disclosures: 04b19aac6c5d576b49a7bffe58f031b6ba8bc5d3e8278908985aad110f7a5a53
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| 04b19aac6c5d576b49a7bffe58f031b6ba8bc5d3e8278908985aad110f7a5a53 | 2017/Perry,_Brian_5.12.17_-_6.pdf | 2017 | Brian Perry | Massasoit Community College | DISCLOSURE BY NON-ELECTED STATE EMPLOYEE OF FINANCIAL INTEREST AND DETERMINATION BY APPOINTING AUTHORITY AS REQUIRED BY G. L. c. 268A, § 6 STATE ETHICS RECEIVED COMMISSION STATE EMPLOYEE INFORMATION 2017 MAY 12 PM12:46 Name: Brian Perry Title or Position: Temporary Building Maintenance Supervisor I State Agency: Massasoit Community College Agency Address: One Massasoit Boulevard Brockton, MA 02301 Office Phone: 508-588-9100 Office E-mail: 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 Regular Full-time Building Maintenance Supervisor I resigned, Mr. Perry will be temporary Building proceeding, application, Maintenance Supervisor I until position is filled. submission, request for a ruling or other 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 Provide direct supervision review and assign nightly set up requirements and coordinate particular matter: building coverage for 9 night Maintenance personnel.. Ensure all assignments given by the Executive Director of Facilities/Capital Planning are E.g., approval, completed during the evening shift. disapproval, decision, Notified when staff need to leave prior to their shift, and report to Executive Director of recommendation, Facilities/Capital Planning. rendering advice, Available to staff is issues arise that need to be addressed, i.e., faulty equipment, etc., or if investigation, other. they need assistance in completing an assignment. Inspect buildings are cleaned and work completed; if not for various reasons, i.e., short staff, then report to Executive Director of Facilities/Capital Planning and daytime Building Maintenance Supervisors 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. Not applicable 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 Employee has no financial interest in this position. All decisions for salary, performance evaluations, reporting time, and disciplines, and working conditions are made by the Executive Director of Facilities/Capital Planning. Employee signature: Benn Deney Date: 5/2/17 DETERMINATION BY APPOINTING OFFICIAL APPOINTING AUTHORITY INFORMATION Name of Appointing William Mitchell Authority: Title or Position: Vice President Administration/CFO Agency/Department: Massasoit Community College Agency Address: One Massasoit Boulevard Brockton, MA 02302 Office Phone: 508-588-9100 Office E-mail wamitchell@massasoit.mass.edu 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: Willin Michel Date: 5/9/17 Comment: Attach additional pages if necessary. File copy with: State Ethics Commission, One Ashburton Place, Room 619, Boston, MA 02108 Form Revised February, 2012 | 2017/Perry,_Brian_5.12.17_-_6.pdf |