541 Office e-mail: Check one: Elected or Non-elected Starting date as a special state I joined the External Advisory Board of CWPPR employee. as a Member in 1999? BOX # 1 ELECTED SPECIAL STATE EMPLOYEE I am an elected special state employee Select either N/A STATEMENT #1 or STATEMENT #1: I had a financial interest in a contract made by a state agency before I was STATEMENT #2. elected to a compensated special state employee position. I will continue to have this financial interest in a state contract. STATEMENT #2: I will have a new financial interest in a contract made by a state agency. My financial interest in a contract made by a state agency is: Write an X A compensated, non-elected position with a state agency. by your financial interest. A contract between a state agency and myself. A financial benefit or obligation because of a contract that a state agency has with another person or with a company or organization. Other work because a state agency has a contract with my company or organization and I am a "key employee" because the contract identifies me by name or it is otherwise clear that the state is contracting for my services in particular. BOX #2 NON-ELECTED SPECIAL STATE EMPLOYEE I am a non-elected special state employee (compensated or uncompensated). Select either STATEMENT #1: I had a financial interest in a contract made by a state agency, other than an STATEMENT #1 or employment contract, before I took a non-elected, compensated special state employee position. I will continue to have this financial interest in a state contract. STATEMENT #2. My financial interest in a contract made by a state agency is: A contract between a state agency and myself, but not an employment contract. Write an X by your financial A financial benefit or obligation because of a contract that a state agency has with another interest. person or with a company or organization. OR STATEMENT #2: I will have a new financial interest in a contract made by a state agency. My financial interest in a contract made by a state agency is: A compensated, non-elected position with a state agency. A contract between a state agency and myself. A financial benefit or obligation because of a contract that a state agency has with another person or with a company or organization. Other work because a state agency has a contract with my company or organization and I am a "key employee" because the contract identifies me by name or it is otherwise clear that the state is contracting for my services in particular. FINANCIAL INTEREST IN A STATE CONTRACT This is the "contracting agency." Name and address of state agency that made the contract (MCAD) Mass Commission Against Discrimination One Ashburton Place, Room 601 Boston, MA 02108 Write an X to confirm In my work as a special state employee for my State Agency, I do not participate in or have this statement. official responsibility for any of the activities of the contracting agency. MCAD ANSWER THE QUESTION IN THIS BOX FILL IN IF THE CONTRACT IS BETWEEN THE STATE AGENCY AND YOU. THIS BOX OR - Please explain what the contract is for. THE NEXT BOX Commissioner of the MCAD 2014/golar_Richie_Charlotte_Disc..pdf
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