Matters ▸ Attachment
Tara Murphy Beardsley 20b disclosure — File 25-0856
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 ir1terest.
BOX#2
Select either
DISCLOSURE BY MUNICIPAL EMPLOYEE
OF FINANCIAL INTEREST IN A MUNICIPAL CONTRACT
AS REQUIRED BY G. L. c. 268A, § 20(b)
MUNICIPAL EMPLOYEE INFORMATION
ltlr'V'I t"'I iirpltq Bea rnsle.;J-
tn ldd u_ s dtco I eduU!fer
If you are a municipal employee because a municipal agency has contracted with yo·Jr company or
organizat~·;ew~ihrr anf~dJi;f~ 5z~;;rtatlon.
I f.e I ~I /$JL6/ .S (y~
l>vv .,, u' 11 .1 , · M 4
() 1 ./ I( v
'
(& 11-) l( 24 ·-
---
_'5 fog/}
--
-.
-
···-··-··--·--·7--"--····-----
.
'
' .
'
~
Check one:
--
Elected
or
_
Non~eleoted
?; I I 111
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 municlpal employee position. I wi!I continue to
have this financial interest in a municipal contract. OR
_
~TATEMENT #2: I will have a new financial interes~ In a contract made by a munlcipal agency.
My financial interest in a municipal contrnct is:
__ I have a non-elected, compensated municipal employe~ position.
__ A municipal agency has a contract with me.
__ I have a financial benefit or obltgatlon because of a contract that a municipal agency has with
another person or an entity, such as a ccmpany or organization.
1--- I work for a company or organization that has a coritract with a municlpal agency, and I am a
"key employee" because the contract identifies me by name or !t is otherwise clear that the city
or town has contracted for my services in particular.
J
.
NON·ELECTED, COMPENSATED MUNICIPAi- EMPLOYEE
I am a non-elected m1.1nlolpal employee.
_
STATEMENT# 1: I had one of the following financial Interests Jn a contract made by a
municipal agency before I took a position as a non-elected municipal
http s : // www.mass.gov/d oc/dis closure-of--mun lcl pal-employee ... a ncia 1-i nterest-!n-a-rn u n I cl pa!-contract- rcqu ! red-by /dow n!o ad
3/6/25, s:oa PM
Page1of4
STATEMENT #1
or
STATEMENT #2.
Write anX
beside your
employee. I will continue to have this financial interest in a municipal
contract.
My financial interest in a municipal oontl'act is:
__ A municipal agency has a contract with me, but not an employment contract.
financial interest. __ I have a financial benefit or obligation because of a c6ntract that a munlcipal agency has with
Name and
address of
municipal agency
that made the
contract
another person or an entity, slich as a company or organization.
-- OR --
X.sTATEMENT#2: 1 will have a new financial interest in a contract made by a municipal
1
-
agency.
My financial Interest In a munlclpal contract Is:
-XI have a non-elected, compensated municipal employee position.
__ A municipal agency has a contract with me.
_I have a financial benefit or obligation b9cause Of a contract that a municipal agency has with
another person or an entity, such as a company or organization.
_,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 otheiwise clear that the city.
or town has contracted for my serviCes In particular.
FINANCIAL INTEREST IN A MUNICIPAL CONTRACT
~orf!ev0lk p4,,,/L.s tY. ~c f(a ticYJ
I t.e 1 }k tlet ...J r;, Jv ~ +
{ o-trlL-V v; lLe / M J4- oz ll1 if
1--,-----·-'--·---·
'-~~~~~~-~~~~--!
Please put.in an
x
to confirm
these facts.
FILLIN
THIS BOX
OR THE BOX
BELOW
FILLIN
THIS BOX
OR THE BOX
ABOVE
Whal is your
financial interest
"My Municipal Agency" is the municlpal agency that I serve as a munlolpal employee.
The "contracting agency" is the munlcipal agency that made the contract.
i. My Municipal Agency is not the contracting age~~Y·
}(_ My Munlclpal Agency does not ~egulate the activitles of the contracting agency.
){_ In my work for my Munlc!pal Agency, I do not participate In or have official responsibility for
J( any of the activities of the contracting agency.
,__ The contract was made after public notice or through compet1t1ve blddlng.
ANSWER THE QUESTIONS IN THIS BOX
'-"
IF THE CONTRACT IS BETWEEN THE CITY OR TOWN ANO ANOTHER PERSON OR ENTITY.
- Please identify the person or entity that has the contract with the municipal agency.
What ls your relationship to the person or entity?
What ts the contract for?
- Please explain the financial interest and Include the dollar amount if you know it.
ht tps: J /www. n1a ss. gov /doc/d I sclo sure~ of-mun! cl pa 1-empl oy ee ..• a ncl al-interest- In-a-mu ni cl pal-contract-req ul red- by/download
3/6/26, S:06 PM
Page 2 of 4
In the municipal
contract?
~ 5Do. OD -
Date when you
acquired a
1ebVUt~ l 8") 2-D 2;;'
financial interest
What is the
Please explain the financial Interest and Include the dollar amount if you know it.
financial interest of
your immediate
AJ I /j.
family?
Date when your
immediate family
N/rf
acquired a
financial interest
FOR A CONTRACT FOR PERSON~L SERVICES -
Answer the questions in this box ONLY if you will have a contract for
Write an X
personal services with a municipal agency (i.e., you will do work
to confirm each
directly for the contracting agency).
statement.
l will have a contract with a municipal agency to provide personal services.
. X, Th~ services ~ill be provided .outsid~ my,_normal working hou~s as a. municipal employee.
}( The services are not required as part of my regular duties as a municipal employee.
,;(, For these services, I wlll be compensated for not more than 500 hours during a calendar year.
Employee
~:;/)
signature:
Date:
IYf••'V ;/VI
la.-1ff7.<;..
-
-/
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.
oFOR CONTRACTS FOR PERSONAL SERVICES ONLY:
If you are dis closing a. financial interest in a contract for personal services with a ·municipal agency, you must file the
Certification below signed by the head of the contracting agency, and you must get approval of the exemption from
the clty council, board of aldermen, board of selectmen or town council.
CERTIFICATION BY HEAD OF CONTRACTING AGENCY
INFORMATION ABOUT HEAD OF CONTRACTING AGENCY
Name:
http s: //www. mass. gov/doc /di sclos ur e-of-mu nl ci pa I ~employee •.. a ncl a 1-i nteres t-1 n-a-mu nici pa I· con tract-re qu I ~ed-by /down I oa d
3/6/25, s:oa PM
Page 3 of 4
i
Title/ Position
Municipal
Agency:
Agency Address:
Office Phone:
Signature:
Date:
Name:
Title/ Position
Agency
Address:
Office Phone:
Signature:
Date:
' (Y)
t<o 1
CERTIFICATION
I have received a disclosure under G.L c. 268A, § 20(b) from a municipal
employee whb seeks to provide personal services to my municipal agency,
identified above.)- ertify that no employee of my agency is available to
perform the s r\/ioe described above as part of his or her regular duties.
APPROVAL BY CITY COUNCIL, BOARQ OF ALDERMEN,
BOARD OF SELECTMEN OR TOWN COUNCIL
INFORMATION ABOUT APPROVING BODY
APPROVAL
-
..
.
.
I have received a disclosure under G.L. ci. 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 er Soard, I sign th ls approval. ,
:.<'-·-·
•
.
Attaoh additional pages if neceSS'ary.
Fiie disclosure, Certification and Approval with the city or town clerk.
Form revised Februury, 2012
http s:lf www. n1ass.g ov I doc /disclosure-of-mun! ci pa I-employee ... ancl a 1-1 nteres t ~In-a-muni cl pa 1 .. co ntr act-requ Ired-by /down Joa c.I
3/6/26, 5'06 PM
Page 4 of 4