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39740	2014/Koutoujian,_Peter_930_CMR_5.08(4)(c)&(d)_2014-5-6.pdf	The Commonwealth of Massachusetts RECEIVED ETHICS COMMISSION Middlesex Sheriff's Office 2014 MAY -6 AM 9:50 Peter J. Koutoujian Sheriff 400 Mystic Avenue Phone (781) 960-2800 Medford, Massachusetts 02155 Fax (781) 960-2902 May 5, 2014 Karen L. Nober Executive Director State Ethics Commission One Ashburton Place, Room 619 Boston, MA 02108 Re: Disclosure by Elected Public Employee of Acceptance of Honorarium Dear Ms. Nober: Enclosed is an corrected disclosure from Sheriff Peter J. Koutoujian relating to his acceptance of an honorarium. I submitted a disclosure on his behalf by letter dated April 15, 2014, and it was returned because Sheriff Koutoujian inadvertently left off the "X" for the statement, "Is formally scheduled on the agenda of a meeting, conference or event." Please contact me if you have any additional questions. Sincerely, LaDonna J. Hatton Chief Legal Counsel 781.960.2813 www.middlesexsheriff.com Printed in house Xerox C2C OF ACCEPTANCE OF TRAVEL EXPENSES AND/OR AN HONORARIUMS RECEIVED COMMISSION DISCLOSURE BY ELECTED PUBLIC EMPLOYEE RELATED TO A LEGITIMATE SPEAKING ENGAGEMENT AS REQUIRED BY 930 CMR 5.08(4)(c) and (d) 2014 MAY -5 AM 9:50 PUBLIC EMPLOYEE INFORMATION Name of elected Peter J. Koutoujian public employee: Title/ Position Sheriff Agency/ Department: Middlesex Sheriff's Office Agency Address: 400 Mystic Ave. 4th Floor Medford, MA 02155 Office Phone: 781-960-2800 Office E-mail: pjkoutoujian@sdm.state.ma.us I have been invited to participate in a legitimate speaking engagement in whole or in part because of my official position or actions. I have been offered: Write an X beside the statement - Travel expenses related to the legitimate speaking engagement; and/ or that applies. An honorarium related to the legitimate speaking engagement. LEGITIMATE SPEAKING ENGAGEMENT Please write an X The speaking engagement is a "legitimate speaking engagement" because it: to confirm each statement. Is formally scheduled on the agenda of a meeting, conference or event; is scheduled in advance of my arrival at the meeting, conference or event; If you cannot check off each statement, Is before an organization that normally would have outside speakers or panelists address its members at such meeting, conference or event; you cannot use this exemption. Significantly contributes to the meeting, conference or event. Describe the meeting, The Tufts University Armenian Genocide Commemoration is an event to recognize and conference or event reflect on the Armenian genocide. As a leader in the Armenian American community, I where you are have been asked to make the keynote address. speaking. Location, date, and Tufts University time of your speaking Wednesday, April 16, 2014 engagement. 7:00-7:45pm Title or subject of your The Armenian Genocide speaking engagement. Please explain how the The event is a commemoration of the Armenian Genocide. Not only does it serve as a event will promote the interests of the reminder of our past, it encourages tolerance and promotes cultural acceptance within Middlesex County and throughout the Commonwealth. Commonwealth, a county or a municipality. TRAVEL EXPENSES - Please provide the facts below if you are receiving travel expenses. Write an X to confirm A non-public entity (but not a lobbyist) has offered to reimburse, waive or pay travel this statement. expenses and costs worth more than $50. Identify the person or I am not receiving any travel expenses related to this event. organization that offered to reimburse, waive or pay your travel expenses. Address of person or Tufts University organization. 419 Boston Ave. Medford, MA 02155 Provide information Itemization and explanation of amounts offered: below in as much detail as possible. Air, train, bus, and taxi fare and rental car hire, etc. Transportation: N/A Overnight accommodations. Lodging: N/A Breakfast, lunch, dinner, special events. Meals: N/A Registration, admission, tickets, etc. Admission: N/A Refreshment, instruction, materials, entertainment, etc. Other (please list): N/A 0 Total: Please acknowledge I have attached the relevant itinerary. with a check mark: I have attached the relevant agenda. I have determined that: _N/A_ Acceptance of the reimbursement, waiver or payment of travel expenses will serve a Write an X to confirm legitimate public purpose because the activity is intended to promote the interests of each statement. the Commonwealth, a county or a municipality; AND _N/A_ Such public-purpose outweighs any special non-work related benefit to me or the person providing the reimbursement, waiver or payment. Employee signature: Date: 1215/1 HONORARIUM - Please provide the facts below if you are receiving an honorarium. Identify the person or Tufts University organization that is paying the honorarium. Address of person or 419 Boston Ave. organization. Medford, MA 02155 Please identify the sponsor of the event (if different). Address of the sponsor (if different) Amount of the $500.00 honorarium. I certify that: Please write an X to confirm each _X_ X Delivering the speech is not part of my official duties as a public employee; statement. _X_ I did not use resources associated with my public position in preparing the speech; If you cannot put an X beside each statement, _X_ I did not use public time to prepare or deliver the speech; and you may not accept the honorarium. _X_ I have not had dealings with the sponsor of the event or the person or organization giving me the honorarium in the course of my official duties as a public employee, and do not Employee signature: 2 reasonably expect to have dealings with them. Date: 4/15/14 Attach additional pages if necessary. Elected state or county employees - file with the State Ethics Commission. Members of the General Court - file with the Senate or House Clerk or the State Ethics Commission. Elected municipal employee - file with the city or town clerk. Elected regional school committee member - file with the clerk or secretary of the committee.