disclosures: 038ea0c59be14c8f0f5055b3ad8c24178a24fc256e8c8e008adbee692bd95994

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id filename year name title agency content
038ea0c59be14c8f0f5055b3ad8c24178a24fc256e8c8e008adbee692bd95994 2013/DesleyDavid3.pdf 2013 David Desley     DISCLOSURE OF ELECTION OR APPOINTMENT TO AN UNCOMPENSATED POSITION AS REQUIRED BY 930 CMR 6.02(3) STATE RECEIVEDMISSION IDENTIFYING INFORMATION Name: David Desley 2013 JUL 16 AM11:58 Your phone: 508-415-0795 Your e-mail: David.Desley@state.ma.us STATE: I already have a job with a state agency or another direct or indirect financial interest in a contract made by a state agency, and I will begin serving in an uncompensated position with the same state agency or another state agency. Write an X COUNTY: I already have a job with a county agency or another direct or indirect beside one financial interest in a contract made by a county agency, and I will begin serving in statement. an uncompensated position with the same county agency or another agency of the same county. MUNICIPAL: I already have a job with a municipal agency or another direct or indirect financial interest in a contract made by a municipal agency, and I will begin serving in an uncompensated position with the same municipal agency or another agency of the same city or town. The uncompensated position will be: Check one. Elected or Non-elected FINANCIAL INTEREST I ALREADY HAVE IN A PUBLIC AGENCY CONTRACT Do you already have I HAVE THE CONTRACT. the contract with a public agency, or I work for a public agency for compensation. does another person or entity have the A contract that I have with a state public agency (e.g., a grant) funds my work; contract? I have a contract for goods, supplies or equipment, etc., with a public agency. Write an X I have another type of contract with a public agency. beside the appropriate OR statement. ANOTHER PERSON OR ENTITY HAS THE CONTRACT. I work for a person or entity (e.g., a business, non-profit or organization), and my work is funded by a contract between the person or entity and a public agency. I have an ownership interest in a private entity (e.g, a business or non-profit), and the entity receives funds because of a contract with a public agency. I have an ownership interest in a private entity (e.g., a business or non-profit), and the entity has a contract for goods, supplies or equipment, etc. with a public agency. A public agency has a contract or transaction with a private person or entity, and I have a financial stake in the contract or transaction. CONTRACT BETWEEN A PUBLIC AGENCY AND YOU Fill out this part of the form if the public contract is with you. Name and address of the state, county or municipal agency that made the contract. What is the contract E.g., Is it a contract for your services or for goods, supplies or equipment or something else? for? What is your Please include a dollar amount, if possible. financial interest in the public agency contract? Please include both financial advantages and obligations. CONTRACT BETWEEN A PUBLIC AGENCY AND ANOTHER PERSON OR ENTITY Fill out this part of the form if the contract is with another person or an entity. Name and address of the state, county or municipal agency that made the contract. Please provide the name and address of the person or entity that has the contract. What relationship do E.g., are you an owner, partner or employee of a company that signed the contract? Or of a you have with the subcontractor to such a company? person or entity that has the public contract? What is the contract E.g., Is it a contract for services or for goods, supplies or equipment or something else? for? What is your Please explain the financial interest and include a dollar amount if you know it. financial interest in the public agency contract? Please include both financial advantages and obligations. UNCOMPENSATED PUBLIC POSITION Name and address Mass Div of Fish & Wildlife of the public agency 1 Rabbit Hill Rd where you will have Westboro, MA 01581 an uncompensated Tel. 508-389-6300 position. What is the Instructor - Bow Hunter Safety Class at Bass Pro Foxboro, MA 7/20/13 uncompensated position? Who elected or appointed you to the Todd Olanyk, Susan Langlois position? Employee signature: David Desly Date: 7-15-13 Attach additional pages if necessary. IF you already had a compensated public position, file this disclosure with your appointing authority for that position. OTHERWISE, IF you are reporting an uncompensated position with the state or a county, file this disclosure with the State Ethics Commission. If you are reporting an uncompensated position with a city or town, file this disclosure with the city or town clerk. Form revised February, 2012 2013/DesleyDavid3.pdf