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013348ad3e67cbcad302492898a4ff37185c438503ed98678b9282077ac86677 2020/Low,_Jeffrey_Tyler_2.27.2020_6.pdf 2020 Jeffrey Tyler Low     DISCLOSURE BY NON-ELECTED STATE EMPLOYEE OF FINANCIAL INTEREST AND DETERMINATION BY APPOINTING AUTHORITY CUMM. AS REQUIRED BY G. L.c. 268A, § 6 2020 FEB 27 AM 10: 34 STATE EMPLOYEE INFORMATION Name: Jeffrey Tyler Low Title or Position: Head Mer's LACrosse Coach State Agency: Umass BOSTON Athletics Agency Address: Clark Athletic Center, 100 Morrissey Blvd, Baston, MA 02125 Office Phone: 617-287-7886 Office E-mail: Tyler.Low@cmB.edu. My duties require me to participate in a particular matter, 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 My Brother, spencer Low, would be paid proceeding, application, as an Assistant lacrosse Coach here at submission, request for a ruling or other determination, contract, Umais BOSTON. 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: / am the head mens lacrosse coach E.g., approval, disapproval, decision, 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. I 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. nancial interest Please explain the financial interest and include a dollar amount if you know it. I the matter spencer Low would be compensated $ 1,000 Employee signature: Date: J 2/19/20 DETERMINATION BY APPOINTING OFFICIAL APPOINTING AUTHORITY INFORMATION Name of Appointing Authority: Title or Position: Agency/Department: Agency Address: Office Phone: Office E-mail DETERMINATION Determination by As appointing official, as required by G.L. C. 268A, § 6, 1 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: Charli Files Date: Comment: 2/20/20 Attach additional pages if necessary. File copy with: State Ethics Commission, One Ashburton Place, Room 619, Boston, MA 02108 Form Revised February, 2012 2020/Low,_Jeffrey_Tyler_2.27.2020_6.pdf
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