Charles Graham-disclosure 11-19-2024 — File 24-1652

Name of municipal employee: Title/ Position Fill in this box if it applies to you. Agency/ Department Agency Address Office phone: Office e-mail: Starting date as a municipal employee. BOX#1 Select either STATEMENT #1 or STATEMENT #2. Write an X beside your financial interest. BOX#2 Select either STATEMENT #1 or STATEMENT #2. DISCLOSURE BY MUNICIPAL EMPLOYEE OF FINANCIAL INTEREST IN A MUNICIPAL CONTRACT AS REQUIRED BY G. L. c. ,268A, § 20(b) MUNICIPAL EMPLOYEE INFORl\(IATION If you are a municipc!il em1 loyee because a municipal agency /las contracted with your company or organization, please provide the name and address of the company or organization. Check one: Elected or _JrJ._ Non-elected ELECTED MUNICIPAL EMPLOYEE I am an elected municipal employee. STATEMENT #1: I had one of the following financial interests in a contract made by a municipal agency before I was elected to my municipal employee position. I will continue to have this financial interest in a municipal contract. . OR _ STATEMENT #2: I will have a new financial interest in a contract made by a municipal agency. '.>f'··' fo· ~ncial interest in a municipal contract is: . ,·,ave a non-elected, compensated municipal employee position. __ A municipal agency has a contract with me. __ I have a financial benefit or obligation because of a contract that a municipal agency has with another person or an entity, such as a company or organization. __ I work for a company or organization that has a contract with a municipal agency, and I am a "key employee" because the contract identifies me by name or it is otherwise clear that the city or town has contracted for my services in particular. NON-ELECTED, COMPENSATED MUNICIPAL EMPLOYEE I am a non-elected muniC:ipal employee. _ STATEMENT# 1: I had.O(lEJ. of ~he, following finqhcial interests in a contract made by a municipal agency before (took· a position as a non-elected municipal employee. I will continue to have this financial interest in a municipal contract.

.Write anX beside your financial interest. My financial interest in a municipal contract is: _·_A municipal agency'has a contract vyith me, but not an employment contract. __ I ·have a financial benefit or obligation because of a contract that a municipal agency has with another person or an entity, such as a company or organization. --,0~- . _V_ SJ STATEMENT# 2: I will have a new financial interi3st in a contract made by a municipal agency. , M1,anc;a1 ;nte,est in a municipal contract '•' · · I have a non-elected, compensated municipal employee position. __ A municipal agency has a contract with me. I hav~ a fina.[16ial,benefit. or 0., b,(igattor,i becaus.e :of,a contract th.a~ a municipal agency has with --ant)'th'.~P ~usl.O!l ~ran enu~}sJctt'aE{ a comp8iJy;q1\~rg~iz?!iRh· ·-ti'. _!; • i'l -J vyork·lw l'LC~N,!Piil0¥ or org\;m]zation that has,3a .doi;it[.9!itt yvith a i\)unicipal agency, and I am a "kJy employee" beca·use the coNtract identifies, me ·by name or i~ is otherwise clear that the city or town has contracted for my services in particular. Name and addtess; of municipal aMhcy .that made the contract Please put in an X to confirm these facts. FILL IN THIS BOX OR THE BOX BELOW FILL IN THIS BOX OR THE BOX ABOVE FINANCIAL INTEREST IN A MUNICIPAL CONTRACT "My Municipal Agency" is the municipal agehcy that I serv~ as a municipal employee. ~ The "contracting agency" is th~ municip~I agency that made the contract. My Municipal Agency is not the contracting agency. My.Municipal Agency does-not regulate the activitii3s of the contracting agency, In my work for my Municipal Agency, I do not p9rticipate in or have official responsibility for any of the activities of the contracting agency. The eontract was made after public notice or through competitive bidding. ANSWER THE QUESTION, IN THIS BOX . ·IF THE CONTRACT IS t:lETWEEN THE CITY OR TOWN AND YOU. ",' - Please explain what the contract is for. Se.1:.'-)(ti'(~ \ <t-~ ~l111~ l C':) C\,\- \-\u'v'-lt \ ~ . f·v-.\-L u ·\r- "(c;., \ \ 'lu L ~ . ''\.) o ~ ~u:\.i -.:. ti ;M.- VA/ /<l ~'lll11n ·~ ANSWER THE QUESTIONS IN THIS BOX· .. . IF IHE CONTRACT IS BETWEEN THE CITY OR TOWN AND ANOTHER PERSON OR ENTITY. '· . _vp;ease identify the person or entity lhat has the contract with the municipaLagency. ~hat is your relationship to the person or entity? - What is the contract for?

FOR CONTRACTS FOR PERSONAL SERVICES ONLY: '·... ·~.- - /. \ ·-. ___ ' ",- ' _ •. • '- - ·- • _<t ·._ ~ If you are'disclolSing'a finanei'al intere;st in a•.contract forp.ersonal ®ryic~~.Witl\ c;i munitipal agency, you must file the Certificatiqn, 9elow signe,d·.by the head of t)le contracting agency, and you must get approval of the exemption from the city council, boa'r'd ot' ::i·1aermen;'.board'of'selectmen- or'tow11'9oun!iil. ·,;. / i ''; Name: Title/ Position Municipal Agency: Agency Address: Office Phone: . " '' _,_ .. ;'Ii , , ,,. " CERTIFICATION .~Y,HJEAO OF. GO~lRACTING° AGENCY ' - -· '· \'-./ ; ., __ ,- ' INFOR!'lllATION ABOUT HEAD,.QF CONTRACTING AGEl)ICY l 6 7 t·k\ \_ !Jv\,\ b ~~ <\.iv V (\y.1 {\/\. 'l. U ~, ~·u ·vuJ\J 1 ~\" fl/t '?~ \ 1 L CERTIFICATION I have received a disclosure under G.L. c. 268A, § 20(b)'frnm a\ municipal employee who seeks to provide personal services to my municipal agency,· identified above. I certify that no employ_ my agency is available to perform the services described above as part of his or regula duties. ~l--S-ig_n_a_tu-re_:~~~~-f-~=-~~'--:7--.........,~'--""--~~~~~~~--,.'-T'--'--~~~~~~~--,-~~~--j JA~D-ate_:~~~<--~~-f+'-~~--/ __ 2_,_-_._Z---+-.~~~~~~~~ Name: Title/ Position ; Agency Address: Office Phone: Signature: Date: Form revised February, 2012 APPROVAL BY CITY COUNCIL, BOARD OF ALDERMEN, · BOARD OF SELECTMEN OR TOWN COUNCIL INFORMATION ABOUT APPROVING BODY ., . APPROVAL ~ -. ,· . ·' I have received a disclosure under G.L. c. 268A, § 20(b) from a municipal employee who seeks to provide personal services to a municipal agency, identified above. The exemption under§ 20(b) is approved. On behalf of the Council or Board, I sign this approval. · ... Attach additional pages if necessary. File disclosure, Certification andApprovalwith the city or town clerk.

r:-W_h_a_t-is_y_o_u_r----r-_--::::-p,-1e-as_e_e_x_p-:-1a--=-in-t7h-e-:::fi-na_n_c:-ia-:-cl i,..-nt-e-re-s-:--t a-n-d:--:i-nc--=-1u-d-:--e-:t:-he---=-do-:-l:-la-r a_m_o_u_n-=-t :-:-if-yo_u_k,..-n_o_w_i_t. _____ .~.; ,,,. financial interest ~ h \\.it 1,.. , , ~ { c. 'tt ft n_) /-- () X kVL- c..._ In the municipal '-"' ~ contract? lfJv\.htA.{.J- fLJ (uc..d .. k l.V\r((M41'-n:,..{ lJv//q~f t.N/- Date when you acquired a financial interest What is the financial interest of your immediate family? Date when your immediate family acquired a financial interest Write an X to confirm each statement. Employee signature: Date: ~· /fc,tv(l7 Sli-.ucJ ~. 0(, -Nii'ain the financial interest and include the dollar amount ff you know it. FOR A CONTRACT FOR PERSONAL SERVICES·""."" Answer the questions in this box ONLY if you will have a contract for personal services with a municipal agency (i.e., you will do work directly for the contracting agency). IXi'ill have a contract with a municipal agency to provide personal services. (;.,_ The services will be provided outside my normal working hours as a municipal employee. L The se · s are no quired as part of my regular duties as a municipal employee. Attach additional pages if necessary. NOT A PERSONAL SERVICES CONTRACT -- File disclosure with the city or town clerk. SEE CERTIFICATION AND APPROVAL REQUIRED FOR PERSONAL SERVICES CONTRACTS, BELOW.