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| 44062 | 2022/Carvel,_Greg_7.18.22_-_CMR_5.08(4)(c).pdf | DISCLOSURE BY PUBLIC EMPLOYEE OF AN HONORARIUM RELATED TO A LEGITIMATE SPEAKING ENGAGEMENT AS REQUIRED BY 930 CMR 5.08(4)(c) PUBLIC EMPLOYEE INFORMATION Your Name Greg Carvel Public Title/ Position Hockey Coach Agency University of Massachusetts - Amherst 2022 JUL 18 AM11:24 24 NOISSIHWOO SOHIS GIVIS RECEIVED Agency Address: 307 Mullins Center Amherst, MA 01003 Office Phone N/A 315-212-4484 Office E-mail carvel@umass.edu I am disclosing that I have been invited to participate in a legitimate speaking engagement and will accept an honorarium. LEGITIMATE SPEAKING ENGAGEMENT PLEASE CONFIRM THAT YOU MEET EACH REQUIREMENT BY WRITING AN X NEXT TO IT. Write an X to confirm each The speaking engagement is a "legitimate speaking engagement" because it: statement. Is formally scheduled on the agenda of a meeting, conference or event; If you cannot check Is scheduled in advance of my arrival at the meeting, conference or event; off each statement, you cannot use this Is before an organization that normally would have outside speakers or panelists address its exemption. members at such meeting, conference or event; Significantly contributes to the meeting, conference or event. Identify the meeting, conference or event Five Star Bank Annual Executive Board Council Meeting where you are speaking or attach a written description HONORARIUM Identify the person or organization that is Five Star Bank paying the honorarium Address of person or organization. 220 Liberty Street P.O. Box 227 Warsaw, NY 14569 Please identify the sponsor of the event (if different) Address of the sponsor (if different) Amount of the honorarium $25,000 Write an X to PLEASE CONFIRM THAT YOU MEET EACH REQUIREMENT BY WRITING AN X NEXT TO IT. confirm each statement. I certify that: Offering an honorarium is customary to the practice of the entity awarding it. If you cannot check The honorarium is being offered voluntarily, and I did not solicit it. off each statement, Delivering the speech is not part of my official duties as a public employee; you may not accept the honorarium. I did not use resources associated with my public position in preparing the speech; I did not use public time to prepare or deliver the speech; and 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 GCl reasonably expect to have such dealings. Date 7/11/22 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. Judges and other judicial branch employees -- file with the Chief Justice of your court or his or her designee. Appointed or non-elected state, county or municipal employees - file with your appointing authority. Form revised April 2015 |