disclosures: 052cbfb50477e65820b7e6225ce6eed8df3ff3d2634dd57fee909ccff9a7d70b
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| 052cbfb50477e65820b7e6225ce6eed8df3ff3d2634dd57fee909ccff9a7d70b | 2014/Murphy,_Joseph_section_6_disclosure_2014-11-17.pdf | 2014 | Joseph G. Murphy | Office of the Governor | DISCLOSURE BY NON-ELECTED STATE EMPLOYEE OF FINANCIAL INTEREST AND DETERMINATION BY APPOINTING AUTHORITY AS REQUIRED BY G. L. c. 268A, § 6 ATE ETHICS COMMISSIO STATE EMPLOYEE INFORMATION 2014 NOV 17 AM11:47 Name: Joseph G. Murphy Title or Position: Commissioner of Insurance State Agency: Division of Insurance Agency Address: 1000 Washington Street, Boston, MA 02118 Office Phone: (617) 521-7302 Office E-mail: Joseph.g.murphy@state.ma.us 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 Articles of Amendment for ProSelect Insurance Company require approval of the Commissioner of Insurance before filing with the Office of the Secretary of the Commonwealth. E.g., a judicial or other proceeding, application, submission, request for a ruling or other determination, contract, claim, controversy, charge, accusation, arrest, decision, determination, or finding. Your required Approval has been requested for Articles of Amendment for ProSelect Insurance Company. participation in the particular matter: 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. Financial interest Please explain the financial interest and include a dollar amount if you know it. in the matter I do not know whether or how the company's financial interests are affected by the amendments. Employee signature: Date: Joseph Muph DETERMINATION BY APPOINTING OFFICIAL APPOINTING AUTHORITY INFORMATION Name of Appointing Authority: Deval L. Patrick Title or Position: Governor Agency/Department: Office of the Governor Agency Address: State House, Room 360 Office Phone: (617) 725-4000 Office E-mail 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 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: Date: State 13 November 2014 Comment: I designate Gary Anderson, First Deputy Commissioner of Insurance to handle this particular matter. Attach additional pages if necessary. File copy with: State Ethics Commission, One Ashburton Place, Room 619, Boston, MA 02108 Form Revised February, 2012 | 2014/Murphy,_Joseph_section_6_disclosure_2014-11-17.pdf |