1 Commonwealth of Massachusetts; STATE ETHICS 3= 37 One Ashburton Place - Room 619 Boston. Massachusetts 02108 STATEMENT OF FINANCIAL INTERESTS (SFI) CALENDAR YEAR 2018 Contact Information Name: (First, Middle initial, Last) Charles D. Baker Note: Primary residence address must be a physical address. A P. 0. box will not be accepted. Primary residence is the place where you live more than 50% of the time. Prime Residence Address: (Street, City, State, Zip Code) Note: Contact mailing address must be a physical address. A P. 0. box will not be accepted. Contact Mailing Address: (Street, City, State, Zip Code) Same as Primary Residence Address o) _x Note: You must provide a work phone number if you are currently serving in a position that requires you to ?le an SH and that position has a work phone number. Otherwise, you must provide a personal phone number. 617-725-4000 Work Phone Number: Note: Please provide your work email address if you are current yserving in a position that requires you to ?le an and that position has an email address. Otherwise, please provide a personal email address if available. Work Email Address: Personal Email Address: Did you have a spouse residing In your household at any time during 2018? Yes No Did you have any dependent childtren) residing in your household at any time during Yes El No 2018? Candidates and Public Service Ii. Candidates Are you filing only! because you are a candidate for public office? El Yes No 7 Public office is a position for which one is nominated at a state primary or chosen at a state election, excluding the positions ofSenotor and Representative in the United States Congress and the of?ce of regional school district school committee member elected district-wide. If yes, please identify the of?ce for which you are a candidate: NOTE: if you are a candidate for public office AND you hold/held a public office that requires you to file an SFI, please complete BOTH Question 1 AND Question 2. 2. Your Public Position Identify the position you now hold, or have held, which requires you to file a Statement of Financial Interests and provide the required information for that position. If you held more than one public position which requlres you to file, identify each position. El Not Applicable. i am filing a Statement of Financial interests ONLY because I am a candidate for public office. -) SKIP TO QUESTION 3 Agency Name: Governor?s Of?ce Agency Address: (Street, City, State, Zip Code) Governor?s Of?ce, State House Room 360 Boston. MA 02133 Position: Start Date in Position: End Date In Position: Governor of the Commonwealth of Massachusetts January 8. 2015 Work Phone: Work Email Address: 617-725-4000 Alternate Phone: {reguireg if you no longer hold Alternate Email Address: (if you no longer hold that position) that position) Amount of Income Earned in 2018: El $20,001 to 40,000 El Less than 51,001 El $40,001 to 60,000 $1,001 to 5,000 $60,001 to 100,000 5,001 to 10,000 $100,001 or more $10,001 to 20,000 [if extra space ls needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates.) Page 2 of 42 3. be PubilcP itionsa dServices Provid Pubii encle An Other than the positionls) identified in Question 2, Identify every public position you held, and every public agency to which you provided services, at any time during 2018, whether compensated or not, and whether full- or part-time. Public position includes federal, state, county, regional, and municipal positions. Services provided include work done for any such entity as a consultant or independent contractor. These positions and/or services may have been paid or unpaid. if you have any questions about what you should include in your response, please contact the State Ethics Commission. Not Applicable. i did not hold a public position or provide services to any public agency at any time during 2018. OTHER than the position or services that require me to file a Statement of Financial Interests. -) SKIP To QUESTION 4 Public Agency: Public Agency Name: El County Federal CI Municipal El Regional State Agency Address: (Street, City, State, Zip Code) Position: Amount of Income earned in 2018: Were you a consultant/contractor? El Yes No El Less than $1,001 [3 $1,001 to 5,000 5,001 to 10,000 $10,001 to 20,000 El $20,001 to 40,000 $40,001 to 60,000 El $60,001 to 100,000 [3 $100,001 or more if you were a consultant or contractor, describe the services provided.- {if extra space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates.) Page 3 of 42 4. Public Positions or 5 use an 0 an ende Child ren Residi Your usehold 3 Services Provided By Them to Any Public Agencies Identify every public position your spouse and/or any dependent childiren) residing in your household during 2018 held, and every public agency to which your spouse and/or any dependent childlrenl residing in your household provided services, at any time during 2018, whether compensated or not, and whether full- or part-time. El Not Applicable. i did not have a spouse or any dependent residing In my household at any time during 2018. -) SKIP To QUESTION 5 Not Applicable. My spouse and/or any dependent childiren) residing In my household at any time during 2018. did not hold any public positionis) or provide services to any public agency, at any time during 2018, whether compensated or not, and whether full- or part-time. '9 SKIP TO QUESTION 5 Public Agency: Public Agency Name: 13 County Ci Federal El Municipal Ci Regional Agency Address: (Street, City, State, Zip Code} State Position: Was your Spouse or dependent child a consultant/contractor? Yes No if your spouse or dependent child was a consultant or contractor, describe services provided: {if extra space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates.) Page 4 of 42 Private Employment and Leaves of Absence m: Questions 5-7 of this section require you, if applicable, to provide information about a Business, including its name and address. If the name of the Business includes a family member's name other than your own, or the address of the Business is the same address where you or any of your family members reside, it Is N21 subject to confidentiality under the law. The name of any such Business and/or the address of any such Business will hip; be redacted by the State Ethics Commission and will be available for review by any person making a Written request to inspect your SFI. Business includes all corporations (for profit and no t-for-profit), partnerships, sole firms, franchises, associations, organizations, holding companies, fointstocir companies, receiverships, business trusts, real estate trusts, and any other legal entities organized for profit or for charitable purposes. it does include government agencies; real estate trusts formed SOLEL for the purpose of holding in a trust, residential property where the ?ier an d/or one or more of the ?ler?s family members, such as a parent, resides; and associations formed ?215" for the purpose of holding residential condominium property where the flier an d/or one or more of the ?ier?s family members, as a parent, resides. 5. Your Private Em men Identify every Business for which you worked as an employee, manager, consultant, or Independent contractor at any time during 2018, whether compensated or not, and whether full- or part-time, and provide the required information for each. Not Applicable. I was not privately employed by a business or self-employed at any time during 2018. -) SKIP TO QUESTION 6 Name of Business: Position held with Business: Self-employed: El Employee Manager Yes No [3 Consultant independent Contractor Business Address: (Street, City, State, Zip Code) Income in 2018, if In excess of $1,000: [3 income includes any fee, salary, allowance, El $1,001 to 5,000 forgiveness, interest, dividend, royalty, rent, capital 5,001 to 10,000 gain, and any other form of compensation, or any [3 $10,001 to 20,000 combination of the foregoing. [3 $20,001 to 40,000 El $40,001 to 60,000 El $60,001 to 100,000 El $100,001 or more [if extra space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates] Page 5 of 42 6. Your Leaves of Absence Were you on a leave of absence from any Business at any time during 2018? Yes No If yes, identify any Business from which you were on a leave of absence at any time during 2018, and provide Its address. Name of Business: Business Address: (Street, City, State, Zip Code) [if extra space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates.) 7. Private Employment of Your Spouse andlor any Dependent Childiren] Residing in Your ngghold Identify every Business for which your spouse and/or any dependent childlren) residing in your household during 2018 worked as an employee, manager, consultant, or Independent contractor at any time during 2018, whether compensated or not, and whether fullv or part-time, and provide the required information for each. [3 Not Applicable. I did not have a spouse or any dependent childiren) residing in my household at any time during 2018. 9 SKIP to QUESTION 8 Not Applicable. My spouse and/or any dependent residing In my household during 2018 did not work as an employee, manager, consultant, or independent contractor of any Business at any time during 2018, whether compensated or not, and whether full- or part-time. -) SKIP to QUESTION 8 Name of Business: Position held with Business: Self-employed: El Employee El Manager Yes El No Consultant El Independent Contractor Business Address: (Street, City, State, Zip Code) [if extra space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates. 1 Page 6 of42 Business Ownership and Transfers by You of Business Ownership NOTE: Questions 8-10 of this section require you, if applicable, to provide information about a Business, including Its name and address. If the name of the Business includes a family member?s name other than your own, or the address of the Business is the same address where you or any of your family members reside, It is subject to confidentiality under the law. The name of any such Business and/or the address of any such Business will Iii?0T be redacted by the State Ethics Commission and will be available for review by any person making a written request to inspect your SFI. Business includes all corporations (for profit and not-for-profit), partnerships, sale proprietorships, firms, franchises, associations, organizations, holding companies, jointstock companies, receiverships, business trusts, real estate trusts, and any other iegal entities organized for profit or for charitable purposes. it does include government agencies; real estate trusts formed SOLELY for the purpose of holding in a trust, residential property where the ?ier and/or one or more of the filer?s family members, such as a parent, resides; and associations formed SOLELY for the purpose of holding residential condominium property where the ?ier and/or one or more of the ?ier's family members, such as a parent, resides. 8. Businesses You Owned, In Whole or in Part Identify each Business of which you were, in whole or in part, an owner, partner, or proprietor, or In which you owned more than 1% of any class of the outstanding stock or similar ownership interest, at any time during 2018, and provide the required information for each. El Not Applicable. was not the owner (in whole or in part), a partner, or a proprietor, and I did not own more than 1% of any class of the outstanding stock or similar ownership interest of a Business, at any time during 2018. 9 SKIP TO QUESTION 9 Name of Business: Business Address: (Street, City, State, Zip Code) See Attachment A Percentage of stock or other Income derived, if in excess of ownership Interest: $1000: [3 Percentage of stock should be Ci $1,001 to 5,000 more than 1% but less than or income includes any fee, salary, 5,001 to 10,000 equal to 100%. allowance, forgiveness, interest, El $10,001 to 20,000 dividend, royalty, rent, capital gain, El $20,001 to 40.000 96 and any other form of El $40,001 to 60,000 compensation, or any combination [3 $60,001 to 100,000 of the foregoing. El $100,001 or more {if extra space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates. Page 7 of42 9. Businesses Owned In Whole or In art by Your Sause andlar any Dependent Childiren Residing In Your Household Identify each Business of which your spouse and/or any dependent residing In your household during 2018 was, in whole or In part, an owner, partner or proprietor, or In which your spouse and/or any dependent childiren) residing in your household owned more than 1% of any class of the outstanding stock or similar ownership Interest, at any time during 2018, and provide the required Information for each. El Not Applicable. I did not have a spouse or any dependent residing in my household at any time during 2018. 9 SKIP TO QUESTION 10 Not Applicable. My spouse and/or any dependent childlren) residing In my household during 2018 was not an owner [in whole or In part), partner or proprietor, and did not own more than 1% of any class of the outstanding stock or similar ownership Interest of a Business, at any time during 2018. -) SKIP TO QUESTION 10 Name of Business: Business Address: (Street, City, State, Zip Code) [if extra space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relatesHousehold Identify any stock or similar ownership interest In a Business which you transferred to your spouse and/or any dependent childlren) residing In your household during 2018, and provide the required information for each. Not Applicable. I did not have a spouse or any dependent childiren} residing in my household at any time during 2018. 9 SKIP TO QUESTION 11. Not Applicable. i did not transfer any stock or similar ownership interest in any Business to my spouse and/or any dependent residing In my household during 2018. -) SKIP T0 QUESTION 11. Description Percentage of Stock or of Stock or Name of Business: Business Address: (Street, City, State, Zip Code) 033;? Interest Interest Transferred Transferred [if extra space is needed to compiete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates] Page 8 of 42 Service as an Officer, Director, or Trustee of a Business NOTE: Questions 11-12 ofthis section require you, ifapplicable, to provide Information about a Business, including its name and address. If the name of the Business includes a family member?s name other than your own, or the address of the Business is the same address where you or any of your family members reside, it is M91 subject to con?dentiality under the law. The name of any such Business and/or the address of any such Business will be redacted by the State Ethics Commission and will be available for review by any person making a written request to Inspect your SFI. Business includes all corporations (for pro?t and partnerships, sole proprie ?rms, franchises, associations, organizations, holding companies, Joint stock companies, receiverships, business trusts, real estate trusts, and any other legal en titles organized for pro?t or for charitable purposes. it does ?91 include government agencies; real estate trusts formed soar; for the purpose of holding in a trust, residential property where the filer and/or one or more of the filer'sfamily members, such as a parent, resides; and associations formed SOLE LY for the purpose of holding residential condominium property where the ?ier and/or one or more of the ?ler?s family members, such as a parent, resides. 11. Your Service as an Officer Director or Trustee of a Business Identify any Business In which you served as an officer, director, or trustee, at any time during 2018, whether compensated or not, and whether full- or part-time, and provide the required Information for each. Not Applicable. I did not serve as an of?cer, director, or trustee of a Business at any time during 2018 whether compensated or not, and whether full- or part-time. 9 SKIP To QUESTION 12 Name of Business: Business Address: (Street, City, State, Zip Code} Position: Income derived, if in excess of $1000: El CI $1,001 to 5,000 I3 Officer Income includes any fee, salary, allowance, forgiveness, 5 5,001 to 10,000 El Director interest, dividend, royalty, rent, capital gain, and any other $10,001 to 20,000 El Trustee farm of compensation, or any combination of the [3 $20,001 to 40,000 foregoing. [3 $40,001 to 60,000 $60,001 to 100,000 El $100,001 or more [if extra space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates} Page 9 of 42 12. ?grvicg by Your Spouse andlor any Degndent Childirenl Residing In as an Officer. Director, or Trustee of a Business identify any Business in which your spouse and/or any dependent childiren) residing In your household during 2018 served as an of?cer, director, or trustee, at any time during 2018, whether compensated or not, and whether full- or part-time, and provide the required information for each. 13 Not Applicable. i did not have a spouse or any dependent chitdiren) residing In my household at any time during 2018. 9 SKIP T0 QUESTION 13 El Not Applicable. My spouse and] or any dependent childiren) residing in my household during 2018 did not serve as an of?cer, director, or trustee of a Business at any time during 2018 whether compensated or not, and whether Iuii- or part-time. -) SKIP TO QUESTION 13 Name of Business: Position: Business Address: (Street, City, State, Zip Code) 1. American Red Cross of 139 Main Street Massachusetts (Board Member) Officer Cambridge. MA 02142 El Director Trustee 2. Phoenix Charter Academy 60 Canal Street. 4th Floor Foundation Board El Officer Boston, MA 02114 Director El Trustee 3. Massachusetts Wonderfund Inc. 600 Washington Street (Vice Chair) 2 Officer Boston, MA 02110 El Director Trustee 4. The Care institute, Inc. 77 Fourth Avenue. 5th Floor Cl Of?cer Waltham, MA 02451 Director El Trustee 5. Baker-Polite 2019 Inaugural 138 Conant Street Committee. inc. l2 Of?cer Beverly. MA 01915 Director El Trustee [if extra space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates.) Page 10 of 42 IF YOU FAIL TO USE OR WHEN APPLICABLE, AND INSTEAD, A NAME ADDRESS, THAT NAME ADDRESS WILL NOT BE REDACTED BY THE STATE ETHICS COMMISSION AND WILL BE AVAILABLE FOR REVIEW BY ANY PERSON MAKING A WRITTEN REQUEST TO INSPECT YOUR SFI. Business includes all corporations (for pro? and not for profit), partnerships, sole firms, franchises, associations, organizations, holding companies, joint stock companies, receiverships, business trusts, real estate trusts, and any other legal entities organized for pro?t or for charitable purposes. it do es include government agencies; real estate trusts formed SOLELY for the purpose a] holding in a trust, residential property where the flier and/or one or more of the ?ier?s family members, such as a parent, resides; and associations formed SOLELY for the purpose of holding residential condominium property where the flier and/or one or more of the ?ler?s family members, such as a parent, resides. Real Estate means all interests in real property, including, but not limited to, developed or undeveloped land, buildings and structures of any kind, condominiums, cooperative apartments, time sh ores and other fractional ownership interests in land or buildings, and rights in land, including easements, air rights, mineral rights, and the like. excluding any Real Estate that you held as a trustee, nominee, or agent for another person, unless you held such Real Estate for yourself, or for your spouse and/or any dependent childlren) residing in your household. Page 11 of 42 IF YOU FAIL TO USE OR WHEN APPLICABLE, AND INSTEAD, DISCLOSE A NAME ADDRESS, THAT NAME ADDRESS WILL 8E REDACTED BY THE STATE ETHICS COMMISSION AND WILL BE AVAILABLE FOR REVIEW BY ANY PERSON MAKING A WRITTEN REQUESTTO INSPECT YOUR SFI. 13. ?gal mm In Massachusetts That up an identify all Real Estate in Massachusetts which you owned directly or through a Business as of December 31, 2018, and which had an assessed value greater than $1,000, and provide the required information for each Real Estate holding. DO NOT LIST ANY REAL ESTATE THAT YOU HELD AS A TRUSTEE, NOMINEE, 0R AGENT FOR ANOTHER PERSON, UNLESS YOU HELD SUCH REAL ESTATE FOR YOURSELF, OR FOR YOUR SPOUSE ANY DEPENDENT CHILDIREN) RESIDING IN YOUR HOUSEHOLD. [3 Not Applicable. I did not own directly or through a Business, any Real Estate In Massachusetts at any time during 2018. -) SKIP T0 QUESTION 14 Address: (Street, City, State, Zip Code) Do n_ot disclose any residential address of yours or any of your family members. Where applicable, put ?Residence? instead of the address. Residence Assessed value El [3 $20,001 to 40,000 Do you own this real estate with your of Real Estate: $1,001 to 5,000 $40,001to 60,000 spouse and/or any dependent El 5 5,001 to 10,000 El $60,001 to 100,000 childlren) residing in your household El $10,001 to 20,000 $100,001 or more during 2018? Yes No Was this Real Estate transferred to you or your Business during 2018? El Yes No if yes, identify the person who transferred it to you and that person?s address. Name: (First, Middle initial, Last) 00 Address: (Street, City, State, Zip Code} 00 ?91 disclose any residential n_ot disclose the name of a member of your address of yours or any of your family members. Where applicable, put family. Where applicable, put ?Family ?Residence? instead of the address. Member" instead of the name. {if extra space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates.) Page 12 of 42 IF YOU FAIL TO USE DR WHEN APPLICABLE, AND INSTEAD, DISCLOSE A NAME ADDRESS, THAT NAME ADDRESS WILL NOT BE REDACTED BY THE STATE ETHICS COMMISSION AND WILL 8E AVAILABLE FOR REVIEW BY ANY PERSON MAKING A WRITTEN REQUEST TO INSPECT YOUR SFI. 14. Real Estate in Massachusetts Owned 91 Your ?gguse andlg; any Besiding in Your Household Other than the Real Estate Identified In Question 13, identify all Real Estate in Massachusetts which your spouse and/or any dependent childiren) residing In your household during 2018 owned directly or through a Business as of December 31, 2018, and which had an assessed value greater than $1,000. 00 LIST ANY REAL ESTATE THAT YOUR SPOUSE DEPENDENT CHILDIREN) RESIDING IN YOUR HOUSEHOLD HELD AS A TRUST EE, NOMINEE, OR AGENT FOR ANOTHER PERSON, UNLESS YOUR SPOUSE DEPENDENT CHILDIREN) RESIDING IN YOUR HOUSEHOLD HELD SUCH REAL ESTATE FOR YOU, HIMSELF OR HERSELF, OR FOR THE DEPENDENT RESIDING IN YOUR HOUSEHOLD. El Not Applicable. 1 did not have a spouse or any dependent childlren) residing in my household at any time during 2018. '9 SKIP TO QUESTION 15 Not Applicable. My spouse and/or any dependent childlren) residing in my household during 2018 did not own directly or through a Business any Real Estate in Massachusetts as of December 31, 2018, with an assessed value greater than $1,000. -) SKIP TO QUESTION 15 Address: (Street, City, State, Zip Code) 00 Lot disclose residential address of yours or any of your family members. Where applicable, put ?Residence" instead of the address. Was this Real Estate transferred to your spouse and/or any dependent childiren) residing in your household during 2018 or to a Business owned by your spouse El Yes No and/or any dependent residing in your household during 2018? if yes, identify the person who transferred it to your spouse and/or any dependent and that person's address. Name: (First, Middle initial, Last) Do not Address: (Street, City, State, Zip Code) 00 disclose any disclose the name of a member of your family. reside ntiai address of y0urs or any of your family members. Where Where applicable, put ?Family Member? instead appiicabie, put "Residence? instead of the address. of the name. I if extra space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates.) Page 13 of 42 IF YOU FAILTO USE OR WHEN APPLICABLE, AND DISCLOSE A NAME ADDRESS, THAT NAME ADDRESS WILL SE REDACTED BY THE STATE ETHICS COMMISSION AND WILL BE AVAILABLE FOR REVIEW BY ANY PERSON MAKING A WRITTEN REQUEST TO INSPECT YOUR SFI. NOTE: Questions 15-20 seek information about business, charitable, and realty Trusts. These questions also seek information about family Trusts, but only if you had a right to the Trust's assets as of December 31, 2018. Do report information regarding any family Trust if your right to Trust assets depends on the occurrence of a future event that had not occurred as of December 31, 2018. For example, if your parents created a farn ly Trust that owns their vacation home on Cape Cod for the benefit of their children and grandchildren after their deaths, and both your parents are deceased on December 31, 2018, you would report this Trust: but if your parents created such a Trust and were still living as of December 31, 2018, you would report this Trust. 15. Your Interests In Trusts that Own Real Estate in Massachusetts identify any Trust of which you were a beneficiary, and which owned Real Estate in Massachusetts as of December 31, 2018, with an assessed value greater than $1,000, and provide the required information for each such Trust and Real Estate holding. A Trust is a legal entity in which a trustee holds legal ownership of prOperty for the benefit of other persons, referred to as the bene?ciaries. Real Estate means all interests in real property, including but not limited to, developed and undeveloped land, buildings and structures of any kind, condominiums, cooperative apartments, time shares and other fractional ownership interests in land or buildings, and rights in land, including easements, air rights, mineral rights, and the like. Not Applicable. was not a beneficiary of any Trust which owned Real Estate in Massachusetts as of December 31, 2018, with an assessed value greater than $1,000. -) SKIP TO QUESTION 16 Name of Trust: Do not disclose the name ofa Trust that includes the name or residential address of a living member of your family. Where applicable, put ?Family Name/Address Trust" instead of the name. Address: (Street, City, State, Zip Code} 00 disclose any residential address of yours or any of your family members. Where applicable, put ?Residence?lnstead of the address. Assessed value El [3 $20,001 to 40,000 Was your spouse and/or any dependent of Real Estate: El $1,001 to 5,000 El $40,001 to 60,000 child(ren) residing in your household 5,001 to 10,000 $60,001 to 100,000 also a beneficiary of the same Trust? [3 $10,001 to 20,000 $100,001 or more Yes No Was this Real Estate transferred to the Trust during 2018? Yes El No If yes, identify the persOn who transferred it to the Trust and that person's address. Name: Do not disclose the name of 0 Ad dress: (Street, City, State, Zip Code) Do ?12! disclose any residential member of yourfamily. Where applicable, put address of yours or any of yourfomily members. Where applicable, put ?Family Member? instead of the name. ?Residen ce' instead of the address. (if extra space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates.) Page 14 of 42 IF YOU FAIL TO USE OR WHEN APPLICABLE, AND INSTEAD, DISCLOSE A NAME ADDRESS. THAT NAME ADDRESS WILI. NQT BE REDACTED BY THE STATE ETHICS COMMISSION AND WILL BE FOR REVIEW BY ANY PERSON MAKING A WRITTEN REQUEST TO INSPECT YOUR SFI. 16. int onourS ousea or an De endent Id ren Re din In Your Household in Trusts that Own Real Estate In Massachusetts Other than the Real Estate Identi?ed in Question 15, Identify any Trust of which your spouse and/or any dependent residing In your household during 2018 was a bene?ciary and which owned Real Estate In Massachusetts as of December 31, 2018, with an assessed value greater than $1,000, and provide the required information for each such Trust and Real Estate holding. L'l Not Applicable. i did not have a spouse or any dependent residing In my household at any time during 2018. -) SKIP To QUESTION 17 9 Not Applicable. My spouse and/or any dependent childlren) residing in my household during 2018 was not a bene?ciary of any Trust that owned Real Estate In Massachusetts as of December 31, 2018, with an assessed value greater than $1,000. -) SKIP T0 QUESTION 17 Name of Trust: Do _no_t disclose the name of a Trust that includes the name or residential address ofa living member of your family. Where applicable, put ?Family Name/Address Trust? instead of the name. Address of Real Estate owned by Trust: (Street, City, State, Zip Code) Do disclose any residential address of yours or any of your family members. Where applicable, put "Residence? instead of the name. Was this Real Estate transferred to the Trust during 2018? Yes El No If yes, identity the person who transferred it to the Trust and that person's address. Name: Do n_at disclose the name of a member of Address: (Street, City, State, Zip Code) Do n_at disclose any your family. Where applicable, put "Family residential address of yours or any of your family members. Where Member? instead of the name. applicable, put "Residence? instead of the address. (if extra space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates.) Page 15 of 42 IF YOU FAIL TO USE OR WHEN APPUCABLE, AND INSTEAD, DISCLOSE A NAME ADDRESS, THAT NAME ADDRESS WILL NOT BE BY THE STATE ETHICS COMMISSION AND WILL BE AVAILABLE FOR REVIEW BY ANY PERSON MAKING A WRITTEN REQUEST TO INSPECT YOUR SFI. 17. Transfers of Real Estate In Massachusetts to Another Person or Entity by You, or by a Trust of Which You Were a Bene?ciary Identify any Real Estate in Massachusetts with an assessed value greater than $1,000, that was transferred to another person or entity by you, or by a Trust of which you were a bene?ciary, at any time during 2018, and provide the required information for each Real Estate holding. 8 Not Applicable. i, or a Trust of which I was a beneficiary, did not transfer any Real Estate in Massachusetts with an assessed value greater than $1,000, to another person or entity at any time during 2018. -) SKIP TO QUESTION 18 Address of Real Estate: (Street, City, State, Zip Code) Do ggtdisclase any residential address of yours or any of ya urfamily members. Where applicable, put "Residence? instead of the address. Assessed value of Real Estate: El $20,001 to 40,000 El $1,001 to 5,000 El $40,001 to 60,000 5,001 to 10,000 CI $60,001 to 100,000 El $10,001 to 20,000 El $100,001 or more If you owned this Real Estate, did you own it with your spouse and/or any Yes dependent childiren) residing in your household during 2018? No Not Applicable If this Real Estate was owned by a Trust of which you are a bene?ciary, was El es your spouse and/or any dependent child(ren) residing in your household during El No 2018 also a beneficiary of the same Trust? El Not Applicabie Name of Trust: 00 git disclose the name afa Trust that includes the name or residential address of a living member of your family. Where applicable, put ?Family Name/A ddress Trust" instead of the name. To whom was the Real Estate transferred? Name: Do n_ot disclose the name ofa member Address: 00 disclose any residential address of yours or any of of your family. Where applicable, put ?Family your family members. Where applicable, put "Residence? instead of the Member? instead of the name. address. [if extra space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates.) Page 16 of 42 IF YOU FAIL TO USE OR WHEN APPLICABLE, AND INSTEAD, DISCLOSE A NAME ADDRESS, THAT NAME ADDRESS WILL NOT BE BY THE STATE ETHICS COMMISSION AND WILL BE AVAILABLE FOR REVIEW BY ANY PERSON MAKING A WRITTEN REQUEST TO INSPECT YOUR SFI. 18. Transfers of Real Estate In Massachusetts to Another Person or Entig by Your Smuse any Dependent Childlrenl Resit?tg in Your HouseholdI or a by a Trust of Which Your Spouse and?or any nd i In ur Household Was a Beneficla Other than the Real Estate identified in Question Identify any Real Estate In Massachusetts with an assessed value greater than $1,000, that was transferred to another person or entity by your spouse and/or any dependent residing in your household during 2018, or by a Trust of which your spouse and/or any dependent residing in your household during 2018 was a beneficiary, at any time during 2018, and provide the required information for each piece of Real Estate transferred. Cl Not Applicable. I did not have a spouse or any dependent residing in my household at any time during 2018. -) SKIP TO QUESTION 19 52 Not Applicable. My spouse and/or any dependent residing in my household during 2018, or a Trust of which my spouse and/or any dependent residing In my household during 2018 was a beneficiary, did not transfer any Real Estate in Massachusetts with an assessed value greater than $1,000, to another person or entity at any time during 2018. -) SKIP TO QUESTION 19 Address of Real Estate: (Street, City, State, Zip Code) Do disclose any residential address of yours or any of your family members. Where applicable, put ?Residence?lnstead of the address. Did your spouse and/or any dependent residing in your household own this Real Estate? Yes No Was this Real Estate owned by a Trust of which your spouse and/or any dependent Yes No residing In your household was a beneficiary? Name of Trust: 00 disclose the name afa Trust that includes the name or residential address of a living member of ya urfomily. Where applicable, put ?Family Name/Address Trust? instead of the name. To whom was the Real Estate transferred? Name: Do not disclose the name ofa member of Address: Do not disclose any residential address of yours or any ya urfamiiy. Where applicable, put ?Family Member? of your family members. Where applicable, put "Residence? instead of the name. instead of the address. [if extra space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates} Page 17 of 42 IF YOU FAIL TO USE OR WHEN APPLICABLE, AND INSTEAD, DISCLOSE A NAME ADDRESS, THAT NAME AN DIOR ADDRESS WILL NOT BE BY TNE STATE ETHICS COM MISSION AND WILL BE AVAILABLE FOR REVIEW BY ANY PERSON MAKING A WRITTEN REQUEST TO INSPECT YOUR SFI. 19. Real Estate Interests or investments in Massachusetts Identify any Real Estate in Massachusetts with an assessed value greater than $1,000, on which, as of December 31, 2018, you, or a Trust of which you were a beneficiary, had a lien, attachment, or mortgage receivable, and provide the required information for each. A lien is a legal claim that you have on the property of another person until that person has repaid a debt to you. An attachment means a legal process by which a court, at the request of a creditor, designates that certain property owned by another person, known as the debtor, be held, transferred, or said for the benefit of the creditor. You have a mortgage receivable if you loaned a person or entity the money to purchase the property, and in return, received an interest in the property to secure the loan. Not Applicable. As of December, 31 2018, I, or a Trust of which I was a bene?ciary, did not have a lien, attachment, or mortgage receivable on any Real Estate in Massachusetts with an assessed value greater than $1,000. 9 SKIP TO QUESTION 20 Address of Real Estate: (Street, City, State, Zip Code) Do mu: disclose any residential address of yours or any of your family members. Where applicable, put ?Residence? instead of the address. Assessed [3 Nature of El Lien value of Real CI $1,001 to 5,000 $323381 :2 23333 interest: El Attachment Estate: 5,001 to 10,000 El $60,001 to 100 000 El Mortgage Receivable CI $10 001 to 20 000 $100,001 or more If you hold the interest in the Real Estate, did you hold this interest Yes in the Real Estate with your spouse and/or any dependent El No childiren) residing in your household? [3 Not Applicable. I did not hold this interest in this real estate. Was this interest In the Real Estate held by a Trust of which you were a beneficiary? El Yes if yes, provide the name of the Trust. Name of Trust: 00 not disclose the name of a Trust that includes the name or residential address of a living member of your family. Where applicable, put ?Family Name/Address Trust" instead of the name. Was your spouse and/or any dependent residing in your household also a Yes No beneficiary of the same Trust? {if extra space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates} Page 18 of 42 IF YOU FAIL TO USE OR WHEN APPLICABLE, AND INSTEAD, DISCLOSE A NAME ADDRESS, THAT NAME ADDRESS WILL NOT BE REDACTED BY THE STATE ETHICS COMMISSION AND WilL BE AVAILABLE FOR REVIEW BY ANY PERSON MAKING A WRITTEN REQUESTTO INSPECT YOUR SFI. 20. Other Real Estate Interests in Ma_ssachu_?_etts of Your Spouse angLor Dependient) Childirgn) Residing In Your Household Other than the Real Estate identified In Question 19, identify any Real Estate in Massachusetts with an assessed value greater than $1,000, on which, as at December 31, 2018, your Spouse and/or any dependent chIId(ren) residing in your household, or a Trust of which your spouse and/or dependent childiren) residing In your household during 2018 was a bene?ciary, had alien, attachment, or mortgage receivable, and provide the required information for each. Cl Not Applicable. I did not have a spouse or any dependent chiid(ren) residing in my household at any time during 2018. -) SKIP TO QUESTION 21 Not Applicable. As of December, 31 2018, my spouse and/or any dependent childiren) residing in my household during 2018, or a Trust of which my spouse and/or any dependent chlIdirenI residing in my household during 2018 was a beneficiary, did not have a lien, attachment, or mortgage receivable on any Real Estate in Massachusetts with an assessed value greater than $1,000. -) SKIP TO QUESTION 21 Address of Real Estate: (Street, City, State, Zip Code) Do disclose any residential address of yours or any of your family members. Where applicable, put esidence' instead of the name. Nature of Interest: lien Attachment [3 Mortgage Receivable Did your spouse and/or any dependent childiren) residing In your household during 2018 hold the interest in the Real Estate? CI Yes No Was this interest in the Real Estate held by a Trust of which your spouse and/or any dependent childiren) residing In your household during 2018 was a Yes No beneficiary? If yes, provide the name of the Trust. Name of Trust: Do ?91 disclose the name ofa Trust that includes the name or residential address of a living member of your family. Where applicable, put ?Family Name/Address Trust? instead of the name. [if extra space is needed to camplete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates.) Page 19 of 42 Financial Investments Band or other security issued by the Commonwealth and its political subdivisions, agencies, and authorities includes bonds, notes, certi?cates of participation and any other interest or Instrument commonly known as a security, or defined as a security by federal law, 15 U.5.C. 77(a)(1 l, which is issued by the Commonwealth, or a political subdivision of the Common wealth, including its agencies, authorities, cities, towns, and other municipalities, unless explicitly excluded. Business includes all corporations (for pro?t and partnerships, sole proprietorships, firms, franchises, associations, organizations, holding companies, joint stock companies, business trusts, real estate trusts, and any other legal entities organized for pro?t or for charitable purposes. it does government agencies; real estate trusts formed for the purpose of holding in a trust, residen tiai property where the flier an ci/or one or more of the ?ler?s family members, such as a parent, resides; and associations formed the purpose of holding residential condominium property where the ?ier and/or one or more of the filer?s family members, such as a parent, resides. 21. Investments in Governmental Bonds Identify every bond or other security issued by the Commonwealth of Massachusetts or Its political subdivisions, agencies, and authorities, which you owned, directly or through a Business, as of December 31, 2018, and which had a fair market value as of that date greater than $1,000, and provide the required information for each such investment. [3 Not Applicable. I did not own any bonds or other securities issued by the Commonwealth of Massachusetts or its political subdivisions, agencies, and authorities, as of December 31, 2018, whether directly or through a Business, and which had a fair market value as of that date greater than $1,000. -) SKIP TO QUESTION 22 NOTE: STATE EMPLOYEES WHO OWN STATE BONDS, AND COUNTY EMPLOYEES WHO OWN COUNTY BONDS, MAY NEED TO FILE A DISCLOSURE OF SUCH OWNERSHIP WITH THE STATE ETHICS COMMISSION, ADDITION IQ DISCLOSURE OF SUCH OWNERSHIP HERE. PLEASE CONTACT THE LEGAL DIVISION FOR MORE INFORMATION. Name of Bond/Other Security: Description of [3 Bond Income from 5,001 to 10,000 Investment: El Certificate of Participation Investment: El $10,001 to 20,000 El Notes $20,001 to 40,000 Other El $40,001 to 60,000 El Less than $1,001 [3 $60,001 to 100,000 $1,001 to 5,000 [3 $100,001 or more Did you own this investment with your spouse and/or any dependent chlIdIren) residing in your household during 2018? V95 No if extra space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates.) Page 20 of 42 22. Investments In Governmental Bonds Owned by Your Spouse andzor any Dependent Childireni Residing In Your Household Other than the bonds or other securities identified in Question 21, identify every hand or other security Issued by the Commonwealth of Massachusetts or its political subdivisions, agencies, and authorities, which your spouse and/or any dependent childlren) residing In your household during 2018 owned, directly or through a Business, as of December 31, 2018, and which had a fair market value as of that date greater than $1,000, and provide the required Information for each such Investment. El Not Applicable. I did not have a spouse or any dependent childireni residing In my household at any time during 2018. '9 SKIP TO QUESTION 23 Not Applicable. Other than the bonds or other securities Identified in Question 21, my spouse and/or any dependent childlren) residing In my household during 2018 did not own any bonds or other securities issued by the Commonwealth of Massachusetts or its political subdivisions, agencies, and authorities, as of December 31, 2018, whether directly or through a Business, which had a fair market value as of that date greater than $1,000. '9 SKIP TO QUESTION 23 Name of Bond/Other Security: Description of Investment: select one. CI Band Certificate of Participation El Notes Other [3 Bond El Certi?cate of Participation El Notes El Other El Bond Certificate of Participation Notes Other Bond El Certificate of Participation El Notes Other [If extra space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates.) Page 21 of 42 IF YOU FAIL TO USE MEMB FAMILY TRUST OR WHEN APPLICABLE, AND INSTEAD, DISCLOSE A NAME ADDRESS. THAT NAME ADDRESS WILL NQT BE REDACTED BY THE STATE ETHICS COMMISSION AND WILL BE AVAILABLE FOR REVIEW BY ANY PERSON MAKING A WRITTEN REQUEST TO INSPECT YOUR SFI. m: Questions 23-24 and 27-28 seek information about business, charitable, and realty Trusts. These questions also seek information about family Trusts, but only if you had a right to the Trust's assets as of December 31, 2018. Do report information regarding any family Trust if your right to Trust assets depends on the occurrence of a future event that had not occurred as of December 31, 2018. For example, if your parents created a family Trust that owns their vacation home on Cape Cod for the benefit of their children and grandchildren after their deaths, and both your parents are deceased on December 31, 2018, you would report this Trust; but if your parents created such a Trust and were still living as of December 31, 2018, you would 39: report this Trust. 23. Your lnte rests In Trusts that Own Massachusetts Bong; Identify every bond or other security issued by the Commonwealth of Massachusetts or Its political subdivisions, agencies, and authorities, which was owned as of December 31, 2018, by a Trust of which you were a beneficiary, whether directly or through a Business, and which had a fair market value as of that date greater than $1,000, and provide the required information for each such investment. A Trust is a legal entity in which a trustee holds legal ownership of property for the bene?t of other persons, referred to as the bene?ciaries. Not Applicable. A Trust of which I was a bene?ciary did not own any bonds or other securities Issued by the Commonwealth of Massachusetts or its political subdivisions, agencies, and authorities, as of December 31, 2018, whether directly or through a Business, which had a fair market value as of that date greater than $1,000. -) SKIP TO QUESTION 24 Name of Bond/Other Security: Description of Income from Investment: Investment: CI 51.001 to 5.000 [3 Band 5,001 to 10,000 El Certificate of Participation 0 $10,001 to 20,000 Nortes El $20,001 to 40,000 0t 3" $40,001 to 50,000 0 $60,001 to 100,000 El $100,001 or more Name of Trust: 00 disclose the name ofa Trust that includes the name or residential address of a living member of your family. Where applicable, put "Family Name/Address Trust? instead of the name. Was your spouse and/or any dependent residing in your household [3 Yes El No during 2018 also a beneficiary of the same Trust? (if extra space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates.) Page 22 of 42 iF YOU FAIL TO USE OR WHEN APPLICABLE, AND INSTEAD. DISCLOSE A NAME ADDRESS, THAT NAME ADDRESS WILL NOT BE REDACTED BY THE STATE ETHICS COMMISSION AND WILL BE AVAILABLE FOR REVIEW BY ANY PERSON MAKING A WRITTEN REQUEST TO INSPECT YOUR SFI. 24. IV nd rDe endent Ch I in rHou ehold In Tru ts that Own Massachusetts Bonds Identify every hand or other security Issued by the Commonwealth of Massachusetts or its political subdivisions, agendas, and authorities, which was owned as of December 31, 2018, by a Trust of which your spouse and/or any dependent chlid(ren) residing in your household during 2018 was a bene?ciary, whether directly or through a Business, and which had a fair market value as of that date greater than $1,000, and provide the required Information for each such Investment. El Not Applicable. I did not have a spouse or any dependent chlid(ren) residing In my household at any time during 2018. 9 SKIP TO QUESTION 25 Not Applicable. Other than any bonds or securities identi?ed in Question 23, a Trust of which my spouse and/or any dependent chlid(ren) residing in my household during 2018 was a bene?ciary did not own any bonds or other securities issued by the Commonwealth of Massachusetts or its politicai subdivisions, agencies, and authorities, as of December 31, 2018, whether directly or through a Business, and which had a fair market value as of that date greater than $1,000. '9 SKIP TO 25 Name of Bond/Other Security: Description of El Bond Investment: El Certificate of Participation El Notes El Other Name of Trust: Do disclose the name of a Trust that includes the name or residential address of a living member of your family. Where applicable, put ?Family Name/A ddress Trust? instead of the name. [if extra space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates.) Page 23 of42 25. Your Financial investments Identify every Financial Investment that you owned directly or through a Business as of December 31, 2018, and which had a fair market value as of that date greater than $1,000, and provide the required information for each. Financial Investment includes stocks, bonds, shares in mutual funds, notes, debentures, other evidences of indebtedness, futures, certificates of interest or participation, investment contracts, puts, calls, straddles, options in a security or relating to currency, or in general, any interest or instrument commonly known as a security, including without limitation all other securities defined by federal securities law, 15 U.5.C. 7 unless explicitly excluded. NOTE: 00 ?g INCLUDE ANY OF THE FOLLOWING: MASSACHUSETTS STATE, COUNTY, OR MUNICIPAL BANK MONEY MARKET CERTIFICATES OF RETIREMENT PROFIT-SHARING 40100, 457(8), OR OTHER DEFERRED COMPENSATION KEOGH 529 COLLEGE SAVINGS PLANS, INCLUDING THE MASSACHUSETTS INSURANCE AND FINANCIAL INVESTMENTS THAT YOU HELD AS A TRUSTEE, NOMINEE, OR AGENT FOR ANOTHER PERSON UNLESS YOU HELD THAT FINANCIAL INVESTMENT FOR YOURSELF, YOUR SPOUSE DEPENDENT RESIDING IN YOUR HOUSEHOLD. NOTE: ATTACHMENT OF AN ACCOUNT OR BROKERAGE STATEMENT IS PERMITTED AND WILL DE BE ACCEPTED FOR FILING. Not Applicable. i did not own any Financial Investment directly or through a Business as of December 31, 2018, which had a fair market value greater than $1,000. -) SKIP TO QUESTION 26 Name of lssuar: See Attachment Description of El ADR (American Depositary Receipt) El Preferred Stock Investment: El Real Estate El Annuity CI U-Fund CI Band U-Pian El Common Stock Warrant I3 Debenture El Limited Partnership Interest El Other El Mutual Fund CI Option Contract Principal Place of Business or State of Incorporation: Do n_ot report the principal place of business or state of incorporation for a publicly traded stock. if publicly traded, enter ?Not Applicable? instead of the principal place of business or state of incorporation. issuer Address: (Street, City, State, Zip Code) Do not report the issuer's address for a publicly traded stock. if publicly traded, enter ?Not Applicable? instead of the address. Do you own this Financial Investment with your spouse and/or any dependent Yes El No residing in your household during 2018? (if extra space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates] Page 24 of 42 26. Financial Investments aned by Your Spouse and/or any Dependent Childiren) Residing In Your Household Other than the Financial Investments Identified in Question 25, Identity every Financial Investment that your spouse and/or any dependent childiren) residing in your household during 2018 owned directly or through a Business as of December 31, 2018, and which had a fair market value as of that date greater than $1,000. and provide the required Information for each. NOTE: DO 1391 INCLUDE ANY OF THE FOLLOWING: MASSACHUSETTS STATE, COUNTY, OR MUNICIPAL BANK MONEY MARKET CERTIFICATES OF RETIREMENT PLANS: PROFIT-SHARING 457(8). OR OTHER DEFERRED COMPENSATION KEOGH 529 COLLEGE SAVINGS PLANS. INCLUDING THE MASSACHUSETTS INSURANCE AND FINANCIAL INVESTMENTS THAT YOUR SPOUSE DEPENDENT CHILDIREN) RESIDING IN YOUR HOUSEHOLD DURING 2018 HELD AS A TRUSTEE, NOMINEE, OR AGENT FOR ANOTHER PERSON UNLESS YOUR SPOUSE DEPENDENT CHILDIREN) HELD THAT FINANCIAL INVESTMENT FOR YOU, HIMSELF OR HERSELF, OR FOR YOUR DEPENDENT CHILDIREN) RESIDING IN YOUR HOUSEHOLD. NOTE: ATTACHMENT OF AN ACCOUNT OR BROKERAGE STATEMENT IS PERMITTED AND WILL MBE ACCEPTED FOR FILING. Not Applicable. I did not have a spouse or any dependent childiren) residing in my household at any time during 2018. 9 SKIP T0 QUESTION 27 Not Applicable. Other than the Financial Investments Identi?ed in Question 25, my spouse and/or any dependent residing in my household during 2018 did not own any Financial Investment directly or through a Business as of December 31, 2018, which had a fair market value greater than $1,000. 9 SKIP TO QUESTION 27 Name of Issuer: Description of ADR (American Depositary Receipt) Real Estate Investment: El Annuity U-Fund El Band U-Plan Common Stock El Warrant l3 Debenture El Limited Partnership Interest El Other [3 Mutual Fund El Option Contract Preferred Stock Principal Place of Business or State of Incorporation: Do n_ot report the principal place of business or state of incorporation for a publicly traded stock. if publicly traded, enter ?NotAppilcoble" instead of the principal place of business or state of incorporation. issuer Address: (Street, City, State, Zip Code) Do pg; report the issuer's address for a publicly tradedstack. If publicly traded, en ter ?Not Applicable" instead of the address. if extra space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates.) Page 25 of 42 IF YOU FAIL TO USE OR WHEN APPLICABLE, AND INSTEAD, DISCLOSE A NAME ADDRESS, THAT NAME ADDRESS WILL NOT BE BY THE STATE ETHICS COMMISSION AND WILL BE AVAILABLE FOR REVIEW BY ANY PERSON MAKING A WRITTEN REQUEST TO INSPECT YOUR SFI. 27. Your Interests In Trusts that Own Financial Investments Identify every Financial Investment that was owned as of December 31, 2018, by a Trust of which you were a bene?ciary, which had a fair market value as of that date greater than $1,000, and provide the required Information for each. NOTE: DO 1391 INCLUDE ANY OF THE FOLLOWING: MASSACHUSETTS STATE, COUNTY, OR MUNICIPAL BANK MONEY MARKET CERTIFICATES OF RETIREMENT 40100, 457(3), OR OTHER DEFERRED COMPENSATION KEOGH 529 COLLEGE SAVINGS PLANS, INCLUDING THE MASSACHUSETTS INSURANCE AND FINANCIAL INVESTMENTS THAT YOU HELD AS A TRUSTEE, NOMINEE. OR AGENT FOR ANOTHER PERSON MYOU HELD THAT FINANCIAL INVESTMENT FOR YOURSELF, YOUR SPOUSE DEPENDENT CHILDIREN) RESIOING IN YOUR HOUSEHOLD. NOTE: ATTACHMENT OF AN ACCOUNT 0R BROKERAGE STATEMENT l5 LL01 PERMITTED AND WILL 1191 BE ACCEPTED FOR FILING. Not Applicable. A Trust of which I was a bene?ciary did not own any Financial Investment as of December 31, 2018, which had a fair market value as of that date greater than $1,000. -) SKIP TO QUESTION 28 Name of Issuer: Description oi El ADR (American Depositary Receipti El U-Fund Investment: El Annuity El u-p an El Bond El Warrant El Common Stock Debenture Limited Partnership Interest [3 Mutual Fund El Option Contract Preferred Stock Real Estate Other Principal Place of Business or State of Incorporation: Do no; report the principal place of business or state of incorporation for a publicly traded stock. if publicly trade d, enter ?Not Applicable? instead of the principal place of business or state of incorporation. Issuer Address: (Street, City, State, Zip Code) 00 n_ot report the issuer's address for a publicly tradedstack. if publicly traded, enter ?Not Applicable? instead oi the address. Name of Trust: 00 mt disclose the name of a Trust that includes the name or residential address ofo living member of your family. Where applicable, put ?Family Name/Address Trust" instead of the name. Was your spouse and/or any dependent childiren) residing in your household during El Yes No 2018 also a beneficiary of the same Trust? [ifextro space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates. I Page 26 of 42 IF YOU FAIL TO USE OR WHEN APPLICABLE, AND INSTEAD, DISCLOSE A NAME ADDRESS, THAT NAME ADDRESS WILL NQT 8E REDACT ED BY THE STATE ETHICS COMMISSION AND WILL BE AVAILABLE FOR REVIEW BY ANY PERSON MAKING A WRITTEN REQUEST TO INSPECT YOUR SFI. 28. Interests of Your Spouse andlor any Dependent Residing in Your Household In Trusts that Own Financial Investments Other than the Financial Investments identi?ed in Question 27, identify every Financial investment that was owned as of December 31, 2018, by a Trust of which your spouse and/or any dependent residing in your household during 2018 was a bene?ciary, which had a fair market value as of that date greater than $1,000, and provide the required Information for each. NOTE: DO INCLUDE ANY OF THE FOLLOWING: MASSACHUSETTS STATE, COUNTY, OR MUNICIPAL BANK ACCOUNTS: MONEY MARKET CERTIFICATES OF RETIREMENT PROFIT-SHARING 457(8), OR OTHER DEFERRED COMPENSATION 529 COLLEGE SAVINGS PLANS, INCLUDING THE MASSACHUSETTS INSURANCE AND FINANCIAL INVESTMENTS THAT YOUR SPOUSE DEPENDENT CHILDIREN) RESIDING IN YOUR HOUSEHOLD DURING 2018 HELD AS A TRUSTEE, NOMINEE, OR AGENT FOR ANOTHER PERSON UNLESS YOUR SPOUSE DEPENDENT CHILDIREN) HELD THAT FINANCIAL INVESTMENT FOR YOU, HIMSELF OR HERSELF, OR YOUR DEPENDENT CHILDIREN) RESIDING IN YOUR HOUSEHOLD. NOTE: ATTACHMENT OF AN ACCOUNT OR BROKERAGE STATEMENT IS NOT PERMITTED AND WILL NOT BE ACCEPTED FOR FILING. El Not Applicable. I did not have a spouse or any dependent residing In my household at anytime during 2018. '9 SKIP TO QUESTION 29 Not Applicable. Other than the Financial Investments Identified in Question 27, a Trust of which my spouse and/or any dependent residing in my household during 2018 was a beneficiary, did not own any Financial Investment as of December 31, 2018, which had a fair market value as of that date greater than $1,000. -) SKIP T0 QUESTION 29 Name of Issuer: of El ADR (American Depository Receipt) El Real Estate investment: El Annuity El U-Fund CI Bond CI U-Plan CI Common Stock El Warrant El Debenture CI Partnership Interest El Other El Mutual Fund El Option Contract El Preferred Stock Principal Place of Business or State of Incorporation: Do report the principal place of business or state of incorporation for a publicly traded stock. lfpuhilcly traded, enter "Not Applicable? instead of the principal place of business or state of incorporation. issuer Address: (Street, City, State, Zip Code) 00 E91 report the issuer's address for a publicly traded stock. if publicly traded, enter ?Not Applicable? instead of the address. Name of Trust: Do not disclose the name of a Trust that includes the name or residential address of a living member of our family. Where applicable, put ?Family Name/A ddress Trust? instead of the name. Page 27 of 42 IF YOU FAIL TO USE OR WHEN APPLICABLE, AND INSTEAD, DISCLOSE A NAME ADDRESS, THAT NAME AN DIOR ADDRESS WILL NOT BE REDACTED BY THE STATE ETHICS COMMISSION AND WILL BE AVAILABLE FOR REVIEW BY ANY PERSON MAKING A WRITTEN REQUEST TO INSPECT YOUR Debts and Mortgages lirlmary Residence is the place where you live more than 50% of the time. I required Information for each. 29. Mortgage on Your Primag Residence Identify all mortgages, Including home equity and reverse mortgage loans. on your Primary Residence, on which more than $1,000 was owed as of December 31, 2018, where the creditor (person who loaned you the money) is by blood or marriage, your parent, grandparent, great grandparent, child, grandchild, great- aunt, uncle, sister, brother, niece, nephew, or the spouse of any such relative, and provide the DO NOT ANSWER THIS QUESTION IF YOU HAVE A MORTGAGE ON YOUR PRIMARY RESIDENCE AND THE CREDITOR (PERSON WHO LOANED YOU THE MONEY) IS, BY BLOOD OR MARRIAGE, YOUR PARENT, GRANDPARENT, GREAT GRANDPARENT, CHILD, GRANDCHILD, GREAT-GRANDCHILD, AUNT, UNCLE, SISTER, BROTHER, NIECE, NEPHEW, OR THE SPOUSE OF ANY SUCH RELATIVE. ANSWER THIS QUESTION ONLY IF YOU OWN YOUR PRIMARY RESIDENCE. Cl Not Applicable. I did not have a mortgage. Including a home equity or reverse mortgage loan, on my Primary Residence on which more than $1,000 was owed as of December 31, 2018, or the creditor is, by blood or marriage, my parent, grandparent, great grandparent, child, grandchild, great-grandchild. aunt, uncle, sister, brother, niece, nephew, or the spouse of any such relative. -) SKIP TO QUESTION 30 Creditor Name: Do not disclose the name of a member of Your family. instead of the name. Communily Credit Union of Creditor's Address: (Street, City, State, Zip Code) Do n_ot disclose any residential address of you rs or any of your fam members. Where applicable, Where applicable, put ?Family Member? put ?Residence" instead of the address. 1 Andrew Street. Lynn, MA 01901 Term (length of time) of the mortgage: Home Equity Interest Rate (96): 4% Termination Year: NIA {if extra space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates.) Page 28 of 42 iF YOU FAIL TO USE 0R WHEN APPLICABLE, AND INSTEAD, DISCLOSE A NAME ADDRESS, THAT NAME ADDRESS WILL NOT BE REDACTED BY THE STATE ETHICS COMMISSION AND WILL BE AVAILABLE FOR REVIEW BY ANY PERSON MAKING A WRITTEN REQUESTTO INSPECT YOUR SFI. 30. cher Mortgages Which You leigated to Pay Identify all mortgages, including home equity or reverse mortgage loan, OTHER than any mortgage on your Primary Residence, on which more than $1,000 was owed as of December 31, 2018, which you are obligated to pay and where the creditor (person who loaned you the money} is by blood or marriage, your parent, grandparent, great grandparent, child, grandchild, great-grandchild, aunt, uncle, sister, brother, niece, nephew, or the spouse of any such relative, and provide the required Information for each. 00 include: 1) any mortgage on your Primary Residence. 2) any mortgage where the creditor (person who loaned you the money) is, by blood or marriage, your parent, grandparent, great grandparent, child, grandchild, great- grandchild, aunt, an cie, sister, brother, niece, nephew, or the spouse of any such relative. INCLUDE IN YOUR RESPONSE: ALL MORTGAGES WHICH YOU ARE OBLIGATED TO PAY BECAUSE OF BUSINESS OWNERSHIP IDENTIFIED IN RESPONSE TO QUESTION 8, REAL ESTATE OWNERSHIP IDENTIFIED IN RESPONSE TO QUESTION 13, OR INTERESTS IN TRUSTS IDENTIFIED IN RESPONSE TO QUESTION 15. Not Applicable. I did not have a mortgage, including a home equity or reverse mortgage, on any property other than my Primary Residence, on which more than $1,000 was owed as of December 31, 2018 or where the creditor is, by blood or marriage, my parent, grandparent, great grandparent, child, grandchild, great- grandchild, aunt, uncle, sister, brother, niece, nephew, or the spouse of any such relative. 9 SKIP TO QUESTION 31 Real Estate Address: (Street, City, State, Zip Code) 00 disclose any residential address of yours or any of your family members. Where applicable, put ?Residence?instead of the address. Creditor Name: Do at disclose the Creditor Address: (Street, City, State, Zip Code) 00 got disclose any name of a member of your family. residential address of yours or any of your family members. Where Where applicable, Put ?Family applicable, put ?Residence? instead of the address. Member? instead of the name. Original amount of mortgage: Amount of mortgage 5 5,001 to 10,000 El $10,001 to 20,000 outstanding as of El $10,001 to 20,000 Less than $1,001 I3 $20,001 to 40,000 December 31, 2018: El $20,001 to 40,000 $1,001to 5,000 CI $40,001 to 50,000 540,001 to 60,000 CI 5 5,001 to 10,000 El $60,001 to 100,000 CI CI $60,001 to 100,000 $100,001 or more $1,001 to 5,000 $100,001 or more Term (length of time) of the mortgage: interest Rate (96): Termination Year: Was your spouse and/or any dependent residing in your household during 2018 also oblgated to pay the mortg_a_ge? CI Yes N0 [if extra space is needed to complete this response, attach addition oi pages, with your name at the top of each page and clearly note the question to which the information relates} Page 29 of 42 IF YOU FAIL TO USE OR WHEN APPLICABLE, AND INSTEAD, DISCLOSE A NAME ADDRESS, THAT NAME ADDRESS WILL NOT BE REDACTED BY THE STATE ETHICS COMMISSION AND WILL BE AVAILABLE FOR REVIEW BY ANY PERSON MAKING A WRITTEN REQUEST TO INSPECT YOUR SFI. 31. cher Mortgages Which Your ?pousg any Dependent Childirgnl Residing in Your Household Are Obligated to Pay Identify all mortgages, Including home equity and reverse mortgage loans, OTHER than any mortgage on your Primary Residence or any mortgage identified in response to Question 30, on which more than $1,000 was owed as of December 31, 2018, and which your spouse and/or any dependent childiren) residing in your household during 2018 were obligated to pay and where the creditor (person who loaned the money to your spouse and/or dependent residing in your household) is by blood or marriage, your parent, grandparent, great grandparent, grandchild, great-grandchild, aunt, uncle, sister, brother, niece, nephew, or the spouse of any such relative, and provide the required information for each. INCLUDE IN YOUR RESPONSE: ALL MORTGAGES WHICH YOUR SPOUSE OR ANY DEPENDENT CHILDIREN) RESIDING IN YOUR HOUSEHOLD WAS OBLIGATED TO PAY BECAUSE OF BUSINESS OWNERSHIP IDENTIFIED IN RESPONSE TO QUESTION 9, REAL ESTATE OWNERSHIP IDENTIFIED IN RESPONSE TO QUESTION 14, OR INTERESTS IN TRUSTS IDENTIFIED IN RESPONSE TO QUESTION 16. Not Applicable. i did not have a spouse or any dependent childiren) residing In my household at any time during 2018. -) SKIP TO QUESTION 32 9 Not Applicable. Other than the mortgages Identi?ed In response to Question 30, my spouse and/or any dependent childiren) residing In my household during 2018 did not have a mortgage, including a home equity and reverse mortgage loan, on which more than $1,000 was owed as of December 31, 2018, which my spouse or dependent childiren) living In my household was obligated to pay, or where the creditor Is by blood or marriage, my parent, grandparent, great grandparent, child, grandchild, great-grandchild, aunt, uncle, sister, brother, niece, nephew, or the spouse of any such relative. -) SKIP T0 QUESTION 32 Real Estate Address: (Street, City, State, Zip Code} Do n_ot disclose any residential address of yours or any of your family members. Where applicable, put ?Residence" instead of the address. Creditor Name: 00 up: disclose the Creditor Address: (Street, City, State, Zip Code) Do n_ot disclose any residential name of a member of your family. address of yours or any of your family members. Where applicable, put ?Residence? Where applicable, put ?Family instead of the address. Member? instead of the name. Term (length of time} of the mortgage: Interest Rate (96): Termination Year: (if extra space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates. Page 30 of 42 IF YOU FAIL TO USE OR WHEN APPLICABLE, AND INSTEAD, DISCLOSE A NAME ADDRESS, THAT NAME ADDRESS WILL N91 BE REDACTED BY THE STATE ETHICS COMMISSION AND WILL BE AVAILABLE FOR REVIEW BY ANY PERSON MAKING A WRITTEN REQUEST TO INSPECT YOUR SFI. 32. Your Other Debts identify all non-mortgage debts of more than $1,000 that you owed as of December 31, 2018, the person to whom you owed the debt Is 1101', by blood or marriage, your parent, grandparent, great grandparent, child, grandchild, great-grandchild, aunt, uncle, sister, brother, niece, nephew, or the spouse of any such relative, and provide the required Information for each. DO ?91 INCLUDE: NON-MORTGAGE RETAIL INSTALLMENT LOANS SUCH AS CAR LOANS, OR LOANS TO PURCHASE HOUSEHOLD EDUCATIONAL CREDIT CARD DEBT OTHER THAN CASH MEDICAL OR DENTAL EXPENSE ALIMONY OR SUPPORT PAYMENT DEBT INCURRED IN THE ORDINARY COURSE OF OR DEBT OWED TO AN INDIVIDUAL WHO IS, BY BLOOD OR MARRIAGE, YOUR PARENT, GRANDPARENT, GREAT GRANDPARENT, CHILD, GRANDCHILD, GREAT-GRANDCHILD, AUNT, UNCLE, SISTER, BROTHER, NIECE, OR THE SPOUSE OF ANY SUCH RELATIVE. Not Applicable. I did not have any non-mortgage debts of more than $1,000 that I owed as of December 31, 2018, or any non-mortgage debts were owed to an individual who Is, by blood or marriage, my parent, grandparent, great grandparent, child, grandchild, great-grandchild, aunt, uncle, sister, brother, niece, nephew, or the spouse of any such relative. -) SKIP TO QUESTION 33 Creditor Name: Do 991, disclose the name of a member of your family. Where applicable, put ?Family Member" instead of the name. Creditor Address: (Street, City, State, Zip Code) Do 021 disclose any residential address of yours or any of your family members. Where applicable, put ?Residence? instead of the address. Original Amount Amount Owed: [1 Borrowed: El Less than 51,001 $1,001 to 5,000 $1,001 to 5,000 5,001 to 10,000 CI 5 5,001 to 10,000 El $10,001 to 20,000 $10,001 to 20,000 520,001 to 40,000 El $20,001 to 40,000 CI $40,001 to 60,000 El $40,001 to 60,000 El $60,001 to 100,000 El $60,001 to 100,000 $100,001 or more $100,001 or more interest Rate (96): Date of Repayment Due: Loan Collateral] CI Real Estate -) it Real Estate, Real Estate Address: 00 991 disclose any Property to residential address of yours or any of your family members. Where Guarantee applicable, put 'Reslden ce" Instead of the address. Repayment: Select one. Other: (specify) Page 31 of42 IF YOU FAIL TO USE OR WHEN APPLICABLE, AND DISCLOSE A NAME ADDRESS, THAT NAME ADDRESS WILLM BE REDACTED BY THE STATE ETHICS COMMISSION AND WILL BE AVAILABLE FOR REVIEW BY ANY PERSON MAKING A WRITTEN REQUEST TO INSPECT YOUR SFI. 33. Other De fYour se and or an De endent Child ren Residln In Your Household Identify all nonomortgage debts of more than $1,000 that your spouse and/or any dependent residing In your household during 2018 owed as of December 31, 2018, if the person to whom your spouse and/or any dependent residing in your household during 2018 owed the debt is by blood or marriage, your parent, grandparent, great grandparent, child, grandchild, great-grandchild, aunt, uncle, sister, brother, niece, nephew, or the spouse of any such relative, and provide the required information for each. 00 N91 INCLUDE: NON-MORTGAGE RETAIL INSTALLMENT LOANS SUCH AS CAR LOANS, OR LOANS TO PURCHASE HOUSEHOLD EDUCATIONAL CREDIT CARD DEBT OTHER THAN CASH MEDICAL OR DENTAL EXPENSE ALIMONY OR SUPPORT PAYMENT OBLIGATIONS: DEBT INCURRED lN THE ORDINARY COURSE OF 0R DEBT OWED TO A PERSON WHO IS, BY BLOOD OR MARRIAGE, YOUR PARENT, GRANDPARENT, GREAT GRANDPARENT, CHILD, GRANDCHILD, GREAFGRANDCHILD, AUNT, UNCLE, SISTER, BROTHER, NIECE, NEPHEW, OR THE SPOUSE OF ANY SUCH RELATIVE. Not Applicable. I did not have a spouse or any dependent residing in my household at any time during 2018. 9 SKIP TO QUESTION 34 Not Applicable. My spouse and/or any dependent child(ren) residing In my household during 2018 did not have any non-mortgage debts of more than $1,000 that were owed as of December 31, 2018. 9 SKIP T0 QUESTION 34 El Not Applicable. Any non-mortgage debts of more than 51,000 that my Spouse and/or dependent owed as of December 31, 2018 were owed to a person who Is, by blood or marriage, my parent, grandparent, great grandparent, child, grandchild, great-grandchild, aunt, uncle, sister, brother, niece, nephew, or the spouse of any such relative. 9 SKIP T0 QUESTION 34 Creditor Name: Do not disclose the name ofa member of your family. Where applicable, put "Family Member? instead of the name. Creditor Address: (Street, City, State, Zip Code) Do disclose any residential address ofyaurs or any of your family members. Where applicable, put ?ii eslden ce? instead of the address. Interest Rate Date of Repayment Due: Loan Collateral] Preperty to El Real Estate 9 If Real Estate, Real Estate Address: 00 Maisciase any Guarantee Repayment: residential address of yours or any of your family members. Select an e. Where applicable, put ?Residence? instead a! the address. Other: (specify) {if extra space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates.) Page 32 of 42 IF YOU FAIL TO USE OR WHEN APPLICABLE, AND INSTEAD, DISCLOSE A NAME ADDRESS, THAT NAME ADDRESS WILL NOT BE REDACTED BY THE STATE ETHICS COMMISSION AND Will. BE AVAILABLE FOR REVIEW BY ANY PERSON MAKING A WRITTEN REQUEST TO INSPECT YOUR SFI. 34. Your Forgiggn Debts Identify non-mortgage debts of more than $1,000 which you owed and which were forgiven at any time during 2018, EXCLUDING debts forgiven by a person who is, by blood or marriage, your parent, grandparent, great grandparent, child, grandchild, great-grandchild, aunt, uncle, sister, brother, niece, nephew, or the spouse of any such relative, and provide the required information for each. Not Applicable. i did not have any debts of more than $1,000 which I owed and which were forgiven at any time during 2018. -) SKIP TO QUESTION 35 El Not Applicable. Any non-mortgage debts of more than $1,000 which I owed and which were forgiven during 2018, were forgiven by a person who is, by blood or marriage, my parent, grandparent, great grandparent, child, grandchild, great-grandchild, aunt, uncle, sister, brother, niece, nephew, or the spouse of any such relative. 9 SKIP TO QUESTION 35 Creditor Name: Do 93; disclose the name of a member of your family. Where put ?Family Member" instead of the name. Creditor Address: (Street, City, State, Zip Code) 00 disclose any residential address of yours or any of your family members. Where applicable, put ?Residence" Instead of the address. Amount Forgiven: 13 CI $1,001 to 5,000 I: 5 5,001 to 10,000 El $10,001 to 20,000 El $20,001 to 40,000 El $40,001 to 60,000 El $60,001 to 100,000 13 $100,001 or more {if extra space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates] Page 33 of42 IF YOU FAIL TO USE OR WHEN APFLICABLE, AND INSTEAD, A NAME ADDRESS, THAT NAME ADDRESS WILI. SE REDACTED BY THE STATE ETHICS COMMISSION AND WILI. BE AVAILABIE FOR REVIEW 3V ANY PERSON MAKING A WRITTEN REQUESTTO INSPECT YOUR SFI. 35. Forgiven Debts 9f Your Spouse andlor any Dependent Residing In Your Household identify non-mortgage debts of more than $1,000 that were owed by your spouse and/or any dependent childlren) residing In your household during 2018 and were forgiven at any time during 2018, debts forgiven by a person who is, by blood or marriage, your parent, grandparent, great grandparent, child, grandchild, great-grandchild, aunt, uncle, sister, brother, niece, nephew, or the spouse of any such relative, and provide the required information for each. El Not Applicable. I did not have a spouse or any dependent childiren) residing in my household at any time during 2018. -) SKIP TO QUESTION 35 Not Applicable. My spouse and/or any dependent childiren] residing in my household during 2018 did not have any debts of more than $1,000 which were owed and which were forgiven at any time during 2018. '9 SKIP TO QUESTION 36 El Not Applicable. Any non-mortgage debts of more than $1,000 which my spouse and/or any dependent childiren) owed and which were forgiven during 2018, were forgiven by a person who is, by blood or marriage, my parent, grandparent, great grandparent, child, grandchild, great-grandchild, aunt, uncle, sister, brother, niece, nephew, or the spouse of any such relative. -) SKIP T0 QUESTION 36 Creditor Name: Do n_ot disclose the name of Creditor Address: (Street, City, State, Zip Code) 00 n_a_r disclose any a member of your family. Where applicable, residential address of yours or any of your family members. Where put ?Family Member? instead of the name. applicable, put ?Residence? instead of the address. I if extra space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates. I Page 34 of 42 Reimbursements, Gifts, and Honoraria Provided By Certain Individuals A Reimbursement is payment for money expended or to be expended travel, meals or lodging). A Reimbursement must be for actual expenses Incurred or to be Incurred. A person has a direct interest in a matter before a governmental body if, at any time, during 2018.- (1) the use or value of his property or the conduct of his business; or (2) the use or value of the property, or the conduct of his business, with which he is affiliated as an employee, officer; director, trustee, general partner, proprietor, or In a similar managerial capacity; could be or was affected by a matter before a governmental body, unless the effect Is not substantially greater than the effect generally on persons residing in Massachusetts. Any business which is regulated by a government body has such an Interest. A person has a direct Interest in legislation or legislative action if, at any time during 2018: (1) the use or value of his property or the conduct of his business; or the value of the property, or the conduct of the business, with which he is af?liated as an employee, officer, director, trusree, general partner, proprietor, or in a similar managerial capacity; could be or was affected by that legislation or legislative action, unless the effect Is not substantially greater than the effect generally on persons residing In Massachusetts. Any business which Is regulated by a governmental body has such an interest. Are you filing this SFI ONLY because you are a candidate? Yes No If yes 9 SKIP TO QUESTION 40 36. Reimbursements Provided to Ygu By Certain Individuals 3. identify any Reimbursements for expenses in excess of $100 provided to you at any time during 2018 by any legislative agent or executive agent (lobbyist). ca Not Applicable. I did not receive any Reimbursements for expenses in excess of $100 from a legislative agent or executive agent (lobbyist) at any time during 2018. 9 SKIP TO QUESTION 36.b Name of Legislative Agent or Executive Agent: Amount of Reimbursement: Address of Legislative Agent or Executive Agent: If extra space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates. Page 35 of 42 I b. Check the column which applies to you and follow the instructions for that column. El i am filing this SFI because I had or now have an ELE ition elected and appointed position: i identify any Reimbursements for expenses in excess of 5100, other than those identified in response to Question 36.a, which you received at any time during 2018 from any person having a direct interest in legislation, legislative action. or a matter before a governmental body. Not Applicable. Other than any Reimbursements identified In response to Question 36.a, i did not receive any Reimbursements for expenses in excess of $100 at any time during 2018 from any person having a direct interest in legislation, legislative action, or a matter before a govern mental body. SKIP To QUESTION 37 i am filing this SFI because I had or now have an Wee xi; Identify any Reimbursements for expenses In excess of $100, other than those identi?ed in response to Question 36.a, which you received at any time during 2018 from any person having a direct interest in a matter before the governmental body by which you were or are now employed. Not Applicable. Other than any Reimbursements identified in response to Question 35.3, I did not receive any Reimbursements for expenses in excess of $100 at any time during 2018 from any person having a direct interest in a matter before the governmental body by which I was or am now employed. -) SKIP TO QUESTION 37 Name of Source of Reimbursement: Amount of Reimbursement: Address of Source of Reimbursement: [if extra space 15 needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates.) Page 36 of 42 37. Reimbursements Provided to Your Spouse and/or any Dependent Childiren) Residing in Your Household By Certain Individual; a. Identify any Reimbursements for expenses in excess of $100 provided to your spouse and/or any dependent chlidireni residing in your household during 2018 at any time during 2018 by any legislative agent or executive agent (lobbyist). El Not Applicable. I did not have a spouse or any dependent residing in my household at any time during 2018. -) SKIP TO QUESTION 38 Not Applicable. My spouse and/or any dependent childiren) residing in my household during 2018 did not receive any Reimbursements for expenses at any time during 2018 from any legislative agent or executive agent [lobbyist]. -) SKIP TO QUESTION Name of Legislative Agent or Executive Address of Legislative Agent or Executive Agent: Agent: {If extra space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information refutes.) Page 37 of42 I b. Check the column which applies to you and follow the Instructions for that column. I am filing this SFI because i had or now have an ELECTED position or had or now have 80TH an elected and appointed position: i identify any Relm bursements for expenses in excess of $100, other than those identified In response to Q37.a, provided to your spouse and/or dependent childlren) residing in your household during 2018 at any time during 2018 by any person having a direct interest in legislation, legislative action, or any manner before a governmental body. Not Applicable. Other than any Reimbursements identi?ed in response to Question 37.3, my spouse and/or any dependent residing In my household during 2018 did not receive any other Reimbursement for expenses in excess of $100 at any time during 2018 from any person having a direct interest in legislation, legislative action, or a matter before a governmental body. -) SKIP TO QUESTION 38 am filing this SFI because I had or now have an APPOINTED position: i Identify any Reimbursements for expenses In excess of $100. other than those identified in response to Q37.a, provided to your spouse and/or dependent childiren) residing in your household during 2018 at any time during 2018 by any person having a direct interest in a matter before the governmental body by which you were or are now employed. El Not Applicable. Other than any Reimbursements identified in response to Question 37.a, my spouse and/or any dependent child(ren) residing In my household during 2018 did not receive any other Reimbursement for expenses in excess of $100 at any time during 2018 from any person having a direct interest in a matter before the governmental body by which i was or am now employed. -) SKIP TO QUESTION 38 Name of Source of Reimbursement: Address of Source of Reimbursement: [if extra Spare is needed to complete this response, attach additional pages, with your name at the top of each page and cieariy note the question to which the information relates. Page 38 of 42 I 38. Gifts and Honoraria to You By gertain any such relative. writing of an article, or other similar activity. Gift means a payment, entertainment, subscription, advance, service, or anything of value, unless consideration of equal or greater value is given In return. GIFT shall n_ot include: A political contribution reported as required by law; a commercially reasonable loan made in the ordinary course of business; anything of value received by inheritance; or a GIFT received from a person who is, by blood or marriage, your parent, grandparent, great grandparent, child, grandchild, great-grandchild, aunt, uncle, sister, brother, niece or nephew, or the spouse of Honorarlum means payment of money or anything of value as consideration for an appearance, speech, the Check the column which applies to you and follow the instructions for that column. I am ?ling this SFI because I had or now have an ELECTED position or had or now have BOTH an elected and appointed position: sir Identify any Gifts and/or Honoraria worth more than $100 provided to you at any time during 2018 by any person having a direct interest in legislation, legislative action, or a matter before a governmental body. Not Applicable. I did not receive any Gifts and/or Honorarla worth more than $100 at any time during 2018 from any person having a direct interest In legislation, legislative action, or a matter before a governmental body. 9 SKIP TO QUESTION 39 I am filing this SFI because I had or now have an APPOINTED position: 4/ Identify any Gifts and/or Honoraria worth more than $100 provided to you at any time during 2018 by any person having a direct interest in a matter before a governmental body by which you were or are now employed. El Not Applicable. I did not receive any Gifts and/or Honoraria worth more than $100 at any time during 2018 from any person having a direct interest in a matter before the governmental body by which I was or am now employed. 9 SKIP TO QUESTION 39 Name of Donor: Person or entity for whom Donor was acting, if any: Donor's Address: (Street, City, State, Zip Code) Fair market value of Gift or Honorarium: {if extra space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates. Page 39 of 42 39. Gifts and Honoraria Provided to Your gpouse andlor any Dependent Childlren] Residing in Your Household By Cenalninrdividuals Not Applicable. i did not have a spouse or any dependent childiren) residing in my household at any time during 2018. -) TO QUESTION 40 Check the column which applies to you and follow the instructions for that column. I am filing this because I had or now have an ELECTED position or had or now have BOTH an elected and appointed position: \lt Identify any Gifts and/or Honoraria worth more than $100 provided to your spouse and/or any dependent childirenl residing in your household during 2018 at any time during 2018 from any person having a direct interest in legislation, legislative action, or a matter before a governmental body. Not Applicable. My spouse and/or any dependent childiren) residing in my household during 2018 did not receive any Gifts and/or Honoraria worth more than $100 at any time during 2018 from any person having a direct interest in legislation, legislative action, or a matter before a governmental body. -) SKIP To QUESTION 40 i am ?ling this SFI because I had or now have an APPOINTED position: sir Identify any Gifts and/or Honoraria worth more than 5100 provided to your spouse and/or any dependent childlren) residing in your household during 2018 at any time during 2018 from any person having a direct interest In a matter before the governmental body by which you were or are now employed. El Not Applicable. My spouse and/or any dependent childiren) residing in my household during 2018 did not receive any Gifts and/or Honoraria worth more than $100 at any time during 2018 from any person having a direct interest In a matter before the governmental body by which I was or am now employed. 9 SKIP TO QUESTION 40 Name of Donor: Person or entity for whom Donor was acting, if any: Donor?s Address: (Street, City, State, Zip Code} if extra space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates.) Page 40 of42 IF YOU FAIL TO USE OR WHEN APPLICABLE. AND INSTEAD, DISCLOSE A NAME ADDRESS, THAT NAME ADDRESS WILL NOT BE REDACTED BY THE STATE ETHICS COMMISSION AND WILL BE AVAILABLE FOR REVIEW BY ANY PERSON MAKING A WRITTEN REQUEST TO INSPECT YOUR SFI. Blind Trust A Blind Trust is a Trust in which the fiduciaries, namely the trustees or those who have been given pa wer of attorney, have full discretion over the assets, and the Trust beneficiaries have no knowledge of the holdings of the Trust and no right to intervene in their handling. 40. Did you, or your spouse and/or any dependent childlren) residing In your household during 2018, own anything that you have not reported on this Statement of Financial Interests because it was held in a Blind Trust during 2018? Yes No if yes, please provide the following information: Name of Trug: Name of Trustee: Do not disclose the name of a Blind Trust that includes the Do n_at disclose the name of a member of your family. name or residential address of a living member of your Where applicable, put ?Family Member? instead of the family. Where applicable, put "Family Name/Address Trust? name. instead of the name. [if extra space is needed to campiete this response, attach additional pages, with your name at the top of each page and clearly note the question to which the information relates.) Page 41 of 42 IF YOU FAIL TO USE OR WHEN APPLICABLE, AND INSTEAD, A NAME ADDRESS, THAT NAME ADDRESS Will NOT BE REDACTED BY THE STATE ETHICS COMMISSION AND 8E FOR REVIEW BY ANY PERSON MAKING A WRITTEN REQUEST TO INSPECT YOUR SFI. I, 2 certify under the pains and penalties of periury that: (Name) I made a diligent effort to obtain the required Information concerning myself and my spouse and/or any dependent residing in my household, if any; and the information provided on this form and any attachments Is true and complete, to the best of my knowledge. M7 Mira? Did your spouse and/or any dependent residing in your household decline to disclose information which is necessary to complete this form fully and accurately? Yes No Cl Not Applicable Did you decline to answer in whole or In part any specific Questionis) on this form because you assert that the information is privileged by law? Yes No If Yes, identify the Question Number and Question you declined to answer AND the basis of your claim of privilege. guestign Number 8t Question Declined to Answer Basis of My Claim of Privilege [If extra space is needed to complete this response, attach additional pages, with your name at the top of each page and clearly note the Question to which the information relates.) IMPORTANT: 1. No DESIGNATED PUBLIC EMPLOYEE shall be allowed to continue in their duties or to receive compensation from public funds unless they have filed a Statement of Financial Interests with the State Ethics Commission. 2. The State Ethics Commission does accept a faxed or emailed copy of a Statement of Financial Interests for filing. You file an original. 3. Manually filed Statements of Financial Interests must be submitted by mail or In person to the State Ethics Commission at: One Ashburton Place, Room 619, Boston, MA 02108. A Statement of Financial interests mailed to the Commission will be deemed filed on the date that it Is received. a. If you were required to amend your Statement of Financial Interests last year, we encourage you to carefully review your 2018 filing before submitting. Page 42 of 42 ATTACHMENT A Question 8: Businesses You Owned, In Whole or In Part - Governor Charles D. Baker Identify each Business of which you were, in whole or in part, an owner, partner, or proprietor, or in which you owned more than 1% of any class of the outstanding stock or similar ownership interest, at any time during 20l 8, and provide the required information of each. Name Address Position Filer/Immediate Percentage Gross Held Member of Family of Stock or Income other ownership interest Partners, 2711 Owner Filer 100% LLC Centervilie Road, Suite 400, Wilmington, DE 19808 CBDII Partners, 255 State Owner Filer 100% LLC Street, 7lh Floor, Boston, MA 02109 ATTACHMENT Question No. 25: Financial Investments - Governor Charles D. Baker and Lauren S. Baker Identify every Financial Investment that you owned directly or through a Business as of December 31, 2018, and which had a fair market value as of that date greater than $1,000, and provide the required information for each. Name of Issuer Description of Principal Place Issuer Owner Investment of Business or Address State of Incorporation Arsenal Beauty REIT Watertown, MA 311 Arsenal Filer LLC Street Watertown, MA DC Industrial REIT Not Applicable Not Filer Liquidating Applicable Spouse Trust Coca-Cola Stock Not Applicable Not Filer Company Applicable Spouse Interpublie Stock Not Applicable Not Filer Group Company Applicable Spouse Inc. Oceans Stock Chicago, IL 1446 West Filer Holdings LLC Fullerton Street Chicago, IL 063 Membership Cambridge, MA Cambridge, Filer Investment, LLC MA WP Carey Inc. Stock Not Applicable Not Filer Applicable Spouse Fidelity Puritan Mutual Fund Boston, MA Boston, MA Spouse Fund Fidelity Mutual Fund Boston, MA Boston, MA Filer Advisory Spouse Energy CL Fidelity Value Mutual Fund Boston, MA Boston, MA Spouse Fund Loomis Sayles Mutual Fund Boston, MA Boston, MA Filer Strategic Income Spouse Fund Oppenheimer Mutual Fund New York, NY New York, Filer Name of Issuer Description of Principal Place Issuer Owner Investment of Business or Address State of Incorporation Rochester High NY Spouse Yield Municipal Fund Oppenheimer Mutual Fund New York, NY New York, Filer Rochester NY Spouse Short Term Municipal Fund Templeton Mutual Fund San Mateo, CA San Mateo, Filer Global Total CA Spouse Return Fund Templeton Closed-end fund San Mateo, CA San Mateo, Filer Global Income CA Spouse Fund Western Asset Closed-end ?md Baltimore, MS Baltimore, Filer Intermediate MD Spouse Municipal Fund