{"database": "sfi", "table": "search_index_fts", "rows": [[43206, "2019/Hill,_Jesse_11.4.19_-_6.pdf", "The Commonwealth of Massachusetts 1 Executive Office of Health and Human Services Department of Mental Health Southeast Area Reply to: CHARLIE BAKER Southeast Area Governor Brockton Multi-Service Center 165 Quincy Street KARYN POLITO Brockton, MA 02302 Lieutenant Governor Phone (508) 897-2000 MARYLOU SUDDERS Fax (508) 897-2024 Secretary TTY (508) 897-2224 www.state.ma.us/dmh JOAN MIKULA Commissioner HOWARD BAKER-SMITH Area Director October 30. 2019 State Ethics Commission Boston, MA 02108 00:0 Hd M-MON AON 6102 SOULLE SIVIS One Ashburton Place, Room 619 In Reply Refer To: #19AD-L120 To Whom it May Concern: Attached please find the Financial Interest Disclosure and Appointing Authority Determination regarding Mr. Jesse Hill, a Department of Mental Health Registered Nurse, who is being promoted to a Registered Nurse V at Taunton State Hospital. Please contact me if there are any questions or additional information is needed related to the attached. Sincerely, Hand Balas-Soth Howard Baker-Smith Area Director Attachment Cc Robert Wagner, Esq. Deputy General Counsel, Department of Mental Health the tood # DISCLOSURE BY NON-ELECTED STATE EMPLOYEE OF FINANCIAL INTEREST AND DETERMINATION BY APPOINTING AUTHORITY AS REQUIRED BY G. L. C. 268A, \u00a7 6 STATE EMPLOYEE INFORMATION Name: Jesse Hill, R.N. Title or Position: Registered Nurse IV 00 Hd if- ON GID 1960 SOIHLE 31M12 GRAIN State Agency: Dept. of Mental Health Agency Address: Dept. of Mental Health, Taunton State Hospital, 60 Hodges Ave, Taunton, MA 02780 Office Phone: (508) 977-3156 Office E-mail: jesse.hill@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 I have been recommended for a promotion to the position of Registered Nurse V, 1rst E.g., a judicial or other shift, Cain 4 East at Taunton State Hospital (TSH). As the RN V I would be responsible proceeding. application, submission, request for overseeing all three shifts for the Cain 4 East. My sister, Tammy Petty, works as a for a ruling or other Registered Nurse II Cain 4East at TSH on the 3rd shift. With the promotion, I would be in determination, contract, a position to approve my sister's work time and performance evaluations, and to perform claim, controversy, limited work-related supervision. charge. accusation, arrest, decision, determination, or finding. Your required participation in the I would be performing supervisory functions related to my sister. See response to particular matter: question above. 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. _X_ 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 sister's job is at issue. Employee signature: Date: Jesep 10/29/19 Nive 10/29/19 DETERMINATION BY APPOINTING OFFICIAL APPOINTING AUTHORITY INFORMATION Name of Appointing Authority: Howard Baker-Smith Title or Position: Area Director Agency/Department: Dept. of Mental Health Agency Address: Dept. of Mental Health, 65 Quincy Street, Brockton, MA 02302 Office Phone: 508-897-2020 Office E-mail buddy.baker-smith@dmh.state.ma.us DETERMINATION Determination by As appointing official, as required by G.L. C. 268A, \u00a7 6, I have reviewed the particular matter and the appointing authority: financial interest identified above by a state employee. Write an 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: Hd Balas Sth Date: 10/29/19 Comment: I will reassign supervision of Ms. Petty so that Mr. Hill has no direct supervisory responsibilities regarding her. This should address any conflict or appearance of conflict. To the extent it does not, 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 Mr. Hill. This is especially the case because the terms and conditions of Ms. Petty's employment are defined by a union contract and established work rules. Attach additional pages if necessary."]], "columns": ["rowid", "title", "search_1"], "primary_keys": ["rowid"], "primary_key_values": ["43206"], "units": {}, "query_ms": 1.0481812059879303, "source": "State Ethics Commission", "source_url": "https://www.mass.gov/file-or-view-statements-of-financial-interests-sfi", "license": "ODbL", "license_url": "https://opendatacommons.org/licenses/odbl/"}