disclosures: 032590f0f049597a1341df548330f8e1b616a4676dede003522e16078f339cf7

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id filename year name title agency content
032590f0f049597a1341df548330f8e1b616a4676dede003522e16078f339cf7 2014/SafranAlan.pdf 2014 Alan Safran     DISCLOSURE BY NON-ELECTED STATE EMPLOYEE OF FINANCIAL INTEREST AND DETERMINATION BY APPOINTING AUTHORITY AS REQUIRED BY G. L. C. 268A, § 6 RECEIVED STATE ETHICS COMMISSION STATE EMPLOYEE INFORMATION Name: Alan Safran 2014 MAR 12 AM11:05 Title or Position: Director of Dissemination for Academic Support of Match Charter Public School (the "Match School") State Agency: Match Charter Public School Agency Address: 1001 Commonwealth Avenue Boston, MA 02215 Office Phone: (617) 232-0300 Office E-mail: asafran@matcheducation.org My duties to the Match School require me to participate in a particular matter in another entity, 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 The Chief Executive Officer (the "CEO") of Match Charter Public School and Match Community Day proceeding, application, Charter Public School (collectively, the "Schools") has required that I provide services to The submission, request MATCH School Foundation, Inc. (the "Foundation"), as part of my duties as the Director of for a ruling or other Dissemination for Academic Support of the Match School. 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: The CEO requires that I work with the Foundation, which serves as a dissemination arm of the Schools. The Foundation is a Massachusetts not-for-profit corporation, which is tax exempt under E.g., approval, Section 501(c)(3) of the Internal Revenue Code. As part of my official job responsibilities, I oversee disapproval, decision, the dissemination of tutoring model best practices learned from the School and the delivery of recommendation, academic content through the Foundation, which serves as a dissemination arm of the Schools. rendering advice, The Foundation is a Massachusetts not-for-profit corporation, which is tax exempt under Section investigation, other. 501(c)(3) of the Internal Revenue Code. As part of my official job responsibilities, I have been asked to lead the Foundation's engagement efforts with entities that are interested in adopting and deploying the Schools' tutoring model for public school students and to oversee the delivery of academic content from the Schools through these efforts. This work includes fielding requests made to the Foundation from those interested in the Schools' tutoring model, developing relationships between the Foundation and those entities, working with those entities to adopt the Schools' tutoring model, including recruiting and selecting tutors who will be employed by those entities which contract with the Foundation, managing the quality of these deployments, and the external relations associated with each deployment. In this capacity, I recruit, recommend for hire, support, supervise and evaluate the Foundation staff who engage in activities related to the work described in this paragraph. I will be compensated only by the Match School and will not be compensated by the Foundation for these activities, and I do not have an interest in contracts between the Schools and the Foundation. The CEO has required my services to the Foundation to assist with the dissemination of the Schools' education approach through the Foundation and to ensure that the Foundation provides effective support to the Schools. 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. Financial interest Please explain the financial interest and include a dollar amount if you know it. in the matter The Foundation, a Massachusetts not-for-profit corporation which is tax exempt under Section 501(c)(3) of the Internal Revenue Code, is the primary fundraising arm of the Schools. The Foundation is also a dissemination arm for the Schools, implementing the Schools' unique tutoring program in traditional public school settings and nationwide, and launching teacher training courses using the teacher training model in practice at the Schools. The Foundation also donates back office support to the Schools, leases space to the Match School, and has participated in certain financing arrangements to provide facilities for the Match School. The Foundation pays an administrative fee for services provided by the Schools to the Foundation (including those of the Schools' employees), but there is no contract between the Foundation and the Schools. Employee signature: alan PG Fafer Date: March " , 2014 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 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: As Lnee Stig Leschly, Chief Executive Officer of Match Charter Public School and Match Community Day Charter Public School Date: March H. , 2014 2014/SafranAlan.pdf