search_index: sfi.db/disclosures, bc3851fb9088450c4a3edba18b1769f6ee28fe11bd1c24c6af40f2df4ffaca8f
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| sfi.db/disclosures | bc3851fb9088450c4a3edba18b1769f6ee28fe11bd1c24c6af40f2df4ffaca8f | 2017/Horgan,_Julie_8.24.17_-_6_(2).pdf | 2017-01-01T00:00:00 | 1 | R=95% Page:005 From: AUG-24-2017 12:46 PM DISCLOSE RE BY NON-ELECTED STATE EMPLOYEE OF FINANCIAL AND DETERMINATION BY APPOINTING AUTHORITY INTEREST RECEIVED COMMISSION AS REQUIRED BY G. L. c. 268A, § 6 2017 AUG 24 PM 3:32 STATE EMPLOYEE INFORMATION Na ne: Julie Horgan, LICSW Tit or Position: Clinical Risk Manager St 3 Agency: DMH Ag ncy Address: Solomon Carter Fuller 85 East Newton St. Boston, MA Office Phone: 617-305-9911 Office E-mail: JulieHorgan@Massmailstate.ma.us My dutles 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. If PARTICULAR MATTER Pa icular matter I attend a shared risk meeting twice a month. This includes DMH employees and Bay Cove employees, including the director of the BEST Team. The purpose of the meeting is to discuss a judicial or other clients who are at risk and possible solutions. pro beding, application, suL elssion, request for ruling or other del mination, contract, cle controversy, ch: 18, accusation, arr t. decision, de' mination, or finding Yc :r required pa. ticipation in the Once in a while I make a recommendation. le. Maybe the person should go to jail or be pa: icular matter: Sectioned 35. E.g., approval, disc proval, decision, rec:mmendation, rendering advice, investigation, other. FINANCIAL INTEREST IN THE PARTICULAR MATTER W te an X by all the apply. I have a financial interest in the matter. a My immediate family member has a financial interest in the matter. 6. 1.1 My business partner has a financial interest in the matter. ", or G 'd 6878 °N Aug. 24. 2017 12:40PM R=95% Page From: AUG-24-2017 12:46 PM 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 negotialing 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 signature. Da 8/9/2010 DETERMINATION BY APPOINTING OFFICIAL APPOINTING AUTHORITY INFORMATION Na ne of Appointing Auf hority: Title or Position: Agency/Department: Agency Address: Office Phone: Office E-mail DETERMINATION De'ermination 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. W: e an X I am assigning the particular matter to another employee, or by our 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: Comment: Attach additional pages if necessary. 9 d 8788 'ON Aug. 24. 2017 12:40PM |