disclosures: 061102099b24138c3f14000c34ce62a3d1767d120d88e58e349786c12aeecd82
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| 061102099b24138c3f14000c34ce62a3d1767d120d88e58e349786c12aeecd82 | 2017/Moore,_Shannon_5.23.17_-_6.pdf | 2017 | Shannon Moore | Massachusetts Legislature | DISCLOSURE BY NON-ELECTED STATE EMPLOYEE OF FINANCIAL INTEREST AND DETERMINATION BY APPOINTING AUTHORITY ED AS REQUIRED BY G. L. c. 268A,& 6 ETHICS COMMISSION STATE EMPLOYEE INFORMATION 2017 MAY 23 PM 4: 37 Name: Shannon Moore Title or Position: Legislative & Budget Director State Agency: Massachusetts Senate/ Office of Senator Jennifer L. Flanagan Agency Address: The State House Boston, MA 02133 Office Phone: 617-722-1230 Office E-mail: shannon.moore@masenate.gov 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 proceeding, application, My job requires me to assist my Senator in considering the fiscal year 2018 budget. One submission, request issue to be considered is whether the budget should include an outside section which for a ruling or other determination, contract, would change the General Laws and cap the deductible and copayments for covered claim, controversy, services during an enrollment year for those who receive health insurance through the charge, accusation, Group Insurance Commission. arrest, decision, determination, or finding. Your required participation in the I would assist my Senator in determining what action, if any, to take with respect to the FY'18 particular matter: budget, including the change to GIC out-of-pocket expenses. E.g., approval, disapproval, decision, recommendation, rendering advice, investigation, other. FINANCIAL INTEREST IN THE PARTICULAR MATTER Write an X by all that apply. XX I have a financial interest in the matter. XX 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 My family and I receive health insurance though the Group Insurance Commission. Action on the budget would affect the amount of my out of pocket health insurance expenses. Employee signature: Shomer Shamin Moure Date: May 23, 2017 DETERMINATION BY APPOINTING OFFICIAL APPOINTING AUTHORITY INFORMATION Name of Appointing Authority: Jennifer L. Flanagan Title or Position: State Senator Agency/Department: Massachusetts Legislature Agency Address: The State House Boston, MA 02133 Office Phone: 617-722-1230 Office E-mail shannon.moore@masenate.gov DETERMINATION Determination by As appointing official, as required by G.L. C. 268A, ยง 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 XX 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: Jamps J. floy Date: May 23, 2017 Comment: | 2017/Moore,_Shannon_5.23.17_-_6.pdf |