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e ^k ?ATg x s x t tt i I I �I� certqqcate eComykdon Sty Cam an Conflict of Interest Law am6erl % eCo Teacher School Department Town of North Andover a has com ktedt& Con kt elfterest law . ' �Ni►� ' . -� online traInIt program on , > 11/4/2015 `' �a `-` � `gym o Close Version 6: Revised May 10, 2013 ------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I' / ��'� �S an employee at "`/j / U hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on 4(dat4L! Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summa to the indva copy who provided them with a copy of it. rY iidual 12 Certi ' ate of Com lesion ' state ,CS COMMIS ion Conflict flict of Interest Law Donna Armstrona Franklin Elementary School Fifth Grade Teacher School Department Town of North Andover has completed the Conflict if 2nterest f-ativ onCine training program on n 11/3/2015 Print Ir Close Certificate i u di Certificate of Complettoit State s Comm lion Conflict of Interest Law QCabla ftlotrom Program Coordinator Elder Services North Andover ba-q contPleteb the Conflict of 3ntereot laic Al online training grogram on A A! 10/27/2015 �5. tV .. C*) tTM < T" X— O Cal http://www.muniprog.eth.state.ma.us/page554968.htmI 10/27/2015 Certificate Page 1 of 1 k",OR% eerttftcate of COMPIetton statt ics COM Ission Conflict of Interest Law �terc QC. �It Water Treatment Plant Superintendent Department of Public Works Town of North Andover flag comPleteb tfje Conflict of 3nteregt 3utu online training program on =tg' 11/3/2015 t•S, Ilk r° • • �'yaY ~"g. y,��,.. ln..»....,✓°�� `� 4 ^"�+d �.,4.-./''.✓ 'M v\...i r,aM" iyn s+y Print Close Certificate Window Certificate ev —' o http://www.muniprog.eth-state.ma.us/page554968.html 11/3/2015 ti'ui 20 i5' Certificate (fertifirate of �o rr� retton Cam Conflict of Interest Law *amantba zfgrrYar Counseling Psychology Intern North Andover High School North Andover Public Schools rOmPleteb Me Conflict of 3ntervO lad online training program on 12/2/2015 ClOsE' C��MIlificate Window 1�1 _4 Cif Cn O rrl => „r"7c�r •• —TI http:/twww.muniprog.eth.state-ma.us/page554968.htmi 1/1 Version 6: Revised May 10,2013 ACKNOWLEDGMENT OF RECEIPT CIn r erns I, q rn 4 n h d A 5 m G r , an employee at N A ., Jo v e hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10,2013, on 2 / ? O1 5 (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it 12 Page 1 of 1 Certf f f taste of compietf o Stato s Com sign Conflict of Interest Law MEMBER COUNCIL ON AGING ELDER SERVICES NORTH ANDOVER bag complettb tbt Conflict of 3nttrtm;t XaW �0S online training program an w 3, F 12/9/2015 s�� Ica , wa C.n 43 httP://www.muniprog.eth.state.ma.us/page554968.html 12/9/2015 Certificate Page 1 of 1 Certificate of (Completion Su cs Cam stop Conflict of Interest Law Thn ZIrtbur sewer mechanic water treatment plant town of north andover bag tompleteb the Conflict of Intereot labs online training program an 11/18/2015 Window 3� u' �j 0 r y N . � httP://www.muniprog-eth.state.ma.us/page554968.html 11/18/2015 T iu Certi 'care Com lesion p Stag s Comm ion Conflict of Interest Law N 14 s s 0�- has completed t& Conflict of Interest law online training program on 10/26/2015 �r �� ' 2815DEC 18 w� A 10 S3 CaTf ' ate ion r stagy, CS c°mmj$vian SA u 9 Conflict of Interest Law p fe-l?Annie L Wqe-4 has completedthe Conflict of gnterest-cativ online training program on t 11/19/2015 , Plifit, � Certificate 11/5/15, 12:21 PM r*ate of Comp ktion Conflict of Interest Law Matthew 9.6e1 Assistant Principal School Department North Andover has completed the Conflict o Z nterest ''• Law -f onPine training program on November 5, 2C115 a; v !Z?>« N m6 tP://WWW.Muniprog.eth-state.ma.us/Page554968.htmI Page 1 of 1 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, �GJ , an employee at //rIclo✓C G �(C ✓� n / hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, rev is:7 ay 10, 2013, on /off ,1 o/' (date) Y municipal employees pshould complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary. Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 5 Certificate Certif icate of Sit. Cs;romm,ssion Copletion Conflict o Interest Law Guy Ando Applied Math/Science Teacher 4 North Andover Middle School 1 North Andover Public Schools has completed the Conflict of � `~ -S, Interest Law f online training rogram on .fy � 12/6) F5, S, . Print Close Certificate Window Certificate o � can 70 rm*� �= Zn httpJtwww.muniprog.eth.state.ma.us/page554968.htmI 1/1 Version 6: Revised May 10,2013 ACKNOWLEDGMENT OF RECEIPT I, Goy A e cj o , an employee at N�aIn lotha"e-r M'JCI)e- sc.1,a,I hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10, 2013, on VCCQ�' -,!2� 6, ao ►'� "I . (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 12/16/2015 Certificate Cet*ateeComyCetion Suds "Commsion Conflict of Interest Law Jenn fer %farian Teacher Thomson Elementary School North Andover Public Schools has completedtfie Conflict e gnterestlaw online training,program onLh w 12/16/2015 Print Certificate N -a CD cam') 1; t �?�.... N W �'a O Ei http://www.muniprog.eth.state.ma-us/page554968.htmi 1/1 http:/www.rnuniprog.eth.state.ma.uvpage>J4Y68.hIinI i eL�FiICE t{ �Cert'atate of CoMpretj C ►7 s i State S CamTh Sion To NORTH ANj) Conflict of Interest Law$� � 4' 21MM11 &. Aper Reference Librarian Stevens Memorial Library North Andover W c0mP1tteb tlje Conflict of 3nteregt UW online training program on 12/12/2015 Certificate Page 1 of 1 1015 flEC 1 8 Certificate of Q'Co MASSAC r State tcs Commission S R Conflict of Interest Law �.orraine �rntano Breakfast Club Leader North Andover Public Schools North Andover bay cOmPleteb the Conflict of 3nteres;t 3Eabo online training program on 11/2/2015 PFW r-Close Ceftificate Window Cede itsW-W..RAW PAO@ Oh..MO1@.M4.lis/pqeS$4968,h 1 11f2E2015 Certificate Page 1 of 1 Certificate of Conpretton ion Conflict of Interest La. MMttbebi Oreeben Commuineations officer North Andover Police Town of North Andover bag tomPretO tlje QConflitt of Intereot Zahn online training program on 6/23/2015 i file:///C:/tJsers/Matt/AppData/LOcal/Temp/Low/ZYDBYA02.htm 6/23/2015 Certificate Page 1 of 1 Certificate of completton State s Com $$ion Conflict of Interest Law Ramp 3800bar Teaching Assistant School Department Town of North Andover bag tomPleteb the Conflict of 3nteregt lain online training program on y V; 12/9/2015Print "Ose Ceffificate Window J6. Certificate �IIIIii11� http://www.muniprog.eth.state.ma.us/page554968.html 12/9/2015 Version 6: Revised May 10,2013 ACKNOWLEDGMENT OF RECEIPT I, an employee at hereby acknowledge that I received a copy of the summary of the conflict of interest law Mr municipal employees, revised May 10,2013,on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided there with a copy of the summarr.Altentatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Town Manager's Appointments - Effective July 1, 2015 Committee First Name Address Last Name Street Town Term Term Ex Tres Board of Assessors David 1. Minicucci 340 Johnson Street North Andover 1 year June 30,2016 Board of Assessors George Barker 1267 Osgood Street North Andover 1 year June 30,2016 Board of Assessors Bryan Perry 50 West Woodbridge Road North Andover 1 year June 30,2016 Samuel G.Cheney,Jr. Assistant Assessor/Field Appraiser Town of North Andover 120 Main Street North Andover,MA 01845 Phone 978.688.9566 Fax 978.688.3211 Email scheney(&townofnorthandover com Web www.TownofNoahAndover.com TOWN OF NORTH ANDOVER ���5 VOLUNTEER SERVICE AGREEMENT I enter into this Agreement to volunteer uncompensated services to my Town and acknowledge that: I am(check one): V Over 18 years of age Under 18 years of age(Parent/Guardian Consent Required) I know of no reason,medical or otherwise,which would prevent me from performing the required tasks; and that I have the necessary skill and ability to perform them. I hereby assume full responsibility for my own safety. Except where resulting from the negligence of the Town or its employees, I will hold the Town harmless from any injury to me or damage to my property and from injury or damage resulting from my own negligence. I will perform the volunteer service in compliance with the direction own Officials. -�L5 Committee/Department Approval Date dlu "Signature Vate Signature I give consent for my child to volunteer for the Town of North Andover. Parent/Guardian Signature Date Volunteer Contact Information Emergency Contact Information Name Name J Street Address Street Address City, State,Zip Code City, State,Zip Code Home Phone Number Home Phone Number Cell Phone Number Cell Phone Number Business/Other Phone Number Business/Other Phone Number Certificate Page 1 of 1 ctrtffitate of COMPUtton ys" c Conflict of Interest Law Yonatban Panama Lead Communications Officer North Andover Police Town of North Andover bacc completeb the Conflict of Utertst lad online training program on 10/25/2015 ���N tA-A,N0ON Q.� OS :a Ka 6z 100 01 J; n3sn http://www.muniprog.eth.state.ma.us/page554968.html 10/25/2015 Certificate Page 1 of 1 (Certintacte of co let, Conflict of Interest Law j.attbetu joreebett Communications Officer North Andover Police Department North Andover b40 comPltteb the Conflict of .3nttreSt 3UIs online training program an 10/27/2015 '� low low N y C vM rn http://www.muniprog.eth.state-ma.us/page554968.html 10/27/2015 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT ,•vLf an employee at �r !�l S(.�-t� ( hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 10/29/2015 Certificate • -�'�".;.. �. t °.g�� � ,.-�. tea'-�`-, - _ �. � �,, Ce?tf 6cate, of Com leti� on . �: ,�'` Stata hi��Camrrslssia�t �-- Con In e- s� la, J\7 -� Watherine Baker s SPED TA E +" 3 �r wj has completecfthe Conftct of gnterestlativ }` f on In trainin ram on T `� Mropg 3 10/29/2015 :< ` Print 6e f http://www.muriiprog.eth.state.ma.us/page554968.htm1 1Ci 3 ` certificate of Completion SU COMMM ion Conflict of Interest Law Carrie Branca Grade 2 Teacher r North Andover School Department North Andover Public Schools has completecfthe Conflict of interestlaw `'� s` online training program on 11/4/2015 PrintL Clow! Cerlificate Window ; cemcato QA 7 r �` Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT an employee at � C AOCR S hereby acknowledge that I received a copy of the summary of the con ict of interest law for municipal emp7�il s,revised May 10,2013,on / (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certificate Page 1 of 1 Certificate of Completton Stan S Comm sSian Conflict of Interest Law TOWN CLERK TOWN CLERK TOWN OF NORTH ANDOV R bag tompitttb tbt Conflict of Inttrtot Xata oniint training program on w 10/29/2015 r sl"`, V'`�aC�� Window INIMEW http://www.muniprog.eth.state.ma.us/page554968.html 10/29/2015 Certificate http://www.muniprog.eth.state.ma.us/page554968.html certif f caste of completion so Comm s on Conflict of Interest Law (Darrett C Oda Chief Assessor Assessor's Department Town of North Andover bag completeb the Conflict of 3ntereot 3.ata online training program on X 12/2/2015 low o Cn can rn cn--t— C GEC'' ` T+ < Gn OD 1 of 1 12/2/2015 10:50 AM Certificate 11/13/15, 10:03 AM Certi ' ate of Comyktion Stag ;G Ion . Conflict of Interest Law Laura Brad6ury History Teacher School Department North Andover has completed the Conf'ct of gnturest Law tl} online trainin pprogam on November 3125 1 . Close Certificate Window http://www.muniprog.eth.state.ma.us/page554968.html Page 1 of 1 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT an employee at hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on f � Fp (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 F 1 / 1Certificate / -""�. ,+�"^'°'t. r^"'^�,.- _-.-'^+.,... �.'^�r, fry... /,�:-•..-.` //�^w.�_ Certificate of Comptetion Sum CS COM ission r ., t Conflict , Interest 111 1 NyLieutenant1 �j Conflict of Intereot ) ; bi online training program i s10/22/2015 ,F 1 ,t! Print Close Certificate Window Certificate 11/22/2015 Certificate TO �,• . ` Cengicateecom '75AM state S Comm Sion Conflict of Interest LawSS AC`;�.. t;. gee= Borzi Municipal Employee j North Andover Youth Center North Andover Etas compkecf't{e Gv �of Interest law otdine trainin8 yno ram on W 11/22/2015 yJ6ss Fmnt Close Certificate Winclow"9 LEM..C fe http://www.muniprog.eth.state.ma.us/page554968.html 1/1 Certificate Page 1 of 1 Certifteate of Completion State ca Com ssion Conflict of Interest Law Rttbarb 38rablep Fighter/EMT Fire Dept Town of North Andover 5 SI bao completeb the Conflict of 3nteregt Xalu `%! online training program on 10/25/2015 Close Cenificate Window r' http://www.muniprog.eth.state.ma.us/page554968.html 10/25/2015 1 15 Certificate Certff irate of Comptetton ' 4tato cs Coman ssion r Conflict of Interest Law �ic�jaeY ref me t 5, bay completeb the Conflict of Interest Raw online training program on i 10/28/2015 Print Close Certificate Window Certificate httpJMww.mLriprog.eth.state.ma.us/page554968.htmI v1 -ertificate http://www.muniprog.eth.state.ma.us/page554968.httnl MEL Certif icate of SCormn sion letiCo on Conflict oRterest Law Francine Boucher Teaching Assistant North Andover High School North Andover has completed the Conflict of C"s Interest Law online training program on10/27/2015 10/27/2015 5:18 PM lofl 2015 0 0, 1: 04 Cerrificate of Com 1,,, a dN OF Stem CS Com Sion MQS�'jA ter° fn Conflict of Interest Law has com Ceted tfie Conflict of Interest Law , onCine traffiffig program on 10/23/2015 ClosePrint �IWindo Certificate hitp://www.muniprog.eLh.state.ma.us/page554968.himi MOIL 2015 DEC 10 If tj Cert�ftcate of Comyfe W— ." 03 ASSA HNC State s C M om ssion Conflict of Interest Law Virainia L. Burns U Teachers Assistant School Bepartn-,ent i Town of North Andover has compfetedthe Con feet of Interest f aw online training.program on � T 10/25/2015 F"nt Certilfcabe 10/25/15 6:16 PM l Of 1 Certificate Page 1 of 1 frr. wuo 04 To iij 1:1 Certif irate of NORTH RA a ND Stag SCom Sion Coritterest letion Conflict o Law Joyce Brandon Certified Occupational Therapist Assistant School Department North Andover Public Schools has completed the Conflict of Interest Law online training program on 11/1/1015 w � NOW Close Cerfificate Window http://www.muniprog.eth.state.ma.us/page554968.html 11/1/2015 Certificate Page 1 of 1 ertificate of Completion $tip s Comm ssion Conflict of Interest Lave Ronald Bertheim Constable TOWN OF NORTH ANDOVER No. Andover, MA has completed the Conflict of Interest Law online training program on w' y 11/18/2015 fe..;j�.�El 4 11l.�QPI 6� �ZI lid £Z AON SIOZ 0 3 AG "J.: http://www.muniprog.eth.state.ma.us/page554968.html 11/18/2015 uernncate "IIyLLIN"I D Catt"ficate of Comptett"On Staff Sc for Conflict of Interest Law 'yamAAN-, bao comp reteb the conflict of lntemt Rai onYine training program on fit an 22/2015 N tang s i.r. W rnl n _ �n hf n-lhu mi"rrm Mh ctato mo I ic/naro/'F CAR"mi 12/11/15,9:32 AM Certificate "Y Certi ate of Comp tenon Conflict of Interest Law Deborah Blackwell Teacher School Department North Andover has com feted the Con ict of gnterest Law onCine traininqTrA ram on December 15 Print i Close erliiialeWi 11'o�w Certificate .. J1:NHOVSSVW ?' "AOONV 1418ON .!t; �M01 SS =6 WV ZZ 330 910Z r-y�w � _ =31j 1.tl1 SIM i Nrr -^� Page 1 of 1 http://www.muniprog.eth.state.ma.us/page554968.htmi Certificate Page 1 of 1 ECEWE© r"!_!_PK'S OFFICF " Ietioit 2 C 17 AM 10 25 Certificate of QComp If TOW , Or sna eomm aswn TH ANDOV,Er? Conflict of Interest Law ACHLK,!!r'` lReagban 36roton Circulation Library Assistant Stevens Memorial Library Town of North Andover haS to11mpleteb the QCouflitt Of Ntere8t 3UW ` online training program on W � V' b 12/3/2015 �nt CWW10" http://www.muniprog.eth.state.ma.us/page554968.html 12/3/2015 Certificate Page 1 of 1 ceIVED RK'S ID F AM 10:25 or certiftca�te of �Completton � � a stag cs Comm ssion Conflict of Interest Law cbelap joell Childrens Senior Assistant Stevens Memorial Library North Andover bao completeb the Conflict of 3ntereot UWWO ���� L,\ online training program on 12/1/2015 c'~ PNnt Close Ce rfificate Window Cat http://www.muniprog.eth.state.ma.us/page554968.html 12/1/2015 Certificate Page 1 of 1 C 17 All 1 Certificate of �Cont for . ACH ���'T" Sure :Com an Conflict of Interest Law Yiu joarker Reference Librarian Library Town of North Andover, MA bao tomplettb tbt Conflict of 3ntertOt XaW online training program an 3 12/10/2015 http://www.muniprog.eth.state.ma.us/page554968.html 12/10/2015 ' � ComytedonCerti cate o com �S Conflict of Interest Law Ulm, t 1 has com Ceted the Conflict of Interest law 4 onCine training,program on 12/8/2015 ` . F.. w AMW Certi ate Corn ktion Stag" Ncs commis ionM, . Conflict of Interest Law i' } A fX1 M1 �, N �r� Cm V j L��71 has completedthe Conflict of Interest Law t N mo online trainingyrogram on X. l 1/2/2015 p w Print ��� '�L 12/10/15, 7:52 AM Certificate liq OR r, Certificate of Comp tenon State rocs Commission Conflict of Interest Law ZCacie Boun uer Teacher North Andover Public Schools Town of North Andover has comp Gated the Conflict of gnteresr Law onCine trainin ro ram on December V, 2 15 a.. Print , Close&;4cate Window-A Certificate o 3= �n o W-4--t c�a 2M t'il cs ra zoo < ICA Page 1 of 1 http://www.muniprog.eth.state.ma.us/page554968.html Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, �Q�j� pZ(h ')�1' , an employee at NAM hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10, 2013, on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 11/lE certificate AWL, 'AWL IAM6� cer-aficate o Comycetiloon� C Conflict of Interest Law Anne Bate Library Media Specialists o . - North Andover Public Schools -� �=CD N Crl North Andover Sao r,w r Cetec�tFie n1c Cot o Interest has com Law ; online traininAA.pro ram on November 2 15 �16 Page 1 of 2 http://www.i-nuniprog.eth.state.ma.us/page554968.htmi Version 6: Revised May 10,2013 ----------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I Iqn n Q_ aff-_ ,an employee at hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on i� l �c�l �s (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, Lai- an employee at/ ` "';Oa hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (date) o 3z `^ 4-4 n ' =ca rr, AZ Municipal employees should complete the acknowledgment of receipt and return it to the individual wh�d tj*i wicopy -C ...- of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the su>a ry to OWindQual who provided them with a copy of it. 12 Cer*ate eComykdon sta c= ism Conflict of Interest Law 5, has completed the Conflict of Interest faw ' online training program on 10/27/2015 'low "WWI Cn O � Certificate Page 1 of 1 4 ert atacte oaf ion Tet �t 5tat cs Co ton Conflict of Interest Law atrick joeirne Patrol Officer North Andover Police Department North Andover bao ciaumleteb the conflitt of Uterefit 3utu online training prograut on �I 10/23/2015 a t L i i H1jj()N S 1 =6 WV OC 330 310Z � .aAP .�_ http://www.muniprog.eth.state.nl&us/page554968.html 10/23/2015 11JV28/2015 Certificate 1Certifccate of Completion Gan Conflict of Interest Law lja# completeb t1be Conflict of Intereot Xaty online training progrant on ; 10/26/2015 httpl&ww.murdprog.eth.state.ma.uslpage554968.htm1 1l1 i i Version 5: Revised May 10,2013 ACKNOWLEDGMENT OF.RECEIPT r I, —� an employee at 4 IN +. hereby acknowledge that I received a copy of the summary of the conflict of interest law for munici al employees, revised May 10,2013, on p (date) Municipal employees si,o,ild complete the acknowledgment of receipt and return It to the Individual who provided them with a copy Of the sunrnrafy.Alternatively,nuurlcipal employees ratty send an a-mail acknowledging receipt of struimary to the Individual Who provided them with a copy of It. 12 mm6/2m Certificate 0 ton of COnflict of | Interest Lawadministrative secretary / dpw town of north andover trablififf program oil 10/26/2015 Close Ceftificdtf' Window / / / / / / ' / 6 L Certi 'cate of Com p cetion Statoi CS Comm salon I s Conflict of Interest Law'A 7 F has completed the Conflict of gnterest La►v online training program on _ r 10/23/2015 r.. Cermcate lift 4 o 'b c 7 T O-VI cr,:-t:3 O •�+ tC! 4 Version 6: Revised May 10,2013 ------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, �l�a ��'6� / an employee at -Ah) dotler hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on /0 la a (date) CR CD N) C=:r WQCll 7:�< C.5 -Arn. CD Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certificate http://www.muniProg.eth-state-ma.us/page554968.htmi . �Certf f f caste of �on� r ' etton State s Comm &ion Conflict of Interest Law f /4 C I bao tompleteb Me Conflict Of .3ntereot zatm t online training program On A 10/27/2015 Cerlpfcs�s Of 1 1 0/27/201 5 2:39 PM Version 6: Revised May 10,2013 , » ? 20/Soc 6 of 1/: 06 NORM- N ssS,CHI C�°t;A ACKNOWLEDGMENT OF RECEIPT c "rs I, DAVin C, Vvfusrrq�e- ' an employe at rs� Boas-n hereby acknowledge that I received a COPY of the summary of the conflict of interest law for municipai employees, revised May 10,2013, on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certificate Page 1 of I 015OCT 26 gp1,1; 6 �Certtftca�te of co r sr A�#VzP cr COM ,ss3on SAC1-{USC I�r Conflict of Interest La w Oabib 38oubreau Board Member Steven's Estate North Andover bag comPleteb Me Conflict of Intereot 3.aiu �� online trainingx program on 10/22/2015 Close Certificate, Window http://www.muniprog.eth.state.ma.us/page554968.html 10/22/2015 ' V . Certi ' ate �$cam ,an. Com lesi' on , Conflict of Interest Law Dana, has compCctecfthe Conflic egnterestlaw onl ne training program on 11/10/2015 ' -Close Certificate so ..1 Ce ' ' rti care o Corn aion p State' COm Conflict of Interest Law 6 has com CetedtFie Con ict nte.p � of Z rest Law onCine training pro ram on = . 11/9/2 015 * ,.6 Close Certificate 6: Revised May 10,2013 tlJM ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, an employee at hereby acknowledge that I received a copy of the summary of the conflict of interest employees,revised May 10,2013,on law for municipal (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 AWL man= Certi ComyCerion Stains' es corn $%jCqj Conflict of Interest Law Vick Belisle Kitchen Manager North Andover Public Schools Town of North Andover has compCetedthe Conflict gnterestLativ only � ne training program on 11/12/2015 ` Version 6: Revised May 10,2013 ACKNOWLEDGMENT OF RECEIPT ,an employee at hereby acknowledge that I received a copy of the summary of the conflict of interest law for employees,revised May 10,2013,on municipal 44L-1-1-6- (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT an employee at `/m/,I i hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on //-3 �5- (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual a copy who provided them with a copy of it. vidual 12 1113/15,7:28ANI A Certi' ' ate of Com k tlon st,11 !CS COM SSip(1. 3 Conflict of Interest Law Ann Boudreau Classroom Teacher North Andover Public Schools Town Of North Andover has comyleted the Co nfict of ZntErest .Law .. online training propm on November 3 2 y; Close certificate eWindow http://www.muniprog.eth-state-ma.us/pa9e5-54968.htmI Page 1 of 1 12/2/2015 Certificate ( Certificate of Comptetton StaCr S Com on Conflict of Interest Law George �R. ��r�er Board of Assessors Assessors f Town of North Andover bay cOmPleteb the Conflict of InterP.5t Rai online training program on w A 12/2/201 5 y� I tvV://www.mun".eth.state.ma.us/page554988.FMnN 1/1 tiiiiicvt� t-emncate cert-ficcate eComvkdon Conflict of Interest Law 4 I I t i has com kted the Con ict Interes -Uw online training,program on 11 1 / 7/2015 �, , ...... ........ httn•//www miminmo eth state ma ns/naoe54496R html 1/1 Certf ' ate Com Cetio C Omm .p n Conflict of Interest Law Donna Cody Teacher's Assistant Town of North Andover North Andover, MA has completedtfe Conflict of gnterest law online trafMng program on b 10/26/2015KFI CertificateClose UJ r. cC, u!� y >�rl -cc a l W� CO �ru .D_' N cn�=Q O q. - GG N Certificate Rio 0 y ertif i r ate .of completion Conflict of Interest Law �r�ge�� �iofo�o Department Assistant Town Clerks Department Town of North Andover Ija� cony leteDr tlje Conflict of Interco tabu online training program on 10/14/2015 Closelow qP I Certificate http.,/ANww.mL"prog-eth-state.ma-us/Page554%8.htmi _ 1/1 Certif icate of Astalwa s`� 'im Coat letion Conflict of I serest Law /1 CAM S -1-e ax-h e.r^ has completed the Conflict ofw��s Interest Low online training program on 11/3/2015 Gssbh -Y'`��� low >Cno=CA rn ~= -� PO W CA E S s Version 6: Revised May 10,2013 -------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT C� I, �a&Ci cc , an employee at hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10, 2013, on (d teJ x Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy Of the summary. Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 2/7/2015 Certificate �rw Ce?Tt6cate of ComyCaion ssaa► 3 corn lion Ci Q r Conflict of Interest Law ris C' t mom � t�• has comOted the con ict of Interest xativ onCine training program on ., 12/7/2015 Close • • ittp://www.muni prog.eth.state.ma.us/page5.54968.html 1/1 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, Li Y1d Feu C16L4W}�____,an employee at__ ✓ ATI�W CAl V y1 I S( hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certificate 10/31/15,1:38 PM PM t2: 27 rt� T Genf' ' atev of C0?q !Corn !on Conflict of Interest Law WristM Clarke Classroom Teacher North Andover School Department North Andover has completed the Conf ct of gnterest `�' ' .�� Law '' online trainin�Apro�gAram on October 3�1, 2�15 http://www.muniprog.eth.State.ma-us/page554968.htmi Page 1 of 1 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT 19 ll o rep& Ut q e n L ,an employee at �_r CM V.�O t\ S L�Oo t hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certi 'cate of Com �etion p Statae cs Com Sion Conflict of Interest Law C-ra►+A VL Sch l has completed the Conflict of Interest lativ online training program on 11/3/2015OF �C' Iose Certificate Window. .:rsion 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, be-n I)L 0-o I rf (q_,n ,an employee at Ff7inHin FIQ fir,Lr) hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certificate cleelrrftate, eComvCaim Sta CS Com siQt Conflict of Interest Law �1 Gr has com, Cetedt& ConjTid of interest Law onCine training program on 11/30/2015 low -,WWI r'ite Window C _ C =ca ccis tit i http://www.muniprog.eth.state.ma.us/page554968.htmi I/t Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, Q r ��l S e✓ ,an employee at n G oy-) ' T li�j�i c hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 11/5/15,5:56 PM } Certi ' ate f Com �etion Stag :c ome s 00 Conflict of Interest Law Denise Colman Teacher North Andover Public Schools North Andover has completed the Conf'ct of?merest .Law G online training roAram on November 5 2015 WindowClose Certificate I http://www.muniprog.eth.state.ma.us/page 554968.htmI Page 1 of 1 Certificate Page 1 of 1 certificate of Completton Scam s Com Sion Conflict of Interest Law Robert Crane Firefighter Fire Department Town of North Andover bafs compieteb the Conflict of Ntereot 3UW �y�s �C-\ online training program on 11/2/2015 Ce p http://www.muniprog.eth.state.ma.us/page554968.html 11/2/2015 Certificate Page 1 of 1 M&19111001, Certtficate of Completton stag s Comm Sion Conflict of Interest Law 3feffrep JR. Croobp Firefighter/EMT Fire Department North Andover jag tomPleteb the Conflict of 3ntereot Zaiu online training program on A 11/11/2015 Close Certificate Window http://www.muniprog.eth.state.ma.us/page554968.html 11/11/2015 bpi - certificate of Comp letion � ts cap comity sorx Conflict of Interest Law Y/L vi �vc,aS n,-0,1 �f has completed the Conflict of Interest it ativ online training program on 10/22/2015 '� Print CloseCertificate iI Window w Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT 19 "",J(0 ,an employee at hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees revised May 10,2013,on 1c a t date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 /5/2015 Certificate Ce?Tqqcate of Comykdon Conflict of Interest Law Susan ConsoC Teacher North Andover Public Schools North Andover has corn Ceted the Con is Interest Law p f� % onCine training program on 11/5/2015 "'I'll "Y1_� � .40 N101 hZ "01 WV £I AON SIDI Pant C . " �. -1 Certificate ,:. , -, OD/ I:33._`�, ://www.muniprog.eth.state.ma.us/page554968.htm1 1/1 Certificate 11/15/15, 11:42 AM y i�'� Certi " ate of Comyfetion C Conflict of Interest Law Lynn Crosby Classroom Teacher School Department North Andover has completed tfie Conf ict of Interest Law ` onCine trainin rorm on : AA November`1 , 2 l�4ll111!lliiElol N 3= �+ >CD cn� o cn-i---i CO jm r_ ...�'3''::'' •• ter-; o TY http://www.muniprog.eth.state.ma.us/page554968.htmI Page 1 of 1 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT 1 �I A Ahbffla employee I, �an1 hereby acknowledge that eceived a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (51 (date) N ca —s -tz' X CD X, yih� X_ Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, n 1 ,an employee at F ( ( �G d hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,ry 10,2013,on II1,77,; (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 10/26/15,9:40 PM Certifie-n cer*ao ComyCenon te 4 f state s Comm ssion Conflict of Interest Law iM ancy CarroCf Teacher North Andover School Department Town of North Andover has com feted the Con ict of Interest p � ' Law -� online tratntng pro ram on October 26, 20 5 J`Sst,�t i..,,•'� L Window http://wrww.muniprog.eth.state.ma.us/page554968.htmi Page 1 of 1 version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT Fjn�V, Or, I, �fo_ ,an employee at , hereby acknowledge that I receiv d a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (Ate) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certificate Page 1 of 1 Certificate of Completion Stag s Comm scion Conflict of Interest Law 39apne Currier Water Meter Reader DPW E North Andover bao comGpleteb the 'Conflict of Rtereot 3.aio online training program on W 10/27/2015 J6Ssa ,.0c'� w �? WindowClose Certificate i 3SA143V SSVW ).13AOGNV HION nNAM I S :i I Nti OE 130 SIOZ http://www.muniprog.eth.state.ma.us/page554968.html 10/27/2015 ri Certificate (fPrtitirate of C0M Yetion State cs tam IS'Ion Conflict of Interest Law bay completeb the Conflict of Interest labi online training program on 11/3/2015 CloseC Window http://www.muniprog.eth.state.ma.us/page554968.htmi 1/ Certificate Page I of 1 ,W,ICerfifitate of Completton Conflict of Interest Law Olugene Of Croteau 3rr Communications Officer North Andover Police Department North Andover pn� bag tompleteb tbt Contlitt of 3nuregt Ulu onlinr training program on 10/25/2015 http://www.muniprog.eth.state.ma.us/page554968.html 10/25/2015 Certificate Page 1 of 1 Certificate of Completion s cam,► Conflict of Interest Law I.ark Cottone Water Meter Repair Craftsman DPW North Andover bay completeb the Conflict of Intereot Xab) online training program on N 10/27/2015 � U) CT � .. ch is " http://www.muniprog.eth.state.ma.us/page554968.html 10/27/2015 Certificate Certt"firate of Completion State cs Gom ssia Conflict of Interest Law Tarp Zinn Cunmino Administrative Assistant North Andover School Lunch Program Town of North Andover bay completeb the Conflict of IntervA Kai online training program on �y 10/27/2015 low PrimClose Certificate WWindow Cer'�iit�tte` r�s 0 nxc j< Q http://www.muniprog.eth.state.ma.us/page554968.htm] 1/1 Version 6: Revised May 10,2013 ACKNOWLEDGMENT OF RECEIPT /.f01101/n ' , an employee at � D0/ hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10, 2013, on Io%? Ls- (date) l.1 RC8 INC z -rq CD Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certificate Page 1 of 1 U ferufficate of Completion som :CM ion Conflict of Interest Law 3lobn 'Conlon Custodian Department of Public Works Town of North Andover hag completeb the Conflict of Utereot Ian online training program on y � a 12/1/2015 Can M Q. http://www.muniprog.eth.state.ma.us/page554968.html 12/1/2015 Certificate Page 1 of 1 IDerfiftcate of Completion Sum :Comm Sian Conflict of Interest Law J)aula Crubale Administrative Secretary Council on Aging Town of North Andover S ba.0 completeb the Conflict of 3ntereot Xa�u ��,�tc online training program on N 11/17/2015 yess�►e ��,��' II N =C v Z "'1 CD LO r� C4 rt} http://www.muniprog.eth.state.ma.us/page554968.html 11/17/2015 10/23/2015 Certificate 0, 10l DEC 10 PM . 4 �Certificte of ComYeti Stag cScan Sion M S$AC, Conflict of Interest Law I bay completeb the Conflict of Intere!t 3.abWj online training programs on 10/23/2015 Close Certificate Window http:/twww.muniprog.eth.state.ma.us/page554968.html 1/1 Certificate 10/25/15,12:50 PM MOM 10 PM 1= 03 NORTH Certi ate of Co Min State :can $Sion Conflict of Interest Law Marylou Connors Director of Early Childhood Center North Andover Public Schools Town of North Andover/Public Schools 5, has completed the Con tict of gnterest %G ..Caw w online trainin proA ram on October 920 5 Close Certificate Window http://www.muniprog.eth.state.ma.us/page554968.htmI Page 1 of 1 lion 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ` ACKNOWLEDGMENT OF RECEIPT I, an employee at v , hereby acknowledge that I received a py of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on /G (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certificate 10/28/15,2:47 PM Certi ' ate oj Comycetwn Baal► s Com Conflict of Interest Law Cofe Crumrine LAY r North Andover has comyfetud the Conf Pict of gnterest .haw w online pro traininAA ram on AA October AY 20115 Close Cerlificate Window S1.13Sf1H3V SV-w ;� t�ua l N to" �3ri"Mo . Wd R 130 SIOZ >> 03AI30 a http://www.muniprog.eth.state.ma.us/page554968.htmi Page 1 of 1 Certificate Page 1 of 1 Cerfiftrate of Completton Conflict of Interest Law Oebra Conti Administrative Assistant North Andover High School Guidance Department North Andover Public Schools jag completeb the (Conflict of 3lntereot Rai online training program on 14 10/25/2015Close � ..ii`ertificate Window I I 'A uMV Ma 40 S Al i 01 O I �ZI tad 6- AON SIOZ http://www.muniprog.eth.state.ma.us/page554968.html 10/25/2015 `� 4.�, �*� v �a".. .'rsrf �,J.' '��a.n ��YA�• ,�"��Ir �L�f 3Y�r'� '�.'�� y�d� , �14� rl" 1 5' N IL Cettftate if Com ,r6aion I�, _ _ I i .I I! L 1 �A4 R�_S •I Conflict , Interest Law II Jj� � 1 ;2 eh a rcl ru� I - I 4 1�1t7 I I I has comyCetedt& Conffict ifI 10/27/2015 z .� r to Print e Certificate Wine1ow Certificate 0 'ificate Page 1 of 1 Certificate of Completton Saw SC ssion Conflict of Interest Law TEACHER KITTREDGE ELEMENTARY SCHOOL NORTH ANDOVER jag completeb the Conflict of Nteregt RaW ����`s !L\ online training program on 11/23/2015 r�6Ss�J,• �,`,�Ca Window cor�a�le http://www.muniprog.eth.state.ma.us/page554968.html 11/23/2015 Certificate Page 1 of 1 Certificate of Compietion 5ut�- cs Com ss on Conflict of Interest Law &can Carep sewer mechanic water treatment plant town of north andover ba.0 compteteb the Conflict of Ntereot Rain w 5'$ online training program on 11/18/2015 SS.L`t 3t7��0 r Ap 2 _ rC7 C>'T' S KI�m Q CO N s,r http://www.muniprog.eth.state.ma.us/pagc554968.html 11/18/2015 ��.GElV�p Version 6: Revised May 10,2013 ToWiv CJ ER)('S GrFICE ----------------------------------------------------------------10f3 DEC.' --AH4--5 f----_------------ 70WHO ACKNOWLEDGMEN an employee at �Y �-•� l ; S mil„o a l hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certificate - Page 1 of 1 2015 DEC M 10: 25 Certificate of COMPICtion r NORT VF State CS Com scion MASS SETTS Conflict of Interest Law �.aren �Cor��oii Office Assistant Stevens Memorial Library Town of North Andover } p 4 s h toAllleteb the Conflict of 3ntereot 3.aW online training program on 10/26/2015 http://www.muniprog.eth.state.ma.us/page554968.html 10/26/2015 + ?e 7f- ..`1 , '�s.. $ CL. ' r C � k R3� S r� F;cc 21 DEC - f Cei ti 6cate, of Co m reftmOWN Op .* State Ethics Commission NO H ANoe ,: F' ASSACPLI, ;r i f Conflict of Interest Law 3oanna Calos JAR k 1 has com,pleted the Conflict of Interest 1:ativ V'j a online training program on 1 : 12/15/2015 5 ' � t s �r • � � w "',� '7r"� +�, - � r wx�° �-��� � � �' `yip *,» .r � .� �-; Jersion 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT �Ifld� I, aVIOA alo' ,an employee at "ftdi hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT )employee at �� ��— hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10, 2013, on f rg I�' (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an a-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 i Certftate C vm lesion :Com on Conflict of Interest Law c:: mix r We'll 1 has comp(eted'the Con f lntere t �f h -�a°.f st.Law on ne training program on 12/9/2015 eflificate Window !r-Close C >46 y' v c`n�-�-i—� n <n ui�ilU15 Certificate t Ce? ftateIllf c om �on State 5 Comm F m ssion Conflict Of Interest Law G Y �1 C---. 1 1 i • a fetedt& Cv f I�ct°fqnterest�rdi . w ne tratntr���.am 0. r r i 1115120 4 15 Pft 0 s'`X =M C4 12/2/2015 Certificate r �ertifi� tie .of comptetton Stare Comm !on Conflict of Interest Law Asst Assessor Assessors North Andover bad ComPleteb the Couffirt of luterev lawl online training program on 12/2/2015 i k- Close Certificate Window-, eu 0 Qn U�--i-- C-> http://www.muniprog.eth-state.ma.us/page554968.html 1!1 11/12/2015 Certificate �I Ce,?Tftate Com Cetion S M com Qn p Conflict of Interest Law Denise Casaletto Teacher Assistant has completed du Conflict of interest"" onCine training program on X. 11/12/2015C,ose Certificate Window http://www.muniprog.eth.state.ma.us/page554968.htmi 1/I Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT an employee at hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on —0/za��5 (date) Cd)6Lo- Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 /30/2015 Certificate +W , Cerrqqcate of Comykdon Stet* ca Comim*%ion a Conflict f Interest o Law has com Ceted the Con ict of anterest Law onCfne training program on 10/29/2015 z � ,Print � Certificateose �o�u IIII iiii�iI W�� d, ce�cate tp://www.muniprog.eth.state.ma.us/page554968.html 1/1 Certificate Page 1 of 1 Certificate of Completton , Sam s Comm ssion Conflict of Interest Law i �ttri �atiie�-�Ca�rb ► Teacher # School Committee Town of North Andover ba tompleteb the Conflitt of 3ntertot law �� �` S V online training program on 10/25/2015 S t�ti 1 l� PrintCeffificate Window Certlfleate httP://www.muniprog.eth-state.ma.us/page554968.htm1 10/25/2015 12/10/2015 Certificate E � 6 Cle?Tt6cate if ComyCaion S 's COMMS'Fian Conflict of Interest Law Shannon 9C. CCo h Intensive Special Needs Teacher School Department North Andover Public Schools has compCeted tFi e Conflict of Interest.Law CO r*�t online training program on a c 12/l 0/2015 �' Pig , , low 19W � i # , Windowm http://www.muniprog.eth.state.ma.us/page554968.html 1/1 ro CertC ate Cora, , State cs Comm ion 18 4 �f/©. � Conflict of Intere *� V 3eanne Caron 5th Grade Teacher - Sargent School North Andover Public Schools Town of North Andover has completed tfie Conflict of gntterest iativ online training program on h 11/29/2015 Pont ce cafe Certificate Page 1 of 1 Cerufieate of Completton , Conflict of Interest Law Arigtitte 3r. cbeetbam Town Planner Community & Economic Development Town of North Andover hag comPleteb the Conflict of 3nteregt lata online training program on w 5/27/2015 `' a http://www.muniprog.eth.state-ma.us/page554968.htmi 5/27/2015 ` Certi ' ate of Comykdon Sate cs Commission Conflict of Interest Law Anna Maria Cascio Lunch Aid Sargent School North Andover has complewd the Confict o_f gnterest Laww s online trainingA roAAram on September�2 , 2015 s Print r Close Certificate Window CertNice� -� m°p o t ri yxco n X >a "'� rn 4 n M rp Certificate Page 1 of 1 certif kate of completion SaCI CIO, Conflict of Interest Law AerpUe Qae Department Assistant Zoning Board of Appeals Division of Community and conomic evel completeb theionflitt of intereyst lab) online training program on h S 10/15/2015 0 oo o http://www.munipi-og.eth.state.ma.us/page554968.html 10/15/2015 Certificate 10/31/15, 1:37 PM �t ,Certi ate o CornykdoncM J „ Conflict of Interest Law 3oseyh Cfarke Elementary School Principal North Andover School Department North Andover has completed the Con tct of interest .Law online trainin _program on October 3 20�1 5 http://WWW.muniprog.eth.state.ma.us/page554968.htmi Page 1 of 2 Certificate 12/13/15, 8:33 PM ` Certi " ate of Compkuon state s Com ssion Conflict of Interest Law Julie Caterino Teacher Assistant Early Childhood Center f i Town of North Andover + has complewd the Con ict of Interest S` % Law online traintin Aj ppro ram on December 13, 2�15 CIOSe Certificate Window N d Qn J T) {may http://www.muniprog.eth.state.ma.us/page554968.htmi Page 1 of 1 f NORTH AND0VER POLICE .--Community Partnership--- The Office of Chief Paul J.Gallagher TO: Andrew Maylor,Town Manager FROM: Paul J.Gallagher,Chief of Police RE: Appointment of Special Police Officer DATE: April 28,2015 1 would like to recommend retired North Andover Police Officer Timothy Crane be appointed a Special Police Officer. This long time officer has requested this designation to offer the Town of North Andover his expertise in volunteering for public events and at times of emergencies. He must comply with standards set forth in the Special Police Officer policy Section D Chapter 41. k 1475 Osgood Street, North Andover, Massachusetts 01845 Telephone:978-683-3168 Fax: 978-685-0249 Certificate Page 1 of 1 Zertificate of COMPLetion State ics Commission Conflict of Interest Law obaWit bufrefitte fire fighter fire dept north andover ball completeb the Conflict of Intereot Mato online training program on 10/22/2015 _:� ,�,... �.. �, �. 't .�. .•�;.,. _,,yam,.,. ,� �r Print , Certificate http://www.muniprog.eth.state.ma.us/page554968.html 10/22/2015 Certificate Page 1 of 1 �Certifitate of Completion Su s Com "ion Conflict of Interest Law QCbriotopher Aufreoue Firefighter / EMT Fire Department North Andover bag tompleteb the Conflict of 3nteregt labu online training program on 11/13/2015 `'dS cad http://www.muniprog.eth.state.ma.us/page554968.html 11/13/2015 Certificate Page 1 of 1 Certif itate of collt letiolt Stag s Com scion Conflict of Interest Law ; Matthew 1. Mabig Firefighter North Andover Fire Department North Andover, MA bO tOmVleteb Me QConflitt of .3nteregt lato online training program on 10/26/2015 I . i Close Ceflificate Window http://www.muniprog.eth.state.ma.us/page554968.htm1 10/26/2015 Certificate Page 1 of 1 z . Certifitate of Completion STA s Com "ion Conflict of Interest Law �effrep �e�t�jene� Firefighter/EMT Fire Department North Andover bag tOMPIeteb tbt Conflict of .3ntertot Rai online training programs an w 10/28/2015 low -,war- L CK ' http://www.muniprog.eth.state.ma.us/page554968.htmi 10/28/2015 Certificate 11/9/15, 9:05 AM Ce _1wateofcomcetio' yn State C:Comansssioll 9 Conflict of Interest Law �fodd q. DuCin History Teacher North Andover High School North Andover Public Schools has completed the Conf, ct of ZntPrest �` ' Law onCine trains Vro ram on November , 2�15 `s . Print, i os-e—CeftificateWindow http://www.muniprog.eth.state.ma.us/page554968.htmI Page 1 of 1 11/5/2015 Certificate � Certificate of stays r-s Gomm 3Sion Com letion Conflict of I serest Law t has completed the Conf list of Interest Law - online training program on } 11/5/2015 „ \ ClosekF µ http:/Awm.muniprog.eth.state.ma.us/page554968.htmI ma.us/page554968.htmI 1/1 10/28/2015 Certificate Catftate Comykdon .0 Conflict of Interest Law to has completedtie Conflict einterest law online training program on 10/28/2015 n q3 http://www.muniprog.eth.state.ma.us/page554968.html 1/1 Certificate Page 1 of 1 certfficate of Completion S tate cs Comm Won Conflict of Interest Law atorge Malloff Working Foreman - Mechanic DPW North Andover bao tompleteb the Conflitt of Uterat laW �y`S K\- online training program on 10/26/2015 Close Ceilificate Window U- �� �•ys f!'i uj 55 t,-6 La U M O N http://www.muniprog.eth.state.ma.us/page554968.html 10/26/2015 Certificate Page 1 of 1 Certiffcacte of Compietton state s Comm ssion Conflict of Interest Law MOM 3Bunn Working Foreman - Water / Sewer DPW North Andover bag; compItteb the Conflict of Nttre$t labs online training program on 10/27/2015 low Close Certificate Winclow 6Ssbf, �'`�0C "DUJI >�r Q � x t.+j(:4-- o zz c =� C..) o http://www.muniprog.eth.state.ma.us/page554968.html 10/27/2015 Version 6: Revised May 10,2013 ----------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I' Q ( I f f l ,an employee at d r f // hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 L acerbficate o ' Com)�■��///kttion f -/ Conflict of Interest Law Tanya dace[Pt Dussauk teacher North Andover has completed the Conf'ct of Interest �`s Lativ onCine training program on November I, 2015 `ems P Certt'firate of Comptet ,ton star. cs Com 256 Conflict of Interest Law \�"\O n 6\ v �c� 05 completeb the Conflict of Interest latu online training program on X try 11/3/2015 WindowClose Cerlificate ate 11/6/15, 12:32 PM 000, VV «. Cer*ate o ComyCetion Sti S COM Conflict of Interest Law .-inch Drosdek Speech and Language Pathologist North Andover Public Schools Town of North Andover has com Cetrd the Conf'ct of gnterest ` .-aw online training roAram on November 6, 2Q15 ' http://www.muniprog.eth.state.ma.us/page554968.htmI . Page 1 of 1 Certificate Certificate of ton Stag cs Comm ssion Conflict of Interest Law Tra tep 7. Mupre Kitchen Manager North Andover Public School Food Services i North Andover Public Schools COMPleteb Me Conflict of 3ntereot lad online training program on ,� fly 11/23/2015 Close . - Window http://www.muniprog.eth.state-ma.us/page554968.htmi N A 0 C"I wMe- rl M 0 ; C 12/12/2015 Certificate ink �Cexrif 'care of a n� erton Conflict of Inte rest Law �Cat�jp �ar�p bao comPreteb Ole Conflict of 3ntereot 7.aty online training .program on MAI 12/12/2015 SV, �A JVS vW `tiIIQ ' 141it) t <,0.1 b� '6 NV ZZ 330SIOZ http://www.muniprog.eth.state.ma-us/P&96554968.htmi 1/1 � T OWW N CL .RK'S roc „` =�Cer* � ate o Com re°f3;naM I1: 3 TOWN cF coin N RTH ANDOy; r SSACHUS;- ?`C( Conflict of Interest Law Richard Def%fonuo High School Art Teacher Public Schools North Andover 41 has compfeted the Conffict of gnterest Law online training prA15 ram on December 1 b, Print Close N � 3z c1+ c:) M .c C 1 rs C) s http://www.munlprog.eth.state.ma.us/page554968.htmi Page 1 of 1 i 12/12/2015 Certificate OFF i ivEo Certif irate of Com "' AM $: + MVh Jr Seca Con, elan MAS AC DO v t Conflict of Interest Law bao completeb toe Conflict of Intereot KaW online training program on a 12/12/2015 `'6ssb` se Ceitificate Window http://www.muniprog.eth.state.ma.us/page554968.htmi 1/1 Certificate Page 1 of 1 IMCerttatate of complet , S" CM ion Conflict of Interest Law MEMBER LIBRARY BOARD OF TRUSTEES NORTH ANDOVER bag tompltttb the 4conflitt of 3nttrtot 3.dW ontint training program on w 11/18/2015 P" Close- C-orlificato Window N Ap cn x C-y bra C- G �, rnrq :i Q http://www.muniprog.eth.state.ma.us/page554968.html 11/18/2015 0 com a Certi to pCetion Ststo S„Comm ion Conflict of Interest Law e has comp feted the Conflict of interest la'w onl�ne trainitVyrogram on 10/26/2015Close 1` CertificateWindow C Version 6: Revised May 10,2013 ------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT an employee at 1�J hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on lb jl�n I 1'r-) (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 °ertiflcate 8/4/15, 7:52 AM s Certi ' ate of Com tenon p Stag cs Com !on Conflict of Interest Law Sohn Du6zinsk Social Studies Teacher/Head Football Coach North Andover Public Schools Town of North Andover has completed the Confict of Interest .Law � > online trainin gopram onAugust . `'ass sac' so Close Certificate Window � tp://www.muniprog.eth.state.ma.us/page554968.htm) Page 1 of 1 cer*ate eComp ktion State CS Comm ssion F ,+ Conflict%my Dewey - Grade 2 Classroom teacher School North Andover of Interest , 16- r i trainingyrogram on -/ , 15 �i 4 Print Close Certificate Window Certificate 1/9/2015 Certificate �F a F 3 Certgqca e oComykdon sic. C, coy, :Sion Conflict of Interest Law Sheila DiEraia Special Education Teacher North Andover Public Schools North Andover has completedtFie Conflict f interest"w onl ne training program on 11/9/2015 Certificatei Close i owm ip://www.muniprog.eth.state.ma-us/page5-54968.htmi L j ' f ;1 j# d Certi c / / ' s ' jcom Wall Conflict1 f Interest Law T " O � E has 1 r • r r r r t. I r r r r r r r ' X! I I =t. 10/27/2015 �Yy'rtrA Close Certificate Wincfaw n iiprog-eth*state.ma-us� t ,ag,e554 .htmI Certiftritte of IVIC.-Onwletton Atoll 1 f Interest 1C 1L Teaching Assistant North Andover Public Schools Town of North Andover online training prograut on 4.11, t 6 x R Certificate Page 1 of 1 Certificate of Completton F Conflict of Interest Law Ann Meems; Building Department Assistant Town of North Andover bag com:Pleteb the Conflict of 3nteregt Raba ���•� �5,�< online training program on 10/22/2015 `'d low 0 .i k .. —� --� r= �Ma CA http://www.muniprog.eth.state.ma.us/page554968.html 10/22/2015 tificate Page 1 of 1 MOM 992h, rf 1 Certtfttate of Commplet on S ta te cam ion Conflict of Interest Law Aft bad Aabio Sergeant North Andover Police Department North Andover hag completeb the Conflict of Utereot Uto f.. .online training program on 10/23/20 15 '01,41V HIM, 10, 91 =6 '4V of 330 3101 hq://www.muniprog.eth.state.ma.us/page554968.htm1 C � t, 10/23/2015 Certificate Page 1 of 1 Certf f icate of Compiet ,o su"VEWS com 'lion Conflict of Interest Law �.it�jarb �9o�ne Assistant Children's Librarian Stevens Memorial Library North Andover bay$ tomPIeteb the Conflict of 3nterem;t laic online training program on w N 10/27/2015 �t. o http://www.muniprog.eth.state.ma.us/page554968.html 10/27/2015 Certificate Page 1 of 1 �Certific�te �f �C�mr�let��o� Scats: Cs Co " Ion` Conflict of Interest Law Otepben Aiminico Sergeant North Andover Police Department North Andover bag tompleteb the Conflict of Intereot 3utu online training program on 10/23/2015 �+ 0C 330 51QZ hup;//www.muniprog.eth.state.ma.us/page554968.html 10/23/2015 Certificate Page 1 of 1 Certif irate of Stan s Commassion Co Iet'on Conflict o I terest Law i Colleen Bolan Teacher Assistant School Department North Andover Public Schools has completed the Conflict of Interest Law online traiinin99�pprogram on 12/12M,5 ss t�� ; ���a• ftw,- Close Certificate Window Cofvftfft c: CV) Lj CD . W -7 "rrD tud v �--i xn CY- LAJ Q 0Q r-- c N http://www.muniprog.eth.state.ma.us/page554968.htmi 12/12/2015 Version 6: Revised May 10,2013 ACKNOWLEDGMENT OF RECEIPT ,an employee at �G hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on i (date) {L , AU >SI Cy K Q btJ� C.) '= Q CD va N rnici@Q employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 11/12/2015 Certificate ` / > �''yyy ♦� y_..A, ar FM ..M , v 4 Certi 'catte of Corn Cetion State Ethics Commission t, Conflict of Interest -Law *�. W! � Ia has completed the Conflict of Interest Law s'r online training program on += r 11/12/2015 Print Certificate o CAW n '? xo c� x rn 0 3 cn M C.4 0% F http:/hvNvw.muniprog.eth.state.ma.us/page554968.html 1 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I Q rou-0" ,an employee at V_cw l "` & �, her by acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (hate) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certificate 11/10/15,6:43 PM � P 1 Certi' ' ate of p tt Com e on State CS Corm Trion Conflict of Interest Law Donna DeMaria Special Education Teacher School Department Town of North Andover has completed the Conflict of Interest Law w online traininq�ro gam onNovembe 25Close Certificate Winclow 1 � O A http://www.muniprog.eth.state.ma.us/page554968.htmI Page 1 of 1 y Version 6: Revised May 10,2013 -----------—-----------.............................................—............................................... =CKNOWLEDGM131T 0-F REC—EiPT fr an employee at _ hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on e Y ry (date) ..... . ... . ........ . . ... ........... ......... . .. Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 12/7/15, 7:50 AM f: ' ' ktion om _ ,Certl ate o C p state c$Corn ,ssion Conflict of Interest Law Aaron Drosdek Teacher North Andover Public Schools North Andover has tom Cared the Conf Pict of interest "°~ ..s .P ' Law online training pro ram on y December 5, 2715 `` , ^7 4 C'3 {< tittp://www.muniprog.eth.state.ma.us/page554968.htmi Page 1 of 1 `1 Revised May 10, 2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT at employee anP✓f >(/�' / hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (date) Municipal employees should complete the acknowlerlgntent of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees nzav send an e-mail acknowledging receipt of the summary to the individual who provided them with a.copy of it. 12 • Cenfftcate of Comp kdon t nne donovan thing Assistant town of north andover essex has compkredtfe ConjTfa of Interest Sim 'online trainfiVyw8ram on �.e94s S1 10/23/2015 Print Certificate CA S t—j �pz r ?o a Lot" S 2y-n a ace � fi�1 ECEIVE© Certi ate2 n 0 DEC 15 P 12� 2Z Scams cs Comm !on Conflict of I °` � �L_ , ,Law � 'O[ School Psychologist Lauren Donovan w has completed the Conflict of Interest law online training program on 12/3/2015Fwmt Clow Certificate Window ceracat�e Certificate Page 1 of 1 2015 DEC Is PH Certificate of C0 i '� Sn r Cum Ian MASSACH, .. Conflict of Interest Law Amite Ooiottep Noon Attendant Thomson School Town of North Andover bag comPleteb the Conflict of Interest Rai online training program on 10/24/2015 http://www.muniprog.eth.state.ma.us/page554968.html 10/24/2015 11/23/2015 Certificate IE I f p Ff Certi care of Comylesion Staff► cap Comm scion_ Conflict of Interest Law �on�nA Sue��agos� '�"S has com Ceted the Conflict of Interest.,haw online training program on 11/23/2015Close Certificate Window PrInt ce cate http://www.muniprog.eth.state.ma.us/page554968.html 1/ Certificate Page 1 of 1 F Certificate of Completion stag s con, iolf Conflict of Interest Law Olark �Bobertp HMEO DPW North Andover jag completeb the 'Conflict of 3ntereot Ratu ���y�� !L\S'c,`�c online training program on y` 3 10/27/2015 `' 1 0 C-1 a=CD C. CTi =; http://www.muniprog.eth.state.ma.us/page554968.html 10/27/2015 Certificate Page 1 of 1 Certtficate of Compietton , state s Commission Conflict of Interest Law �otct�a �eiattep Assistant Director Senior Center Essex County bay tompteteb the Conflict of 31ttereot lata online training program on :I 10/27/2015 �� Fift Close Cerfificdte Window �V Z O w. -r c�n[> C1 i 7 _ 3 cJ-irn http://www.muniprog.eth.state.ma.us/page554968.html 10/27/2015 Certi 'cate of Com ' n` State S Comm s ion y �f Conflict of Interest I; n T)v�\m - e Sckw I has completes dw Conflict of Interest law online training program on y 11/12/2015 `'� �h ��, '� WindowClose Ceilificate 10/23/2015 Certificate 10 Ph l: 04 Certif trade of Cony , P Sum csl Comm scion t Conflict of Interest Law bag completeb the Conflict of IntereM KaW online training program on 10/23/2015 '� Close Certificate � dow http:/ANww.muniprog.eth.state.ma.us/page554968.htmi 1/1 Certificate 11/17/15, 4:44 PM ` cer*ate of comyfetion Stan cS Comm scion E t i Conflict of Interest Law anne L. Ericson member and secretar North Andover Historical ommission North Andover, Massachusetts has com_ feted the Cony t-'a of gnterest .haw ,J onPine trainingA�rgram on November`l 15 s S f Ce�ri�e 00f- ca ao z 6C :ZI Ind £Z AON SIOZ 0:4AGO:? http://www.muniprog.eth.state.ma.us/page554968.htmi Page 1 of 1 Certi 'care Com letion p start cs Comm Se an Conflict of Interest Law �nfanne E6ert Teacher i School Department North Adover Schools �f has comykecftfe Conflict of Interest.Law online training,program on 11/3/2015cm �'�� Print Close Cer6ficate Window Certificate cm Mt o c 0 '" �r Certificate Page 1 of 1 Certificate of Complettan Sum cs ccmm ssion Conflict of Interest Law kinboap 41itnert Paraprofessional Department of Education f Essex County jag tompleteb the QConflitt of 3ntereot Kabu online training grogram an `-s 1 1/1/2015 L Close_ . http://www.muniprog.eth.state.ma.us/page554968.html 11/1/2015 Certificate 12/3/15,7:07 PM AML 1 �� rC /8 Aly/p;S3 Certi " ate p f. Cetion Conflict of Interest Law Caren Edwards Teacher North Andover Public Schools North Andover has completed the Conflict of Interest Law online training pro ram on December 3, 215 Close I !"�' Window http://www.mun1prog.eth.state.ma.us/page554968.htmI Page 1 of 1 Certlficate r F j certificate of Completton ti s Com n Conflict of Interest Law JPi4 � EN (ZtC,HT 'ASSISTp�-j 1 lll����' CvrAMviV zti ��� Clog completeb the Conflict of Interat RaW onlinetraining program on 10/25/2015 tt4pJ/www.mLiNprog.eth.state.ma.us/page554988.html 1/t Conflict of Interest Law C'e0ificate l,"nifiloyev tD„i't 'Foi'7Tr Skip to Content Option; tittlp Prevbus Next Directions: Please enter your information into the fields below. The information you enter will be included in your certificate. After completing all fields,click View Certificate to view and print a ® Getting started certificate of completion. Then click the Next button to continue. ®„ 1.Conflict of Interest Law Overview ®- 2.Gift Restrictions Your Name' Peen Enright ®.. 3.Self-Dealing and ....Nepotism ®_ 4.Standards of The Name of your North Andover ....Conduct Municipality or District: 115- 6.Divided Loyalties m_ 6.Prohibited Financial The Board or ....Interests In contracts Committee you serve T.Restrictions after on,or the Department lf! ....Leaving Public that employs you: lCommunity and Economic Development ....Employment 6.Members of ....Commissions ....and Boards Your Position Title' ssistant birector Assessment ® Next Steps Click the Next arrow button to continue State Ethics f Massachusetts w Commonweanh of Massachusetts f+ago 77 of 78 httplMww.mLrdprog.eth.state.ma.us/page554987.htmI 1/1 Version 6: Revised May 10,2013 ACKNOWLEDGMENT OF RECEIPT an employee at_ 7()-wm Qf A" 4NOoVW- hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10, 2013, on /D—ZSS— 1 (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 i TOWN OF NORTH ANDOVER VOLUNTEER SERVICE AGREEMENT I enter into this Agreement to volunteer uncompensated services to my Town and acknowledge that: I am(check one): Over 18 years of age Under 18 years of age(Parent/Guardian Consent Required) I know of no reason,medical or otherwise,which would prevent me from performing the required tasks; and that I have the necessary skill and ability to perform them. I hereby assume full responsibility for my own safety. Except where resulting from the negligence of the Town or its employees,I will hold the Town harmless from any injury to me or damage to my property and from injury or damage resulting from my own negligence. I will perform the volunteer service in compliance with the direction of Town Officials. �A A a&AIQ a3 5 Committee/Department Approval Date Vo unteer Signature Date Signature I give consent for my child to volunteer for the Town of North Andover. Parent/Guardian Signature Date Volunteer Contact Information Emergency Contact Information Makkyav � �A � Name Name �AoA-(�, / ?' Street Address Street Address City, State,Zip Cod City, State,Zip Code gig - gS-' Y)33 Home Phone Number Home Phone Number 9-A/ M - 9Z9 - f�-2- - 733 Cell Phone Number Cell Phone Number Business/Other Phone Number Business/Other Phone Number Certi 'cate of Comp kd on 4statip , Sion Conflict of Interest Law N© rttA ,dam",Jew- . s . has completed tfie Conflict of Interest Lary online training program on 11/3/2015 ��s6 . ,,•��' T WindowClose Cerlificate m q N t+sO �. x w Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, , an employee at U � Av1c�Q(�V ,jFr�►C.a�lc hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10, 2013, on it '�bDj (da ) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary. Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certificate ` Cenftate of Comykdon Stag s Comm ssion i t t Conflict of Interest Law has completedthe Conf kt e interest"w online tralnf?Wyrogram on � A r � 11/5/2015 s a 1 Pft Close Certificate Window C� Cp Z cn �►« v r �-� n 3 -r .f!��.I •�mow� W +f �i ti ion 6: Revised May 10,2013 ----------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT , an employee at —n o f 7h At)d jvL+- nmt SC A&)/, hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10, 2013, on Id-.l1 15 (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 77 a CLERK'S OFF F iCengicate State cs Comm sale OF MA5SAC 41c� Conflict of Interest IJaw Susan Francoeur General education teacher math grade 6 School Department Town of North Andover has compCeted die ConfCict of gnterest law 3' - onCine training program on 12/15/2015 �` #�♦ 1- �`,4, Y t 1 Close `§ is Certificate • Ie Window Certificate http://www.muniprog.eth.state.ma.us/page554968.htm] 25 • i OWN ( ertiftcate of topRTH AN SS ACHI Stag cs Comet Sion Conflict of Interest Law Library Assistant Stevens Memorial Library Town of North Andover baO contPleteb tbt Conflict of Ntereot Rats A. . online training program on 12/7/2015 Print Close Certificate Window CertMcete l of 1 12/7/2015 5:54 PM 1 10/23/2015 Certificate F 4 Certificate of Coraptetton $tay ct qOM sign Conflict of Interest Law OOOM . row far _ f 5`�f� bay completeb the Conflict of Intereot Kai online training program on %' L X 10/23/2015 � s�;. T,,�� Close Cerlificate Window http://www.muniprog.eth.state.ma.us/page554968.htmi 1/1 115 Certificate Certificate of ( Completton ,' asvc Conflict of Interest Law &ea,O -f ERROR& COMMUNICATIONS OFFICER NORTH ANDOVER POLICE DEPARTMENT NORTH ANDOVER comPleteb W Conflict of Intereot lad online training program on w to 10/25/2015 3 Q n z tND `rr,o �" vi httpJ/www.mLs iprog.eth.stete.ma.uslpage&5M1668.htm1 1/1 F wf. certificate, of Com tetion Suto cs Commission Conflict of Interest Law has completed the Conflict of Interest Law online training program on 1, 10/23/2015 "p l e4ificate i�tindow— cemki� Certificate Page 1 of 1 certificate of Completion Stag s Comm sslon Conflict of Interest Law ;Sabfb 100te MEO DPW North Andover hag completeb the Conflict of 3nteregt lain online training program on w � A 10/27/2015 Close Certiticate Window MW c — yx �c`i7 c http://www.muniprog.eth.state.ma.us/page554968.html 10/27/2015 Certifiraie 11/4/1S., 12:57 PM S�iY flt a ��• cer*ate of ComyCetion St=to s3 cam ssi as n Conflict of Interest Law ECizad eth Earr Kindergarten Teacher k: North Andover Public Schools has Gomyfeted the Confict of gnte 8St Law onCine trainingp on ro ram November 4, 2U15 . ClosePrint ! ! - Window Certificate http://www.muniprog.eth.state.ma.us/page554968.htm] Page 1 of 1 2015 OCT 29 22 T��Ijt � K Tki AHDc d`U%l p���S ACNUSEI r S Certificate 11/2/15, 8:29 AM -I CEIVEf p NOV 30 AM 10: 17 ' i TO �Jr Certi ate o RTMANDO 4 Com �etlon �r- � p SSA . ion Conflict of Interest Law Shawn Earreff Educator North Andover High School North Andover Public Schools has com leted the Con ict of gnterest e . Law online trainin ro ram on Novembe � � ��� 2 15 http://www.muniprog.eth.state.ma.us/page554968.htmi Page 1 of 2 Certificate Page 1 of 1 Certificate of completion Stagl S com Ion Conflict of Interest Law earp f orb FF Fire Department North Andover jag completeb the Conflict of 3nteregt XaW ���� OIL online training program on 11/13/2015Certificate Print http://www.muniprog.eth.state.ma.us/page554968.htmi 11/13/2015 Certificate Page 1 of 1 Certificate of Completion Stag s Com ion Conflict of Interest Law JOrian freeman n Firefighter/EMT Fire Department Town of North Andover baml tompleteb the Conflict of 3ntereot lata online training program on y A 10/26/2015 http://www.muniprog.eth.state.ma.us/page554968.html 10/26/2015 Page 1 of 1 Cerfificate of Completton 3tatr s Com lion Conflict of Interest Law 3fuho f igueroa Assistant Assessor Assessors North Andover hag contpleteb the Conflict of 3ntereot Rate ��y`S 5� gee online training program on N 3 s 12/2/2015 Print Cerlificate c cn 3� c� C; CD .R' www.muniprog.eth.state.ma.us/page554968.htm1 12/2/. Cett#icate, of ComyCedon Su cs,Com Sion Conflict of Interest Law �uS has com feted the Conflict of gnterest Lativ ;, p online training program on 11/13/2015 %-lose Certificate Window 144-k J ' So'� Certificate 11/12/15, 5:03 PM gal cer*ate of Comyfetton s c Conflict of Interest Law Sar" E. Toster Teacher School Department North Andover has completed the Confict of interest �`� , Law online trainin ro ram on r November , 2015 FJ4 31 CloseCertificate I� Window http://www.muniprog.eth.state.ma.us/page554968.htmI Page 1 of 1 10/23/2015 Certificate I° e 'Certificate of Completion Statie s COM iron Conflict of Interest Law Monna jfleming Secretary School Department North Andover bao completeb the Conflict of Intere!gt kaW -' online training program on 10/23/2015Close Certificate Window http://www.muniprog.eth.state.ma.us/page554968.html 4/1 'feif 8; ..Ill I R 18 Cord o Co r Conflict of Interest Law Lisa Trackkton Grade 4 teacher School Department of North Andover, Massachusetts North Andover, Massachusetts has comp kted t-he Conflict of gnterest Law jL1 online training yrogram on a 10/30/2015 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, it GiGK,/EL GYI� ,an employee at k'm-h hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on io�3a�i5 (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certi f icate of j 5ta" '`°m ° Co letion Conflict o I terest Law i Rachel Farese Substitute/Aid Franklin School Essex has completed the Conflict of Interest Law online traininngg program on f z 10/12/2015 t „ , . Window Gam` cm G N c c� n• C CA Certif icate of q Sate s Comm ssion + Co letion Conflict o I terest Law Rachel Farese Substitute/Aid r Franklin School i Essex r has completed the Conflict of Interest Law r online trainingg program on 10/12/2015 P" Close i Certificate Window C _O A Gn cm z>xo ro nt:)p CT1 `� Certificate 12/14/15,8:04 AM nm Certfiicatv of Comyfetion state cs Comm sion { Conflict of Interest Law Wim Testa Teaching Assistant ' North Andover Public Schools North Andover i has completed tfie Con�ict of Interest =``' V��, .haw � r online trainin rogam on A December 1 , 25 WE Print Close Cenificate I� Cef V> =' ; `= x WW -T U!t N osa �'' CL J http://www.muniprog-eth.state,ma.us/page554968.html Page 1 of 1 ficate Page 1 of 1 Certificate of Completion SUM es comae`.Ion Conflict of Interest Law kebitt foster custodian school department town of north andover completeb the Conflict of 3ntereot Mawti online training program on w y A 11/16/2015 MW Certrintr.�be Close Certificate ,� M �. CO —, c� c7 za r--� N � C=pC) -4M -- tv t CYN =; file:///C:/Users/Kevjenn/AppDataALocal/TempALow/59XYVOPZ.htm 11/16/2015 Version 6: Revised May 10,2013 ACKNOWLEDGMENT OF RECEIPT an employee at � --,Fr . '"l fL" 1 t e— 5 hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10,2013,on a(i (IS (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certificate Page 1 of 1 Ip G.ertf f f catt of compfet on Conflict of Interest Law POLICE OFFICER NORTH ANDOVER POLICE DEPARTMENT TOWN OF NORTH �a� to»tpleteb trjt QGanA�Iftt�Vj Rr�e�ct nnlfnc trafttfng program an 12/23/2015 ,42 J0 NA, 01 S£ =6 WV £Z 330 910Z Cl3At���� http://www.muniprog.eth,state.ma.us/page554968.html 12/23/2015 i Certi care Com. k on p 5tsM s Commission Conflict of Interest Law has completed the Conflict of interest f-aw .,ft online trainingyrogram on 10/23/2015 ^lose Cerlificate Win � i�l it ti � 1 Y o vu- iCte �Certiff cacti of �C�mYetioit 3qD� s Com siorf Conflict of Interest Law juf tbel C. alennon library assistant Stevens Memorial Library Town of North Andover hag comPleteb Me QConflitt of 3nteregt 3 .aia online training program on w 10/26/2015ssati �`��c, wt , z s .mac' rn rnC z �D C) http://www.muniprog.eth.state.ma.us/page554968.html 10/26/2015 Certificate Page 1 of 1 Otruffcate of Compietton State Cs Com ssion Conflict of Interest Law 1effrep gartoibe firefighter/emt fire dept town of north andover tag tOmVleteb Me Conflict of 3nteregt Rahl online training program an w y' 10/26/2015 �s. Close Cerliticate Window http://www.muniprog.eth.state.ma.us/page554968.html 10/26/2015 Certificate Page 1 of 1 4 Certificate of 'Completion saw :COM i*io Conflict of Interest Law Rick Oorman Director Youth & Recreation Services Town of North Andover bag completeb the Conflict of Nteregt 3EaW ���� ,�s``% online training program on s . 12/1/2015 N -j m O® http://www.muniprog.eth.state.ma.us/page554968.html 12/1/2015 11/10/2015 Certificate Certifirate of Completton ssau► :c«M pion Conflict of Interest Law �tC�jri�tine �aebe Kindergarten Teacher Assistant North Andover Public Schools 3 Town of North Andover bay comPletO the Conflict of 3intere0 lad ��"�� �: S`�'=r. online training program on � r 11/10/2015 n J, lose Certificate TA, Window http:/twww.muniprog.eth.state.ma.us/page554968.htmi 1/1 s v a Certi ' ate of Com Cetion Su S cOM sloe p Conflict of Intere st Law Goa 4 Toll o Tee cJ2aj--- has com,pleted the Conflict of gnterest fsary online training program on IT 10/29/2015 T7rtificate 11/6/15,3:06 PM Rol 2015 pEc 1� 8AH� Certc area. Com Ce: Nfls X- CHO ETta sate s Comm sslon f Conflict of Interest Law V Janet gaf f ny teacher is North Andover Public Schools has completed the Confct of gnterest f-aw i online tramingyro ram: con November 6, 2015 ems S . 1 gym° Print Close Certificate Windowl � Oortificate http://www.muniprog.eth.state.ma.us/oage554968.html Page 1 ofl mw��' �""�;�,^','� � `v�*,r,��� <'..'`.^q-'-;•.„,,,, t j"",;..5--`^:,,��� ��✓M ,� '""�� �p �`(�'�,�(� �"a".a�-«m�wj� � "`�,,,.:.....� ,�' +F ertqqcate of Com / �. Jy �1c3co nConflict of Interest Law i'LJ yp� Darcy a � P . has comOtedthe 1 egnterest 4 /12/5/2015 r Fiv d, 4 , 1 n " �Fg 4 tq Close Certificate Window All h1h. State cs Comm ssion Conflict of Interest Law � a Print I Jess►�� �'`�ac Certificate Page 1 of 1 (Urtff ttate of Completton Statt ies Commission Conflict of Interest Law �iiYiam �orbon Reserve Police Officer Police Department North Andover jag completeb the Conflict of 31ntereot laiu online training program on w r � 10/24/2015 Print CloseCeffificate I Window Certificate Csn 1>Q C:) y,�"i '•'.- Q` M C:) rn _�rn N , http://www.muniprog.eth.state.ma.us/page554968.html 10/24/2015 �f)r r'.�✓ i .ia Sss�, r'„'�LAM"lj/:"`:`,� !J r¢r� •- 5: jO Certz ate COMYCet, Et ics Camm'sssian � rK y r ' -- Ckonnflict 0.-f 1"Ll.-t-ereStLaw Pat gagne _ Administrative Assistant t, Athletic Department Town of North Andover : -�� �} .4 ..has compktedthe Conf kt of lnterestxaw online training on U 10/22/2015 rt� ; •,��''� .4,��^{i3�rl�`'�* � �'�:� �-' �aS' � '*��'- "�'A' '7a�1'� �' .!`z.�;'^�'-rg_'�i,�� �`�'. k*�n{ :r,✓�,y'�'r.4`:�c_�'�r4! .r ;= �N';���5 -',�: Certificate Page 1 of 1 ertificate of Completion State S C(Ow m Sion Conflict of Interest Law Joseph A Grande 5 Water treament Plant operator a Water treament Plant Town of North Andover has completed the Conflict of Interest Law online training program on w A 10/20/2015 Window("lose Ceitificate N a - to W CL. op CO u oCOW 0 N hq://www.muniprog.eth.state.ma.us/page554968.html 10/20/2015 .44 J.s�+z+a..�., 'W�y,��`y'{•+' -"" ,4 L„�i�;3"",.� 'Jt"�''. a::a s x ..+x zz r.��.�i�,��� ,�:.;x.0 v' me:, ar_ �`4.sa..`4�� F''+6 .,�i. ;�' '(��Yzsn"+' ,� �L_��J' �':.. 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Ce n ate of Comykdon State' as Carr► Lion Conflict of Interest Law r has completed the Conflict of Interest fativ cr online training program on w 7 a 10/26/2015 IMF Close Certificate Window air k_ can rn D� O r-t c") flr tf6 CD-In {M -t d� W y, http://www.muniprog.eth.state.ma.us/page554968.htmi 1/I Cert!L" 11/5/15, 12:21 PM ` cer*ave of Comyfetion stag Cs Comm scion Conflict of Interest Law James gossefin Guidance Counselor Middle School North Andover has completed the Conf Pict of gnterest .haw f online training?roram on November , 2 5 Pfktt Clo s Certificate Window - Cerdkoft ^� J C7 ...3 V7 . A o rn �-•� .. "Tl W r. http://www.muniprog.eth.state.ma.us/page554968.html Page 1 of 1 Certificate Page 1 of 1 t CEIVED TOWN us i �Certfffcacte of state cs Comm ssfon Conflict of Interest Law �iir�jei �C. �Ienrto�t i library assistant Stevens Memorial Library f f Town of North Andover ljag conrpletetr the QConflitt of 3ntere.0t Raw - h``' siC„ online training program on w �. 10/26/2015 ,Print Cefta#e` http://Wvvw,muniprog.eth.state.ma.us/paize55496R html Certificate Page 1 of 1 �A a Certifirate of Completton Stet s Comm Sion Conflict of Interest Law Cbarieo Orap Lieutenant North Andover Police Department North Andover completeb the Conflict of ftereot Uio online training program on 10/23/201 S Print', Certli cats N _„! o 2 ' w C-3c Z http://vwvw.muniprog.eth.state.ma.us/page554968.html 10/23/2015 State s Comm Sion Conflict of Interest Law 10"an &//Wove, Chair 4 School Committee North Andover OVT 7 � November 22, 2015 Print Certificate N _o a+ "' -' M 3a C ) certificate, of Co Conflict of Interest Law has com,pleted the Conflict of Interest haw online training program on f. 10/28/2015 �-.��.-�. r Ank ` Cenqqcate comyiidm Stan S C lion Conflict of Interest Law -,af/"-e ia.7 wmKmdt& WIRa of I term. I" otdim training pr°�grJJJ am on 10/2 y 3/2015 Certificate Page 1 of 1 certf f icate of completf on Conflict of Interest Law art iapot[ Communicatons Officer North Andover Police Department Town of North Andover bao compltteb tbt QConflitt of Utere0t Ulm onlint training program on w un A 10/26/2015 low »J >C) o M Q u co ;? tst O 10/26/2015 http://www.muniprog.eth.state.ma.us/page554968.html '~--Certificate Page 1 of 1 015 DEC 10 P 3 Certtficate of Complet 'too � b MA SSA 6 Conflict of Interest Law Rtm Oorbonomitb Teaching Assistant North Andover Public Schools North Andover bag tompleteb the Conflict of 3tttereot Rahn online training program on w � Sunda October 25 2015 �s Ica: Y> sa,ti. http://www.muniprog.eth.state.ma.us/page554968.htm1 10/25/2015 i Certificate Page 1 of 1 Certificate of conpletton SUN CS Comm$Sion Conflict of Interest Law Aettttisc eagttott HMEO DPW North Andover jag tompleteb the Conflict of Nteregt Ulm online training program on 10/28/2015 J6SS�H_.�,,•aca Ciose Certificate Window w, •ac 805 LLJ (M CD r-- N http://www.muniprog.eth.state.ma.us/page554968.html 10/28/2015 1*/2015' Certificate Li Certif irate of COM Coyn etion Conflict or I terest Law has completed the Conflict of - Interest Law f ; ° online trainingg program on 10/26/2015 Close Certificate III A l Windowl s 1/1 http:/twww.rruniprog.eth.state.nia.us/page554968.htrri o ✓e" wur .. Cw" ' w s.d vaf. I <..-,. � +�` a�,y,��- *�• .°� rt,".�rw+. Oft 4 {g 4� ryr� fill: Sif Print Close Certificate Window Certificate •, Town of North Andover Town Manager North Andover Town Hall 120 Main Street North Andover, MA 01845 amaylor@townofnorthandover.com Andrew W. Maylor Telephone (978)688-9510 Town Manager Fax (978)688-9556 S June 29, 2015 John Gilboard 11 Mill Road North Andover, MA 01845 Dear Mr. Gilboard: I am pleased to inform you that the Board of Selectmen voted to re-appoint you as a member of the Council on Aging. The term of this appointment is for three years, effective 7/1/2015 through 6/30/2018. Please make arrangements with the Town Clerk's Office to take the oath of office. They can be reached at(978) 688-9501. On behalf of the Board of Selectmen and myself, I want to extend our appreciation for the time and effort you have given on behalf of the community and thank you for your continued interest in serving the Town of North Andover. Sincerely, �,�z �'-41 Andrew W. Maylor Town Manager AWM/lab cc: Town Clerk Certqqcate Comykdon Staaa'- s Can +a�n Conflict of Interest Law � n has com leted't& Con act Znterest.Lativ online training program on w 10/27/2015 Print - L Close Certificate { { Certificate Page 1 of 1 "..- Certificate of Completton State Ethics Commission Conflict of Interest Law "$ Zllna 3F JOotber Special Education Teacher To School Department North Andover Public SChools hag comPleteb the Conflict of Utereot 3.ato online training program on 10/27/2015 r QTFflt Close Certificate crw CertY�atis a http://www.muniprog.eth.state.ma.us/page554968.htm1 10/27/2015 Certificate Page 1 of 1 Certificate of Completion su s Cm" scion Conflict of Interest Law CLERK WATER/SEWER DEPARTMENT NORTH ANDOVER bay tompleteb the (Conflict of 3ntereot Into ����`s �s`�•<<G online training program on 12/1/2015 J6ssah ����0ca ab http://www.muniprog.eth.state.ma.us/page554968.html 12/1/2015 Certificate Page I of I Certifieate of Completioit State cs Cam :dart Conflict of Interest Law Robert C joarbacre Fire Fighter Fire Department North Andover bag cOmPIeteb W Conflict of 3ntereot XatR1 online training program on 10/23/2015 http://www.muniprog.eth.state.ma.us/page554968.html 10/23/2015 . .................... Certifftate of Compietion State s Con, slot Conflict of Interest Law i Ortotapber fooua ttb Firefighter/EMT Fire Department North Andover MA jag MmPleteb tbt Conflict of 3ntereot Rai ; ' , `C��t online trainin g progrant on y 11/12/201 S Certificate Page 1 of 1 Certificate of completton state cs Comm ssion Conflict of Interest Law Aabib Hebert Firefighter/ EMT t Fire Department Town of North Andover ba$ completeb the Conflict of 3nteregt Kato online training program on 11/13/2015 Close Certiticate Window http://www.muniprog.eth.state.ma.us/page554968.html 11/13/2015 Certificate Page 1 of 1 Certificate of Compietioit S ta te CS Comm Ssion Conflict of Interest Law &tot A. jWrig Firefighter Fire Department Town Of North Andover bag t0MVleteb the Conflict of 3ntereot 3.abo Al online training program on A 'T 10/26/2015 ib C� Close ceftiticate Window http://www.muniprog.eth.state.ma.us/page554968.html 10/26/2015 ` Certi ' ate of ComyCetion to Coon ion Conflict of Interest Law gcristm gfamwe y First Grade Teacher Franklin School North Andover Public Schools has completed the Confict of Interest Law online tratnin roAram on Aug ,Ust 8, 0 r5 Print i � �� - { ��. � -.-,�,..-nay..—.� �e�#^,� �r � r-�,° ;h' rt-fiCcate of Comykdon 3!! 3 Cc 3 r 1- r # Conflict of Interest r':-i s k om- has comyCetedthe1 r �4 ( a_ ;t(�4 onCine trainingyrogram1y t: E 1 1 p �y y r d 1 uE {{ --�--'^�" ""'a`-.^�^es'•.'d�7:.'�-'u.: f � a''�b y�, s S ,�;:�"t� :"�� Close Certificate Window 12/7/2015 Certificate i E Certi care of ComyCaion SU06 CS Cm $rcIon Conflict f o Interest Law Suzanne T&Ptck Speech Language Pathologist Public Schools2 0 ' C) �, North Andover _`' N t:{ , has completed t- e Conflict of Z nterest law 1 .. online training program on c 12/7/2015 Close Certificate Windowm http://www.muniprog-eth.state.ma.us/page554968.htmi I/1 12/9/2015 Certificate cenftate, Comvkdon s . .5 corm Conflict of Interest Law � o .N K j") di has com letedthe Con fct eanterestja-►vp .fl online trainftyro&am on . 12/9/201 Close Certificate Window ://www.muni pro Q.eth.state.ma.us/page554968.h tml l/i Certificate 11/4/15, 1:05 PM Certi ' ate of Comykdon st3 S Com $Sion Conflict of Interest Law Sharon 1. 14odand Teacher Assistant North Andover Public Schools has completed the Confct of interest- Law .. onCine trainingp on ro ram November 4 2015 � . Close Certificate Window http://www.muniprog.eth.state.ma.us/page554968.html Page 1 of.l Certificate http://www.muniprog.eth.state.ma.us/page554968.html Ce?'�1 �ifi.0 Of CO?11p�Um J f State s Comm ssio� Conflict of Interest Law xristin ICuberLau TA North Andover Public Schools North Andover AM has com, ktud the Confut of inturest l:aw online trainingyrogram on NEU x) r � 11/3/2015 "WA W I m- —*m 0 t r Close Certificate Window Cerufk ft 1 of 1 11/3/15 5:25 PM i Certificate http://www.muniprog.eti-Lstate.nia.us/page554968.hbnl "ttfiimtae of (COUWt tfopt Conflict of Interest Law Alert fof iter Patrolman Police Department Town of North Andover ba.0 tompleteb the conflitt of Utertot RabS � online training program on 12/28/2015 'j3ACIO V H SON S I =6 WV 0C 330 31OZ O'gAI10 1 of 1 12/28/2015 11:29 AM CaT 'care CompCaion Stag s Com $ion Conflict of Interest Law C; H-k-� Fas completed tFie Conflict of Interest law online training program on 10/27/2015 CerClose tificate Window ,. u N --+ C= Cis . Certificate http://www.muniprog.eth.state.ma.us/page554968.htm' Certif icate of Stat• ics Commission Co letion , i Confli ct o terest Law Susan Howlett Kindergarten Teacher Public School Department Town of North Andover, MA has completed the Conf I ict of Interest Law online trainingg program on 11/1') 015 Print ; Close Certificate Window Certificate 91 4 1 of 1 11/17/2015 5:35 Ph 10/27/2015 Certificate t certi 'cafe o Com Cetion �{ p Conflict of Interest Law has compCetedthe Conflict of Interest-Eativ online training program on Y' �i xJ,Y—T 10/27/2015 -, Close Certificate Window http://www.munipiog.eth.state.ma.us/page554968.htn-d 1/1 12/1/2015 Certificate w Certificate of Comptetton 'SU CS Com iion Conflict of Interest Law MaT H0.4Jl LA School Nurse Nor+h And over- r i rn 4ag WmPleteb Me Confrtrt of IntereM Rao onitne tratntng program on 12/1/2015 ��SS E I Close ►o http://www.muniprog.eth.state.ma.us/page554968.htmi Certificate Page 1 of 1 Certificate of Conpletion State s Com 'sion Conflict of Interest Law Vatricia 7sougoon Speech Language Pathologist School Department North Andover jag completeb the Conflict of 3nteregt labu online training program on w 10/22/2015 Cart r 9 N 2 to lY1 rnE.,-CD = nt*1 t P rV rt h4://www.muniprog.eth.state.ma.us/page554968.html 10/22/2015 x a s ' ii,, .!t a ,. t '� H " i # r i t i ?, g a � i t . 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Certificate Page 1 of 1 Certificate of Completion 3 connn Conflict of Interest Law Aata lba f ubbarb Communications Officer North Andover Police Department Town of North Andover bay completeb the Conflict of 3ntereyct tab) online training program on 10/29/2015 �:�sn��bssvw 1AGUN7 HIVON �0 „o ---- ��� 09 :8 wd R 100 SIOZ ., {{ _ ;K . .;u �.A��.. 3" 03n133 _ httn://www.muninroe.eth.state.mams/naee554968.htmI t�h9h�t 5 Certificate Page 1 of 1 4 Certtftrate of Complettort SUM SComm ion Conflict of Interest Law Ritbarb j1attcotk SMEO DPW North Andover bag completeb the Conflict of 3ntereot labu online training -program on 10/28/2015 �, �� z 7 MC Li i Y} CD .` Ch C� f�il7 N http://www.muniprog.eth.state.ma.us/page554968.html 10/28/2015 %� ificate Page 1 of 1 4 Certiftcate of Completion .fit Stets s Com Sion Conflict of Interest Law Colette j1pabez Teacher Aide North Andover Public Schools Town of North Andover completeb the Conflict of Intereot Ratio �`'�y �..si`�, online training program on 11/3/2015Print Close Certificate yid �h Window Certificate http://www.muniprog.eth.state.ma.us/page554968.html 11/4/2015 Certificate Page 1 of 1 A -M-N, 4-1 Certificate of Completton State t Ics Commission ` i Conflict of Interest Law zanier �o�Yirt� Senior Foreman Department Of Public Works Town Of North Andover bad Completeb the Conflict of Interest Rain online training program on .. 10/26/2015 c TIF ... ,... Print Close Certificate Window Certificate to : tom C301) v ts' N http://www.muniprog.eth.state.ma.us/page554968.html 10/26/2015 Certificate Page 1 of 1 Certtficate of Completion Stag s Cam fail Conflict of Interest Law Alark JI)arbp Mechanic DPW North Andover ba.5 completeb the Conflitt of 31nteregt Zabu online training program one 10/26/2015 �`'� a, P PF _ o N http://www.muniprog.eth.state.ma.us/page554968.html 10/26/2015 Certificate � 11/3/15, 11:22 AM Cer*ate f comP C etion 3 Y 7 1 state res Comm ssion Conflict of Interest Law 9Cristun IfCamwey 1 st Grade Teacher Franklin School North Andover Public Schools has com feted tf4e Con ice of Interest :` C.\- Law online training pro ram on �.. November 3, 2015L close -,Print- Certificate Window http://www.muniprog.eth.state.ma.us/page554968.htm1 Page 1 of i .................. In CeonftateoeComykdvn Stat* cs Commission Conflict of Interest Law ........................ .............. M� 4 I............ has com feted�t�e Con act in Law `' onfifte training program on ' 10/28/2015 ,�' n A'•;� � � ,w ;-ry.�"""�"�.,�ram, �. ury� � 1 =tYrryt . "+ � ", s , ij ��Zl2 ;. * r�. , en �dfkwy At Print o" Certificate Win Certificate Certificate Page 1 of 1 4 Certificate of Completton State CS Com ssion Conflict of Interest Law Firefighter / EMT North Andover Fire Dept. Town of North Andover jag completeb the Conflict of 3nteregt Rabe L S'r online training grogram on A 11/12/2015 Close Ceitificate Window http://www.muniprog.eth.state.ma.us/page554968.html 11/12/2015 Lr Sm• Certificate a f of f� ° a3iLIF i,�cNt! �(GFi:: Co pletion onf list o Interest Law Matthew Ignos Teacher School Department a Town of North Andover { has completed the Conflict of r% Interest Law online training pprogram on 12/7/2015 30 0 �• w Certificate Page I of 1 Certiftcacte of Completton Sum cs Com scion Conflict of Interest Law �.ri�ctofer � �l'ett�itt� Fire Fighter Fire Department Town of North Andover bag tompleteb the Conflict of 3ntereot XaW ��=�� �= s'r,�c online training program on 10/23/2015 Pq low 0 -c: 3 CDC http://www.muniprog.eth.state.ma.us/page554968.html 10/23/2015 I(1`'?5i2Q I ti Crrtifirilc ,. „ r: yl� cerrfftcate ComyCetion State I S Gom is' on Conflict of Interest Law UMel Etas comyteted t& confCict of interest"w onCine trainingyrogram on ; h 10/25/2015 10 s P R t q ry L£ SIDZ Print Close Certificate Winidow �t Certificate 03AID' � { http:!��+ww.nxnuprih clh.til.uc.m:h.u,lpaci��9(iti.hh��l �'� Certftate of Comyktion ells has completedthe ConjTid of Interest,law online training program on e I 1/I/2015 Print Certificate N 1 y X!' 12/9/2015 Certificate Cer*ate eComykdon 'Com Conflict of Interest Law stCf-namo jonsm NOMI AId Over Public schoolS North An dovcr Yv,1idoic �chcl I HC01rh TCOCOcr T`TMS%� has completedt m Conf id einterest law online training program on 12/9/2015 low lAlo Certificate Window N -a CA -� c' t�� ,F' r f , http://www.muniprog.eth.state.ma.us/page554968.html 1/1 Certificate 10/29/15. 7:08 AM C er*ate of ComyCetion ta to es Commission i Conflict of Interest Law Chet3ackson i Assistant Principal North Andover High School North Andover Public Schools ' er / has completed the Conficr o_f gnterest Law Sl;` online traint'nA pro ram on October 29, 20 5 i � 3 4 Certificate �i13Sfikl3b 63AU�lm,vt0 -N http://www.muniprog.eth.state.ma.us/page554968.htmi Page 1 of 1 TDW' CLERKS Certftate �f2015 OTC I PO !: 03 Co m ion S141 'SCom lion ANDOVER MASSACHLIS i'T", Conflict of Interest Law Lck,�Jv-fo [Jf U , C.. FO -7 �3 r - �,c�-� 1 has compCeted the Conflict of gnterest law ``� online training program on w 10/23/2015Print Close '"Window1 Certificate Page 1 of 1 u _ certiffcate of Completton Stag s Comm ssion Conflict of Interest Law Aennig 3roneg HMEO DPW f North Andover bag tompleteb the Conflitt of 3utereot lata ���� C online training program an w ?+ 10/3 0/2015 Close Certificate clo U11 rF— _ Q> Liu Q a:7G7� ( 40 .o 9 r—• N http://www.muniprog.eth.state.ma.us/page554968.html 10/30/2015 RECEIVEDTOW ` Certi' ' ate o Corny teAmuo?r� ` t StatesCom scion NORTH ANC,() ` 1 Conflict of Interest Law Bradf ord L. Jackson qq t Teaching Assistant 5 North Andover High School North Andover Public Schools Sir t has completed the Conf iict of Interest l Law s, x online trainin ppro ram on November2, 2�15 i p" Close Certificate Window Certificate Page 1 of 1 ton Certificate of Comlet' sar. :comm :.ion Conflict of Interest Law 3feff 3fubge Lieutenant Fire Department North Andover Sir bay completeb the Conflict of Ntereot 103 online training program on ; 11/25/2015 `ss-,, .FClose Cettificate'Window _ ttl'1 v C r: rq rn cn http://www.muniprog.eth.state.ma.us/page554968.html 11/25/2015 5t8t6,rfla-US;Ft.1 Qr t-��jt � �tff_l�-_--------- ------------- __.._.._.-- _..._-...----. .__-.----._.._.. ..-------- ---- v - .- ---- -- _ --- - 1 - - -- - - _ Favorites 00 .i jlk • page. 00 NO MAZ / I Certtf kate of Er-ompletton Stan s Com sion Conflict of Interest Law a Ojeoff Mton >.CD Cn C9 ,ia "I LTS ==`= Y,� CO Franklin Elementrary School rLn on xompleteb tot couffift of jnttrea 3EaIN onifnt trafntng program on w Saturday, December 05, 2015 s,d s Print Close Cet-fificate Window Certificate L ---- Internet 41 • M sk ..•. `1 State Comm sion s v. 'y Y Conflict of • • st Law A. its, PlAi tt/ i Close Certificate Window Nip , . Certtftcacte of Cott Yetton State Ics Comm ssion Conflict of Interest Lave Curtin ;M. 3fobnoon, Staff Engineer Public Works North Andover bag completeb the QCoufiict of 3nterea labu a online training program on r a 8/3/2015 Print Cersocate http://www.muniprog.eth.state.ma.us/page554968.html 8/3/2015 S� TOWN OF NORTH ANDOVER h VOLUNTEER SERVICE AGREEMENT �� I I enter into this Agreement to volunteer uncompensated services to my Town and acknowledge that: I am(check): \1 Over 18 years of age Under 18 years of age(Parent/Guardian Consent Required) I know of no reason,medical or otherwise,which would prevent me from performing the required tasks; and that I have the necessary skill and ability to perform them. I hereby assume full responsibility for my own safety. Except where resulting from the negligence of the Town or its employees,I will hold the Town harmless from any injury to me or damage to my property and from injury or damage resulting from my own negligence. I will perform the volunteer service in compliance with thedire t4 of,Town Oici S. Committee/Department Approval Date NNro-ludTsignatike at Signature I give consent for my child to volunteer for the Town of North Andover. L� Parent/Guardian Signature Date /Volunteer Contact Information Emergency Contact Information \/Da� VYn Name Name Z)6 r1w , 23 cy is lie 17n pe— Street Address Street Add ess 1 I). r , (� 01,9,//5 , M A a City, State, City, State,Zip Code Home Phone Number Home Phone Number 01 o �� �vcx� I mo- GO o Cell Phone Number Cell Phone Number 0 688-6god Business/Other Phone Number Business/Other Phone Number OCT-23-2015 11:32A FROM: TO:15083555527 P.1/1 Certificate Page 1 of 1 ism artificate of Completion f StitY i Co _t1 Oh i Conflict of Interest Law i John r kalln member industrial develpment finance G north andover has completed the Conflict of Interest Law f online training program on !� Thursday, October 22, 2015 e tit 4 4ti Uj. N zz �- --era N h"p://www.muniprog.eth-state.ma.us/page554968.htmi 10/22/2015 1015DEC 15 Certi 'cate of Co ef!Yn cr SUR ss Com scion �R TSAC�a AS M Conflict of Interest Law Pam Kohnk TA North Andover Middle School North Andover MA has completeddie Conflict of Interest-raw online training program on w r 12/14/2015 Print Close Certificate Window Certificate L 11/13/15, 10:02 AM Certificate Ail Certz ate of Comycetion COO mon E Conflict of Interest Law g Barbara Anne ZCe fle y i History Teacher School Department North Andover has completed the Conflict of Interest .haw st onCine trainin T ram onTroN vember 2, 15 Close Certificate Window NO http://www.muniprog.eth.state.ma.us/page554968.htmI Page 1 of 1 12/15/2015 Certificate PO 'Cen ateOfiv orlon "C Not?TH Conflict of Interest"Law 2mfl laRt Teaching Assistant Kittredge Elementary North Andover Public Schools has completed tfie Confl ct of Interest xaw onl ne training yrogram on 12/15/2015 `' Close Ceflificate Window http://www.muniprog.eth.state.ma.us/page554968.htmi 1/1 a M ?#/5CE'C 16 aM ` l0�io37 tooet . Cert-i ca l F ta Conflict of Interest Law ' 1 ` A-1 b � . y f r�r i ➢' N .f x3 }3 ~ has com letec�t�e Conflict of Znterestlaw s r F p online trainingyrogram on _ 4 12/14/2015 r�C* te / �r �' p kdo c n \ `ri i I "Stattwcs Comm ssion Conflict of Interest Law ,I W [ :; has comyktedtfuConffia1gnteresr / I onfine trainfngyrq am1 ✓ { �1 iy t 11/3/2015 i l �•�`�.r t� r " -{(l�y,�tt r,+„y, [(1�,�yj� �:. a C��':' `A f�1='.,�a� - f(�v l` :;w �Z.�) __.... (�.�`l -. � ��1..+5�� �/ \ �` r} `/� \ =yY`�J��. /�,,. �'iyy •. 1:::.� �Y�Sr��-..�iitr}���_ ,:fix ,L_l. l'ii<`��!:.1. is, Close Certificate Window erti " ate o Com tenon r c p Stu* dam ssion. Conflict of Interest Law 'Caren Wim ELL Tutor School Town of North Andover has comyfeted the Conflict of Interest Law ` onCine training�.. rogram on November 2015 t Certificate in 7 TOWN OF NORTH ANDOVER VOLUNTEER SERVICE AGREEMENT I enter into this Agreement to volunteer uncompensated services to my Town and acknowledge that: I am(check one) Over 18 years of age Under 18 years of age(Parent/Guardian Consent Required) I know of no reason,medical or otherwise,which would prevent me from performing the required tasks; and that I have the necessary skill and ability to perform them. I hereby assume full responsibility for my own safety. Except where resulting from the negligence of the Town or its employees, I will hold the Town harmless from any injury to me or damage to my property and from injury or damage resulting from my own negligence. I will perform the volunteer service in compliance with the direction of Town Officials. Committee/Department Approval Date Volunt�r Signature bate Signature I give consent for my child to volunteer for the Town of North Andover. Parent/Guardian Signature Date Volunteer Contact Information Emergency Contact Information IC-- 6 �' Name Name q f d- 0�Isf fiK - Street Address Street Address N. ftd� 0(1gr City, State,Zip Code City, State,Zip Code 9- 13 - t, Y 0-3 Home Phone Number Home Phone Number Cell Phone Number Cell Phone Number Business/Other P one Number Business/Other Phone Number 2015 DEC 17 AM 10: 25 Certif icate qfm or M t SAt i DQl�f T- T^ `` Co letion Conflict orMi9terest Law Kathleen Keenan Library Director Stevens Memorial Library Town of North Andover has completed the Conflict of Interest Law online trainin program on i 12/13/ 015 J`ss� �•�°' h �7 12/17/2015 Certificate s TOWN � � ,pM 10� 52 w Cen cate of Cod iQn State Et its Commission NpRTH� , W. M ►SS A Conflict of Interest Law t j P �s Y a has completed the Conflict of interest"w a online trainingyrogram on 12/17/2015 t Print ,t. CeFtificate Window Certificate http://www.muniprog.eth.state.ma.us/page554968.html l/1 10/23/2015 Certificate 1015DEC p pM r ificateo Com Cent .p scats 5Com *Sion MASSAA;Nn' Conflict of Interest Law has com feted tFie Conflict of Interest Law ���'''� , p online training program on 10/23/2015 `'` NO 1qqFF Close Certificate Window http://www.muniprog.eth.state.ma.us/page554968.html 1/1 10/23/15 1:07 PM Certificate erti tcate of ComyCerion Sssto $Comfit► $6 Conflict of Interest Law Evaluation Team Leader 90A//1/4� Tc/l has R com feted the Con ct o gnteresr �"-'� � p f f .haw online training Yro =AA October 2 2015 Closed 7 Page 1 of 1 http://www.muniprog.eth.state.ma.us/page554968.html 1 Certi ftcate of Com �p�RK'S OF State s Com scion 0 PH Conflict of Interest �� ��° wY { has com, ked the Conflict of Interest l ary online training program on w to � r 12/1/2015 WindowPrint r Close Certificate I Certi care o sou CS Comm %ion 8 Q�10: 5� rcw _ Conflict of Int � - w v0-Tf S De6orah A. Wrenzer Kindergarten Teacher Annie L. Sargent School North Andover School District has completed t& Conflict of IlInterestt Law online trainingyrogram on f3 y r 11/13/2015 Print ficate Certificate i Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT an employee at a hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on Its- {datc) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. L2 Certi ate Comp lesion Sufi S Com lEIon Conflict of Interest Law Sa�S �Iqk I�' O v� has comp feted tfe Conflict of Interest Law online training program on 10/23/2015 low _ . VT �` CD N 0 rq w r; 10/27/2015 Certificate ' ' ateeComykdon Certi Stave I Cam Ion Conflict of Interest Law Carolyn LaPierre Teacher North Andover Public Schools North Andover has com,pleted the Conflict of gnterest Larv `'`' online training,program on s 10/27/2015 1W I Close Cerlificate Window N C9 `:)— CD -r, .r http://www.muniprog.eth.state.ma.us/page554968.htm] Certificate Page 1 of 1 ` Certifirate of Completton Sum s Comm scion Conflict of Interest Law Craig Remke IT Assistant Information Technology Town of North Andover bag comPleteb Olt Conflict of 3ntereot Xa W online training program on s 10/26/2015 MW L Wt +C'; CA ri s )0 .-4 .�rtf http://www.muniprog.eth.state.ma.us/page554968.htm1 10/26/2015 Certi " ate oJ Com tenon State s Com $Sion Conflict of Interest Law Charina D. L ynn Teacher School Department North Andover Public Schools has comfeted the Conf Pict of gnterest � !G Law 3 online training program on QM November S, 2(�15 Print, -Close Cer-fificate Window Ceri�ste C, c-„ vTt3C p" =nn1 �' Z cenftate of Comy lesion State cS Comas ssion Conflict of Interest Law has compCeted tFie Conflict of interest"w onCfne training program on 11/24/2015 1Close Certificate Window fV CO 3x n S>© O u, �*'► ny.�— S2" _ =C7C W�-�1 M1� W �.. Q r Certftate C om fet �f �o►n Stu CS cam scion Conflict of Interest Law has cm letec�te Con act egnterest f� la�w •,, onl ne trainft g program on 4.. + �. j� DSO 11/4/201 S tMa "' ClOse Cerlificate Windowrm 10/26/2015 Certificate Certift'ratie of Comptetton stag C«n scion Conflict of Interest Law 3"obn cabin Senior Foreman DPW North Andover 0s; comPleteb the Conflict of Intere.5t IaW s. scr�� online training program on W 10/26/2015 h � WindowClose Certificate MW Ul r � r 1, t1.ttli t�4n }."; ' O c?d http://www.m Lriprog.eth.state.ma.us/page554968.htm I 1/1 Certificate Page 1 of 1 Certificate of Compietton SU s cans ian Conflict of Interest Law Vbilip long Working Foreman - Parks and Grounds DPW North Andover s bafs MmPleteb the Conflict of 3nteregt Zak online training program on 10/29/2015 0 _ Chi c v _ o http://www.muniprog.eth.state.ma.us/page554968.html 10/29/2015 CerWicate 11/3/15,4:41 PM Cer*ate o Comyfetion os<Comm Nan Conflict of Interest Law 3udy A. Lawson Teacher Assistant School Department North Andover has com, feted the Conf ict of?nterest Law online training program on November 3 2C115 NP http://www.muniprog.eth.state.ma-us/page554968.htmi Page 1 of 1 Certificate 11/24/15 10:05 AM erti icate of ComyCerton sic. :COM W Conflict of Interest Law Christina Logan Assistant Teacher North Andover Public Schools North Andover has comyteted the Conflict of gnterest Law onCine trainin ro ram on November , 2 15 Close Certificate Window ^� J O c-, 3� vs S cn C3 trm*7 C a n< http://www.muniprog.eth.state.ma.us/page554968.htmI Page i of I Certificate Page 1 of 1 4 Certif tcate of Compietf opt state cs Com '$$ion Conflict of Interest Law ��tt�je� �.acollo Firefighter Town of North Andover North Andover Fire bag completeb the Conflict of 3nteregt Raba online training program on 11/13/2015 pft. http://www.muniprog.eth.state.ma.us/page554968.html 11/13/2015 Certificate Page 1 of 1 Ceruftcate of Compietton F Stag s Com sion Conflict of Interest Law Jameo lot ou Firefighter North Andover Fire Department t. North Andover bag comVleteb Me Conflict of 3ntereot Zalu online training program on w s 11/13/2015 H fi� op 4W P" C lose Certificate Window http://www.muniprog.eth.state.ma.us/page554968.html 11/13/2015 Certificate Page 1 of 1 `T 2015 DEC I I AM . 7 CErtif ittP Of cDIYPtiDIo , O NORTH ANDO State ics corn ss;ort MASSA CH,tl'F;' Conflict of Interest Law bteWn Z1. lanylois; 4 Custodian Town of North Andover jag completeb the Conflict of 3nteregt lad online training program on Thursday, December 10, 2015 O � 3 Z o ". � . C http://www.muniprog.eth.state.ma.us/page554968.htm1 12/10/2015 Certificate Page 1 of 1 Certificate of Completion Stag Sc ssion Conflict of Interest Law Rebin 3C.uttbp Firefighter Fire Department North Andover bag completeb the Conflict of 3nteregt 3Eata online training program on �11/3/2015 http://www.muniprog.eth.state.ma.us/page554968.html 11/3/2015 Certificate Page 1 of 1 Certificate of Completion State s Comm salon Conflict of Interest Law WiMam 3.Pntb Yr. Firefighter I North Andover bay completeb the Conflict of 3ntereot XaW online training program on W 11/11/2015 Pir�rt, http://www.muniprog.eth.state.ma.us/page554968.html 11/11/2015 Certificate Page 1 of I 3 ' w t I r FI 6faRWHOVveonvIetion T014N 0 MPIRI C mUm.. Merest Law �cttr �. �Cafonb Trustee Stevens Memorial Library North Andover bag tompleteb the aConflitt of 31term Ta1a online training program on 11/18/2015 Ln k a.. 11�4") — :)a) f > w W W ac» file)//C:/Users/user/AppDatwLocaVFemp✓Low/L44DJSNS.htm 11/18/2015 Certificate Page 1 of 1 Certtftcate of Completton State cs Comm scion Conflict of Interest Law Vf iam 3.ptub Yr. Firefighter Fire Department North Andover bag completeb the Conflict of Rteregt 3EaW online training program on 8/3/2015 `ss VW Close Certificate Window http://www.muniprog.eth.state.ma.us/page554968.html 8/3/2015 10/27/2015 Certificate " certificate of Comp lesion `stmc s Cmm -!oil Conflict of Interest Law r has com,pleted the Conflict of interest"w online training program on 10/27/2015 Close Certificate Window tie http://www.muniprog.eth.state.ma.us/page554968.html 1/1 � " Certificate of Comyletion Star« CS COM $Sion Conflict of Interest Law Icathryn lochrie Teacher - Atkinson Elementary School Board of Education North Andover E. t y has com ktedt-he con ict e interest.Law online trainingyrogram on 10/22/2015 # � Print: C ertificate t Ce ate° l s�E�l8 Of M / ldip Tolyt, of. et-�c �A�D��;y •� a Certg3cate of Comy StaGl cs Comm sion Conflict of Interest Law , lVo , /- Hoover �� 61�G Sc � oohs for /f K? fl n �ct� interest law has completed�tf- Co of online training program on �, •� 11/13/2015sst�jti. .��,,��'� Certificate Page 1 of 1 4 Certificate of Completton Sett: "a COMM Conflict of Interest Law MEMBER OLD CENTER DISTRICT COMMISSION TOWN OF NORTH ANDOV R bay completeb the (Conflict of lnteregt labu online training program on 10/22/2015 mom � a10 N c u http://www.muniprog.eth.state.ma.us/page554968.html 10/22/2015 Certificate Page 1 of 1 r VE 10: 27 TO W, tft 'too ' SUN s Com sslon Conflict of Interest Law �t�ttiep '�.im�pert Member School Committee Town of North Andover ' jag completeb the Conflict of 3ntereot Ubo online training program on N � 11/27/2015 y'bss� �1ac' http://www.muniprog.eth.state.ma.us/page554968.htmi 11/27/2015 CL ERrericateQCfi r r � �o: 37 StateI cs Cornet sSion TO f •� �3 lei {� ?t C onnict of Int C.o-+herm e.. L e- le, E �f has completed the Conflict of Interest law ' online training program on 12/14/2015 Cer0- Close Certificate 10/30/2015 Certificate o comyletion Swt. CS Comm I Oslo Conflict of Interest Law gcai&m .Luna Special Education Teacher North Andover Public Schools North Andover Early Childhood ent r { has com Ceted the Con ict Interest.Law p onCine training grogram on 10/3 0/2015 a '3M I SIR, close itr Window g 1/1 http://www.muniprog.eth.state.ma.us/page554968.htmi Certificate Page 1 of 1 certificate of Completion Statlt an Conflict of Interest Law .'uotin lacolla Communications Officer North Andover Police Department Town of North Andover hag tompleteb the conflitt of Uterest UW online training Program on s 10/26/2015 :�?�iF�OtTtt`d N1k1�N os :a rr� R 100I'll http://www.muniprog.eth.state.ma.us/page554968.html 10/26/2015 TOWN OF NORTH ANDOVER VOLUNTEER SERVICE AGREEMENT 3 l I enter into this Agreement to volunteer uncompensated services to my Town and acknowledge that: I am (check one): AOver 18 years of age Under 18 years of age (Parent/Guardian Consent Required) I know of no reason, medical or otherwise, which would prevent me from performing the required tasks; and that I have the necessary skill and ability to perform them. I hereby assume full responsibility for my own safety. Except where resulting from the negligence of the Town or its employees, I will hold the Town harmless from any injury to me or damage to my property and from injury or damage resulting from my own negligence. I will perform the volunteer service in compliance with the direction of Town Officials. Committee/Department Approval Date unteer Signature Date Signature I give consent for my child to volunteer for the Town of North Andover. Parent/Guardian Signature Date Volunteer Contact Information Emergency Contact I/nform/ation Zy,t-S Z� //L /Name / Name Street Address Street Address �,• .��tc�a✓ram, ./"(,,¢ D/�''U� S��� City, State, Zip Code City, State, Zip Code Home Phone Number Home Phone Number C Cell Phone Number Cell Phone Number -7) Business/Other Phone Number Business/Other Phone Number Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT 1 ,an employee at i r a wv ka-4r r lam! , hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certificate 10/26/15, 11:00 AM • ' ' to o Corn knon �s Certi a p sins s C cam salon. Conflict of Interest Law w[eg han .bong Teacher North Andover School Department North Andover has com feted the Con ict of gnterest ` Law online trainingyrogram on October 26 207.5Close Cenificate Window . . MW Fill ^ http://www.muniprog.eth.state.ma.us/page554968.htmI Page 1 of 1 TOWN OF NORTH ANDOVER VOLUNTEER SERVICE AGREEMENT ' .n�IUI l1" I enter into this Agreement to volunteer uncompensated services to my Town and acknowledge that: I am(check one): Over 18 years of age Under 18 years of age (Parent/Guardian Consent Required) I know of no reason, medical or otherwise,which would prevent me from performing the required tasks; and that I have the necessary skill and ability to perform them. I hereby assume full responsibility for my own safety. Except where resulting from the negligence of the Town or its employees, I will hold the Town harmless from any injury to me or damage to my property and from injury or damage resulting from my own negligence. I will perform the volunteer service in compliance with the direction of Town Officials. Committee/Department Approval Date lunteer Signatu e Date Signature I give consent for my child to volunteer for the Town of North Andover. Parent/Guardian Signature Date Volunteer Contact Information Emergency Contact Information Name Name 45 0 ��n 41:b Street Address Street Address City, State, Zip Code City, State,Zip Code Home Phone Number Home Phone Number W-1�� Q f-' 43 cg-? 3) Cell Phone Number Cell Phone Number Business/Other Phone Number Business/Other Phone Number Certificate Page 1 of 1 L Certificate of Completion Su c s car► ion Conflict of Interest Law Cbriotopber Rona MEO DPW North Andover . S Completeb the Conflict of 3intereot 'Late online training program on 10/27/2015CSj s�bss ` ,1�ca - u", ? rt � N http://www.muniprog.eth.state.ma.us/page554968.html 10/27/2015 , fah, its I_ �. o e rtgqcat-eo ecomykdon Sta1 - r 4 conflict of Interest Law tl � r t4 , y i k h 1 ^- F / 1 1 / / 1 �k ,+ flkt / / 1g / / 10/27/2015 y� f � Print Close Certificate Window Certificate G �10 Town of North Andover V ' Town Manager North Andover Town Hall 120 Main Street North Andover,MA 01845 amaylor@townofnorthandover.com Andrew W. Maylor Telephone (978)688-9510 Town Manager Fax (978)688-9556 June 29, 2015 Nancy Murphy 21 East Water Street North Andover, MA 01845 Dear Ms. Murphy: I am pleased to inform you that the Board of Selectmen voted to re-appoint you as a member of the Commission on Disability Issues. The term of this appointment is for three years, effective 7/1/2015 through 6/30/2018. Please make arrangements with the Town Clerk's Office to take the oath of office. They can be reached at (978) 688-9501. On behalf of the Board of Selectmen and myself, I want to extend our appreciation for the time and effort you have given on behalf of the community and thank you for your continued interest in serving the Town of North Andover. Sincere ndrew W. Maylbr Town Manager AWM/lab 1 cc: Town Clerk �u I �Sw��,►� TOWN OF NORTH ANDOVER VOLUNTEER SERVICE AGREEMENT I enter into this Agreement to volunteer uncompensated services to my Town and acknowledge that: I am (check/one): Over 18 years of age Under 18 years of age(Parent/Guardian Consent Required) I know of no reason, medical or otherwise,which would prevent me from performing the required tasks; and that I have the necessary skill and ability to perform them. I hereby assume full responsibility for my own safety. Except where resulting from the negligence of the Town or its employees, I will hold the Town harmless from any injury to me or damage to my property and from injury or damage resulting from my own negligence. I will perform the volunteer service in compliance with the direction of Town Officials. Vo nteer Si natu e Date Committee/Department Approval Date g Signature I give consent for my child to volunteer for the Town of North Andover. Parent/Guardian Signature Date Volunteer Contact Information Emergency Contact Information At?wr" ffil '&'F422 9 Name Name l r--dtt/b7 V Al / l'kulkn er 9CI Street Address Street Address lil Sao✓e�r City, State, Zip Code City, State, Zip Code _ 971 W fSW 9�� d d Psy� Home Phone Number Home Phone Number SW V 9 Y y05� ,�0�' (ln 2 9100 Cell Phone Number Cell Phone Number 9U q7q F1 ?3 CP17 7 X �-H27 Business/Other Phone Number Business/Other Phone Number TOWN OF NORTH ANDOVER 5 VOLUNTEER SERVICE AGREEMENT \ I enter into this Agreement to volunteer uncompensated services to my Town and acknowledge that: I am(check one): i""� Over 18 years of age Under 18 years of age(Parent/Guardian Consent Required) I know of no reason,medical or otherwise,which would prevent me from performing the required tasks; and that I have the necessary skill and ability to perform them. I hereby assume full responsibility for my own safety. Except where resulting from the negligence of the Town or its employees, I will hold the Town harmless from any injury to me or damage to my property and from injury or damage resulting from my own negligence. I will perform the volunteer service in compliance with the direction of Town Officials. Committee/Department Approval Date 4olu eer Signature Date Signature I give consent for my child to volunteer for the Town of North Andover. Parent/Guardian Signature Date Volunteer Contact Information Emergency Contact Information N me Name Street Address Street Address City, State,Zip Code City, State,Zip Code Home Phone Number Home Phone Number Cell Phone Number Cell Phone Number Business/Other Phone Number Business/Other Phone Number Certificate Page 1 of 1 Certificate of Completton Scam s COMM Conflict of Interest Law Robert Aubell HMEO DPW } North Andover bag comVleteb tlje Conflict of 3ntereot 'fain ��'S ��S`Ae online training program on w 10/27/2015 . .... ... . . ...... Close Certificate Window N _ tf� > —., L1_ C " pQ O �fiQ era 22: r- c http://www.muniprog.eth.state.ma.us/page554968.html 10/27/2015 Certificate Page 1 of 1 Certificate of completion Stag` s COM ian Conflict of Interest Law On= Amu Assistant Town Accountant Town Accountant Town of North Andover b4-5 tomPlOO Me Conflict of 3fnteregt RaW online training program on w A 10/29/2015 �'.-'A"Otl� H18ON ££ :8 NV 0£ 100 SIN http://www.muniprog.eth.state.ma.us/page554968.html 10/29/2015 Certi 1K 10/26/15,8:07 AM Al cer*ate of Comy Cecon st t. 'scolimmssion Conflict of Interest Law F Wristen Mider Special Education Teacher North Andover Public Schools North Andover Public Schools � ,yf has completed the conf'ct of Interest "' 1 Law online training pro ram on October 26, 20,q 5Pdnt Close Certificate Window Cerfiftate http://www•muniprog.eth.state.ma.us/page554968.htmI Page 1 of 1 Version 6: Revised May 10,2013 ----------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT �iStC� 1 ` �-e� employee I, ,an em to ee at_�(�I'��� 11'l �ILm en+LL,nU hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on 2 (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Page 1 of 1 f t Certifitate of Completton state cs Comm ssion Conflict of Interest Law Turf a At011rop Teaching Assistant Franklin Elementary School North Andover jag completeb the Conflict of 3ntereot XaW online training program on 10/26/2015 Print ,-Close Certificate 4ttp://www.muniprog.eth.state.ma.us/page554968.html 10/26/2015 s i Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, j Ce IC 0 ,an employee at hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on 1b 12.21. i (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 10/28/2015 Certificate f +. Certi ' ate of Com le lion State is Commission Conflict of Interest Law Justine Mento has compCeted the Conflict of gnterest"wILL ` t online training grogram on 10/2 8/2 015dnt �Ciose Certificate Window cerukate http://www.muniprog.eth.state.ma.us/pa.-e55496811M 1/1 Version 6: Revised May 10,2013 s ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, _ ,an employee at a L 1-6 llnl , hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on J (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certificate Page 1 of 1 (Certificate of Compietion Stave INS Conflict of Interest Law Zittbrebv iRattihas; Fire Chief North Andover Fire Town of North Andover jag completeb the Conflitt of 3nteregt Rai online training program on W 10/29/2015 y`'�ss _N rn E?1 http://www.muniprog.eth.state.ma.us/page554968.htmi 10/29/2015 Certificate Page 1 of 1 Certificate of Completion SUM S camt�scion Conflict of Interest Law Mabib Y. Olitticucti Chairman Board of Assessors North Andover bag tompleteb the Conflitt of 3uteregt ZaW online training program on 12/2/2015 rH Close II . Window O n� X= G/f A Q � C) http://www.muniprog.eth.state.ma.us/page554968.html 12/2/2015 Certificate Page 1 of 1 Xerfificate of completton , sum s Com scion Conflict of Interest Law 'eimoft ;WcOuire Fire Lieutenant Fire Department Town Of North Andover bao completeb tbit Conflict of Rterem;t 'data online training program on 10/26/2015 .,�,S:S`4ji ��•��' http://www.muniprog.eth.state.ma.us/page554968.htm1 10/26/2015 Certificate Page 1 of 1 Certificacte of �Completio S1AOi CS Com Rion Conflict of Interest Law Zittbreg 0.etncia Firefighter Fire Department Town Of North Andover Jag tompleteb the Conflict of 3ntere$t 3EaW online training program on 10/26/2015 Close Certificate Window http://www.muniprog.eth.state.ma.us/page554968.html 10/26/2015 Certificate Page 1 of 1 Certificate of Completton Scats cs Comm ssion Conflict of Interest Law 3robn C jaccletian ff North Andover Fire Dept Town of North Andover bad tompleteb the QConflitt of 3ntereot Rau online training program on r., 10/28/2015 ,St, Close Certificate Window http://www.muniprog.eth.state.ma.us/page554968.htm1 10/28/2015 L Pi x 2015 NOY 25 AM 9= 06 NORTH ,Mai Vr state ics Comm ssion • SSAC1','� i ry s® `Mel owls , o Connor Morin ram` ` Rp�rp�tinn Cuff �.t��� td_ C _ .. � vices F f t Nor'. iil�diive i � f r Print Certificate Certificate Page 1 of 1 WaCerfifftate of Completton ' StaO� s Com oil Conflict of Interest Law MEMBER BOARD OF HEALTH NORTH ANDOVER ba-0 complettb tbt Conflitt of 3ntertot KaW ,5.Ic S`C'�G online training program on w 11/18/2015 `'bssa 11�Ov-SSvW HINON rr.�A L.1 :01 WV O£ AON S1OZ http://www.muniprog.eth.state.ma.us/page554968.html 11/18/2015 Certificate Page 1 of 1 t{9.' Certifitate of Compietion M s LSE lion Conflict of Interest Law Rucinba 3B. ;Ma"a Assistant Library Director Stevens Memorial Library North Andover, MA bag comP[eteb the Conflict of 3ntereot XaW ��}��s � s'�'•�G online training program on 12/16/2015 CV —� C QN to http://www.muniprog.eth.state.ma.us/page554968.html 12/16/2015 Certificate Page 1 of 1 ` Certiftrate of Compietton Stad� s Com "Ion Conflict of Interest Law William 3 Aceartbp Deputy Fire Chief Fire Department Town of North Andover bag tomVleteb the Conflict of 3ntereot Raln �4cy�s online training program on A 10/26/2015 http://www.muniprog.eth.state.ma.us/page554968.html 10/26/2015 11 2015 Certificate 04 kft _.N. <- 4 "f 'rate ertt �o f Complet , ton Conflict of Interest Law s J � } t ba,5 completeb the Conflict of Interev law online training program on 11/3/2015 Close Certificate 'n ow http:/ANvvw.munprog.eth.state.ma.us/Page554968.htmI 1/1 Certificate Page 1 of 1 Certificate of Complettort Stew CS Com Won Conflict of Interest Law ron mmutt ff/emt fire department north andover baml tontpleteb the Conflitt of 3ntereot Rai online training program on :W T r � 11/23/2015 PRO http://www.muniprog.eth.state.ma.us/page5 54968.html 11/23/2015 11/4/2015 Certificate Il cer*atv ecomyfmm Shoe cs Comm ssion Conflict of Interest Law Grace 9 uryhy t Fias completedthe ConjRd of lnterest.raw online traimiVyrogam on y ` 11/4/2015s,.;, vlx "Oncep I°I°191j�i 3' I certificate of Comp lesion sutee CS Comm ssior Conflict of Interest Law has completed du Conflict of anterest law online training program on 10/23/2015 ` �A ." ce ., CloseCertificate Windy Certificate 12/7/15,7:07 PM Ili ` Certi ' ate of comyfedon State s Com ssion Conflict of Interest Law 3ose h A. . �Vl.annin p g Teachers Aide t School Department NAHS has com,p feted the Conflict of Interest Law ;� t online training proArarn on December 7, 2Q15 Close Certificate Window �j o --'' CA;* fM u cn--I--f n '':, �=: N I > MO MO C17 http://www.muniprog.eth.state.ma.us/page554968.htmi Page 1 of 1 Certificate Page 1 of 1 ;Certif irate of Completion Staor. s Cam ion Conflict of Interest Law Obauu Morgan Teacher Lawrence Public Schools Lawrence bay tomtlleteb the Conflict of Intereot Rai online training program on 2/6/2015 `' ' http://www.muniprog.eth.state.ma.us/page554968.html 2/6/2015 CEIVED Certi ' 'e letion S to Com ision uV NORTH I NDL-nr ;.; Conflict or in st La w S,,, Ma, 1 . has completed the Conflict of interest ia►v � `" onPme training program on w 12/4/2015 Close /f Certificate Page 1 of 1 Certificate of Completion Su s Com scion Conflict of Interest Law SCHOOL NURSE THOMSON SCHOOL NORTH ANDOVER . S f jag completeb the Conflict of 3ntereot RaW �y,� jL online training program on 12/3/2015 N 4 o ;^ cn:u M r W 'rim Mc O CA http://www.mu pprog.eth.state.ma.us/page554968.html 12/3/2015 •1 . 1 i Certi f irate of S tua s Comm sion Co �et ion Conf lict or, terest Law Joseph McCarthy Member Board of Health r North Andover has completed the Conflict of ;�`' S/`�-�r_ Interest Law online traininngg program on f a 11/18/�015 yes. car Certificate t0 :1 Wd 61 AOM S10Z Certificate Page 1 of 1 certfffeate of Completion stag s Comm slcn Conflict of Interest Law FRANKLIN ELEMENTARY SCHOOL NORTH ANDOVER PUBLIC SCHOOLS NORTH ANDOVER bay rompleteb the Conflict of Ntertot Xaia online training program on 11/18/2015 PfttA C00,001 Da "' a 2 C� '-1 N http://www.muniprog.eth.state.ma.us/page554968.html 11/18/2015 Certificate of Completton Stacie s Comm ssion Conflict of Interest Law CCAlfL4 /Z 60 „ C bag completeb the Conflict of 3ntereot Rani �G online training program on 11/16/2015 Print Close Ceilificate Window Cermcate _O =2: C� }' U) W ' I 1 1 �erttfirate of ��ett�ll� Sty Goren Conflict of Interest Law Cm Q Office Assistant .mom h• N� Elder Services =4.~ - - o North Andover, MA �a COMPIMb tot Couffitt of jutereot 3ERtu 6m t. oultut training program an 12/8/2015 Certificate Page 1 of 1 (Certificate of Completion 5taa es Corn Sion Conflict of Interest Law joartite 01ccap Outreach Assistant Senior Center Town of North Andover jag comPleteb the Conflict of Ntereot Kahn online training program on 11/6/2015s X= �+ v EA rn TjC:) O http://www.muniprog.eth.state.ma.us/page554968.html 11/6/2015 Certificate Page 1 of 1 Certificate of Completion Stab Sc T1 lion Conflict of Interest Law loge morel bus driver elder servises north andover senior center jag completeb the Conflict of 3uteregt 3Eabo ��-4n�� online training program on Y 1 12/4/2015 0 C7 t�j 7 ,n M C? http://vvww.muniprog.eth.state.ma.us/page554968.html 12/4/2015 Certificate Page 1 of 1 Certificate of ton Stet! Cs Comm ssion i Conflict of Interest Law f Vaui jsurpbp HMEO DPW North Andover Ija�c tOmPleteb tlje Conflict of 3nttregt 3.ala online training program on 7 12/8/2015 tV Q C^ l_1 i-" rwl �< r, C4cc 4 t3 W http://Www.muniprog.eth.state.ma.us/paize554968.htm] t'1/o/ant e Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT an employee at hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal 4 e lo�ees,revised May 10,2013 � 5 (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 WA ' Certif c ate 0 Stat. cs Comm ssio} Co Oletion Conflia o ffiterest La-vv c Maols r n . � C") Cl� r hds c4mp Ieted the Con f I ict of Interest Law w online trainirt4 Drogr�jm on 1 lO 1 . s Fficate t Mfn•/A.n.n.,i +�+cMfn mo� __.aL2A Mml 'I/'1 Version 6: Revised May 10,2013 ------------------------------------------------------------------------------ ACKNOWLEDGMENT OF RECEIPT CkCi'16ACZJ� (_ ►r,Je,an employee at l,Z hereby acknowledge that I received a copy of the summary of the conflict�of interest for lunicipal employees,revised May 10,2013,on _11 � iZll (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certificate Page 1 of 1 AML Certif ttate of (tompletton Conflict of Interest Law ar-id-Mc, �c-Qv� bao tompleteb the Conflict of 3ntereot la � s`��� d online training program on 11/12/2015Certificate Print u !� mhtml:file://C:\Users\Kevin\AppData\Local\Microsoft\Windows\Temporary Internet File... 11/12/2015 Certificate Page 1 of 1 Certificate of Completion State $Com Sion Conflict of Interest Law �'a�ttte� f�.ea�Iep Assistant Superintendent School Department Town of North Andover bag t*MVleteb the OCDttflitt of 3tttereot 3.ata ��`s �S'c�{�� online training program an w 3 m 11/23/2015 .1* C^ :Z R Q http://Nvww.muniprog.eth.state.ma.us/page554968.html �1/23/2015 Certificate Page 1 of 1 Certificate of Completion Stan S Comm scion Conflict of Interest Law 193AS 0IM&OW113L TEACHER KITTREDGE ELEMENTARY SCHOOL NORTH ANDOVER jag tompleteb the Conflict of Ntertot 3.aW online training program on s 11/23/2015 a Window http://www.muniprog.eth.state.ma.us/page554968.html 11/23/2015 r Ce rtfftcateComykdon sum a c(M"n on Conflict of Interest Law 0 I)K E has com feted the conflict of Interest law online training program on 3 11/17/2015 Print Close Ceitificate Window i COCertificate ty l�f.'�';� a.► t--t--t17 _) UIA 'T` o N M! Certificate of Stag ics Comm Won Co letion Conflict of Iliterest Law Joseph McCarthy Member Board of Health North Andover has completed the Conflict of Interest Law online trainingg program on 11/ E 015 CV d a x - fir.C"7 C: O C) Certificate Page 1 of 1 Certfficate of Completion State s Comm salon Conflict of Interest Law MEMBER NORTH ANDOVER CULTURAL COUNCIL NORTH ANDOVER bag tompleteb the Conflict of Nteregt Kato online training program on 11/18/2015 4Qi 4rIA co t..rt © <"7 W http://www.muniprog.eth.state.ma.us/page554968.htmi 11/18/2015 Certificate Page 1 of 1 Certificate of Completton Stag S CM salon Conflict of Interest Law MEMBER NORTH ANDOVER CULTURAL COUNCIL NORTH ANDOVER hao completeb the QConflitt of Ntereot Xaio online training program on 11/18/2015 c� C= _O r'9 y`>p Z. DCD h 0 http://www.muniprog.eth.state.ma.us/page554968.html 11/18/2015 L.. 10I5DEC p ; 27 Cer*ate of Com N OF N TN �+NDOVER Stag s Comm n scio MASSAC�ry I� Conflict of Interest Law Awfia ftmmolo Administrative Assistant i 4 has com Ckedtfie Conf&T of Interest I" ~ one training program on 11/30/2015 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT � r I ,an employee at oY`YwLL r hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised7 10,2013,on I �j it )/ '(dad) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 1 1 certfftcau of Y ` Conflict of Interest Law , ,. 146ecca ftfnick Teacher _,S f f has comyktedtfu1 r1 r i F 12/10/2015 Print Cerfifta i a. ,� _• _�� a __. Close Certificate Window t. Certificate d fA� :Certi care of ComyCaion o C Cn _ . Conflict of Interest Law =� �7 has com Ceted the con is interest.haw onCine training program on 12/14/2015 ` CloseCertificate http://www-muniprog.eth.state.ma.us/page5.54968.htmI 1/ Certificate Page 1 2015 DEC 17 AM I : 27 certf f t caste o f �Co It on NORTH ANDOY, State CS Commssion Fi' SSACNt} r Conflict of Interest Law Reference Librarian Stevens Memorial Library North Andover hao completeb the Conflict of Nteregt lava online training program on y " a 12/5/2015 Print Close Cerfificate Certlticats http://www.muniprog.eth.state.ma.us/page554968.html 12/5/2015 12/16/2015 Certificate ANIL E MOIL- certificate o C Conflict of Interest Law PE9JER %MRTIOME TEACHER J"4 JL,, E J�� SCHOOL com feted the Conflict of Interest.Law online training program on 12/16/2015 . Print Close twCertificate Window I 1/1 http://www.muniprog.eth.state.ma.us/page554968.htmi Certificate Page 1 of 1 Certificate of Completion Stan cs Gom ssion Conflict of Interest Law Zinbrew OWD eb to Vice Chairman School Committee North Andover am; compfeteb the Conflict of 3ntereot 3EaW online training program on November 23 2015 `'bss _ r Monday, 0 3 CD rFn CD o �~� en W _ O http://www.muniprog.eth.state.ma.us/page554968.html 11/23/2015 Certificate Page 1 of 1 Certificate of Completion Slaw s Comm ssion Conflict of Interest Law SCHOOL NURSE THOMSON SCHOOL F NORTH ANDOVER jag completeb the (Conflict of 3ntereot labo attune training program on 12/3/2015 �6SSVh. 3`���aCa` Cs�e N o ---f c� �.,�,�`•_ ( two(') ( rp :3C «7 0 V1 http://www.muniprog.eth.state.ma.us/page554968.html 12/3/2015 Version 6: Revised May 10,2013 ----------------------------------------------------------------------------------------- /�- - -- '�.- 2 ACKNOWLEDGMENT OF RECEIP s$N A N, _, I� ,an employee at .4kti6 hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 M` To;g' CE711 IED Version 6: Revised May 10,2013 `015DE.t/� IS pi t �2S 2 7 n -x '? n-�---- -------- ------ ------ - -------------- --- ------------------- ----- ------------ --11 �ASSAC�t��;4�:..7. ACKNOWLEDGMENT OF RECEIPT an employee at ;�� UJI6 ��lnoc�t hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10, 2013, on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary. Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 12/10/15,3:06 PM Certificate v 2oisoEe � fen ate f ComyCet"Cj,,, _ SU Com ion Conflict of Interest Law Trancene Maiffoux IT Support Analyst North Andover Public Schools North Andover has com feted the Con ict of gnterest '` Law . online traininV., ro ram on December 2,15 ` Close Certificate Window http://www.muniprog.eth.state.ma.us/page554968.htmI Page 1 of 1 QK Version 6. Revised May 10,2013 - - _, 1015 DEC 15 PM 12: 21_ M TOWN G ACKNOWLEDGMENT OF REC H +' D)yrj' TZ ''7 ; an employee at hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on LZ (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certificate 10/23/15, 10:29 AM cer*ate Of comycetion Stad6 s Cam tan Conflict of Interest Law: gcimberl Manning g Special Education Teacher School Department North Andover has completed the Conflict of gnterest �y Law online trainingA progAram on October 21, 20 5 k I Close Certificate Window R - http://www.muniprog.eth.state.ma.us/page554968.htmI Page 1 of 1 Version 6: Revised May 10,2013 ------------------------------------------------------------------------------------------------------ ACKNOWLEDGMENT OF RECEIPT I, t'f3/✓ ne_I"Loo/✓ ,an employee at hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on �3- 0016- (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 10/27/2015 Certificate l Certif icacte of Completion Ssaa► s Com *Sion Conflict of Interest Law lean Acfroon Administrative Assistant School Department Town of North Andover bag completeb the Conflict of Interest KaW online training program on 10/27/2015 P-11ft Close Certificate Window http:/twww.muniprog.eth.state.ma.us/page554968.htmi 1/1 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I ,an employee at /:;�fi lclljl? hereby acknowledge that I receive a copy of the summary of the conflict of interest law for municipal employees,7ed May 10,2013,on ( te) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 10/26/1S,9:15 AM r � h Cer*ate of Comykdon curt« �sia�n Conflict of Interest Law Susan %furgo Grade 5 Teacher School North Andover has completed the Conf"ct of gnterest Law online trainingpro ram on .� October 6, 24 5Close Cenificate Window http://www.muniprog.eth.state.ma.us/page554968.htmI Page 1 of 1 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, L ( Z A m qrL, H A ii,,an employee at 1%,2 P n i--t in) hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on t o Ija"�/ 11 �- (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certificate Page 1 of 1 (Certificate of Completion SU :cOwn Conflict of Interest Law Qlh�abetb Olarobati School Nurse North Andover Public Schools North Andover bafs tompleteb the Conflict of 3ntereot laio online training program on , 10/29/2015 , � 1 http://www.muniprog.eth.state.ma.us/page554968.html 10/29/2015 Certificate 11/30/15,7:06 PM ' Certificate of Com tenon p State s Com son Conflict of Interest Law Motty %talandrino Support Services Coordinator North Andover Youth & Recreation Services State Employee has completed the Conflict of gnterest Law onPine trainin ppro ram onFri November U, 2�15Close Ceilificate 6s Window N r fj r M e MO < A � CO http://www.stateprog.eth.state.ma.us/page554968.html Page 1 of 1 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I ,an employee at hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 10/27/2015 Certif cate Agk certificate of Comp tenon Conflict of Interest Law has compCeted the Conflict of interest-Caw ti online training program on 10/27/2015 AlClose Certificate Window http://www.muniproo.eth.state.ma.us/page554968-html 1/1 R• \ t 3 1 + -; fKr \ i rx yet \ I' ,p i..f „� , ::/ I ,{state CS Comm ssion 0 certftate of Comyfetion t <f Conflict �t t � t f Interest Law / I j4j1 / Ir has comyfeedthe conflia of interestraw I& 1 10/22/2015 q.. Close Certificate Window Version 6: Revised May 10,2013 ACKNOWLEDGMENT OF RECEIPT I, r�� t 6 , an employee at f�1�IC I Q yl Qiy, , hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10, 2013, on date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 L � �r _.�S �,, .?,.•.p+' t N J� a i 4 e4 c 4 INt . � } i . z' Close Certificate Window VII Version 6: Revised May 10,2013 jjCC -----------------------------------------------------------------4{�ICMC f$--M ------------------------- fD: 54 To ACKNOWLEDGMENT, 'nAS3A&H_71S7F.rTS an employee at hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on 11 S (hate) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 :ertificate' 11/6/15,3:06 PM Certi' " ate of Comyktton Star s Commission Conflict of Interest Law .visa %luffane Teacher fi k North Andover Public Schools has comytetedthe Conj'-trict of Interest � . '`' Law onCine training ro ram on November 6. 2015 s Priri �� cericate http://www.muniprog.eth.state.ma.us/page554968.html Page 1 of 1 12/8/2015 Certificate .- tt 2015 BEC 24 QM 11= 38 Ce comykdon tjOR�H A V MASSkCNLSE; : State cs Commission Conflict of Interest Law jennifer %lungovan t t Special Education Teacher North Andover Public Schools a North Andover, MA has com fetedt ie Con act iInterest law online training program on 12/7/2015 ,`` Print "Cow «! ' w r `Certificate t http://www.muniprog.eth.state.ma.us/page554968.htmI 1/1 12/11/2015 Certificate AMM Cenftate of ComyCaion state CS COM n Conflict of Interest Law BeverC McCarthy Teacher Assistant N North Andover Public Schools, Town of North Andover Pubic oCO ch?Interest is ,. o o has com,pCeted tFi a Con &ct "tiv onCine training program on 3 t 12/11/2015 sit http://www.muniprog.eth.state.ma.us/page554968.html 1/1 4 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, MUIUMM , an employee at Wrffi —Amd ov ey Add) hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10, 2013, on ( ate) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary. Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 vC151U11v. 1CGVIJCUmay IUDLU1J ______________________________________________________________________________________________________________________ 12/9/2015 Certificate 1 �Certificate of Completton Conflict of Interest Law a I)" con- 'PletO OR (Conflict of Interot law online training program on 12/9/241 S Cam• Window N cn= rn to--t n = w CO http://www.muniprog.eth.state.ma.us/page554968.htmI 1/1 Certificate Page 1 of 1 M7&rtifitate of Compaction Stag S Com Solon Conflict of Interest Law Craig Ocott Raombaunt Lieutenant Fire Department North Andover bag completeb the 'Conflict of Interest Rai online training program on w 10/22/2015Pft _._cwwkmft http://www.muniprog.eth.state.ma.us/page554968.html 10/22/2015 Certificate Page 1 of 1 Certif icate of �Complet , Stags c*Com *Sian Conflict of Interest Law RpOtt ,OtCOYOot Firefighter/EMT North Andover Fire Dept Town of North Andover bag tOmPItttb tbt Conflict Of 3nterPgt 3.abo Otthne training program an w s 11/13/2015 `' low 'low c http://www.muniprog.eth.state.ma.us/page554968.html 11/13/2015 Certificate Page 1 of 1 4 Ceruffcate of Compietton SUN 6 Comm Sion Conflict of Interest Law An , malt Firefighter North Andover Fire Department Town Of North Andover bag comPitteb W Conflict of 3nteregt 3Eaio onhnt training program on w 11/3/2015 bh T up i C http://www.muniprog.eth.state.ma.us/page554968.html 11/3/2015 Certificate http://www.muniprog.eth.state.ma.usipage55496h., Certifuate f Com letion p Star. cs COM Istion Conflict of Interest Law M ck"rg VICOSia Waste Water Mechanic Department Of Public Works Town Of North Andover has compLowd the Confia of Interest.law online training program on 11/11/2015 CloseCertificate C Q � Ef! O t rr yxC.) cl3,_ tv ,j I-T1, 00 to 1 of I 11/11/15, 10:58 AM Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT an employee_at f f hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on IIq , I j_ (date) i Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 �g � • • g y, j 3NO- .. g j Toil PE -- - t� ` Certi ' ate o Com zoos f&l5ft 1. 03 Sqw os Comm ssion NG 1,0,,RTH e" MASSA Conflict of Interest La w y Patricia sett I i has completed the Con' rict of interest .haw � 3 online trainin ro ram on November 11, 2 15 s Print Certificate Certificate Page 1 of 1 tificate of Completi9p aR `A' Q, S tun s Com sio� C Conflict of Interest Law Irene Noble Occupational Therapist 4 Sprcial Education Dept North Andover has completed the Conflict of Interest Law � ` S'Crr online training program on 7 b 11/19/2015 Prw I Gert�[cate WindowClose Certificate http://www.muniprog.eth.state.ma.us/page554968.html 11/19/2015 r Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I. an employee at k-�M—h ABhvev AM ht)o I hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10, 2013, on ( ate) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary. Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 12/9/2015 Certificate ttCertif icate of Comptettou Com Conflict of Interest Law i IG baz completeb the Conflict of 3Interem 'Law online training program on , 12/9/20155 ............ y■�I Close Certificate 4lTI �7 O_ 3a "' y.o rn U mC C,J CO http:/twww.muniprog.eth.state.ma.us/page554968.html 1/1 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT a to �� Ge'v ✓''KWIC n emee at bc"'+4( employee hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10, 2013, on L2Y r/I ' (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary. Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 10/26/2015 Certificate Certf ftcate of comyCetion ASS Stake, CS Com Mon Conflict of Interest Law Joan Mc cue has com Ceted the Con ut of interest Law oO , online training program on 10/26/2015Close Certificate WindowE 5�. f k fi p://www.muniprog.eth.state.ma.us/page554968.html 1/1 3 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, / �17�G,JYler an employee at �l�ot,�P�--�1�� ��. kwf hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10, 2013, on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certificate (�'�}��'(k 12/7/2- rrfftcate of ComyCetim 6f COm Lion Conflict of Interest Law I f has com Cetedthe Conflict of interest law onCine training program on 12/7/2015 rove P" AnalClose Certificate Window i �9= x C= Cm 1/1 http://www.muniprog.eth.state.ma.us/page554968.html 1 ' Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT Na �h (TovAl op I, ?6k+r 6f , an em to ee at �Orp� n MPN YA , hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10, 2013, on D:f«n b a (date) S Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it 12 Version 6: Revised May 10,2013 ACKNOWLEDGMENT OF RECEIPT I, Carol / araha' �� ,an employee at 7hl""50n �tmcn71� r hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (date) 52 C> CA 3>p C3 cNn�—t n fi` t CD t- Municipal employees should complete the acknowledgment of receipt and return it to the individual who pro &em Bak a of the summary.Alternatively,municipal employees may send an a-mail acknowledging receipt of the summgo� ; the in�vidu W who provided them with a copy of it O 12 .rtificate Page 1 of 1 cerfifftate of completion t Staff Com ioa.. Conflict of Interest Law carol oa.roball Teaching Assistant School Department Town of North Andover bao completeb the Conflict of 3nteresct XaW online training program on 12/15/2015 'Row -low O_ J C� rn tp://www.muniprog.eth.state.ma.us/page554968.html 12/15/2015 Certificate 10/23/15, 10:29 AM `i cer*ate of Comykdon Com Conflict of Interest Law Wimberly %fanning Special Education Teacher School Department North Andover has completed the Conf Pict of gnterest Law online trainingA progAram on October 2�3, 2015 ,qw 14W low Close Cerlificate Window v 3 C.M G7 inxs t�..y http://www.muniprog.eth.state.ma.us/page554968.htmI Page 1 of 1 27 Certificate of Comp Sato C15 Comm scion SSA , Conflict of Interest Law Ice.C� Martinez Teacher North Andover Middle School North Andover has completedthe Conflict of interest Law ..jre online training program on 12/14/2015 Print Close Cerlificate Window Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I. I d Z an employee at hereby a owledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10, 2013, on date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 tREMVEQ FI 3 ' 4 Certificate o mjfmuft scat1 aCOMMSion NORTH ANDOW R MASSA CTT^ Conflict of Interes�'law �r f has c the Conflict of Interest Law online trainingyrogram on 12/14/2015 P", Certificate Window w �n 1 antzovrc n l Certificate Page 1 of 1 { Certificate of Completion Cm Conflict of Interest Law IRaria Oaibagtta Jftoittger Trustee Stevens Memorial Library Boad of Trustees Town of North Andover bao completeb the Conflict of 3ntereot 3.aio online training program on Monday, December 14 2015 C'3 http://www.muniprog.eth.state.ma.us/page554968.html 12/14/2015 rv�lu Cert i 'care Com Cetion scams CS cOm p Conflict of Interest Law —��n o(�� b: has completecfthe Conflict of Interest Lativ '` online training program on r 10/26/2015 �. 14 Close Certificate Window� TOWN OF NOR TH ANDOVER VOLUNTEER SERVICE AGREEMENT I enter into this Agreement to volunteer uncompensated services to my Town and acknowledge that: I am(check one): Over 18 years of age Under 18 years of age(Parent/Guardian Consent Required) I know of no reason, medical or otherwise, which would prevent me from performing the required tasks; and that I have the necessary skill and ability to perform them. I hereby assume full responsibility for my own safety. Except where resulting from the negligence of the Town or its employees, I will hold the Town harmless from any injury to me or damage to my property and from injury or damage resulting from my own negligence. I will perform the volunteer service in compliance with the direction of Town Officials. Committee/Department Approval Date Volunteer SigKature Date Signature I give consent for my child to volunteer for the Town of North Andover, Parent/Guardian Signature Date Volunteer Contact Information Emergency Contact Information okafilda 090r keno 0f Name Name 3 4 /e o f ,/ Crr.r t y,G #-i� .S% 4 Street Address Street Address City, State,Zip Code City, State,Zip Code em ) - ah? - i1-7 6 J1A ome Phone Number Home Phone Number 391 -d194 (W ) y/7 - 2 ,F79 Cell Phone Number Cell Phone Number —Jf 4 Business/Other Phone Number Business/ ther Phone Number Certificate Page 1 of 1 ( eruficate of completion Staft es Comm:ssion Conflict of Interest Law Jeuntfer Roupen Clerk Treasurer/C o I lector's Office Town of North Andover bag cOmPleteb the (Conflict of 3nteregt lafu online training program on 10/28/2015 10 qF Print 60se IIiir . ndow M ll� Certificate . rt1tIP� 'N^tlf �y •t� '�•1•'a�U l =+� Rd gZ1a�S101 http://www.muniprog.eth.state.ma.us/page554968.html 10/28/2015 Certi 'care Com Cetion . � p Sam' a Com ion Conflict of Interest Law /Vo r-C o 14416161,01, p u-b lrC �a - has compCeted the Conflict of gnterest law onCine training program onAz ` : s 10/29/2015 ' . . Certificate AOL 4 CenifiateeComyCetim Sta 05 ccxn[�s3ion;, Conflict of Interest Law Ole- &2s com Ceted du Coct n i Interestfaw p °f onCine trainitV program on r 11/10/2015 `' Certificate Page 1 of 1 -AVA� AWL Ce i rt f irate of sna s con, ssion Co Oetion Conflict oil terest Law Nicole Naehle Lifeguard North Andover Youth Services State Or County Employee has completed the Conflict of Interest Law ` online traininngg program on y 8T3 B 15 PrMt Close Certificate Window� CWW"s http://www.stateprog.eth.state.ma.us/page554968.html 8/3/2015 11/23/2015 Certificate certtfitrate of Comptet ,ton Stao� s Com "Ion Conflict of Interest Law 1 . 1 G � eer 6A)ti I bay comPleteb the Conflict of Interest Raw online training program on A 11/23/2015 P" Close Ceilificate Window http:/twww.muniprog.eth.state.ma.us/page554968.htmI 1/1 N 2 _ Certf ` ate of ComyCerion = tr q' State-Ethics Cor mission Conflict of Interest La jkl� .: IE has comyteted the Conflict of Interest"w on training program on ti 10/26/2015 } Print -Rig °. Csa to 0 NA= M C7 9P 12/312015 North Andover Public Schools Mail-North Andover Ethics and Conflict of Interest Update NAPS O'Neill, Kathleen a ndover ubli > t1,� p cschools.com 7 '.v. Powered by Google North Andover Ethics and Conflict of Interest Update PM12: 27 1 message do 9 y@peopleis.com <do not re I _ _ p y@peoplegis.com> ASS /{�t4 r n, Nov 30, 2015 at 10:33 AM _ T oneillk northandoverpublicschools.com Thank you for updating your Ethics and Conflict of Interest information. You will receive a reminder when it is time to renew next year. You may review or update your information for this year using the link below. The record can be viewed at the following URL: http://www.mapsonline.net/northandoverma/forrns/template_ select.php?id=871488568&j um p=f8de5Of 1033fb4f697f3116aa4517c35 https://mail.google.com/mail/u/0/?ui=2&ik=fa2a644353&view=pt&q=do_not_reply&qs=true&search=query&th=151590719228242d&siml=151590719228242d 1/1 Certificate 11/11/15,1:48 PM Certi ate of Com cetion sti cs c on ii-Sion Conflict of Interest Law Lisa Orkney Teaching Assistant North Andover Public Schools Town of North Andover has com, feted the Confliict of Interest .haw f online trai'n' In ro ram on November , 2�15 Close certificate Window http://www.muniprog.eth.state.ma.us/page554968.htmI Page 1 of 1 Certificate Page 1 of 1 p Ip�l Fe{ikV,o..= Certificate of Completion co Conflict of Interest Law 33.41,041 ®9 6A,341 E DIRECTOR COUNCIL ON AGING NORTH ANDOVER bafc tomPieteb the QConflitt of .3ntereot 3UW � �* online training program an ; 10/26/2015 http://www.muniprog.eth.state.ma.us/page554968.html 10/26/2015 Certificate Page 1 of 1 erttficact� of Completion cam Conflict of Interest Law DIRECTOR COUNCIL ON AGING NORTH ANDOVER hag comPleUb tide 0onflfct of 3nttrtot 3UW online training program on , 10/26/2015 � i http://www.muniprog.eth.state.ma.us/page554968.html 10/26/2015 Certificate Page 1 of 1 ertificate of Conpietton H� Conflict of Interest Law '33MI 41 ®13931341,0 DIRECTOR COUNCIL ON AGING NORTH ANDOVER bAs; tomPleteb the QConflitt of .3nternst 3CaW � online training program on . 10/26/2015P1 'M� 1qqPW I I http://www.muniprog.eth.state.ma.us/page554968.htm1 10/26/2015 Certificate Page 1 of 1 Certfffeate of Compietton s x. cam„ *n Conflict of Interest Law MMAC 013MM.0 DIRECTOR COUNCIL ON AGING NORTH ANDOVER W COMPleteb the Conflitt of Ntereot 3Eab) online training program on fly 10/26/2015 CAW C-.) - h�,,� CD http://www.muniprog.eth.state.ma.us/page554968.html 10/26/2015 Cenftate of Comykdon F 6 Cam !on Conflict 1Interest Law 'k A h4S comykredthe Conflia�Fgntffesr-raw rL. 1_ I �r t � f f! 5 S i. r Print Close Certificate Window Certificate Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT t t an employee at hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on Ig 5-- / I s- (date) , Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Ceni cafe of Comykdon D Conflict of Interest Law 5, has com CetecCthe Con ict of gnterest Law onCine training program on 11/10/2015 , Version 6: Revised May 10,2013 ----------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT an employee at hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on I0 - / 5-- (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certificate Page 1 of 1 Certificate of Compietton Stag S Com $Ian Conflict of Interest Law 3roatt Ouellette Firefighter Fire Dept North Andover bag completeb the Conflict of 3ntereot XaW �����s � s'cl•� online training program on 7 A � M 10/22/2015 P" A��j http://www.muniprog.eth.state.ma.us/page554968.html 10/22/2015 Certificate Page 1 of 1 ertificate of Completion Snt* s Com sion Conflict of Interest Law Jane E. Osgood Instructional Support Staff j North Andover High School North Andover Public Schools has completed the Conflict of Interest Law online training program on 11/4/2015 PdrA O Ctf .+lam t k r; hq://www.muniprog.eth.state.ma.us/page554968.htm1 11/4/2015 j 10/31/2015 Certificate .y [ VED v13 AM10: 24 lot �NOF RTH ANDD'rEr CenftateComykdon SA USETTS Staff Cs Comet ssion Conflict of Interest Law 4 has comfaed du Conflict eqnterest"w online tralningprogram on J � 10/31/2 015 Print Certificate ��Certificate Window http://www.muniprog.eth.state.ma.us/page554968.htmi 1/1 f r Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, AAd,to a rC4 D � ,an employee at FrAn L I c✓I hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on cam. 4Lf ov t S- (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 C art fie • 10127115, 3:n5!'M ti C ertc' ' ate o Com Lion state CS Commission Conflict of Interest Law %largaret V.9rad Classroom Teacher North Andover Public Schools North Andover has com fetedthe Conf ct of gnterest Law online trainin yproAram on October 2- 2 1 ' 0 5 T .L Close Certificate Window �� http://www.muniprog.eth.state.ma.us/page554968.html Page 1 of 1 Certificate 10/30/15, 12:40 PM I�II Kern ' at-e of Comykdon Conflict of Interest Law Danny 06erfander Business Teacher North adover High School North Andover has compfeted the Conffict of ZntErest Law online trainin pro ram on October 30, 2 5 i Close Certificate Window— http://www.muniprog.eth.state.ma.us/page554968.htmI Page 1 of 1 Certificate http://www.muniprog.eth.state.ma.us/page554968.htm1 r 1015utc 17 AM 10: �Certf f iia�te of C A "opt' A .-, 3tae�i s Can ion Conflict of Interest Law Zinn ®139rien Librarian Assistant Stevens Memorial Library North Andover, MA bag tomPleteb the Conflict Of 3nteregt Kara online training program on w 12/11/2015 1 of 1 12/11/2015 4:20 PM Certificate Page 1 of 1 Cerufitate of Compietton scar. :cOM t,on Conflict of Interest Law Yoobua Vetero Recreation/Social Coordinator Town of North Andover Youth Services bag completeb the Conflict of 3ntereot labu , online training program on W 10/22/2015 N C _ Clt c to 3 M _) CO http://www.muniprog.eth.state.ma.us/page554968.html 10/23/2015 10/14/2015 Certificate Zertifirate of completion Stag t Can ion Conflict of Interest Law *u3atine Vdirb Assistant Town Clerk Town Clerks Office Town of North Andover bay COMP100 Mc Conflict of Interest 7abi � online training program on r. 10/14/2015 .S;S:�I'4 3r7�10� Close Certificate Window 7C D � 4 r2M cl C7'ti http://www.m uni pr og.eth.state.m a.us/page554968.htm I 1/1 ��� �, �\ /�-�F �k�-� t .� ., -�:t �� .x� � �j-��\---fir ' -�` ti _ ��` _:� • ._ 9/12015 Certificate Compiettollertiftrate of es Comm Ssion Conflict of Interest Law t �r � 1 F ' i 1 II " I Conflict 1Interew Raw1$� F ouline training program 1 I 1 5 Print 1 . Close Certificate Window 9' http:/M&%w.nwiprog-eth.state.ma.us/page554968.htrri 9112/2015 SLMnaryof the Conflict of Interest Lawfor Municipal Employees expertise acquired in government service in their subsequent private activities. Example of v/o/at/on:A former school department employee works for a contractor under a contract that she helped to draft and oversee for the school department. (bowOne yew lin"if period.For one year after you leave your municipal job you may not partickate it any matter over which you had cial responsiblIty during your last two years of pubic service. Former municipal employees are barred for one year after they leave municipal employment from personally appearing before any agency of the municipality in connection with matters that were under their authority in their prior municipal positions during the two years before they left. Example:An assistant town manager negotiates a three-year contract with a company.The town manager who supervised the assistant,and had official responsibility for the contract but did not participate in negotiating it,leaves her job to work for the company to which the contract was awarded.The former manager may not call or write the town in connection with the company's work on the contract for one year after leaving the town. A former municipal employee who participated as such in general legislation on expanded gaming and related matters may not become an officer or employee of,or acquire a financial interest in,an applicant for a gaming license,or a gaming licensee,for one year after his public employment ceases. (c)Partners.Your partner wi be subject to restrictions whle you serve as a municipal employee and after your municipal sevioe ends. Partners of municipal employees and former municipal employees are also subject to restrictions under the conflict of interest law. If a municipal employee participated in a matter,or if he has official responsibility for a matter,then his partner may not act on behalf of anyone other than the municipality or provide services as an attorney to anyone but the city or town in relation to the matter. Example:While serving on a city's historic district commission,an architect reviewed an application to get landmark status for a building.His partners at his architecture firm may not prepare and sign plans for the owner of the building or otherwise act on the owner's behalf in relation to the application for landmark status. In addition,because the architect has official responsibility as a commissioner for every matter that comes before the commission,his partners may not communicate with the commission or otherwise act on behalf of any client on any matter that comes before the commission during the time that the architect serves on the commission. Example:A former town counsel joins a law firm as a partner.Because she litigated a lawsuit for the town,her new partners cannot represent any private clients in the lawsuit for one year after her job with the town ended. This summary is not intended to be legal advice and,because it is a summary,it does not mention every provision of the conflict law that may apply in a particular situation.Our website,htto://www,mass.Qo\$ethics contains further information about how the law applies in many situations.You can also contact the Commission's Legal Division via our website,by telephone,or by letter.Our contact information is at the top of this document. Version 6: Revised May 10,2013 ACKNOWLEDGMENT OF RECEIPT an P employee at ,tl sV I V j /f n�olr2r Jl; �^ L hereby acknowledge that I received a (first and last name) (name of municipal dept) copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual vAo provided them wfth a copy of the summary.Altematively, municipal employees may send an e-mail acknowledging receipt of the summary to the individual wlro provided them with a copy of it. http•J/wow.mass.goVethics/educaborranc-training-resources[iirroerrientabon-procedures/municipal-employee-surnmaryhbA 516 4 �ce cate of ComyCetion rt9q . + on j -1 Conflict of Interest Law , / / / 44'ems l 4 teacher north andover public school north andover public has.'' eConflictonCin l e trainftWyrogram on E _. 12/11/2015 I .i } LA Close Certificate Window Certificate Page 1 of 1 r R D 54 Certificate of Compietio � I'l SSAC Stair s Comm pion Conflict of Interest Law d laurie jetto Special Education Teacher North Andover Public Schools North Andover, MA tolnll100 the Conflict of 3ntereot 3UW online training program on y 11/14/2015 �jt http://www.muniprog.eth.state.ma.us/page554968.html 11/14/2015 Version 6: Revised May 10,2013 ACKNOWLEDGMENT OF RECEIPT I, � L�wa,e --II an employee at N, /) hG�p e— L l G �SU)btu hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10,2013,on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it 12 Certificate Page 1 of 1 qh�p;27 Certificate of Co SAC8"t,State s Com Won RS Conflict of Interest Law SENIOR CUSTODIAN STEVENS MEMORIAL LIBRARY TOWN OF NORTH ANDOV R ljag completeb the Conflict of jntereot Rats online training program on w i 10/22/2015 ca I http://www.muniprog.eth.state.ma.us/page554968.html 10/22/2015 Certificate http://www.muniprog.eth.state.ma.us/page554968.htm1 17 anro: 2 Certificate of _VWsw j, FW Tr State os Comm lion { Conflict of Interest Law Oialite ;K Prama g; Library Assistant Stevens Memorial Library Town of North Andover 1ja.0 compieteb tlje QConfiict of 3ntEregt Raw online training program on 12/15/2015 yJ65s E`t �>>�a�'• Print Close Certificate Certilkab 1 of 1 12/15/2015 5:32 PM Certificate Page 1 of 1 _._. ._ ..,_ .,.�O►S DEC is „ r Certtftcate of Compiet ' �; } M�ssacx:��� Stair cs Comm sion i Conflict of Interest Law 35arbara R Jelletier Substitute Teacher North Andover Public Schools North Andover jag completeb the Conflict of 3ntereot Xato online training program on J a� r � 11/18/2015 �CeffificateN Window http://www.muniprog.eth.state.ma.us/page554968.htm1 11/18/2015 11/23/2015 Certificate (fertift'r to of Completton ' zsaa, c«n o, Conflict of Interest Law baz completeb the Conflict of 3lntere5t Xabj online training grogram on 11/23/2015 P"low 1W Close Certificate Window http:/twww.muniprog.eth.state.ma.us/page554968.html 1N EMPLOYEE ACKNOWLEDGMENT FORM I understand that my signature below indicates that I have received a copy of the North Andover Personnel Policies adopted by the North Andover School Committee, and I understand that it is my responsibility to read and comply with these policies especially those that deal with the prohibition of sexual harassment. Where negotiated terms of collective bargaining agreements differ, the terms of the collective bargaining agreement will take precedence. I further understand that any questions that I have regarding this Personnel Policy may be directed to my supervisor and/or the Director of Personnel for guidance. Employee Name(printed) 401E } E oyee Signature Date North Andover Public School District Personnel Policy(Approved NASC 11/12/09) -revised 6/17/2015 50 Certificate Page 1 of 1 I� Certtfteate of Completion • i Sato s Can Sion Conflict of Interest Law AM 3patnaube Firefighter/EMT Fire Department Town of North Andover bay completeb the Conflict of Utereot Zabo online training program on w r A 10/28/2015 —PF PrW Close Certificate Window Ca HICSIN http://www.muniprog.eth.state.ma.us/page554968.htmi 10/28/2015 Certificate Page 1 of 1 Certiffcate of Compietton scat. cs Comm ssian Conflict of Interest Law 4attiei Y Pam FF/EMT-B North Andover Fire Department Town of North Andover ba-0 contPleteb tlje Conflict of 3ntereot Rabe Al�:"'�' online training program on r 10/28/2015 Close Certificate Window , http://www.muniprog.eth.state.ma.us/page554968.html 10/28/2015 Certificate Page 1 of 1 -Certificate of Completioit Sacs cs Com :siun Conflict of Interest Law ,�ic�jolag �abeiiaro Firefighter North Andover Fire Department bag completeb the Conflict of 3ntereot 3EaW online training program on y r A 'Z 10/27/2015 Close Cerlific.te Wi.dow http://www.muniprog.eth.state.ma.us/page554968.html 10/27/2015 Certificate Page 1 of 1 certificate of Completion SUN S Can an Conflict of Interest Law mean �o�er� Fire Fighter Fire Department North Andover S/, bait tompleteb the Conflitt of Rtereot Rao ,� � ��<<� online training program on W b 11/15/2015 http://www.muniprog.eth.state.ma.us/page554968.html 11/15/2015 ` Certfftcate Comykdon tea cs Cm Conflict of Interest Law Cynthia Parent has completedt-& Conflict einterest"w -� online training program on 10/23/2015Close Certificate� gee ,�a Window� a n -uM rno� rn �7 N Certificate Page 1 of 1 Certificate of Complittion State S Comm scion Conflict of Interest Law 35MOZ1,0 le. PHIM9 MEMBER BOARD OF.ASSESSORS NORTH ANDOVER E bag tomltlleteb the Conflict of RtereOt 103 ���� L online training programs on s • 12/4/2015 �6ssa`ti �`1��a :.`'OCIINV HIHON http://www.muniprog.eth.state.ma.us/page554968.html 12/4/2015 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, i:L i i i f' i r -- ,_ ,an employee at hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 10/27/20 1%< Certificate � Certi ' ate ComyCedon saw 6 com 'ion Conflict of Interest Law Patti Pedro teaching assistant has completedtfie Conf kt eanterest Taw ��� online training program on 14 10/27/2015 r� ~ Close Certificate Window http://www.muniprog.eth.state.ma.us/page554968.htm] 1/1 A( "-`, %�';'1c -'"_� t .,�y� .,\ o"+C. �� .�, �` kqb ' °'Cer* I� ate 0 Comycetton f J 'µState CS COM ssionConflict of Interest Law i} f' Jessica Poe Special Education Paraprofessional Andover � � - North . . Northhas comyfetedthe Confict of qnterest Law onCtne traffit'y I1 November 2�1, cil ♦ '�`,�: � -�... t l� NX •mil- Close Certificate Window i; °F. Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT an employee at , hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10, 2013,on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT 1,zw �Ow'NG ti an employee at hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 `r rt'ficate 11/3/15, 8:26AA8 Ce ru ate of Comyfetion State cs cam scion Conflict of Interest Law Zedeka Pofdoian Teacher School Department North Andover has completud the Conf ct of gntrrest Law onCine training pro ram on November -' , 2�15 ,I rir�ll ificate ICI y I � id o Ceram http://www.muniprog.eth.state.ma.us/page554968.htmI Page 1 of 1 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT 19 L ll'ZQ b c-A ParnIA ,an employee at n oli) hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 • Certificate Page 1 of 1 QCertificate of Completton sace s com sion Conflict of In terest Law 4114abeth varrioh teaching assistant School Department - Franklin School North Andover hag comVieteb the Conflict of 3nteregt 3.ata online training program on 11/1/2015 Y � Print -C htti)://www.munivroc.eth.state.ma.us/Daee554968.html 11/1/2015 Certificate Page 1 of 1 Certtficate of Completion Stan cs Comm salon Conflict of Interest Law Gain 30appalarbo HMEO DPW North Andover hag completeb the Conflict of UtereOt 103 A C-\s�%, online training program on w A rn 10/28/2015 Close Certificate Window cV G i C Q.0 M O p,,M[ Lea http://www.muniprog.eth.state.ma.us/page554968.html 10/28/2015 Certificate Page 1 of 1 Certtftcate of COMPIetton Stan S Comat+ssion s" Conflict of Interest Law OYorta Vbtlbrick Volunteer Coordinator Senior Center Nutrition Town of North Andover, MA has completeb the Conflict of Utereot laic � -- online training program on � f 12/3/2015 71: rn 's CD C"+ W z:t h4://www.muniprog.eth.state.ma.us/page554968.html 12/3/2015 10/23/2015 Certificate (4Eertifi Cate of COMPtetion Stag S Ccm :Sian Conflict of Interest Lave 3(aime i3beran Receptionist Elder Services Town of North Andover bag compreteb the Conflict of Interest Zairo on[ine training program on 10/23/2015 low IMF' * i. lip "3 t= C13-�4 C-� r rz:) w E , http:/tvwm.mix}iprog.eth.state.nia.us/page554968.htrti 1/1 spa cs Cosh loft Conflict of Interest Law North :, H over Pu l Ic `� ��� +�1 a.o cam lettb the touffit o '111terelt 1 4, is to o N d J 11 51 1 S ;s �,. . IN �>* — --_, Y p �� Cerfificate of �Com� Y�tio 5 SLR COM OA Conflict of Interest Law 4111en J)ellertn Teachers Aide North Andover public school Town of North Andover ao completeb the Conflict of 3ntereot Xaba online training program on ;� SJ. C2 �` v 11/2/2015 © _QM a `ao 4 71 W r�r IF C lose Ceiliticate Window 1211412015 Certificate 2 S 0 15 PM!Z: certqqcate Comy et NORTH Stats cs Commission NDG'dF } Conflict of Interest Law Co ve r �A. N t" vi� t ` has com leted�the Conflict of Interest law p online training yr ogram on 12/14/2015 a 4 3 Prnt. ,. f Cer�Gat : dow http://www.muniprog.eth.state.ma.us/page5.54968.htmi 1/1 r .a Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT 1� Middle �C.11u0I ,an employee at �r � 1 , t�VP✓ i hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on /1qliq /5 (dat Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certi ' ate of Comp Cetion ccom"m k Conflict of Interest Law a rc� has completed the Conflict of Interest law .:�M%• online training program on 10/23/2015 low P"i --Clow miff rate'W 0 f.' .fir Cl� L- N li +�1 CO c c 10/23/2015 Certificate Clfftftate eCom p Mon Conflict of Interest Law 3ud" N' re.M Teacher North Andover Public Schools North Andover has complered t he Conflict of anterest law online training program on ,�wr 10/23/2015 ; Close Certificate Wiiidow N d us ["rt - i ; http://www.muniprog.eth.state.ma.us/page554968.htmi 1/1 �,«f�aa�v lI,i,a II k,{:t�i(t��.p.}§f,:J il�1.ai�Ir,,l',,,!ul�.1G.!,n,IIfl,�:',',G-I.!l,=_i.s.1Il iik.i l�,�-,,i:,,!1.r.,,1k,,lI{l,I(lh,l y!+s I,!I!I+K i,.t,i§')'!.r tt!I!I,P�8l+i LI{I+!h.�iIr!!,t)l!:I,t,,1gI,,II+8I!.I.k,,I!(„'I!,�ti!!„PiI•'l,I!ai.t.ul+I+il,.!uh!I.,.li i i,!I�t�l1{l,l�1I,1iix l!l:!l`i!li,:k':::+Il§l,I Ps lII!I IIli,.I{It!k, s' Ii.!,1In k!�!�!.u.I!II i!lIt l!I,k{1I pIr I!r�.I.�ii l9 il�)1l!1,•1 11I,'�1Il'r1i t•I.uIi1t.I.l+!1,Ii!II Cr,!rilI i'I'!t'I!,►I+v•d!'lk i4,1!,!u1I',1 llr.I a!I',Iru.(1i�l,�,!:l!l,I!,ri III IiI,t,P;'�Il:,lIrI lI{1ilf,;ltl.II Il!IIl�'}}I'1I'II.'I!,,I•s,,.,�;'!if!I,,:II:•s'ILI!I+.�II.!'!,iII lI)),1!n rlI I,Il l•III„Ik!u i:I{G(I!,I+II'II:i!II!;,�,I!!I!I:�I i�I!r1I;yir:!tl�1ryI I l,,,t�r 1!I�l!!l(�!I,y,!I!EI,Lll!„!!!i.u.,iJ I!l!,';IafU{!;!!Ix!III pI'1)+I,j,I,I•lIG,7fI,!l!,,lI1,ll,Iil I!„! tI!l,f ,!kI!I Ilil I,rh !,I; : I{ ; , I I l' Ji: ! l l , ! ! 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Ilr I rl.- -�� ,.,,, , I ,l , (,1_,,,!,!, i :.;,..h ( :l !:III I I ulallrll(Is,u ,Iha,.lr�flll�l.l!_gn'(1 I,..I„::,•, 1!.l.It,l. ll.,: u ! -.ul:,; Ip l! .:�.« :,l ! BUT I+I:Ii. r 1.!.1 ,,!. I, t u, ,1i I!1i1 ',;!iI it ri..-d �I It rJl'I, ! ,+I-:!�,1(�II{!l!1�!) t 1�141 II.I ir;1!hl rli - '! lill!: 1 :' tl I ! i ::. i. :, it , s1 J 1 !I. i Ih :,'I 1 I s! , 1 , ! !I , i1 , ' iI, - II 1 I III1 1 I G 111 I`1 to Certificate 12/7/15 8:19 AM Y.. ...._t .1 2015 DEC 15 PH 12: 27 +Certi icat o� ComvCet-ton Stave sCcm $Sion MASSAC T"< Conflict of Interest Law 'Cathleen Pratt Teaching Assistant Town of North Andover North Andover has completed the ConfPtct of Interest .haw online training ro ram on p A . December 7, 2615 :�`' �r .. ow L Close Certificate 11/15/2015 Certificate t Ce ate eComykdon State tcs Comm scion Conflict of Interest Law I has com Ceted du conflict of anterest Mary -� p � online training,program on J 11/15/2 015 i �C11^+e,+aFe?�."A � Ce; a Print _ .. http://www.muniprog.eth.state.ma.us/page554968.html 1/1 = t CmtfiC ate ComyCetivilln state CS COM IIssion Conflict of Interest Law Robert Poirfer Teacher f North Andover Public Schools i i North Andover has compCeted du Conflict of Interest La►v online training program on 10/27/2015 R!1M i Window _ rN Ci O m'C5 O yscx iN �Yir•; < �p i = C7 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT an employee at hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10, 2013, on —.. /� _d �— /' (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who pro vided them with a copy of it. 12 A ° Certi 'cate of Com Cetion p Stan scs Comm ssian Conflict of Interest Law f - f 5 vx V 4 � � t { g has completed tFe Conflict of Interest Law �,'� :L online traini ro ram on 12/7/2015 Print 'flow Cem i-. i` d ow Certificate N c5 . cn W::7 r�*1 mi t 7C- rr V f Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I. n rx Icy,J — , an employee at kloit Ve, o;Aac G 1 hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10, 2013, on (dat Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 12/7/2015 Certificate 1 24 3S m Cenftate Comykdon ACKus�,�s Sta cs Commission Conflict of Interest Law Maryann PCatt has compCeted du Conflict Lf gnterest-Caw onCine trainingyrogram on 12/7/2015 71 Print �� Certificate http://www.muniprog.eth.state.ma.us/page554968.html I/I Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, f7jlf 1A Plwt�_ an employee at IA (n & hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10, 2013, on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 12/8/2015 Certificate CaTftateo ComyCetion Su es Com ions Conflict of Interest Law rv� n pw G � y, U- ,k has completed the Conflict einterest lativ ti online training program on ,. �j 12/8/2015 LWindow1 3� C-" Fin nM htqi://www.muniprog.eth.state.ma.us/page554968.html 1/1 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT an employee at hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (d .� (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certificate Page 1 of 1 E e s F f y. I i�Cert�fcate of Completion � Sign o COMM .s on Conflict of Interest Law �erittifer price s Superintendent North Andover Public Schools North Andover 'r t bag comPleteb the QConflitt of 3nteregt Rai �ay14 S•�fl, online training program an 11/23/2015 �S e low_ ��`�( fi, p Window 4A CD --lift •= G T n .� �rn - 0 =, t a a http://www.muniprog.eth.state.ma.us/page554968.html 11/23/2015 f,RECE'1Vro Version 6: Revised May 10,2013 TOWN CLERKS L t( 5 C'I F ICF ------------------------------------------------------------------------2015_DECf----------- Towhi ACKNOWLEDGMENT OF O.OV P J�t"T`F I, Elie-n Pptcrs ,an employee at hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (Le) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Version 6: Revised May 10,2013 ACKNOWLEDGMENT OF RECEIPT I, ° � , an employee at Nor+n An c6ier M I dd Ie Sch00 hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10,2013, on Sep+e rm ber aW k (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it 12 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT an employee at An O"'ve4, hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on Ci (date) N c Cr) �k 0C-1 t . eta C.y I CIJ I�t W E-- o cr Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certificate 12/9/15,3:07 PM Eeaeti " o Coat k on„p a stag %ccm s "on Conflict of Interest Law Jose h V"ckerson High School Mathematics Fellow North Andover Public Schools North Andover has completer)the Confct of Interest Law online training pro ram on December J 2�15 Pt , awindow r, N cert:cdte U CV p�.4 W Cj O O era 2:� 0 http://www.muniprog.eth.state.ma.us/page554968.html Page 1 of 1 Certificate Cert� ate Com 'S : 27 Stag SCom Sian MASS )C)j, AC Conflict of Interest Law has completedt& Conf ikt of interest law online trafnfng program on 12/11/2015 F §XrClose http://www.muniprog.eth.state.ma.us/page554%8.html 1/1 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT l� an employee at hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10, 2013, on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Version 6: Revised May 10,2013 ACKNOWLEDGMENT OF RECEIPT I, �`C',n e,l A R� �` , an employee at— NAA 3 hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10, 2013, on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Version 6: Revised May 10. 2013 �� _� S_:�f: �,------------------ 2015 DEC Is ACKNOWLEDGMENT OF RECEIPT 12' Z 7 NO T SS k'AlhlI P ,an employee at j 66 hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on l 1 /5 (late) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an a-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 11/5/2015 Certificate a "a iJ Catificate, of Co 4 doG,��. StaC� s Com lion MA r� 5 SSA,r� � ,` Conflict of Interest Law 3uae Fwacclast ECC has com feted the Conflict Interest-law pA. online training program on N y 11/5/2015 Close Cerifficate Window 1/1 http://www.muniprog.eth.state.ma.us/page554968.htm] httpJtw"nmiprog.eth.state.ma.us/page554968.htryi 1/1 TOWN OF NORTH ANDOVER lJ / VOLUNTEER SERVICE AGREEMENT I enter into this Agreement to volunteer uncompensated services to my Town and acknowledge that: I am (check one): Over 18 years of age Under 18 years of age(Parent/Guardian Consent Required) I know of no reason, medical or otherwise, which would prevent me from performing the required tasks; and that I have the necessary skill and ability to perform them. I hereby assume full responsibility for my own safety. Except where resulting from the negligence of the Town or its employees, I will hold the Town harmless from any injury to me or damage to my property and from injury or damage resulting from my own negligence. I will perform the volunteer service in compliance with the direction of Town Officials. )da7 1 Is Committee/Department Approval Date Vo unteer Signature Date Signature I give consent for my child to volunteer for the Town of North Andover. Parent/Guardian Signature Date Volunteer Contact Information Emergency Contact Information a\C"'L'�' F. ,ice\ S �A k 6.z1 gbh ns Name Name U C --A Street Address Street Address e f N'� City, State, Zip Code City, State, Zip Code � \'�r qX-b _ asJ- vSg� Home Phone Number Home Phone Number Cell Phone Number Cell Phone Number �) \I., C�-a"e,, ('006--!> - 5C""'a- Business/Other Phone Number Business/Other Phone Number Certificate Page 1 of 1 E:1VI r.. Certifftate of Completton State cs Comm scion Conflict of Interest Law Ann 3kobertsion Benefits Specialist Human Resources Town of North Andover baO cOMPIetO the Conflict of 3ntereot lath online training program on w 12/14/2015 Close •• http://www.muniprog.eth.state.ma.us/page554968.html 12/14/2015 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT << t t I r �4( <��Q ,an employee at /l�� 1Lvl� ✓�'i hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on p (Z3 41`S (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 P1 9 A �.4 .Cerra 'Cate of ComMV k on f State? cs Commission Conflict of Interest Law 3 P I i �rGL4 has completed tfie Conflict of gnterest-law online training program on 10/23/2015print r `�� . � � +GermsL Close Certificate Window— t Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, ,an employee at //Cl44&uP hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipa employees,revised May 10,2013,on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 t cer*ate of Comyktion , ; b l -pockerS P , H-h Fins com fetedtfie Conf lia egntffesr-law :- oY fne trainftW program on = 10/26/2015i Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, �I C l/I- L �� I(o r4c ,an employee at hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 cert-glicate of Comykdon State G Gamrmm,ion Conflict of Interest Law R06,too has completed the Conflict of gnterest faw online training program on 10/28/2015s"E I II -,, II INIIIt . r Cer*ati MASS Sr t\1 Conflict of Interest Law has comykedthe conffkr einrerest.Law �Ydine trainitVyrogram Print Close Certificate Window Cert�cate i �� •` ��,�� �,fie,: yx � �.,«� �' IF I JUL st yip t'�" ���f4' ! •. �,� S r �: �w .� mem Andovet 'o ► and R n w a M rU A. A..a Certificate Page 1 of 1 4 QCerttficate of Completion Stag s Gom ion Conflict of Interest Law 3'ark Rig;arber HMEO DPW North Andover bag compieteb the Conflict of 3lntereot Rabe online training program on w ; s 10/27/2015 , a Ta`�OC� N tt� >;,., '� - uj�:L p erg C= cNe http://www.muniprog.eth.state.ma.us/page554968.html 10/27/2015 Certificate 10/23/15, 7:51 PM pill 2015 NOV -2 AM 10: 22 C e rti " ate Of Com � , �t 5tat�E `cs com issiorz Z'� �J�JA �{ `�t I (' a tonfl1 ct of Interest Law M�4 ' a le Robinson y ELL tutor School Department k �f Town of North Andover 0 4 _ has com_ fetec�t(w Conf ict of Interest � �, .haw online traininqyroram on =t October 2'3 20gr5am v Print ' ��. " "� ' c� i:ttp ;'%%,v v.muniprog.eth.state.ma.us/page554968.htmI Page 1 of 1 Version 6: Revised Mav 10,2013 'CEIVF'fJ 1 E r c -----------------------------------------•------------------------------- - rs --Z IO;-2---------- ACKNOWLEDGMENT OF RU"ift"' �%- MASSACHU SF T a S I, e n so ,an employee at �I(,(0�'. ��, 00l , hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 10/27/2015 Certificate IN Certif i rate of Completion Subs is coin lion Conflict of Interest Law h� � j bay completeb for Conflict of Interefst Kahn ea c a online training program on 10/27/2015 `'� ' Close Certificate Window W http://www.muniprog.eth.state.ma.us/page554968.html 1/1 Certificate Page 1 of 1 2015 DEC 10 104 Certificate of Completio -j0 ij- Vr� SU Com :ion MA��ri� tJ� Conflict of Interest Law Ropa Rahgopr Teacher Assistant hag tompteteb the QConfiitt of Ntereml Ub) online training program on w � A Sunday, October 25, 2015 close, Certificate Window http://www.muniprog.eth.state.ma.us/page554968.html 10/25/2015 Certificate bttp://www.mmiprogethstate.nia.us/page554968.bhd Certi f Kate"«QRC 10 PM I: 0 Sum s Comm Sion T O�I�i OF Co o�pprH #Conflict oMgletiteres Lld ''° r Sarah Rudolph P Evaluation Team Leader North Andover Public Schools North Andover Public Schools has completed the Conflict of �w;`'�} jL Interest Low W y online training program on 10/27/2015 cW10cift 1 of 1 10/27/2015 11:43 AM Summary of the Conflict of Interest Law for Municipal Employees Mtp://www.mass.gov/ethics/education-aid-training-resources/iniplermn.. Version 6: Revised May 10,2013 ACKNOWLEDGMENT OF RECEIPT an employee at K),,h-, �,�`CAIc r Yob))C S chereby a kraMAedge that I received a (first and last name) (name of municipal dept.) copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on _(date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Allbmatively, municipal employees may send an e-mail acknowledging receipt of the summary b the individual who provided them with a copy of it ®2015 Commorreealth of Massachusetts. State Ethics Commission Web Feedback State Ethics Commission Site Policies Contact Us Mass.GaA is a registered service mark oftue Commormealth of Massachusetts. 6 of 6 7/27/2015 10:20 V Certificate http://www.nmiprog.ethstate.nia.us/page554968.bt[W Certificate of g . `C °° Co letion Conflict o terest Law sarah rudolph evaluation team leader north andover public schools north andover has completed the Conflict of Interest Law w online trainingg pprogram on 7/27�2015 1 of 1 7/27/2015 11:04 AD ACKNOWLEDGMENT OF RECEIPT I an employee at hereby acknowledge that I received a Irst and last name) (name of municipal dept.) copy of the summary�f��ce><rflict of interest law for municipal employees, revised May 10,2013,an ( (date) U� Muni al employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary. Alternatively, municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. ®2015 Commonwealth of Massachusetts. Mass.Gov®is a registered service mark of the Commonwealth of Massachusetts. 1002015 Certificate - - _ _ L.-aet.-ag:ftlm.-Sm . Certificate of Completion bay contpleteb the Conflict of 31nteregt 'Law online training programs on � 10/9/2015 PrCl ► �s�rstu`tc s+ t�ut�••�� Cei ttticate http:/Avww.muniprog.eth.state.ma.us/page554968.htmi 1/1 Certificate Page 1 of 1 t,iV ED 2015 OCT 26 AM 11. 06 certificate o , a �+{��; tion ��ACLU 0.argaret 41. Roa Lunch Room Monitor Lunch Room /Atkinson School North Andover School Dept. jag completeb the Conflict of Rtereot XaW online training program on 10/21/2015 Print Certificate http://www.muniprog.eth.state.ma.us/page554968.html 10/21/2015 Summary of the Conflict of Interest Law for Municipal Employees Page 5 of 6 Example of violation:A former school department employee works for a contractor under a contract than she helpe>#t ( ft1f the school department. (b)One year cooling-off period.For one year after you leave your municipal job yo{t�Ip�palj�(n�any lgt�tter over which you had official responsibility during your last two years of public service. ``��ff��(o j�ff� II lUJ as Former municipal employees are barred for one year after they leave municipal employment from personally appearrio"40fagency of the municipality in connection with matters that were under their authority in their prior municipal positions during the two years 'f"HG V Y Cf; MASS ACHUSF TT Example:An assistant town manager negotiates a three-year contract with a company.The town manager who supervised the assistant,and had official responsibility for the contract but did not participate in negotiating it,leaves her job to work for the company to which the contract was awarded.The former manager may not call or write the town in connection with the company's work on the contract for one year after leaving the town. A former municipal employee who participated as such in general legislation on expanded gaming and related matters may not become an officer or employee of,or acquire a financial interest in,an applicant for a gaming license,or a gaming licensee,for one year after his public employment ceases. (c)Partners.Your partners will be subject to restrictions while you serve as a municipal employee and after your municipals service ends. Partners of municipal employees and former municipal employees are also subject to restrictions under the conflict of interest law.If a municipal employee participated in a matter,or if he has official responsibility for a matter,then his partner may not act on behalf of anyone other than the municipality or provide services as an attorney to anyone but the city or town in relation to the matter. Example:While serving on a city's historic district commission,an architect reviewed an application to get landmark status for a building.His partners at his architecture firm may not prepare and sign plans for the owner of the building or otherwise act on the owner's behalf in relation to the application for landmark status. In addition,because the architect has official responsibility as a commissioner for every matter that comes before the commission,his partners may not communicate with the commission or otherwise act on behalf of any client on any matter that comes before the commission during the time that the architect serves on the commission. Example:A former town counsel joins a law firm as a partner.Because she litigated a lawsuit for the town,her new partners cannot represent any private clients in the lawsuit for one year after her job with the town ended. This summary is not intended to be legal advice and,because it is a summary,it does not mention every provision of the conflict law that may apply in a particular situation.Our webstte,httD:/Mrww.mass.aov/ethics contains further information about how the law applies in many situations.You can also contact the Commission's Legal Division via our website,by telephone,or by letter.Our contact information is at the top of this document. Version 6: Revised May 10,2013 .................................... ACKNOWLEDGMENT OF RECEIPT I, an employee at �� � _ hereby acknowledge that I received a ( and at name) (name of municipal dept.) copy the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Altematfvely, municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. State Ethics Commission Web Feedback State Ethics Commission Site Policies Contact Us http://www.mass.gov/ethics/education-and-training-resources/implementation-procedures... 10/21/2015 11/12/15 11:43 AM Certificate erti icate of Comycetton ISta S COM Ssiot Conflict of Interest Lam Jennifer Harrison Rensink, 2nd Grade Teacher has com feted the Can Cut of Interest Law w onCine trainin ppro�ram on 2, 215 November ant .L Close Certificate 'Window defer Page 1 of 1 http://www.muniprog.eth.state.ma.usIpage5S4968.htmI f d Certi 'care of Com Cetion stua S cOmnm ;on Conflict of Interest Lave Ji has completed the Conflict of Interest Lavv online training program on 10/26/2015 Close Certificate Window http-//www rn>tninm¢Pth state ma ug/nage,554CM html :ertifi_cate Certif irate of State cs Cammassion Cono et'oConflictoterest Law Cheryl L Raimondo Assistant Principal School Dept Town of North Andover SEf has completed the Conflict of r Interest Law online training program on 10/24/2015 N o_ yr, O GC3i! ]y' c�(TZ 10/24/2015 12:49 PIS 1of1 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, C,he�( �cejrr�h i7o , an employee at t1:>r N AnCIOOP M �dd�� 5� ►� hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10, 2013, on i a 7 15 (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 12/7/2015 Certificate ` Certi ' ate of Comykdon state cs comity Mon !' Conflict of Interest Law 5� has completed tie Conflict of anterest"w online training program on r N 12/7/2015 1 ,l k F- Close Certificate Window fV ca 0 U1�7 (R �p J M M _ G tSD http://www.muniprog.eth.state.ma.us/page554968.html 1/1 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I ,an employee at hereby ackn le ge t/at I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 certificate o Comyletion cm Conflict of Interest Law 3if1 3 has completedthe Conflict of interest Lativ online training yrogram on -s 11/16/2015Print Close Ceititicate Window Certificate N O '- Do e„ M to--t—: n C) n� W Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, ,an employee at )2-02& V /Z � hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (hate) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 12/14/2015 Certificate I--p ce?*ato of Com p • 27 State S Gom $ioa afi �# 1•. i Conflict of Interest Law O4rC 0/ � l l� t has completed tfie Conflict of Interest law ���-y�� � S'��•{ online training program on � 7 `n a 12/14/2015 http://www.muniprog.eth.state.ma.us/page554968.html 1/1 )/28/2015 Certificate u ,. � ��•A Ce?Tqqcate of ComvCaion SO Com loll Conflict of Interest Law has com Cetedthe con icteinte, .l:aw p . onCine training program on 10/28/201 S 1O03101 Close Certificate Wind 03 A1l 10 [p://www.m uni prog.eth.state.ma.us/page554968.htm1 L Certificate Page 1 of 1 27 �Certifica�te of co SUN s Comm ssion s4�'�ti,SF're�"<`. it 3 Conflict of Interest Law jVrOget 3.aWbittg Electronic Resources Librarian Stevens Memorial Library North Andover tOmPleteb the (Conflict of 3nterat Xaio online training program on 12/7/2015 T)�1 P" CO httP://www.muniprog.eth.state-ma.us/page554968.html 12/7/2015 DEC I6 3 Cen ate o ' f @tar* CS Comm S iorl OR Conflict of Interest Law ose has complete du Conflict of gnterest-.Uw onl ne training program on 12/14/2015 ^ 12/15/2015 Certificate Ceni ' ate CO state 1cs Commission fR ar MASSA A d04?�'tje Conflict of Interest Law i + ve + has completed the Conflict egnterest La►v online training program on n t - 12/15/2015 Print f i Certificate http://www.muniprog.eth.state-ma-us/page554968.htmi 1/1 r Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, N�a�ti ey an r/rr / ,an employee at K Breda Sc h o:) L , hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on /i /iZ/S' (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 y 7" A" i rtfft I / 1 Comvkdon Sta �'. IT t„n V 1_f.— . . �. Conflict of Interest Law �t f ,Iy 1' has com_pCetedtheI �. onCine training yro gmm on 10/27/2015 f 4 Print Close Certificate Window Certificate Certificate Page 1 of 1 Certificate of Completton Stair S Com salon Conflict of Interest Law MEMBER COUNCIL ON AGING NORTH ANDOVER jag completeb the Conflict of .lnteregt 3 .aio online training program on w r � 11/30/2015 a ass"H PMrt Close Cerfiticate 1,11indow Cade u+ p,p 0 1 4 Q rj ,y .. O http://www.muniprog.eth.state.ma.us/page554968.html 11/30/2015 11/29/2015 Conflict of Interest Law X Skip to - Previous Next Content Directions: Please enter your information into the fields below. The information you enter will be included in your certificate. Contents ros�ft*tz, t F After completing all fields,click View Certificate to view and print a © � Startedcertificate of completion. Then click the Next button to continue. tting 1.Conflict of Interest Law Overview 2.Gift Restrictions Your Name: Maria V.Rosati 3.Setf-0ealing and Nepotism G.. 4.Standards of ' The Name of your - - Conduct Municipality or District: N.Andover,Massachusetts IR 5.Divided Loyalties �., 6.Prohibited Financial The Board or Interests in contracts ' Committee you serve 7.Restrictions after on,or the Department p Leaving Public that employs you: N.Andover Council on Aging Employment 8.Members of _ Commissions ! and Boards Your Position Title: Board Member Assessment HI Next Steps I Click the Next arrow button to continue State Ethics Commission Common::eahh of A4as.<.arhuse±is Page 77 of 79 http://www.muniprog.eth.state.ma.us/page554987.htmi i/1 Certificate Page 1 of 1 Certificate of COMPLetion Su S Cc" scion Conflict of Interest Law cbriotopber robiatt fire fighter north andover fire department town of north andover bag contpleteb the QConflitt of 3nttrtot jabj online training program on w 11/18/2015 Pft http://www.muniprog.eth.state.ma.us/page554968.html 11/18/2015 Certificate Page 1 of 1 Certif trate of Completion SUM cs Comm ssion } Conflict of Interest Law Oattiel Rpan FireFighter Town Of North Andover 3' North Andover Fire Department bag tompleteb the Conflict of 3lntereot Rab, online training program on 11/24/2015 ' Close Cettificate Window http://www.muniprog.eth.state.ma.us/page554968.html 11/24/2015 a j.�"ti:� ;•r' a �a+,�``o'y. .. „a�"*�¢J s,.,� ��� pi 1 a,��'..1 31�.�}�...,: a. '.' �� � r`.,.c� ,�+ip��-p�, r, f :� D�s '� r � �..�, l i Conflict of Interest Law Fire Dept Town Of North Andover OnI October1 � J•� 7 l ,�� e rF� Sti �' � ' A f+.� !f `_`J° e x� � �� •t T,q.JiL�� »r { �ti t+ %��+r Print cio5e Certificate Window ,� Cert�cate Certificate Page 1 of 1 certificate of completf opt StaO� s Com lion Conflict of Interest Law Atbael Rim* Fire Fighter / E.M.T. Fire Dept. North Andover bag; comPleteb the (Conflict of 3ntertot lata online training program on 10/26/2015 J6 Cam ssah 3T C�;N1iMt http://www.muniprog.eth.state.ma.us/page554968.html 10/26/2015 Certificate Page 1 of 1 y OCertiftcate of COMPletion Stacy s Com $ion Conflict of Interest Law �ra�jatt� �t.o�e Lieutenant North Andover Fire Department North Andover jag completeb the Conflict of 3nterefst Rai online training program on w 3 10/26/2015 y`'6 CPft . httP://www.muniprog.eth.state.ma.us/page554968.htmi 10/26/2015 Certificate Page 1 of 1 certificate of Completion Sate s Com lion Conflict of Interest Law Brett Rodden Firefighter Fire Departmant North Andover has completed the Conflict of Interest Law online training program on Friday, November 13, 2015 yil`ss `�aca PW 0 http://www.muniprog.eth.state.ma.us/page554968.htmi 11/13/2015 I M12015 certificate �. _F_ - _ ... MPNW terfif sate of CDl ptetton I.T__ ljag completeb tlje Conflict of Interem labs online training program on 10/9/2015 -: -�--- •- tea-•-_ _- - �. -;�. g --`� � .�� Pr#►fit � � = �, -: i�it-%1►K Yl1��Y �Sf Certificate http:/A,vww.muniProg-eth-SUe.ma.us/Page554968.html Certificate Page 1 of 1 Certiftcacte of CDm r State ttica Comm ssion ` Conflict of Interest Law �rttp �.igac�jer Custodian School Department Town of North Andover bag tOmPleteb Me Conflict of 31ntereot late online training program on Monday, December 14, 2015 Print I'ttP://www-inuniprog.eth-state.ma.us/page554968.htm1 12/14/2015 Certificate http://www.muniprogeth.state.rna.us/page554968.htW �r Certificate of $U C� Co letion Conflict o terest Law Lisa Riedel Teaching Assistant North Andover Public Schools North Andover has completed the Conflict of Interest Law online trainin program on gg i 10/27/2015 L Close k Certificate 1 of] 10/27/2015 6:59 PM ACKNOWLEDGMENT OF RECEIPT I, '�� �'r1 , an employee at hereby azImowledW that I rezeived a first and last name) (name of municipal dept.) copy of the summary of the�ceilrflict of interest law for municipal employees, revised May 18,2013,on ^ T 9 (date) Muni al employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary. Alternatively, municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. ©2015 Commonwealth of Massachusetts. Mass.Gov®is a registered service mark of the Commonwealth of Massachusetts. Version 6: Revised May 10,2013 ------------------------------------------------------------------ ACKNOWLEDGMENT OF RECEIPT I, S ,an employee at hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (date) Municipal employees it to the individual who provided them with a copy should complete the acknowledgment of receipt and return of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Cl Sta s Gom s !an Conflict of Interest Law b?oGq.�tJuNtall Teaching Assistant School Dept. North Andover s one f/%&M, otz � October 23, 2015Close Certificate� WindowI OWN-- MP Print o Certificate 10/23/15,7:00 PM httpJ/www.muniprog.eth.state.ma,us;page5549Ci8.hU,)l Page 1 of 1 If/l/2015 Certificate AIML I^ ertif irate of complet , Snq s Cam ion Conflict of Interest Law Sul ' bao completeb the Conflict of Interest Rai online training program on w 11/1/2015 s Ss•bK 3r,`,,Q Close Ceitificate UWindow hnn•//uuwv rrm wurrnn a4h ctatP ma i is/ran aRf,4 rR html 1/1 TOWN OF NORTH ANDOVER WV Y 1`J VOLUNTEER SERVICE AGREEMENT 1 L I enter into this Agreement to volunteer uncompensated services to my Town and acknowledge that: I am (check o ): Over 18 years of age Under 18 years of age (Parent/Guardian Consent Required) I know of no reason, medical or otherwise, which would prevent me from performing the required tasks; and that I have the necessary skill and ability to perform them. I hereby assume full responsibility for my own safety. Except where resulting from the negligence of the Town or its employees, I will hold the Town harmless from any injury to me or damage to my property and from injury or damage resulting from my own negligence. I will perform the volunteer service in compliance with the direction of Town Officials. �s— Committee/Department Approval Date Volun er Signature Date Signature I give consent for my child to volunteer for the Town of North Andover. Parent/Guardian Signature Date Volunteer Contact Information Emergency Contact Information A Name 1 Name ZU 14,,A bo ry Ile ed s� Street Address Street Address moetf, AvJove-,l MA 019V! CSez.t ) City, State, Zip Code City, State, Zip Code Home Phone Number Home Phone Number 7 2017 3 Cell Phone Number Cell Phone Number 979 - 937- 2900 Business/Other Phone Number Business/Other Phone Number Version 6: Revised Mav 10,2013 ---------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I� `-' ' ,an employee at /,?/n j_/ IF (_Oe hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (d e) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Version 6: Revised May 10,2013 ------------------------------------------------------------------------------------------ ---`. 27 1 ACKNOWLEDGMENT OF RECEIB RTy, Do I, �� !I I A►2� IM/ ,an employee at 4)0f-It., And0v&r M I Mle 5kw , hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on d eJJ,, (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Tom,l . zois e j s Certi ' ate o Comp n ' PSta cs CommNORTHAH60% M g WonMA$$�Cr�1 i^�:•',� .'£ Conflict of Interest Law gessi Schcesinger TA North Andover Middle School North Andover MA f has completed the Conflict of gnterestlaw � ' ' ��� onCne training program on 12/14/2015Print ¢s Windowlow Close Certificate f Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, —, an employee at hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10, 2013, on i'�_ ) 1 �1i �s (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary. Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 � j. Cenfftcate ComyCetion Stavepsco, Sion Conflict of Interest Law Alison Sciamanna Kindergarten Teacher North Andover Public Schools Town of North Andover has completed the Conflict of interest lativ onl ne training program on w 3 r � 12/16/2015 Print Certificate 0 7aM r W Ti © �II Certificate Page 1 of 1 IV 2015 DEC 14 ' ' ail'. �erttftcacte of Co M SS�C# , R 7n $Eat@ 't s CommbbIAG't Conflict of Interest Law Re!5he bkeabao Custodian School Department Town of North Andover bay rompleteb the QConflirt of Intereot RaW online training program on ` Monday, December 14, 2015 q Printl4''' 1 ",' deklocate; http://www.muniprog.eth.state.ma.us/page554968.htm1 12/14/2015 Certificate 10/23/15, 10:24 AM F Certi ' ate of Com Cetion stag Com ion- Conflict of Interest Law Wit am Smith Teacher School Department North Andover has completed the Confict of Interest- Law onCine trainin .pro ram on ems. AA October 2 , Mrs low low low t - d� N c� Cr, A_ Y 3zw r't W W http://www.muniprog.eth.state.ma-us/page554968.html Page 1 of 1 ` Cen 'cate of Co C 'mp etion S tsa es Com on Conflict of Interest Law 1� �✓�.P I �rur�-r��rw+-: ' s has completed du Conflict of Interest law s 0" onlne training program on f 11/30/2015 I Close Certificate Window N , C7 tJ� =ram x Gr'S%7 -mot W Cerrftate Comykdon State ics Commission Conflict of Interest Law �Fti0,6 has com Ceted t iie Con act of interest"w online training program on A� 12/1/2015 ':, ,�11 lc{ N ca N �C3 cj a �• Y CD—rl �► �7�T2 W Certificate http://www.nnmiprog.ethstate.ma.us/page554968.html AWL -Aft, ., • �^ fill'"��i,� k ertffimte of �o Yetf �t Conflict of Interest Law tugene .41110io Sergeant Police Department Town of North Andover ija.O coMitttb the Conflict of 3nttrtot Kato $ � online training grogram on 10/26/2015 ` ''3 r11 S I :6 WV 0£ 330 91OZ 1 1 ,;Y; r, fJ Af:9I'.-J 1 of 1 10/26/2015 9:36 AM ` Certificate Page 1 of 1 . �e�rt�fita�te a►f 4��an�Yetto�t Conflict of Interest Law tric Ottubt patrolman police department town of north andover bang comvtdeb the Cauftftt of Snterw fain onYtnt trainfng program an 12/29/2015 ' try t.,k7i�V� 91 •6 WV OC 03O 91OZ http://www.muniprog.eth.state.ma.us/page554968.html 12/29/2015 Version 6: Revised May 10,2013 ACKNOWLEDGMENT OF RECEIPT I, co 1 I e c) ' (5 he I o o n ,an employee at &�h Rndovler Qvb11c kh6&hereby acknowledge that I received a (first and last name) (name of municipal dept.) ,, ,�. copy of the summary of the conflict of interest law for municipal employees, revised May 10,2013,on OCi obe 1 , 2-01 (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.A/temativek municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. ©2015 Commonwealth of Massachusetts. State Ethics Commission Web Feedback State Ethics Commission Site Policies Contact Us Mass.Gov®is a registered service mark of the Commonwealth of Massachusetts. g erti tcate o Com fetion e p Sato ca COMIMM33ion i Conflict of Interest Law Dianne Stevens Secretary North Andover High School Guidance Department North Andover Public School Di 'ct has completed the Con ict of interest Law online trainina pro ram on ='A October 1�, 2015 t�° Close Cerlfficate Window Certificate Page 1 of 1 ryryyy I1 q�'; A "" If Certificate of Complettolt i M Conflict of Interest Law O. N �92 iV Mona lb Otetuart Board of Selectmen North Andover baO conPleteb the Conflict of 3ntereot 3UW online training program on 10/15/2015 � R � ° Print Certificate http://www.muniprog.eth.state.ma.us/page554968.html 10/15/2015 Certificate Page 1 of 1 r , ertif tcate of Complet to Conflict of Interest Law Vatrida Oifferlen Clerk Town Clerk North Andover jail tontPleteb the Conflict of .3ntereot 3.atn online training program on " 10/14/2015 ,M r m R m4 -4 <3A _. , CD http://www.muniprog.eth.state.ma.us/page554968.html 10/14/2015 yap /�_ yd(/ � .rds� hT I, an�P�Y�� L ereby acknowledge that I received a (first and last name) (name of municipal dept.) co of the summary of the conflict of interest law for municipal ern PY rY pa employees,revised May 10,2013,on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively, municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. C 2015 Commonwealth of Massachusetts. State Ethics Commission Web Feedback State Ethics Commission Site Policies Contact Us Mass.C*Y&is a registered service mark of the Commonwealth of Massachusetts. Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, �J,(�11,C_, � )• �� �. ,an employee at v hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on 'l �/4 , `— (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Version 6: Revised May 10,2013 2015 DEC 18 AM 10: 53 TOS�'1�'d 6-------- MASSACHIU�T- ACKNOWLEDGMENT OF RECEIPT I� amnrz,an employee at F4&&I hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (date Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 ?#/$DEC l8 AMI �•5 3 Certi ' ate o ettm -0 Ac / 'E;%� Sac* #cope+ ssiart - ` t Conflict of Interest Law has compCeted t u Conflict of gnterest law ��'� JtCL, f� onl ne training program on 10/26/2015 PF Print Close Certificate Window Certificate Certificate 12/11/15, 2:25 PM 1 CertZ ane of ComyCetion state S COM ion Conflict of Interest Law Jason Shelkowitz Music Specialist Sargent Elementary Town of North Andover has completed the Conf'ct of Interest Law i online trainin pro ram on December�l, 2�15 piftf- Close Certificate Window http://www.muniprog.eth.state.ma.us/page554968.html Page 1 of 1 s Certificate 11/20/15, 11:36 AM 18 w Cer*ate of Co41Wstate s Com ssionlUgP Conflict of Interest Law I Susan Scandore Classroom teacher North Andover School Dept. Town Of North Andover has com feted the Con ict of Interest ' ::. .haw onCine training ro ram on November , 2�15 :s `4 Print mo t Win Certificate http://www.muniprog.eth.state.ma.us/page554968.html Page 1 of 1 � . Cerrgicate of fWan s OF #' St2to 5 Comm Ssiont ` t Conflict of Interes W FA V-Xi � S E `1 i► . has r r ranterestlaw , mCim trainiiVyrogram , ji v 1 r • 1 Print Close Certificate Window Certificate 10/27/2015 Certif cate Certi 'cate -o Com Betio p n t ..:.. "cs Comm''ion, Conflict of Interest Law r has completed the Conflict of interest law online training program on l Z: 10/27/2015 In http://www.muniprog.eth.state.ma.us/page554968.htm] 1/1 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT - ,an employee at 1/ hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on of u -'_701s - (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certi ' ate Com Ce �: tion p stste Corr► ion Conflict of Interest Law has compCetedthe Conflict einterest.Eaw online training,program on 11/13/2015 Close "Certificate Window y3+; Certificate Page 1 of 1 FF Certificate of 'Completion 4St& C Conflict of Interest Law TEACHER-NORTH ANDOVER MIDDLE SCHOOL NORTH ANDOVER SCHOOL DEPARTMENT NORTH ANDOVER bad tompleteb the Conflict of 3uttregt Xa online training program on rw 12/21/2015 i http://www.muniprog.eth.state.ma.us/page554968.html 5/19/2016 Certificate Page 1 of 1 1!Old- log 05. AL Certi f icate of State Ics Commission Co pletion Conflict o Interest Law Johnathan Adam Stagno Communications Officer North Andover Police Department Town of North Andover has completed the Conflict of Interest Law = I f 1 online traini Frogram on 5/24, 05 Print http://www.muniprog.eth.state.ma.us/page554968.html 5/24/2015 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, V ,an employee at K \1 �1( hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 i 4`�?4`"'+ -... 'gtr`G,_, 1 Y r'�'� kQ. 1g '.'„{�1�►''„ 4 ...��k'�+.� 1. a.. ��t°ea.�+.'°ot� � , �, ry J w.� f4'1�B +I .�1 �9 .tP "�4s.° •4 �"iC,' } ally�l, a:', `4 del �� Y-> y- A �-^' fv� i•�r �r�, 'et' �i.l�.�'f '1,'' '�' �' �r�. a�J�Nr.lyl � k �' �� chi? rill, ;�� �Jq�•� �h�^1 ��� �; ilm,:�l� ,'t {41A_471d Ce cate �f comykdon W �0 ,1 1 , Ir• k !I lv ff1 iA I' t Conflict �' ¢ry.�1, III �j•1. •'uy �,i �I... fII I : ?I ! has compktodtheconjTict of interest xaw Awl onCine trainingyrogram on Wf Ae g 10/27/2015 4 4R 1 j J T�I Wits � _ _. _._ _ _ •r�w�wi�,...-.-+.......w..++u� � {_I��Ih I 'I '„ vie a;rS f(`b _:rR1 1 fif}•�,1:.F�11 1 �.A4 ��4�. irt�l .� � '4 1r ,�,.�yt .aJ'}yl� !�� '�'If fi `+I'� ;II L 11ti ..�.. �P'rt4 , I. �' ,• 1 �!I � .. S I ,II :r,-'I ,4 4 I.—P, � ,� 1 s ( I '}I ��'� I t 9t { I���'�• '� `h'_ 1�.+; N _G lr Kl,:,.L 1 , �� a �`.�.41� - � A _,�II� - � '��..>ss� u � � L N 1,1 _+� a 4,; _iN �' ' T..�:i.a �a'r .-'ki++.s:�°'" �-.`w►IP-.P�` '�' �w':w.+'/", '.;nc�" �=,ba er'. Print Close Certificate Window Certificate Certificate Page 1 of 1 RECENE + ► 1 ! d 1 1'V a + C Conflict of Interest Law uorin 003per Health Director Health Department Town of North Andover jag w mp[eteb the Conflict of ftertot UW online training program an -. 12/22/2015 0 mo O C7 rrt 'J i ?CD N 1�5 http://www.muniprog.eth.state.ma.us/page554968.htmi 12/22/2015 Certificate Page 1 of 1 � Q'Certificacte of Completton S" :Com ion Conflict of Interest Law jDarrp T bulrfbau Firefighter Fire Department North Andover ban tompleteb the Conflict of 3utereot lad online training program on y rn 10/26/2015 `I 3".,��' Close Certificate Window http://www.muniprog.eth.state.ma.us/page554968.htmi 10/26/2015 Certificate Page 1 of 1 Certtffcaste of Compiet ,Dry Su a cs Com "ion Conflict of Interest Law RUMP fileberitto Firefighter/EMT town of North Andover North Andover Fire bag completeb the Conflict of 3ntereot lft �`rN`"� S`r%,� online training program on j A T 11/13/2015 Close Cenificate Window http://www.muniprog.eth.state.ma.us/page554968.htmi 11/13/2015 11/18/2015 Certificate vE Certfftcate of Comykdon sum c:Cam ssion Conflict of Interest Law J V �, U-)-4- r- __r� mC) rn has completedtFie Con ict einterest.haw o onCine training program on . 11/18/2015 oWindow http://www.muniprog.eth.state.ma.us/page554968.htm] 1/1 Version 6: Revised May 10,2013 ACKNOWLEDGMENT OF RECEIPT an employee at ki f� ao 0rA r) Ovcr Cyr�th,a- ben;s,c SCAwarl-z- /Y► hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10,2013,on (date) Municipal employees should complete the acknowh*ment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 http://www.mtmiprogeth.state.ma.us/page554968.htrffl 4 certificate of Completton So S Com Sian Conflict of Interest Law Cpntbt'a ;Benioe Motbwaro Teaching Assistant Town of North Andover School Department Town Of North Andover , hay completeb the Conflict of 3ntereot XaW MI. online training programs on � ., 11/19/2015Close Certificate Window III I +� 1 of 1 11/19/2015 9:06 PM "Cer*au of Cornplet�' on com Conflict of Interest Law Wafter E. Soufe, fir. Teacher School Department North Andover has com. feted the Conf'ct of 7 nterest �`�_ S°���� f-aw online trainin progam on October 22 20 Print Close Certificate iWindow Certificate 11/3/15, 11:26 AM u s s s s Certi ate of ComyCetion Conflict of Inter Law est �Vle an Snyder g � Art Teacher North Andover High School d North Andover Public Schools , { has completed the Con ict o f gnterest �' o J f "�,L� Law online traffiffig1rogram on November , 2 15 v� F IP �r http://www.muniprog.eth.state.ma.us/page554968.htmi Page 1 of 2 A 4 Certi ate of Comp etion SO CS cam, as7on Conflict of Interest Law } has com,pleted the Conflict of interest-Caw online training yrogram .on r, r. 10/29/2015 1,2013 ----------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, h Sitea San em to ee at �65t� �� h P y , hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on 6*bff zq, 20 f 5 (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, b(� l"SCJA _ ,an employee at , hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (dat ) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 11/3/2015 Certificate v Cenftate eComykffm saa s Com ,lion Conflict of Interest Law De66* Swemon Teacher Franklin School North Andover Public Schools has completedtfm Conf &T of interest Taw onftne training program on V. 11/3/2015 Window'14W 'Inv Close Certificate http://www.muniprog.eth.state.ma.us/page554968.html 1/1 � Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, D��c�/'J �'1�0 ,an employee atG hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on //-v-�� (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certificate 11/3/15 6:33 PM /4 � ��� � �� _ .� .�' `"� � '� -:;_'� - .;;may,. �..- ,�`.,. ! i'._ �,;•.. ✓ � V / �,, , C erti icate of Comp etton l ,k State Ethics Cor-missior Doreen D. Sennott 4 Teacher's Assistant Franklin Elementary School Town of North Andover t � has completed the Conflict of interest Law online training ro ram on AA ¢r November , 2615 �- • 1 _T_ .w'.' ._€...„ .� � �aie-i. Jai - .. �'. ..� �� •Y. � � ,.�_ F.1+;.i ..�✓i � /'.. Print ! ,; Certificate http://www.muniprog.eth.state.ma.us/page554968.htmi Page 1 of 1 10/28/15,5:52 PM =- — " A a r Certi ' ate of Com cetion i aw sS r .Y a . Elissa L nne-Sim son Kindergarten Teacher North Andover Public Schools- Franklin Elementary Town of North Andover A has completed the Conf rict of interest .Law online traini o ram on x October , 20 5 Print t.� E Certificate http://www.muniprog.eth.state.ma.us/page554968.htmi Page 1 of 1 Nor, Version 6: Revised May 10.2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, IJJC1 Li an employee at ' wle ritaTw , Wrq\ &I , vt f P14AC hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10, 2013, on G � (date Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certificate 10127115.4:55 AM Certificat o Cora felon State s Com $or Conflict of Interest Law E Lynne Scott x Teacher i School Department Town of North Andover has completed the Conf Pict of Interest- Law w online trainin proAram on October Z�7; 20�15 fss x Close Certificate clo Ca ' http://www.muniprog.eth.state.ma.us/page554968,htmi Page 1 of 1 Version 6: Revised May 10,2013 -------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, an employee at �a;_o hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on icy42LtL� (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certificate Page 1 of 1 eertificate of Completion State CS Comm ssion Conflict of Interest Law Aeith Oeguin Working Foreman - Highway DPW North Andover jag completeb tlje Conflict of Ntereot laW !L %G online training program on 10/27/2015 Jdsswh �,`1��a Close Certificate Window N _ lf9 T-- f d = > C.a CD O d< 0 cv http://www.muniprog.eth.state.ma.us/page554968.html 10/27/2015 r r Version 6: Revised May 10,2013 ACKNOWLEDGMENT OF RECEIPT 1, lonee, 5oca-mot, S ,an employee at hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10,2013,on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it 12 Certificate Page 1 of 1 C f Completion ertificate o state s Comm s3on Conflict of Interest Law Doree Scarmoutzos Teaching Assistant School Department Town of North Andover has completed the Conflict of Interest Law online training program on N 11/2/2015 y,6SSNjr ,,•�"� N *. Cf� 7 p W i W http://www.muniprog.eth.state.ma.us/page554968.htm1 11/2/2015 Certificate Page 1 of 1 ���Ctrtffftate of Compietf on �• C WE Conflict of Interest Law 3robnatbait z1bam *tap* Communications Officer North Andover Police Town Of North Andover ljao MUMI teb the Conflitt of 3ntereot Isla Waj onlfne training program on 10/25/2015 tea. lob, Cn Aj 'r7 p-rt A I rri M CD two r� http://www.muniprog.eth.state.ma.us/page554968.htm1 10/25/2015 RtC€IVE0 Certi 'care n` C o Satz s Com Sian NOR Conflict of Inter s Vt, & �- y S, has completed de Conflict of Interest law online training program on 10/29/2015 b� �7 i Print Close Cerlificale Window Certificate 10/28/2015 Certificate TO `F r r . ;Y>? rt c;tK S UFF0 lG 1 . ` Comptetton13 10 PM 1. �e�ttftco.te of . : 4 NORTH �I; .At�t�y .. Stata s Comm ssion MA SS A CHU t ?F Conflict of Interest Law 36etinba Of *apien3a Teacher's Assistant School Dept Town of North Andover bag completeb the Conflict of 3nteregt lad �`~ IL- online training program on y T, 10/28/2015 Print Close Certificate Window I Certi r http:Nwww.muniprog.eth.state.ma.us/page554968.html 1/1 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT employee at /V61 Q10aer !� , hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 �? ++►—NI-7- 41 � '�- -:Sri.., ►, , _. .. e^ �9°J1► '"at . t�' i. ,�5� ton Cerfift' rate of Complet " �. h J . Conflict of Interest Law ,t&7 Z, LLJ i� r .. 4 • .., .� i Z 1 I ' ' 1 theConflict1lutervgti I1 r� onlinetraining program on J, X\- i A ' 15 'Y :✓ + S O 1 4. Close Certificate Window Conflict of Interest Law 6 JX e.f ' '" i rm,rmleil i Teaching Assistant Town of North Andovercri EC C(y,IIA 0-t lt9/ ey vxt ra.14 rA O ' � � II ;1 J Cengicate Cometion staue cs Commission p Conflict of Interest Law orWdWr has compCeted dw Conflict of gnterest law online training program on f 12/9/2015 Print:., ,:. Ce�"�Gat� t Version 6: Revised May 10,2013 �fl t1�aa ��lV gip. ---------------------------------------------------------------2015--I)r'C ------------ T03 :O) ACKNOWLEDGMENB° S 1 ash 19r . b ,an employee at hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on � o (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 ertificate Page 1 of 1 y Certificate of Completton Stan cs Comm ssIon Conflict of Interest Law �C.ou �o�orrto�t Water / Sewer Maintence Craftsman DPW North Andover baO tomPleteb the Conflict of 3ntereot 3.aW `�y�s ILL online training program on w 10/29/2015 `'6sS, mac' -IMF- -1warl- AN 'L Close Certificate Window CM u, :m l.rjcr, > •�r 9i r-- o N http://www.muniprog.eth.state.ma.us/page554968.html 10/29/2015 Certificate Page 1 of 1 Isates �Certtfica�te of �Contplettott Co*Ssi" §} Conflict of Interest Law ��jrigto�her ��an��c SMEO DPW North Andover bag tompleteb the QConflitt of Nteregt lad online training program on v. m 10/26/2015 Close Certificate Window tV Wv. tL i cm C� p MAIC r": o ci http://www.muniprog.eth.state.ma.us/page554968.html 10/26/2015 Certificate Page 1 of 1 (Certificate of Completion Sta s cc" 1CM Conflict of Interest Law 3fobn Oiauter HMEO DPW North Andover bag tompleteb the Conflict of Intereot 7-abi ?��5 �sl���t online training program on 10/28/2015 M CV _ tt� !CDC- cj C.) Cz(XI O C3 cry ' N http://www.muniprog.eth.state.ma.us/page554968.html 10/28/2015 Certificate Page 1 of 1 Certificate of Completion S CM lion Conflict of Interest Law MEMBER CONSERVATION COMMISSION NORTH ANDOVER hay tompleteb the 4conflict of Ntereot Rai online training program an w � 11/23/2015 ss�H 3% P&AClose Cerliticate Window C1 MCI& s �^ 0 ?fT1 http://www.muniprog.eth.state.ma.us/page554968.html 11/23/2015 Certificate 10/28/15, 10:45 AM cer*ate of Comyfetion State s Com scion Conflict of Interest Law Mary Beth Soucy-Larkin Board Member i North Andover Housing Authority North Andover has completed the Conf ict of gnterest Law ;� r online trainin r onAg�qqOctober 2`�yroam , 20�15 Mj , -3•�� n Close •• -7 - � to CD http://www.muniprog.eth.state.ma.us/page554968.htmi Page 1 of 1 Certificate 10128115, 10:34 AM Certi ' ate of Comyfetion State s Com ssion Conflict of Interest Law Mar Beth Soucy-Larkin � y Grade 4 Teacher North Andover Public Schools North Andover has completed the Conflict of?.nterest rt x`' Law online traininAA.proAAram on October n8 20115 rM�sClose Certificate Windov; _ C"sJ iTI �h Ln'� http://www.muniprog.eth.state.ma.us/page554968.htmi Page 1 of 1 Certi ateof Com lesion p Staar SCM Conflict of Interest Law Diane Simons 'g-hool has comyletecfthe Conflict of interest l aw online training,program on 12/10/2015 �3s°% R �, � 3.P`)r�'{ y.� :.r.. ��`�Y/'�'•,m„ {''�,�...,.. .!}�f'�S `�` t, ..i/�'�r1e �3 {��� ,�#"ty, j/�� fy.' "�""`"� �,�s.n, -.. 1&" r ✓'. .yrd`, ^. t ,�, s ? h��:• 9`.}r"'v,@' 'Yz* p#�, � 'l.i � ry+,,1 � yy #`' xy r% r ,: '14" erti icate f Com e �b ��: 27 ata;e Ethics ,,,ter Miss,��0r; 4ORT,� VW � r HXSsAA&Dj jte- est f4aw Onfl , ct of In r �{ i tefanie Seibert { Page Steven's Memorial Library ` North Andover, MA '.� '` y has com feted the Con Uct of Interest La Ir.� online training ram on May 17, OM t •ryg r :%i�.� # -��tr,° �' I.i�r, �..;o"�I',tC�":%� '�.„ , /1C` •4' w�M1I"d� �'*'a Print ` , Certificate Certi :are 11/6/15, 12:29 PM Certi ' ate of Comykdon s cs cam, islan Conflict of Interest Law Cynthia Sousa Elementary Special Education Teacher North Andover Public Schools Town of North Andover has completed the Conflict of Interest ` Law online trainingero ram on November 2�15s. ;n Close ,Window http://www.muniprog.eth.state.ma.us/page554968.htmI Page 1 of 1 Certificate http://www.muniprog.eth.state.ma.us/page554968.htmi io15 AEC ' OCertifica�te Jot Ce 4NI 27 Ma gS�CD E rE Stsq s Cam ion Conflict of Interest Law Aarf na balenikao Head of Children's Services Town of North Andover i Stevens Memorial Library bag completeb the Conflict of 3ntereot XaW online training program on t 12/11/2015 Jbs �aca� 'I 1 of 1 12/11/2015 3:58 PM c - r Version 6: Revised May 10,2013 , ----------------------------------------- td-5,------------------------------------------- ACKNOW :RECEIPT an employee at ���� hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (date) T Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 e� �� \» . . .�� \ �+ » , �� �\ < � ����\. 2��y v 2 ���/. ��> � ,\<��. ��\ . ?\��� M Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT — , an employee at IvOIF &6wtv-A Au- ot hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10, 2013, on la - 1 (4 s (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 fiF- E:D Certf ' atez ion Stars 0%Comm at=ion A�Pdf7�3�,�� , Conflict of I ' haw SA YY1 l kE has compCeted the Conflict of interest Law online trainingyrogram on 12/14/2015 F"nti"' Close Certificate Window ff M Cenfftcate Comykdon SU S C N Conflict of Interest Law C. 1 C-- - Barbara S arks p Language Arts Grade 8 North Andover Middle School Teacher North Andover 4 has compCeted dw Conflict of Interest law onCine training program on le Fri 12/14/2015 L Close Certificate ,���Window� Certificate http://www.muniprog.eth.state.ma.us/page554968.html o pCom tenon SUJrC,-VCer*ate Conflict of Interest Law xim Tiidisco Teacher Assistant School Department North Andover i has comyfeted the Confut of interest law <�� ,s��'�� online trainingyrogram on W 11/13/2015 1 of 1 11/13/15,5:41 PM Certificate Page 1 of 1 Certificate of Completion stt« CS Camrn ssion Conflict of Interest Law fait �Cierttep Principal Clerk 8 Treasurer Collector Town of North Andover bag completeb the Conflict of 3nteregt 3Eato online training program on � 10/28/2015 .s,$ http://www.muniprog.eth.state.ma.us/page554968.html 10/28/2015 77,Z low n Cenftau eComylerfon Stato CS Comm Ssion Conflict of Interest Law fias comykedtfu Conffict of Interest"w R ► i onfine trainin8yrc fram r 4 � rr 11 /2/2015 W 51 Close Certificate Window Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, I��c4Nd/1�/h (�LL__X�Ux� ,an employee at J' hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy_ of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT VI. —n--Tr—M I an employee at �0� rjd Kv- m I duel hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10, 2013, on is , ISr (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 A Certificate TOM C-I-ERK'S FILE IMECISP 2: 8 Cert� ate "et�on � t NORTH Stan ca Com s'Sion MASS ACHUSP'T"z Conflict of Interest Law i gca6ken rfaris Science Teacher Science Department 8th Grade NAMS North Andover MIddle School has completed the Conflict of Interest law �w" S`�t�ty online training,program on 12/14/2015 Close Certificate Window i http://www.muniprog.eth.state.ma.us/page554968.html 1/1 - Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT VAC, 1 r 3 ,an employee at M,-11. Ade.,,, M JA hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on rl as �.arS (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 a 4- S# fi o w ..�,p ^'mw r;.a rds^ ♦ ,.4 �;' }" 3 «^`yam. i s Fa Y- 11/25/2015 Certificate ` Cenftato eComyCMm State cs Commission q Conflict of Interest Law ctc l i i has comykredthe Cmffkt einterestr" "�~ ,: /r � oYdi a training program on 11/25/2015 Print ' Window Certificate N cC^ cnr M W-4—: Cl) �-; N) it'iiz:1 --ry W http://www.muniprog.eth.state.ma.us/page554968.html I/1 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT -, an employee at NOY .AA&mAy IM1 dj L hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10, 2013, on 12J-71rs- (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary. Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 12/11/2015 Certificate AML MIL Cenfftcate o Com ktion 't* com !o Conflict of Interest Law Wa* thaPte �rav Cta Teacher Assistant North Andover Public Schools North Andover Public Schools h Cz r r has completed the conflict of Interest saw online trainingyrogram on o 12/11/2015 � �r III Close http://www.muniprog.eth.state.ma.us/page554968.htmi 1/1 . 4 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, at an em to ee P y , hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013",on -{date) _ Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 o certificat of comyCetion State G COM ss o Conflict of Interest Law ECaine T'wOme Teacher North Andover Public Schools . N North Andover has com feted-rhe Conflict of Interest Law online trainingyrOgram on 11/13/2015 `� W i ,..- Certificate Page 1 of 1 cerfificate of completion Stade' cs Com lion Conflict of Interest Law Oemi Metrauit Administrative Assistant Youth & Recreation Services Town of North Andover bao tompleteb the Conflict of .lntere$t 3.aW online training program: on 11/17/2015 cn M v A v)rq http://www.muniprog.eth.state.ma.us/page554968.html 11/17/2015 Certificate Page 1 of 1 Certificate of Completton State cs Comm lion Conflict of Interest Law Aicaela Metrauit Social Programs Coordinator Youth & Recreation Services Town of North Andover bag tDmpteteb the QConth t of 3ntereOt KaW ontint training program on 10/26/2015 `'�s ,,j` ,,`��'. C ..a. C.M C:Z3 Z rq Tm http://www.muniprog.eth.state.ma.us/page554968.html 10/26/2015 Version 6: Revised May 10,2013 ACKNOWLEDGMENT OF RECEIPT an employee at Jvw YLO hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (date) C=' -s x i1, r�*i =' n . '.rim < 0 23 C3CD er. Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it 12 A Page 1 of 1 Certificate Zerttfttate of Completion Sum f Conflict of Interest Law firuce Xbtbobeau Director Public Works Town of North Andover si bao completeb tbt Conflict of Jntereot Ulu � `'� online training program on s A 12/4/2015 C N 0 3- O http://www.muniprog.eth.state.ma.us/page554968.html 12/4/2015 Certificate Page 1 of 1 Aft- Certtficate of Completton ' Some s Comm scion Conflict of Interest Law Rpan Mittomb Firefighter/EMT North Andover Fire Department Town of North Andover hag completeb the conflict of 3ntereot Xabo online training program on 10/26/2015 Jbss111 V,,,��ca http://www.muniprog.eth.state.ma.us/page554968.html 10/26/2015 Certificate Page 1 of 1 4 Zertt• "f tcaste of Completion State cs Comm scion Conflict of Interest Law matt tWOO Werat fire dept north andover bay$ completeb the Conflict of 3utereot law online training program on 10/28/2015 CC�CZIz http://www.muniprog.eth.state.ma.us/page554968.html 10/28/2015 11/9/15, 8:48 AM Certificate 1 1 Cert� ate of Comyktton i sU , s come"Sdol° Conflict of Interest Law Meredt L. Trace y English Teacher North Andover High School North Andover Public Schools has com Cet-ed the Con ict of Interest Law w =_ onCine training ro ram on November 9, 2015 1t � Print Close Certificate +Window ht,p://www.muniprog.eth.state.rna.us/page554968.html Page 1 of i 2015 BEC 18 QM �Certificacte of Cout ie " h � A CKOV RASOCHUSET SUN S Comm lion Conflict of Interest Law R.itbarb Zbibault { Crossing Guard , North Andover Police Department a Town of North Andover i hag completeb the Conflict of 3nteregt last online training program on U) A 12/3/2015 low Certificate http://www.mtuiiprog.eth.state.rm.us/page554968.htW n_ ' tific�.te of font Yett�Ec 17 AM io: 25 er �0"dV,IN f11F NORTH MASSACH,,J ! , ! Aa rie JR&Nbrebi-Tapior Head of Reference & Teen Services Stevens Memorial Library Town of North Andover bag; completeb the QConflitt of 3ntereot Zatm online training program on 12/5/2015 1 of 1 12/5/2015 1:06 PM Certificate Page 1 of 1 Certtftcacte of Completton StaY� cs Comm$'' Ion Conflict of Interest Law Rebtn ,3 Torrep sewer mechanic water treatment plant town of north andover bao completeb the ConfCict of Intereot XaW 4�""I S,c��{� online training program on w 'v 11/18/2015 J`S f 3= Ct7 C/)73 O ✓ CO OM Tl .r C.a p O N http://www.muniprog.eth.state.ma.us/page554968.html 11/18/2015 i www.mu niprog.eth.state.ma.us/page 5 5 4968.htm l Adam,. Allmbk� ceorti ate oCom eta 6 Cam span Conflict of Interest Law b b t s has corn ktedthe Conflict of interest Law ��`� � � S'��� a online trainingyrogram on 10/30/201 S mmsew 2015 DEC 10 PM 1: 03 Certificate of C etion NORTH!110061v stair :Com scion MASSACHu'SrTTS Conflict of Interest Law Gen-�er has completed the Conflict of Interest-Caw � ` ,S' f{{ online training program on w 10/23/2015 Cer - careecomyfg�n* Ply StatM :com Won Tot- Conflict of Interest ENORe � 4 has completed du Conflict of Interest Law online training program on w 10/29/2015 Close Certificate II Winclow I MOM Certificate of completion Stau s Comm ssion Conflict of Interest Law Aftbarb Imbibautt Crossing Guard North Andover Police Department F Town of North Andover ba-9 completeb the QConflitt of interest jals online training program on 7 A 12/3/2015 _o -t ` 7-r ..% � C3 CO W Certificate Page 1 of 1 Certificacte of Completton stsa :Cam *ion Conflict of Interest Law karen Talbott Receptionist Elder Services Town of North Andover ba.t tompleteb the Conflict of 3nteregt Zabu t'��� +.�. S�6�`` online training program on w i A 12/8/2015 i _N - C r7^ rn _ y n i lD O http://www.muniprog.eth.state.ma.us/page554968.html 12/8/2015 Certificate Page 1 of 1 Certtf ttate of Completton sna s COM Conflict of Interest Law 3'uotitt Morelli Operator Drinking Water Treatment Plant Town of North Andover jag tompleteb the Conflict of 3ntereg :�.t XaW �"`` SSG'!, online training program on � T A r � 10/10/2015 Close Ceflificate Window ry C rn b http://www.muniprog.eth.state.ma.us/page554968.html 10/10/2015 f I n3/2015 Certificate Certf ' ate of Com Cetion stagy. : CS c�tt :sin p Conflict of Interest Law � t has completed the Conflict of interest iaw ' � '� online training program on r.. 11/3/2015s ,� �, Close Certificate Windo'w--7 http://www.muniprog.eth.state.ma.us/page554968.htmi /1 e Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, :fJ ,an employee at hanao hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on `�131/ ;�' (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certi ' ate Com Cetion p Sts CS Comm scion Conflict of Interest Law _.J has completed the Conflict of interest Law online training program on 11/3/2015 t Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I Gl Ir) an employee at G( �') K-I I SCAOCJ / , / /or+ Qodover kb) is Schaois hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certificate Page 1 of 1 r (Certificate of Completion 1 stag cs Comm sslon Conflict of Interest Law Vatricia I Tboma o Cafe Utility Worker North Andover School Dept. Essex County S� bao completeb the Conflict of 3utereot 103 online training program on r A 11/11/2015 F"nt Close Certificate Window Ceruf ift o � 3 o cn:c► n ko -cash l� .q 0 L'} http://www.muniprog.eth.state.ma.us/page554968.html 11/11/2015 2L.46 _ �, tiff cengicate of Comyktfon state cs Commission t Conflictof Interest Law f, l 3arti t. Cmffkt e Inwar-1" 10/25/2015 4- Print Certificate ,r�4 � � �t � �a;•'r 6 �� � �,�' {, hw� tit z.= t��.`• f�'�` ! r :X f F Y '. -- -'� r t Cam" �r •i-' F Close Certificate Window Certificate Page 1 of 1 1911h,- Aft, and 2015 DEC IS PM 12: 28 Certif ica T " D0 g :'r ASSIlC.?�I1 IC Co letion Conflict ori terest Law Bonnie Vincent Special Education Teacher Assistant Town of North Andover North Andover has completed the Conflict of Interest Law s online traini pprogram onFIT 12/6, 015 Ger1s http://www.muniprog.eth.state.ma.us/page554968.html 12/6/2015 Certificate Page 1 of 1 4 Certtftcarte of completton spa CS COM sicr► Conflict of Interest Law Aebra Vartanian Director of Personnel North Andover School Dept jag completeb the Conflict of 3ntere$t law ���� !Lslc�i�G online training program on 10/23/2015 N --� 0 CD © s} —+ "3 h tri —4� O •-n http://www.muniprog.eth.state.ma.us/page554968.html 10/23/2015 Certificate Page 1 of 1 ' Certificate of completion Conflict of Interest Law Ann 300ge Administrator Assistant Town of North Andover bao compteteb the QConfiict of 3fnterat law online training programs on tl1i J 10/22/2015 ` $�; , ;+' Axa fV CO C� = c �< �o _.. r, http://www.muniprog.eth.state.ma.us/page554968.html 10/22/2015 RECEIVE LERK Version 6: Revised May 10,2013 C S ;FFTI�. ---------------------------------------------------------------------------------2815 DEC 18 AM 1Q_ t-- ------------------- TOKIH O YORACKNOWLEDGMENT OF RECE_ q�y[ds f,', I, Lr.11\1 _�fV r(�\� ,an employee at FrC-ni�_Iin Lle potc E�j , hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on ,v (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 1 Certificate of O Stan s Comm sslon NORTHSSA Conflict of Interest a s 3 3. Znbrea Vpnn s Teaching Assistant School Department a North Andover bag completeb the Conflict of Uteregt XaW online training program on W 10/26/2015 wpm I P WMW P1 Ow" Cl M Close� Window Version 6: Revised May 10,2013 ACKNOWLEDGMENT OF RECEIPT I, 14�-,an employee at f� 6nre/ 'ti4, SG�GAS Ck AA�,,d hereby acknowledge that I received a copy of the summary of the conflict of interes aw for municipal employees, revised May 10, 2013,on nc- a6 , (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it 12 Certificate Page 1 of 1 �ertiticarte of Conpletlon Conflict of Interest Law 3rohn 3900b Communications Officer North Andover Police Town Of North Andover S bag cot"leteb the conflict of Uterea lab) online training program on 10/25/2015 yW S1"JOHMM � sncj-i � 09 :8 NV Q 100 910Z a http://www.muniprog.eth.state.ma.us/page554968.html 10/25/2015 -ificate Page 1 of 1 Certifieate of Completton Sure s Comm ssion Conflict of Interest Law i ximotbp MUM Operations Manager Public Works i Town of North Andover bag compieteb tbt Conflict of 3ntereot lad online training program on I 12/9/2015 ' tis5�7t r l`,a PrintClose Cerlificate Window certlicate N cn rn r,> 77 7 C,* to W r-; co http://www.muniprog.eth.state.ma.us/page554968.html 12/9/2015 Version 6: Revised May 10,2013 ------------------------------------------------------------------------------------------------------ ACKNOWLEDGMENT OF RECEIPT I, 6 l�� u/I l/t�� ,an employee at Al✓A kel,410u- hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10,2013,on IZ - 1 - I5 (date) N rn p LL C.J rt CO + Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it 12 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I V V O ,an employee at flajA�(J'( h J hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on .5 (d te) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy } of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certificate 11/4/1S, 2:13 PM ry, ..+• :{y , �,� ,..a-YFra ,_yam-� '�BnW �y� t � �'S. y t�s+.� ..a_£' .�..: Certi ate of Com ktion State fit tcs Cornm=.ssio"I e I e 5 f_ Mara 'Wol enders Teacher Franklin School North Andover Public Schools f has com Cetecl the Con ict f ZnterEstp �" f-aw onCine training pro ram on t f November 4 2�15 PTilttCtose tWindow Certificate http://www.muniprog.eth.state.ma.us/page554968.htmi Page 1 of 1 Certificate Page 1 of 1 Certificate of Completion Stag cs Gom salon a Conflict of Interest Law 3ramem; Mite Firefighter/EMT North Andover Fire Dept. North Andover bao completeb the Conflict of 3ntereot Ral" online training program on 11/12/2015Close Certificate Window r�sS,,,,. ,;•�" � i og.eth.state.ma.us/page554968.htm1 http://www.munipr 11/12/2015 Certificate Page 1 of 1 Certificate of Completton Su S Com scion Conflict of Interest Law Yobn Weir LT fire dept north andover fire jag comP[eteb the Conflict of 3ntereot 3.aiu online training program on w 3. 11/13/2015 s�6ss ��ca http://www.muniprog.eth.state.ma.us/page554968.html 11/13/2015 I' II II,' II III II IL �I Ili I II� I "Iq I IIII '';I I I II ,I IIII' � ��� IIIIII II i II _I !IIIIII IIII ill!IIIII IIIII I'lII III I IIIIII IIIII IIIII I !IIII! IIIIIIII IIIII IIIII ►►►I' II II.III I III II tl IIIII I I IIIII IIII hq Ilh II IIIII I it I IIIII IIIIIIII I ���� IIII IIIIIIII III!dllll Illd III'h • , r , L I i �it Ii II II III I u II I I it � II I I Ill I I III L !,I L I III iI I; I �II III 'I I II� I I I I I! 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III 9/9M15 Certificate Certif icate of sy S CoM�z�ion Co pletion Conflict o nterest Law Kelly Wray Teacher Assistant t Franklin Elementary School Town of North Andover has completed the Conflict of 7 Interest Law online training program on /9/20 15r� 9 L �� 'ow 1/1 httpj www.murHprog.eth.state.maus/paga554968.htrnl 10230015 Certificate z Cerfifirate of Completion CM Conflict of Interest Law Eoni R. )Vorfenben Clerk Assessor's Department North Andover bay completeb the Conflict of Intere0 'tabu online training program on 10/23/2015 CA 2 r' �v4 ss crrt*t MWJMrww.muiiprog.etKsW.ma.u&Vage554968.t&nl 1/1 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, 14o&&,)L employee atAl. 4ndoU � , t I1sB hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on i !� 1S (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 10/27/2015 Certif cate Pi I Al Certi 'care of Com.p Ced o n SO- - ESC.MMI-Ion Conflict of Interest Law ploy has completed the Conflict of gnterest-Caw s onl ne training program on ; 10/2 2 �' - 7/ O15 L ON, Cerfificate Window http://www.muniprog.eth.state.ma.us/page554968.htm1 1/1 Certificate 12j10115, 9:22 AM Certi " ate of ComyCenon stato %Comm lion Conflict of Interest Law Danid wr' Cey Teacher School Department North Andover has com feted the Con ict of Interest .haw online traintn pprogAram on I December��, 21715Close Certificate Window PUMMI G 3� o rl's:xt r http://www.muniprog.eth.state.ma.us/page554968.htmI Page 1 of 1 11/30/2015 i Certificate v Certi ' ate Compktfan State Ics Comrniss an Conflict of Interest Law yy� 1 has com kredthe Conflict of 2nterestLativ ft onl ne training yrogram on 11/30/2015 � y ��„;_ ,*"' *� � -�--- .�•�®--�._-__- ,� --,� �� _� Print Certificate .j O Cn cn� M M m t . 0 http://www.muniprog.eth-state-ma.us/page554968.htmi 1/1 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT an employee at I "0(A\A c)yr y L, hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on Il �U Zo( s-- date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certificate 10/26/15,9:29 AM A cer*ate of ComyCetion com an Conflict of Interest Law Linda wl'ifcox Teacher School Department Town of North Andover has completed the Conflict of Interest Law online tratning pro ram on October 26, 2015 Close Certificate Window N u't 0 t!) F Ln n u-, -17. �S3 http://www.muniprog.eth.state.ma.us/page554968.html Page 1 of 1 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, (wl �7 da— W i IlcQ k _ ,an employee atAlUv �T hG O✓�✓ ��Gj� �e��a,� hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (date) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 r 1 qll �1 4% ' tX tT Close Certificate Window Ce;ifCate http://www.muniprog.eth.state.ma.us/page554968.html sore 7 ANY Certificate of COMPIVA 0j J��a Ststo s Com sion ss��� 5~ Conflict of Interest Law Ann Wrap Library Assistant Town of North Andover Library hag cotttpleteb the Conflict of 3tttere.0t Kato S��% online training program on W A 12/10/2015 1: Close Certificate Window o� 1 of 1 12/10/2015 1:54 PM 12/17/2015 Certificate r1tUErveD 1(3Mi CLERK'S 0Fr IOw Certif 'cate of emwfetitivi TOWN OF C NORTH ANDOVER HASSACHU E"T Conflict of Interest Law i I bay completeb the Conflict of Interest Maio online training program on 12/17/2015 t� ljw Close Cerlificate Window http:/lwww.muniprog.eth.state.ma.us/page554968.html 1/1 a ' Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT �p� pp�( er cc,4 an employee at �)&cA And hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10, 2013, on 1 -?-//-7 A (date Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 W"15 Summary of the Conflict of Interest Law for Municipal Employees expertise acquired in government service in their subsequent private activities. Example of violation:A former school department employee works for a contractor under a contract that she helped to draft and oversee for the school department. (b)One year cooling-off period.For one year after you leave your municipal job you may not participate in any matter over which you had official responsibility during your last two years of public service. Fortner municipal employees are barred for one year after they leave municipal employment from personally appearing before any agency of the municipality in connection with matters that were under their authority in their prior municipal positions during the two years before they left. Example:An assistant town manager negotiates a three-year contract with a company.The town manager who supervised the assistant,and had official responsibility for the contract but did not participate in negotiating it,leaves her job to work for the company to which the contract was awarded.The former manager may not call or write the town in connection with the company's work on the contract for one year after leaving the town. A former municipal employee who participated as such in general legislation on expanded gaming and related matters may not become an officer or employee of,or acquire a financial interest in,an applicant for a gaming license,or a gaming licensee,for one year after his public employment ceases. (c)Partners.Your partners will be subject to restrictions while you serve as a municipal ends. rpa ern ploy ee and after your municipal service Partners of municipal employees and former municipal employees are also subject to restrictions under the conflict of interest law. If a municipal employee participated in a matter,or if he has official responsibility for a matter,then his partner may not act on behalf of anyone other than the municipality or provide services as an attorney to anyone but the city or town in relation to the matter. Example:While serving on a city's historic district commission,an architect reviewed an application to get landmark status for a building.His partners at his architecture firm may not prepare and sign plans for the owner of the building or otherwise act on the owners behalf in relation to the application for landmark status. In addition,because the architect has official responsibility as a commissioner for every matter that comes before the commission,his partners may not communicate with the commission or otherwise act on behalf of any client on any matter that comes before the commission during the time that the architect serves on the commission. Example:A former town counsel joins a law firm as a partner.Because she litigated a lawsuit for the town,her new partners cannot represent any private clients in the lawsuit for one year after her job with the town ended. This summary is not intended to be legal advice and,because it is a summary,it does not mention every provision of the conflict law that may apply in a particular situation.Our website,bU01/www.mass.00v/ethics contains further information about how the law applies in many situations.You can also contact the Commission's Legal Division via our webste,by telephone,or by letter.Our contact information is at the top of this document. Version 6: Revised May 10,2013 ACKNOWLEDGMENT OF RECEIPT CON ,an employee at ��� 1�T�t j � �1 hereby acknowledge that I received a (first and last name) (name of municipal dept) copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (date) w � Murricipal employees should complete the acknowfeckj6wt of receipt and net to the individual who provided them with a copy of the summary.Alternatively, municipal employees may send an e-mail ackrrow/edging receipt of the summary to the individual who provided them with a copy of it. httpJhvww.mass.gDv/ethics✓educaborFand-trairing resoLircosrimplarnentabori-procedurestmurrcipal-employee-st nmary.html 5/6 i Certificate Page 1 of 1 Certificate of Completion Stays cS Com sslon Conflict of Interest Law 3fennie 30rigibt Dept. Assistant Treasurer's Office Town of North Andover bag tompleteb tbt conflict of 3ntereot Xabo �``y,S \ online training program on Z 10/27/2015 Print Close Certificate Window Certificate N --i � i f l V ro,6 `` co C:y .< ti(T1 4-G CS http://www.muniprog.eth.state.ma.us/page554968.html 10/27/2015 Certificate Page 1 of 1 `I t (Certificate of completion spa► c ton Conflict of Interest Law Cracp ;ffi. Watoon Chair Board of Selectmen Town of North Andover baO completeb the Conflict of Uterest Rain online training program on 10/22/2015 hssalfi r �1a 44 ct'LL- � WarOtt ch- w M x21 ozd cm sav http://www.muniprog.eth.state.ma.us/page554968.htm] 10/22/2015 Certificate Page 1 of 1 Ceruf feacte of Com pietf on s cam, Conflict of Interest Law Virginia 41. Vototromer Planning Assistant Community & Economic Development Division Town of North Andover bag tompleteb the QConflitt of 3ntereot Kabu ����•� �5��,�C online training program on w 10/26/2015Certificate b�s# ��,�' PR" Print ! ! fJ3ap A� �< 71O CA ;;=i http://www.muniprog.eth.state.ma.us/page554968.html 10/26/2015 Certificate http://www.muniprog.eth.state.ma.us/page554968.html Certificate of Completton n Conflict of Interest Law lauretta WentWortb Member Machine Shop Village NCD Town of North Andover bag completeb the Conflict of .3nteregt Rai online training program on y 10/25/2015 N O . 3 C11 CAM c©i tU j r C7 CO U7 W -- 1 of 1 10/25/2015 3:38 PM Certificate Page 1 of 1 Certfff taste of compietfon 5ta s Ca an Conflict of interest Law &Cott 39bitta ker Sergeant North Andover Police Department North Andover bao completeb the Conflict of Utereot Into sit% online training program on w 10/23/2015 91 9 I :6 WV 0e 330 gIOZ http://www.muniprog.eth.state.ma.us/page554968.htm1 10/23/2015 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, CrIn VVIOdUKa t,an employee a N0rh1 A►1dUV'-er HiGh SCho© l , hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on 12 - 9 — 15 (date) t 3 CV) c CO) La N of e.o Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 Certificate 12/9/15, 3:07 PM F . Certi ' ate of Comm kdon scam Cs COM soon Conflict of Interest Law -Erin `W Cod ka High School Mathematics Teacher North Andover Public Schools North Andover has completed the Conf ct of Interest f-aw onCine training ro ram on �` p December 9, 2915 1 ,4. Print'-, Certificate_ Q L'; o N http://www.muniprog.eth.state.ma.us/page5S4968.html Page 1 of 1 Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT an employee at /") I-A- cJChinn hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on (date) )7 Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 1 `T f"''-. f':+"' '44.L 2 y � j N Close Certificate Window �- Version 6: Revised May 10,2013 ---------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, ,an employee at . A j 6-,,i-J A-bi,02- 6 lS hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees,revised May 10,2013,on ( ate) Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 I � ► ��. � s� ,E�.� �aft � ,. :,c'��'�4 ,� >,�'4t � L .;. j t Cen�*ate eCom / 1 [CC�� state cs Commission Conflict ; -al �f✓�� � � � � it r,,3 S N has I r " rConflia Ignterest.Eaw ,'t A onfine trainingyrogramo11/11/2015 n _N Jim Close Certificate Window TOWN OF NORTH ANDOVER VOLUNTEER SERVICE AGREEMENT I enter into this Agreement to volunteer uncompensated services to my Town and acknowledge that: I am(check one): Over 18 years of age Under 18 years of age(Parent/Guardian Consent Required) I know of no reason, medical or otherwise, which would prevent me from performing the required tasks; and that I have the necessary skill and ability to perform them. I hereby assume full responsibility for my own safety. Except where resulting from the negligence of the Town or its employees,I will hold the Town harmless from any injury to me or damage to my property and from injury or damage resulting from my own negligence. I will perform the volunteer service in compliance with the direction of Town Officials. ('I ll/ZY/I S Committee/Department Approval Date Volunteer Signature Date Signature I give consent for my child to volunteer for the Town of North Andover. Parent/Guardian Signature Date Volunteer Contact Information Emergency Contact Information R' / 3(.,,, 6r'4'c� 01,.,�,7 Name Name t Version 6: Revised May 10,2013 -------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGMENT OF RECEIPT I, c.��C 2V.Ji C¢ , an employee at I" G2 1'l 2� �T , hereby acknowledge that I received a copy of the summary of the conflict of interest law for municipal employees, revised May 10,2013, on �C�- . 3 , a 0t5 . (date) DSO tV i-�t7 GJ z3 M - a Yarn C11� "TZ Municipal employees should complete the acknowledgment of receipt and return it to the individual who provided them with a copy of the summary.Alternatively,municipal employees may send an e-mail acknowledging receipt of the summary to the individual who provided them with a copy of it. 12 10/29/2015 Certificate 4 certif f rate of Completi011 S CS COM Woll Conflict of Interest Law Pamela ZengiroWAt Transportation Coordinator School Department North Andover baz completeb the (Conflict of IntereM Kai online training program on � 10/29/2015 `' '' Close Ceiiificate Window t Site • �� 0t 130 SIDZ http://www.muniprog.eth.state.ma.us/page554968.htmi 1/1 Certificate Page 1 of 1 . . 17 AM 10: 27 Certifirate of C Stan s Com ssion Conflict of Interest Law linba Ztnk Head of Circulation Stevens Memorial Library North Andover jag tio completeb the Conflict of 3ntereot Ra S 5���.G online training program on w 12/3/2015 Ph ac'� — 00 1W Print Close Certificate Window certllic�i� http://www.muniprog.eth.state.ma.us/page554968.html 12/3/2015 5 Certificate Page 1 of 1 Certiffcacte of Completion State s Com afion Conflict of Interest Law XJ®0010 0. ZZIM) HAd) MEMBER SCHOOL BUILDING COMMITTEE NORTH ANDOVER bao completeb the (Conflict of Rtereot 3UW online training program on N 12/7/2015 J6ss�►t �$ca`, G o icy o cfs r n a N http://www.muniprog.eth.state.ma.us/page554968.html 12/7/2015 Certificate Page 1 of 1 Ceruf f eate of Cont let ton ' State cz Com "!on Conflict of Interest Law �Ia��e ��inggi ff/emt fire department town of north andover ba$ tompleteb the Conflict of Ntereot Xabo online training program on s r •. 10/23/2015 Close Cettilicate Window N !Q G Cn M i MID (Ti w http://www.muniprog.eth.state.ma.us/page554968.html 10/23/2015