disclosures: 05f8fd3c28537fe4e5e88203d47dff56a6e0afff518d2acab40388697d6a5b55
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| 05f8fd3c28537fe4e5e88203d47dff56a6e0afff518d2acab40388697d6a5b55 | 2019/Metzer,_Patricia_6.21.19_-_7(b)_-13.pdf | 2019 | Patricia Ann Metzer | Appellate Tax Board | DISCLOSURE BY STATE EMPLOYEE OF FINANCIAL INTEREST IN A STATE CONTRACT AND CERTIFICATION BY HEAD OF CONTRACTING AGENCY AS REQUIRED BY G. L. c. 268A, ยง - STATE EMPLOYEE INFORMATION Name of state 2019 JUN 21 PM 1:12 employee: Patricia Ann Metzer Title/ Position Commissioner, Appellate Tax Board If you are a state employee because a state agency has contracted with your company or Fill in this box organization, please provide the name and address of the company or organization. if it applies to you. N/A Agency/ Department Appellate Tax Board Agency Address 100 Cambridge Street, Suite 200 Baston, MA 02114 Office phone: 617-336-0320 Office e-mail: Patricia.A.Metzer@mass.gou Check one: Elected or Non-elected Starting date as a state employee. May 12, 2019 ELECTED, COMPENSATED STATE EMPLOYEE N/A BOX # 1 I am an elected, compensated state employee, other than a state Senator or a state Representative. STATEMENT #1: I had one of the following financial interests in a contract made by a state Select either agency before I was elected to my compensated state employee position. I will continue to STATEMENT #1 or have this financial interest in a state contract. OR STATEMENT #2. STATEMENT #2: I will have a new financial interest in a contract made by a state agency. Write an X My financial interest in a state contract is: beside your financial interest. I have a non-elected, compensated state employee position. A state agency has a contract with me. I have a financial benefit or obligation because of a contract that a state agency has with another person or an entity, such as a company or organization. I work for a company or organization that has a contract with a state agency, and I am a "key employee" because the contract identifies me by name or it is otherwise clear that the state has contracted for my services in particular. NON-ELECTED, COMPENSATED STATE EMPLOYEE BOX # 2 I am a non-elected, compensated state employee. Select either STATEMENT # 1: I had one of the following financial interests in a contract made by a state STATEMENT #1 or agency before I took a position as a non-elected state employee. I will continue to have this financial interest in a state contract. STATEMENT #2. Write an X My financial interest in a state contract is: beside your financial interest. A state agency has a contract with me, but not an employment contract. I have a financial benefit or obligation because of a contract that a state agency has with another person or an entity, such as a company or organization. -- OR -- STATEMENT # 2: I will have a new financial interest in a contract made by a state agency. My financial interest in a state contract is: I have a non-elected, compensated state employee position. A state agency has a contract with me. I have a financial benefit or obligation because of a contract that a state agency has with another person or an entity, such as a company or organization. I work for a company or organization that has a contract with a state agency, and I am a "key employee" because the contract identifies me by name or it is otherwise clear that the state has contracted for my services in particular. FINANCIAL INTEREST IN A STATE CONTRACT Name and address of state agency that made the contract Massachusetts State Development Finance Agency 99 High Street, Boston, MA 02/10 "My State Agency" is the state agency that I serve as a state employee. The "contracting agency" is the state agency that made the contract. Please put in an X My State Agency is not the contracting agency. to confirm these facts. My State Agency does not regulate the activities of the contracting agency. In my work for my State Agency, I do not participate in or have official responsibility for any of the activities of the contracting agency. The contract was made after public notice or through competitive bidding. ANSWER THE QUESTION IN THIS BOX IF THE CONTRACT IS BETWEEN THE STATE AND YOU. FILL IN - Please explain what the contract is for. THIS BOX OR THE BOX Publicly traded municipal bond f/b/c Emerson College BELOW callable 1-1-20 ANSWER THE QUESTIONS IN THIS BOX IF THE CONTRACT IS BETWEEN THE STATE AND ANOTHER PERSON OR ENTITY. N/A FILL IN - Please identify the person or entity that has the contract with the state agency. - What is your relationship to the person or entity? THIS BOX - What is the contract for? OR THE BOX ABOVE What is your - Please explain the financial interest and include the dollar amount if you know it. financial interest In the state contract? Invester: $ 15,000 face amount, municipal bend Date when you acquired a financial interest June 21, 2010 What is the financial - Please explain the financial interest and include the dollar amount if you know it. interest of your immediate family? None Date when your immediate family acquired a financial N/A 2 interest FOR A CONTRACT FOR PERSONAL SERVICES - Answer the questions in this box ONLY if you will have a contract for personal Write an X services with a state agency (i.e., you will do work directly for the contracting to confirm each | 2019/Metzer,_Patricia_6.21.19_-_7(b)_-13.pdf |