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21.210 Appointment to Planning Board MAYOR DAVID J. NARKEWICZ City of Northampton Office of the Mayor 210 Main Street Room 12 Northampton, MA 01060-3199 (413) 587-1249 Fax: (413) 587-1275 mayor@northamptonma.gov DATE: March 18, 2021 TO: City Council FROM: Mayor David J. Narkewicz SUBJECT: Appointments to Boards, Committees, and Commissions Please find the attached appointments to City Boards, Committees, and Commissions: Planning Board Samuel Taylor (Full Member), 245 North Street, Northampton Term: July 2020-June 2023 Reappointment Mayor of Northampton Mass. <mayor@northamptonma.gov> Online Form Submittal: Application for Appointment to Boards, Committees and Commissions 1 message noreply@civicplus.com <noreply@civicplus.com>Thu, Mar 11, 2021 at 5:25 PM To: mayor@northamptonma.gov Application for Appointment to Boards, Committees and Commissions City of Northampton Application for Appointment to Boards, Committees, and Commissions Please return the completed form to: Mayor@northamptonma.gov or David J. Narkewicz, Mayor 210 Main Street, Northampton, MA 01060 First Name Samuel Last Name Taylor Title, if applicable Field not completed. Address1 245 North st. Address2 Field not completed. City Northampton State Ma Zip 01060 Home Phone Field not completed. Work Phone Field not completed. Cell Phone 4135887421 Occupation & Place of Employment Field not completed. Email samtaylor1@hotmail.com Are you a Northampton resident? Yes Years Lived in Northampton 12 Age 40 - 49 Sex Male Racial / Ethnic Background Black Boards and Committees Planning Board Please list "other" board or committee of interest Field not completed. What skills and experience will you bring to this committee assignment? I am a local builder, landlord and renter in Northampton Are you currently serving or have you served on any city committee? Yes Please list other city committees you have served on Northampton Required: Please read the following, by signing below you state that you understand and agree. The filing of this form does not guarantee my appointment. An application is kept on file for two (2) years; after that I must file a new application. Being appointed to a committee, board, or commission means that I am considered a Municipal Employee under MGL Chapter 268A and thereby subject to Conflict of Interest Law MGL Chapter 268A, Financial Disclosure Law MGL Chapter 268B, as well as Open Meeting Law MGL Chapter 39: Section 23B. I understand that I will take the conflict of interest test after being appointed and that I also must be sworn in by the City Clerk. I will contact the appointing authority with any questions about my service. Important: Once this form is submitted it becomes a public document, if there is information you do not want open to the public please do not include it on this form. Signature Samuel Taylor Date 3/11/2021 Email not displaying correctly? View it in your browser.