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EXHIBIT I Gary Cooley’s Personnel File pS Raymond E. (Stove) Sevenson Georgia Garman E. (Seve) Pessennel Assia wette ‘Sue 504, West Tower» 2 Marth Luter King. Dv, SE. «Ana, Goong 50594-5100 404-856-2705 » 404-656-5079 FAX + www spa.ge. “Providing HR Shared Services 1o Georgia Teekmology Authority” December 11, 2008 MEMORANDUM TO: Secretary of State Department Human Resources Department FROM: —_Jaoquette Jackson Human Resources Consultant SUBJECT: Cary Cooley (Personnel File Transfer) (Employee DA The employee named above transferred to your agency effective 12/16/2008. The following information hes been provided to ensure a seamless transition of employment with your agency/or institution. Please acknowledge receipt of file by signing and returning to GTA HR Shared Services. If any further information is required to complete this transaction, please contact me at (404) 651-6075. JOB TITLE: Software Developer II SALARY: $83,822.83 DATE OF LAST INCREASE: 01/01/2008 CONTINUOUS STATE SERVICE DATE: —_ 01/01/2002 LAST DAY ON DUTY: 12/15/2008 PAID THROUGH: 12/15/2008 - ANNUAL LEAVE TRANSFERRED: 360-00 hrs ‘SICK LEAVE TRANSFERRED: 20:00 hrs PERSONAL LEAVE TRANSFERRED: 00:00 _hrs FORFEITED LEAVE BALANCE: 304:50 hrs HEALTH INSURANCE: See attached benefit file OTHER INSURANCE: attached file Jacquette Jackson, HR (404) 651-6075 ‘Name of Person Providing Verifi i 7 Phone Number 2 Martin Luther King, Jr. Dr-1904 WT, 34 Address - Elaine Peal LA~22 “R008 ‘Name of person receiving above file Signature Date [AN EQUAL OPPORTUNITY EMPLOYER : LOYALTY OATH MOTICE TO APPUCANTS/EMPLOYEES: The Sedition and Subversivs Activties Act of 1953 (Ga. Lows, 18531 as amended, requis esch cerita employes to complete and eign, pir to his/her employment in State government. a questionnaire ich is designed exten that Tercera no reegoneble groundeto believe thet he/she ia subversive person. A subversive person defined as one whio comms acts adverse, ‘Sizches Bs overthrow o the government ofthe United States or government ofthe State of George by foree or violence, or who iss knowing Sraminar ot edbvershe organization. Georgia Code 45-3-11 requires al employees of State yovernment to take an oath that they will supp the ‘Constnton ofthe Uited States andthe Constitution ofthe State of Geora : INSTRUCTIONS: Alt hams mutt be completedonatypewtiterorpritedin int, more spscois noaded|ter any iter. or explanation continunwnder than 10. This questionneire and oyalty oath wil be ledin he employee's personne fieinthe employing agency. The employes mayrequestihet ‘copy be exacuted or hin/herpergonat fies : 7D RANE NNAES GF FORMER WRRINAGES, FOREN NANES CHANGED LEGRLLY OR OTHERISE AUASES AND MGOAMEL = /knowdedige atthe tins of membership ovecetes or has = 7 | Areyoonowar have you been within the astten(1O}years a member ofan organisation which your se ree cjeaiven tha overthrow ete government of he Unltd Saas or ofthe government clthe Sat ofGeoraby fren or cles tues cethe name of he ergonittion and you eet ond present membership state Inclag any ofices hak! herein. age 1 orz From: Hinson, Natasha [Natasha Hinkson@gt.ga go Sent: Thursday, December 11, 2008 10:25 AM To: Jackson, Jacquette ‘Subject: RE: HRSS Request for Action: G. Cooley - Transfer File Nope. That was it. Natasha Hinkson Georgia Technology Authority vinity Avenue tianta, Ga 30334 Natasha Hinkson@gtaga.gov From: Jackson, Jaqquette [mailto:jacquette jackson@spa.ga.gov] ‘Sent: Thursday, December 11, 2008 10:24 AM ‘Tos Hinkson, Natasha ‘Subject: RE: HRSS Request for Action: G. Cooley - Transfer File Hey, {eed estes tne mrztenarel fre? Wes ering c= or second page otis one? Comeentanass asenaaeroeins feopte"”Jcson GTA HR Consultant ‘State Personnel Administration Business: 404-651-6075 eFax: 770-342-4250 2 Martin Lather King Jr. Drive ‘Suite 1016 West Tower Atlanta, GA 30334-5100 Etectronic Privacy Notice: Thés email, and any attachments, contains nformailon that ls, or may be, covered by the electronic privacy reelplent, please be advised that you are legaiy, from retaining, using, copying, | -y manner please reply tthe sender that you have reclved this communication cooperation. From: Hinkson, Natasha [matto:Natasha ‘Sent: Thursday, December 11, 2008 10:21 AM ‘To: Jackson, ‘Subject: RE: HRSS Request for Action: G. Cooley - Transfer File Morning J, os I got everything except the supplemental form. 12/41/2008 Page 2 of2 Natasha Hinkson Georgia Technology Authority Frinity Avenue Atlanta, Ga 30334 Natasha Hinkson@gta, aagov a From: Jackson, Jaoquette [malito:jecquette.jackson@spa.92.90v] ‘Sent: Thursday, December 11, 2008 9:31 AM ‘To: Hinkson, Natasha Sues: HRSS Remest fr Aton: G, Coley - = Transfer File ‘Importance: High Hi Natasha! 1 hope this message finds you well, © lease scan the following documents, at your convenience: 7 Loyalty Oath 2 Resumefapplication Supplement Form 2 Current Benefit Confirm ‘disclosing ths Information in any manner. in error, and then immediately delete . Thank you in advance for your timely 12/11/2008 Grorca ‘TECHNOLOGY AUTHORITY Resume Supplemental Information: ‘Name: a Home Address: : Se, oy Deine _ Soc Scuity Date of Birth: Mp-s? Resume Certification: certify that the resume I am submitting to the Geargia Technology Authority contains {factual information. ‘I enthorize any employee or agent of the State to verify this information and to release it to anyone who may consider me for an appointment. T false information om this form or attachments is a ‘nderstand thet intentionally providing ‘violation of state law and may result in separation from employment, Of- PI“ DOB ‘Date GARY W. COOLEY COMPUTER EXPERIENCE Languages: COBOL COBOL Il, CICS, Easytrieve Plus, Visual Basic, and REXX Opéating ‘Systems: 0S/MVS, MVS/XA, MVS/ESA, VSAM, and Microsoft windows ‘Hardware: TBM 3090, standalone PCs, PCs in LAN environment, IBM 3083, . IBM 4341, Burroughs 3800 Mainframe oftware: 0S/JCL, FileAid, Comparex, Synesort, Xpediter, Idcams, lebgener Dataxpert, Jelcheck, Abend-Aid, CA-7, CA-L1,Control/MService PCSoftware:DOS, WordPerfect, Paradox for Windows, Access, Word, Excel ie PowerPoint, and Document Direct i WORK EXPERIENCE "COMPREHENSIVE COMPUTER CONSULTANTS, Atlanta, Georgia 1995-Present Use project it tools to create and monitor tasks for the entire Voter management +, Registration/Election team. Work closely with the IT manager for Secretary of State office as well as the helpdesk support team in the elections division to understand the current needs of the counties and the Secretary of State office. Monitor storage and CPU . cost for the ‘customer and make necessary changes when needed. Constantly looking for ~ ways to automate processes allowing the helpdesk support team, voter registrars, and the SOS IF team more control of the application. ‘Siaited supporting the Secretary of State agency at the end of the statewide conversion ofthe Voter Registration System. I designed and developed 16 different statistical "reports in the first 3 months to assist the director of elections in analyzing the voting ‘population based on race and gender by county, precinct, district type, age.-etc. automation process to allow the voter registrar in éach tapes or files. I worked with the operations manager to set ‘used for automatic output tape assignments. I created a table that mirrored the tape numbers on the tape rack so the program would-be able to automatically assign the physical tape number to the job. Created a monthly transactional download process that would show all the added, changed, and deleted voters for the month, This process saved the Secretary of State __, noffice thousands of dollars in processing cost since they no longer needed to create a : ‘statewide download file every month. This transactional file is now being FIP to the election division server on a monthly basics to allow the voters to use the Web for “inquires on there voting districts and polling place location. “Designed sind developed a process to monitor storage capacity and efficiency. This . process will automatically email the team lead and I when the I/O of a file is not ~ mining at peak efficiency. Designed and developed a process to assist the SOS IT assistant manager in monitoring 4ll the online request coming in from the counties in the effort to cut cost. This process -will-create a file showing the cost of processing and printing for each online request. ‘Thi file is automatically FTP to the election’s server weekly. ; CONFEDERATION LIFE INSURANCE COMPANY, Atlanta, Georgia 1990-1995 . jects; develop, test and maintain COBOL, COBOL I, Fasytrieve Plus programs in IBM batch and vendor written online environment, __~ titilizing OS /JCL, TSO/ISPF, and VSAM file processing, "Analyzed and developed a system to load dependent eligibility data to the - existing claims payment system (CLAS). Resulted in automation of loading all ‘dependent eligibility information. - ‘Atialyze, develop and maintain a system to load PHCS PPO provider physician «to the existing CLAS system. ‘This system allows claims to be paid more quickly «aid accurately. _+ Developed system to automate billing of clients. This included extracting total number of claims dollars paid by each client from the CLAS system to be billed, creating a letter with a standard body of information, plugging in the monthly billing date, claim dollar amounts, billing analyst names and numbers and also the automation of the billing analyst signatures. GARY W. COOLEY Page Two (CIAL NATIONAL BANK, Shreveport, Louisiana 1978-1990 Programnmer/Analyst (1988-1990) Modified-and maintained vendor software in COBOL for multiple applications in an IBM batch and vendor written online environment, utilizing OS/JCL, TSO/ISPR, and ‘VSAM file processing. " Produetion Control Analyst (1985-1988) Implemented and maintained operation's systems such as Job Scheduler System (CA7 _ “and CA11), Tape Management System (CA1), and Report Distribution Spi (Manton Software). Monitored modifications to software by the programming staff. * Depaztment Shift Supervisor (1980-1965) Traitied, supervised, evaluated and scheduled up to five computer jobs for all three shifts using the job scheduler "ZEKE." + Computer Operator (1978-1980) ° EDUCATION AND TRAINING Northwestern State University: Natchitoches, Louisiana (Classes in Fileald, Xpediter, Wordperfect, Windows, Comparex, Abend-Aid, Telon, Visual Basic, CICS, Strobe, and Easytrieve Plus Personnel Action Form Tsplayee Name Gary Cooley Transfer Out (SOS) (Job Dats 3) PAY GROUP: SSI ‘Semi-monthly ‘Conpeattian Rater L $3492.62 [ ‘Wasily Compensation Rate (Retirement Pasely $6985.24 _(Pay out Hours) Hoes nto pe oars pay ‘Diber Taformation: LDW = 12/15/08 @Spm ‘Created on 77172008 11:37:00 AM Page 1 of Jackson, Jacyudtte _ . From: Jackson, Jacquette ‘Sent: ‘Thursday, December 11, 2008 10:10 AM To: ‘Chapman, Andrew’ ‘Subject: PAF: G. Cooley - Xfer Out Importance: High ‘Attachments: Personnel Action Form REVISED 0708 (2).doc 12/11/2008 @ EXIT DOCUMENT CHECK LIST Georgia" me __4 on Process In PeopleSoft “re prints (job data, compensation, leave balances, mailing address, ssn) Authorization to Release Information 2 KenfefeicensReted “a hodon te ve Information ce Payroll Oorraneper Fre notice gov vaus sage sues New window | Hep | [Werk Location (Job information 3Y Job Labor Y Payroll “Salary Pian “Y" Gompensation "Job Comments Gary Cooley EMP 1D: que = Empl Ree [ob Audit Job Data Employment Data Eamings Distribution Benefits Program Participation _Persion F {@ seve | A Retumto Search | [2] Notify ® Povorsien | GB Nexttod f% Refresh | 8 ‘Work Location | Job Information| Job Labor | Payol| Salary Pian | Compensation | Job Comments https /route88.state.ga.us:6500 1/psc/sao/EMPLO YEE/HRMS/c/ADMINISTER_ WORK... 12/11/2008 Job Data ‘ Page | of | New Window | Help | Gary Cooley EMP 0: Empl nee jompensation Find Fiat Etiectve Date: 1271672008 —=—ective Sequence: 0 C)Jobinicator: Primary Job Xfer Out To Different Company ' 3492628] USDQ ‘Frequency: = § = Q Semim 93,622.831712 USD Daily 8985235078 USD Hourly [op Aut ___Job Data_ Employment Data Earnings Distibuton Benefits Progrom Partcnaion _Pension Py @ save | AReumtoSeach| 1 Noity | © Proviusta | 6 Noxttad | @Rofesn| 5 ‘Work location | Job information | Job Labor | Payroll | Salary Plan | Compensation | Job Comments https://route88. state. ga.us:6500 1 /psc/sao/EMPLOYEE/HRMS/c/ ADMINISTER_WORK... 12/11/2008 Leave Usage Pane! 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LE... 12/11/2008 Personal Data Page 1 of | New Window | Help |B «# 404055-8820 @ save Alamieed | 8) @ _Previousteb | G® _ Next tab f% Refresh |B ‘Biographical Details | Contact Information | Regional bitps://route88.state.ga.us:6500 1/psc/sao/EMPLOYEE/HRMS/c/DUPLICATE_HOLDE... 12/11/2008 eer sn ‘te = Cote Pay Pa ———— a | epee Asc Pook ()OTA opleyes Only _() Ste Baplyees () A Aplonts Sackson, Jacquet From: Loyd, Phys [Phylis.loyd@gta.ge.gov) Sent: ‘Thursday, December 11, 2008 9:54 AM To: Jackson, Jacquette Subject: Re: Gary Cooley Hello Ms. Jackson, The HR director at SOS is John Jurkiewicz at 404-657-6960, or jjurkiewicz@sos.ga.gov Hope this helps. ‘Thanks, Phyllis Phyllis Lloyd GTA Service Delivery Consultant desk a.ga.gov Original Message ~ From: Jackson, Jacquette Good morning Ms. Lloyd, Would you have a contact at SOS HR that I may contact in regards to the transfer of Mr. Cooley? If not, no worries...1'11 locate someone. 1 hope your day is fabulous! Kindly, Continuously enhancing your customer experience... Jacquette "J" Jackson GTA HR Consultant State Personnel Administration Business: 404-651-6075 eFax: 770-342-4250 2 Martin Luther King Jr. Drive Suite 1016 West Tower, Atlanta, GA 30334-5100 Jacquette. jackson@spa.ga-gov Electronic Privacy Notice: This email, and any attachments, contains information that is; or may be, covered by the electronic communications privacy laws, and is also confidential and proprietary in nature. If you are not the intended recipient, please be advised that you are legally prohibited from retaining, using, copying, distributing, or otherwise Instead, please reply to the sender that you disclosing this information in any manner. have received this communication in error, and then immediately delete it. Thank you in advance for your timely cooperation. Original Message- From: Jackson, Jacquette Sent: Tuesday, December 09, 2008 10:33 AM To: ‘Lloyd, Phyllis* Subject: RE: Gary Cooley Wonderful ! lackson, Jacquet nme From: Lloyd, Phyfis (Phyllis. Loyd@gta.g2.gov) Sent: ‘Thursday, December 11, 2008 9:54 AM To: Jackson, dacquette Subject: Re: Gary Cooley Hello Ms. Jackson |~657-6960, or jjurkiewicz@sos.ga.gov- ‘The HR dixector at SOS is John Jurkiewicz at 404 Hope this helps. ‘Thanks, Phyllis Phyllis Lloyd GTA Service Delivery Consultant ‘ 0, Ke ‘phyllis. lloydegts a.gov Original Message From: Jackson, Jacquette To: Lloyd, Phyllis Sent: Thu Dec 11 09:20:24 2008 Subject: FW: Gary Cooley Good morning Ms. Lloyd, Would you have a contact at SOS HR that I may contact in regards to the transfer of MF. Cooley? If not, no worries...I'11 locate someone. I hope your day is fabulous! Kindly, Continuously enhancing your customer experience... Jacquette J" Jackson GTA HR Consultant State Personnel Administration Business: 404-651-6075 eFax: 710-342-4250 2 Martin Luther King Jr. Drive Suite 1016 West Tower Atlanta, GA 30334-5100 jacquette. jackson@spa.ga.gov contains information that is, Electronic Privacy Notice: This email, and any attachments, ceeety be, covered by the electronic communications privacy laws, and is also confidential She evoprietary in nature, If you ere not the intended recipient, please be sdvised that Jou are legally prohibited from retaining, using, copying, distributing, or otherwise reply to the sender that you Gieclosing this information in any manner. Instead, plea Gisclosing tu this communication in error, and then inmediately delete it. Thank you in advance for your timely cooperation. Original Messag From: Jackson, Jacquette Sent: Tuesday, December 09, 2008 10:33 AM To: ‘Lloyd, Phyllis’ Subject: RE: Gary Cooley Wonderful! Please, do let me know if I can be of any further assistance Respectfully, Continuously enhancing your customer experience. . Jacquette "J" Jackson GTA AR Consultant State Personnel Administration Business: 404-651-6075 eFax: 770=342~4250, 2 Martin Luther King Jr. Drive Suite 1016 West Tower Atlanta, GA 30334-5100 jacquette. jacksontspa.ga.gov this email, and any attachments, contains information that sa or may bo, covered by the electronic cormnications privacy laws, and 1s also confidential and proprietary in nature. Tf you are not the intended recipient, please be advised that jou age legally prohibited frod retaining, using, copying, aisteibatings, or ormermise diwetSsing thie Ehrormation in any manner. Instead, please reply to the sender that you have recoived this communication in error, and then innediately delete it. ‘Thank you in advance for your timely cooperation. Electronic Privacy Notic: Original Message- From: Lloyd, Phyllis (mailto: Phyllis.Lloydégta.ga.gov) Sent: Tuesday, December 09, 2008 10:29 AM To: Jackson, Jacquette Subject: RE: Gary Cooley Jacquette, Just to let you know, I just spoke with Gary to confirm that he did receive your email... ‘Thanks, Phyllis From: Jackson, Jacquette (mailto: jacquette.jackson@spa.ga.gov) Sent: Tue 12/9/2008 10:22 AM To: Lloyd, Phyllis; gcooly@sos.ga.gov Co: Smith, Debbie Subject: RE: Gary Cooley Good morning all! this is correct. You will be separated from GTA effective 12/15/08 (last that your transfer effective date at SOS will be 12/16/08. Yes, Mr. Coole; day of work) free to contact me directly for any additional questions, comments, or Sincerely, Continuously enhancing your customer experience. Jacquette "J" Jackson GTA AR Consultant State Personnel Administration 404-651-6075 770-342-4250 2 Martin Luther King Jr. Drive Please, do let me know if I can be of any further assistance. Respectfully, Continuously enhancing your customer experience. Jacquette "J" Jackson GTA HR Consultant State Personnel Administration Business: 404-651-6075 eFax: 710~342-4250 2 Martin Luther King Jr. Drive Suite 1016 West Tower Atlanta, GA 30334-5100 Jacquette. jackson@spa.ga.gov Electronic Privacy Notice: This email, and any attachments, contains information that ie, or may be, covered by the electronic communications privacy laws, and is also confidential and proprietary in nature. If you are not the intended recipient, please be advised that you are legally prohibited from retaining, using, copying, distributing, or otherwise disclosing this information in any manner. Instead, please reply to the sender that you have received this communication in error, and then immediately delete it. Thank you in advance for your timely cooperation. Original Messag From: Lloyd, Phyllis (mailto: Phyllis .Lloydégta.ga.gov] Sent: Tuesday, December 09, 2008 10:29 AM To: Jackson, Jacquette Subject: RE: Gary Cooley Jacquette, Just to let you know, I just spoke with Gary to confirm that he did receive your email... Thanks, Phyllis From: Jackson, Jacquette [mailto: jacquette. jackson@spa.ga-gov] Sent: Tue 12/9/2008 10:22 AM To: Lloyd, Phyllis; gcooly@sos.ga.gov Cc: Smith, Debbie Subject: RE: Gary Cooley Good morning all! Yes, Mr. Cooley, this is correct. You will be separated from GIA effective 12/15/08 (last day of work) so that your transfer effective date at SOS will be 12/16/08. Please feel free to contact me directly for any additional questions, comments, or concerns. Sincerely, Continuously enhancing your customer experience. Jacquette "J" Jackson GTA HR Consultant State Personnel Administration Business: 404-651-6075 eFax: 770=342~4250 2 Martin Luther King Jr. Drive Suite 1016 West Tower Atlanta, GA 30334-5100 jacquette. jackson@spa.ga.gov Electronic Privacy Notice: This email, and any attachnents, contains information that is, Sraay be, covered by the electronic communications privacy laws, and is also confident!ai Gnd proprietary in nature. If you are not the intended recipient, please be advised that you are legally prohibited from retaining, using, copying, distributing, or otherwise APSciosing ehis information in any manner. Instead, please reply to the sender that yoo sees eecelved thie communication in error, and then inmediately delete it. Thank you in advance for your timely cooperation. Original Message-~ From: Lloyd, Phyllis (mailto: Phyllis. Lloydégta.ga.gov) Sent: Tuesday, December 09, 2008 10:11 AM To: gcooly@sos.ga.gov Ce: Smith, Debbie; Jackson, Jacquette Subject: FW: Gary Cooley Gary. As we discussed a few minutes with the SOS HR person, your letter is in error, and you BRouid be hearing this officially from Jacquette Jackson later today. However, to ease Jour understandable anxiety about wanting something in writing, here is Debbie's note to that effect. Thanks, Phyllis From: Smith, Debbie Mon 12/8/2008 To: Jackson, Jacquette Ce: Lloyd, Phyllis; Chapman, Andrew Subject: FW: Gary Cooley J, seems that Gary's information (the letter he received today) shows a change date of Jo/ie"Sec below that you planned the change to be effective 12/16. It's probably 2. cy 3211, anced co bring Jt to your attention. Please ensure that his date change from GTA ts aa eereanis stare date there is 12/16. Also, please send an enail to him so that he is in the know. ‘Thanks. Suite 1016 west Tower Atlanta, GA 30334-5100 Jacquette. jacksonéspa.ga.gov Electronic Privacy Notice: This email, and any attachments, contains information that is, or may be, covered by the electronic communications privacy laws, and is also confidenti: and proprietary in nature. If you are not the intended recipient, please be advised that you are legally prohibited from retaining, using, copying, distributing, or otherwise disclosing this information in any manner. Instead, please reply to the sender that you have received this communication in error, and then inmediately delete it. Thank you in advance for your timely cooperation. Original Message----~ From: Loyd, Phyllia. (mailto; Phy1lis-Lieydégta.ga.gov] Sent: Tuesday, December 09, 2008 10:11 AM To: ja.gov ce: ‘Jackson, Jacquette Subject: Fw: Gary Cooley Gary, As we discussed a few minutes with the SOS HR person, your letter is in error, and you should be hearing this officially from Jacquette Jackson later today. However, to ease your understandable anxiety about wanting something in writing, here is Debbie's note to that effect. ‘Thanks, Phyllis From: Smith, Debbie Sent: Mon 12/8/2008 4:28 PM To: Jackson, Jacquette Cc: Lloyd, Phyllis; Chapman, Andrew Subject: FW: Gary Cooley J, seems, that Gary's information (the letter he received today) shows a change date of 12/1. See below that you planned the-change to be effective 12/16. It's probably a typo, but wanted to bring it to your attention. Please ensure that his date change from GTA is 12/15 and his start date there is 12/16. Also, please send an email to him so that he is in the know. Thanks. @ Raymond E. (Steve) Stovenson ‘Commissioner ‘Suite $04, West Tower + 2 Marin Luther King, Drive, S.€. + Allanta, Georgia 30834-5100 404-856-2705 + 404-656-5079 FAX + wwn.spa.ga.gov “Providing HR Shared Services to Georgia Technology Authority” Gary This will confirm that your employment with the Georgia Technology Authority will end on December 15, 2008. Listed below is important information conceming your exit from GTA employment. Paychecks Your final paycheck will be deposited on December 15, 2008. ‘You will NOT be paid for your unused, accrued annual leave and FLSA compensatory time, as it will be transferred to the new receiving agency Employee Benefits Your Flexible and Healthcare benefits will transfer with you. You should not ‘experience any breaks or changes to your existing benefit plan. Ifyou would like more information about your benefits, please contact your new HR: department, insurance carrier through the links on www.spa.qa.qov or call Flexible Benefits at 404-656-2730. Retirement Contributions ‘Your contributions to the Employees Retirement System will remain and continue as previously elected. For more information about your options, you can contact the Employees’ Refirerient System at www.ersaa.org or 404-350-6300. Employment Verifications Unless required to do so by law, it is our practice to obtain permission from employees before we release any employment information. Please complete the ‘Authorization to Release Information form to indicate your preference for handling future employment verifications. ‘AN EQUAL OPPORTUNITY EMPLOYER Ghange of Address Please provide us with a mailing address for W-2 if your address in January 2009 will be different than the one listed above. If you need additional information or if we can be of any further assistance, please contact me at 404-651-6075 or Kathleen Carey, SPA HR Director at 404- 651-6075. ’ Raymond E. (Steve) Stevenson Commissioner Suite 804, West Tower + 2 Marin Luther King, JF. Drive, .E. « Atlanta, Georgia 30334-5100 404-856-2705 + 404-856-5079 FAX www spa.ga.gov “Providing HR Shared Services to Georgia Technology Authority” December 11, 2008 MEMORANDUM TO: Secretary of State Department Human Resources Department FROM: —_Jacquette Jackson Human Resources Consultant SUBJECT: Cary Cooley (Personne! File Transfer) (Employee 1D sR ‘The employee named above transferred to your agency effective 12/16/2008. The following information has been provided to ensure a seamless transition of employment with your agency/or institution. Please acknowledge receipt of file by signing and returning to GTA HR Shared Services. If any further information is required to complete this transaction, please contact me at (404) 651-6075. JOB TITLE: Software Developer II SALARY: $83,822.83 DATE OF LAST INCREASE: 01/01/2008 CONTINUOUS STATE SERVICE DATE: —_ 01/01/2002 LAST DAY ON DUTY: 12/15/2008 PAID THROUGH: 12/15/2008 ANNUAL LEAVE TRANSFERRED: 3:60:00 hrs SICK LEAVE TRANSFERRED: 720:00 brs PERSONAL LEAVE TRANSFERRED: 00:00 _hrs FORFEITED LEAVE BALANCE: 34:50 hrs HEALTH INSURANCE: ‘See attached benefit file OTHER INSURANCE: attached benefit file Jacquette Jackson, HR (404) 651-6075 ‘Name of Person Providing Veri ° Phone Number 2 Martin Luther King, Jr. Dr-1904 WT, 34 ‘Address Name of person receiving above personnel file Signature Date ‘AN EQUAL OPPORTUNITY EMPLOYER Te 0 ——— ‘Suite 504, West Tower * 2 Martin Luther King, J. Orive, S.E. + Aianta, Georgia 20334-5100 404-658-2705 + 404-856-5979 FAX s www spa.ga.gov “Providing HR Shared Services to Georgia Technology Authority” December 11, 2008 TO: Gary Cooley FROM: Jacquette Jackson Human Resources Consultant 1, SPA HRSS SUBJECT: EXIT INFORMATION “Request for Refund of Retirement Contribution’ Received —_ “Request for Refund of Retirement Contribution” Not Received (‘see note below) Xt “Request for Refund of Retirement Contribution" Not Applicable in Transfer (SOS Department). ‘Annual Leave Balance at Time of 360:00 ‘Annual Leave Balance Transferred (AREMIN) Separation (Payout Following Pay Period) (HR: MIN) to above Department Sick Leave Balance at Time 720:00 _ ‘Sick Leave Balance Transferred to (HRMIN) of Separation (HR: MIN) to above Department Forfeited Leave Balance at Time 34:50 Forfeited Leave Balance Transferred (ARMIN) of Separation (HR: MIN) to above Department ____ Personal Leave Balance at Time —00:000_Personal Leave Balance Transferred (HREMIN) of Separation (HR: MIN) to above Department FLSA Compensatory Leave Balance at (HR-MIN) Time Separation (Payout Following Pay Period) Holiday Leave Balance at Time of (ARMIN) Separation (Payout Following Pay Period) your contributions, please and retum the enclosed form to the Shared Service Human Resources Office, 2 MLK Jr. Dr SE, Suite 1016 West Tower, Atianta, Georgia 30334. The Georatic Carman & (Steve) Sererson Site $4, Wea Tower» 2 Main Luter Kg, Dive, SE » Alara, George 30334-5100 404.856.2705» 404-656-5879 FAX -wnwapa.ga gor Ee. ( “Providing HR Shared Services to Georgia Technology Authority” Authorization to Release Information Georgia” Gary Cooley #1 © Donot release any information conceming my employment unless required to do so by law. 1, Verify the only information that was provided by me to the requestor. a Upon receipt of signed authorization from me, provide dates of service, salary information, and other information needed to complete employment verification forms. Employee Date ‘AN EQUAL OPPORTUNITY EMPLOYER Office of Secretary of State Human Resources Policy Orientation Acknowledgement Statement This is to acknowledge that | Print Full Name have reviewed the following Office of The Secretary of State Policy and Procedures. Policy Title Policy Number Unlawful Harassment 1.2538 , Sexual Harassment 1.25-3b Employee Leave 4.25-20 Progressive Discipline 1.25-18a Fair Labor Standards Act (FLSA) 4.2515 Equal Employment Opportunity (EEO) 1.282 Family and Medical Leave (FML) 1.25-21 Employee Grievance Procedure 1.25-27 Ethics and Standards of Conduct 1.25.40 J understand the policies and procedures listed above, and | agree to comply with them as a condition of my employment. {understand that any violation of these procedures may be the basis for disciplinary action, up to and including termination. | also understand that adverse action can be taken for matters not covered by these procedures. | understand that these procedures are not conclusive and that abiding by these procedures does not create any new rights for me or other employees of the Office of Secretary of State. | understand that if! have any questions conceming interpretation or application of these policies and procedures, | sould direct my questions to my Supervisor or to Human Resources. Employee's Signature: pote: LD / RevS/11 Performance Objectives for Gary Cooley 1. Gary must achieve high levels of accuracy effective immediately in reporting statistics and ‘fumbers irrespective of their ultimate use. From now forward, any external release of numbers must have the highest standard of review and accuracy through mandatory development procedures developed by Gary. Gary will define and document electronically the checklist of procedures to ensure the higher standards occur by September 30, 2009 and store these reporting policy standards in the Elections Technology repository on the network. ‘© Any figures released in response to data requests must tie to existing published numbers on ‘our website or Gary must provide an explanation in advance to his supervisor, the Elections ‘Technology Manger or the Elections Director in his absence. (subsequently referred to as defined as Elections Management) © Gary must disclose any disclaimers or qualifying information that might influence the decision to use or release information to Elections Management far enough in advance to allow sufficient time to satisfy alternate data requests. '* Elections Management requests for approximations will specifically communicated as such. ‘© Gary will indentify in an email the required elements to include in the design of an information request form by Elections Management by September 15, 2009. The detailed elements should enable documentation of input files, as of dates, backup locations, and assumptions, including JCL and program names/locations developed to enable follow up research and audits months or years later. The purpose of the information request form is also to: a. Ensure he clearly understands statistical requests and plays the request back with several iterations if necessary to ensure he delivers what the requestor requested ‘and approved. ‘b. Identify any additional information that might be useful to the requestor for them to approve the additional scope. 2. Gary will create an audit and review process of the following key processes he designed by October 30, 2009 (Felon processing, deceased voter processing, DDS/SSA verification, express poll download processing, and credit for voting). This must include ongoing review and audits of existing system processes for opportunities for process improvement, design deficiencies and programming errors. Opportunities for process improvement would include system control total checking, threshold warnings, notifications of exception conditions and periodic manual review of records prompted by Help Desk inquiries. 3. Gary will thoroughly document and communicate any defects or data integrity issues identified with any process as discovered with a suggested resolution plan and add to the Elections Technology task fist. This should include a detailed specification that would enable any s ~ experienced Elections Programmer to resolve. Gary will provide an immediate oral briefing of the defect or issue to his supervisor Harvey Davis followed by an emailed write-up. Gary will provide conservative estimates on time sensitive critical tasks that include adequate testing and peer review opportunities in sufficient time to meet the deadline established. If in his judgment he cannot accurately complete a task within the requested timeframe, he must ‘say so in advance or as soon as it becomes apparent. Gary will document and implement best practices for the Elections IT Environment through research (as required) and his professional expertise in the analysis, design, construction and support of all systems and processes by November 15, 2009. Gary will document these “living” best practices will be documented electronically in a best practices document in the elections network folder. . Gary will add to the Global System Repository of all of his significant processes with process flowcharts and detailed step-by-step instructions to enable anyone familiar with the SOS/GTA environment to execute them by December 1, 2009. All development minutes email et cetera of new and existing systems should be stored in this electronic central repository using the new governance methodology implemented. The priority is key processes where there is not backup trained. This list includes but it not limited to: ©. felon processing, ©. deceased voter processing, © DDS/SSA verification, ‘© cancellation processing, ‘© elections related activities like the creation of downstream KSU data for Express Poll rosters and Absentee Voting updates updating SVRS with credit for voting from the DRE’s and ‘© the interface to the SOS IT shadow database used for Poll Locator and to create voter ‘and county electronic files. Participate in weekly system continuity sessions for programming staff to train or receive training to develop a secondary and backup support programmer for each major system. Gary will be given the opportunity to learn and provide support to Election Night Reporting, the Elections Supply inventory System, and other Elections Division Systems to increase overall support continuity. Provide a weekly status report by 9 AM Friday articulating your progress on meeting each of these objectives. ° Performance Objectives ‘Achieve accuracy (what level/when/how) in reporting statistics and numbers irrespective of their ultimate use. Any external release cof numbers (must) should (what level/when/how) have a higher standard of review and accuracy. Gary will define and document {how electronically, hard copy?) the review and accuracy policies and procedures to ensure this happens (when). «Any figures released (must) should tle to existing published numbers on our website or you must provide an explanation (to whom) why not. © Any disclaimers or qualifying information that might influence ‘the decision to use or release information must be disclosed in advance (how far in advance ‘and to whom) with the information. ¢ Ifapproximations are. desired, they will be specifically communicated (to whom) as such. © Gary will indentify the required elements as input toa informational request form to: © Document input files, assumptions and programs developed to enable follow up research and audits months or years later. o Ensure you clearly understand statistical requests and play the request back with several iterations if necessary to ensure you deliver what the requestor requested. «Identify any additional information that might be useful to the requestor for them to approve the additional scope. Gary will create an audit and review process of processes he designed (when/what are the milestones?). This {roust?) should include ongoing review and audits of existing system Processes for opportunities for process. improvement, design deficiencies and programming errors. Thoroughly document and communicate any defects or data Integrity issues identified with @ suggested resolution plan and add to task list. This should include 2 specification that would enable any Elections Programmer to resolve. Provide an immediate oral briefing (to whom) followed by @ write-up. Provide conservative estimates on time sensitive critical tasks that include adequate testing and peer review ‘opportunities. If in ‘your judgment you cannot accurately complete a task within the requested timeframe, say so in advance or as soon as it becomes apparent, Gary will identify and implement (how/when?) best practices in the analysis, design, construction and support of all systems and processes. Gary will add to the Global System Repository of all of his significant processes with process flowcharts and detailed step-by-step instructions to enable anyone familiar with the SOS/GTA environment to. execute them. All development minutes ‘email et cetera of new and existing systems should be stored in this electronic central repository using the new governance methodology Implemented. ‘The priority is key systems where there is not a backup trained. This list includes but it not limited to: © felon processing, ‘© deceased voter processing, ‘* DDS/SSA verification, ‘© cancellation processing, © elections related activities like the creation of downstream KSU data for Express Poll rosters and ‘Absentee Voting updates © updating SVRS with credit for voting from the DRE’s and the interface to the SOS IT shadow database used for Poll Locator and to create voter and county electronic files. Participate in weekly system continuity sessions for programming staff to train or receive training to develop a secondary and backup support programmer for each major system. Gary will be given the opportunity to leam and provide support to Election Night Reporting, the Elections Supply Inventory System, and other Elections Division Systems to increase overall support continuity. Provide a weekly status report by 9 AM Friday articulating your progress on meeting each of these objectives. PERSONNEL ACCOUNTING AND CONTROL SYSTEM SALARY COMPONENT CHANGES (P2) Employee ID Name (Last, First, Middle, etc.) Effective Date 08 01 [2011 Month. Day _Year Gator | SOOA** Dollars, + | I | Month | Day | Year when To codes *Findicator 57 Siate Ghart of Account 4 = 1% Pay Period of Month 1-Active ‘Components 61-50 2-2 Pay Pesiod of Month 2 Inactive Sniy) 2OStay Ped ot on 3 Ache Ths Pay Petad Ooh Enter only if tterent from 4h ~ ‘pay SCOA in Salary Component 274 mileniahoe 6 ~ Discontinued Retirement Contribution sere ‘Taxes: Retirement Department Nu (Only enter if Changing) _| Federal State 37 Sale 1 Single Maries 2. Mare Flng Sty -| Both Working or 6 — No Taxes ried Filing Separately 3 Merred Png Joint” ~ One Working 6 — No Taxes | 7 ~ Head of Househoid & n ai ‘Number of Allowances: ‘Personal Exemption (Employee & Spouse) fing Sabe 1 = Single or Married ‘Without Spouse Filing W-5 ‘Additional Dollars: Number of Allowances: Certificate _ Additional Dollars: 2. - Married with Both Spouses Filing W-5S *Total Allowances Claimed on W-4 Certificate ++ Total Allowances for dependents, etc, claimed on G-4 Soany Peru, Governar ‘Tom Wade, Acting GTA Exocusive Director ‘od Stet Chief Information Officer June 24, 2003 Mr. Gary W. Cooley _l- qh === Dear Mr. Cooley: This letter serves as notice that effective Fuly 1, 2003 you will be on temporary assignment with the Office of the Secretary of State (SOS). This assignment is due to a transfer of responsibility for management of the OSOS applications on the mainframe system fom GTA to SOS. Your experience and ‘expertise with regard to that responsibility is considered critical to the success of the transition. Although, you will continue to be an employee of the Georgia Technology Authority (GTA), you will be physically located at and report to the Office of the Secretary of State. Your position classification and title, Software Developer 2 and salary ($6,390.63 monthly) will remain the same. Your direct supervisor at SOS will be Kale Hodges; his direct phone number is 404-657-1876. Wesley Morris will continue to ‘ct liaison between SOS and GTA on personnel issues. If you have any question please feel free to contact me at 404-463-1066. kB Tedue > Gina B. Tiedemann GaNet Division Co: Wesley Morris, GTA Kale Hodges, SOS Ay Brett Bammer, SOS is Pitkex, 808 Personnel Giana he v ts vow a\s ow\™ 100 Peacaree See, Suite 7900 _Aenta, Georgia 30303-3404 phone: 404.463.2300 far 44463-2350 © wow.gugeerpin gov Yifice of Secretary of State Personnel Action Form [ Employee D+: ARB | Employee Name? Cooley, Gary ‘Social Security Number: ‘Address 1: ‘Raldreas 2 areas bial ‘County: Zip Coder Phone: | Additional Phone Number: ‘Adjust pay line to reflect payment for __ hours of regular pay. ‘**-*Employee receives no regular pay. Payment for__houre of Terminal Leave Only. Deactivate Direct Deposit it applicable. Since 18 ‘Salary: $83,822.83 ‘Semi-Monthly Salary: $3,492.61 Monthly Salary: $6,985.24 Benefit Program Participation Effective Date: ‘OFFICE OF SECRETARY OF STATE / PERSONNEL OFFICE REQUEST FOR PERSONNEL ACTION This form must be finalized by the Division Director in order for any personnetacton to be processed. if information requested oss not apply, insert n/a (nol applicable) in the blank X Suspension from Sigabre eset Seow St) 1 Pereonne] Ofios Raves Signature: (Personne! ffice of Secretary of State Personnel Action Form cmon | ENTERED a Married Widowed Divorced Full Tire Ethnic Group: Employment Eligibility Proof: ‘Student: G American indian =. Asian No papiig 1 Hopene | MOE US. Passport Mem 2: ** Adjust pay line to refiect payment for Deactivate Direct Deposit If epplicable. hours of regular pay. "Employee receives no regular pay. Payment for___hours of Terminal Leave only. wae ‘Salary: $83,822.83 ‘Semi-Monthly Salary: $3,492.62 Monthly Salary: $6,985.24 [Benet Prooram: FLEX g00z/9T/zT Notsiaia sNouDaTa WBNINYEDOUd 431009 AV 1 STATE OF GEORGIA r ‘APPLICATION FOR EMPLOYMENT ‘An Equal Opportunity Employer EMPLOYMENT ELIGIBILITY: To be employed by th Sue of Gearga, you must meet crsin State tcl Federal exploynentcigiiltyreqsromens, ‘Tee inde (ut are not iid to) United States citizenship of euthorzaton to work ia ths cour, postive ebire sat if previously emplayed by the Sas, and 0 {elon convictions (or wre jot). Please answes the folowing questions. 1 Ayu Ud Staci? [2 Ae yours to trsdowekia] 3. eve ouevet beanie many [4 Hive you eaten coca the Uoied Site? Ste of Georgia goverment post 7 Ges No yes ONO Gla Ovss ‘Txo yes YES, tach an explanation, | IFYES, attach am explanation. TYPE OF WORK: 108 TITLE AND JOB CODE REQUIRED. If yeu do not now the coret jb titles, information is avaible atthe various State of Georgia seracy penne! ofies, the Georgia Merit Siem Office in Aaa, the Georgia Departat of Labor Carer Centers, oc on tejobaite ong. ‘Specific Job Tite Sought Tob Code ‘Specific Job Tide Sought Job Cove 1 oor 2 EDUCATION: High School rss or] VoDsOBA Baas Sobooe Naot | Fede Sy ‘Compiaed YeLINOLI Meat Date: athe one cm ‘TwreOF | DAT PLEASE LIST EXACT COLLEGE HOURS: receiven | rieLpARsaorconcermarion | PEGRSE | DEGAS LANGUAGE SKILLS: (Jobitingual (Specify langusges GEORGIA LICENSES AND CERTIFICATIONS: Curent VaigDeve'sLicnwe Ghee CINe (Care Valid Commercial Driver's License (COL: Class (Check Ove) (1A C1 Dic ‘Teacher Ceti in Georgia: Type of Cerificate Heli: ‘Grorpa Peace Officer Standart sd Training Cztcate (POST) (iter Profesional Lwmse/Ceriicate: CERTIFICATION: Read carefully before signing and dating. Unsigned applications will not be processed. Toy bate ran on freeones ey tit espana Sie vr aren re ‘anyone who may conser me for appointment. | understand that intentionally providing false Information on this form or attachments fs @ violation a etato lav. I alec understand thet appicetions submitied electronically, via e-mail or stmilar media, aro not valid unloss | enter my name i the signature feld below and suph action shall consti an electronic signature. | turer cerly that ether 1) have not been convicted of a ug- have been convicied of drug-eleted criminal offense, thas been more than thee (8) months since my fret corwion, ormore than five (5) 8 second or subsequent conviction (0.C.G.A. 45-23 at. Seq.). | Signatures Ry Sey cu), Date: JD-ZG-2P. Georgia Box 347100, Attanta, GA 90334 (1us27-1) Rev. 0108 Bese as Pachalolny Auth FP Lk Te Dal "Your Saperisor «Name wd Tide Tay We Cosas Employer? OYES ONO "a Cop Tare Yori Tae Tas Fa ea) ocean | pa We f= FE | Gest rasa Steamer sem cid Fa Se Tae Te ay We Ca Empire ed Dyes oN : Tamara Fa pe af eapipes you np Desai eal oars — aa CoS ‘Employer: eo air Tapa OE Saar a rasa a Cheer omen oa pear Pos Naber Tews Tor Leving Deseret your jb Ga. + “Fead ype of employers. you rpervset: 5) 4 Georgia Merit System, P.O. Box 347100, Atlanta, GA 30334 s27-1) __I Rov. 0106 Testi wit you Same tating oe f Adana sao neon waBia basis, The “Walla Teng Sebel” erable oo ‘Fou naty sb cll 404) 656-2724 ad equet a copy of this sched eee ee et geatng Examinations, Wotan ters we often cei anne in ae ce, 1 you remus «ected sans) Sa eco et reve dso lpm fre ot rable et rin sowing he ses of eng ene you hee ae ee ee ate and tine of you ppointmest. This xy tae a mot or longer doe oid cating Bithomasvitle-(U) DiWayeross- (L} Perens - TE] sey, ai x ei pa int eee oft nny i yey ater et may ei erat arg ay eon Seem mae mr, el a nace paca eevee ra Select ONE city where you wish to take a written fest on Saturday: Daogusa [5] einesitle— fF] Livaitedgevile (4) [ACCOMMODATIONS FOR APPLICANTS WITH DISABILITIES oe eeait Syren Walk-in or Schodaled testing parposes only, do you require special examination accommodations Deon of secbdig? ao, sacha note to this application asking us to call, PRIOR ARRANGEMENTS ARE NECESSARY: ‘Note tet in ‘an examination accommodation at least one ‘order to receive accommodations for testing, you must (1) tell the Merit System you need rr PRION oi te 2) ave tne aocmimodaton suborized BEFORE being tein: an 3) provide documenteion to sh tt On ee te dtoa at rquened by the Merit System), Ifyou have questions abou this process and have « hearing ox eect ‘epuitoent, please eal the Georgia Relay at 1-800-255-0056 or 7-1-1 (TTY/ext phone) or 1-800-255 0135 (osdard phone). Ifyou she Site of Georgia Application in an aerate forma, please cal the Georgia Merit System al (404) 656-2725 “Training and Experience Ratings? If yoo apply fora ob hat docs not rege ‘writen Sex, your evaluation wil be based onthe experience eesti end 5 descbe 08 "You wil also be evaluated informatica you maybe asked 1 VETERAN'S PREFERENCE: Thc lv of Sate of eon ue tt pats be eed passing examination score fx cus wess 6 VETERAN'S PREF Pach ofthe Unto Sts. The fbcring peso efeenc ae oa ced, Ion was o ely for Vet's rice ck Heme Fetter and etach copie of the appropriate docraest() to your mplicaton. Copies cxaoot be turned. (SPB 16.102) (C__DBCEASED VETERAN'S SPOUSE: D214; mariage certificate; ‘veteran's det erate ocassly report [D1_ DISABLED VETERAN: DD214; ceificate of service-connected {C)__ DISABLED VETERAN'S SPOUSE: D214; marriage cetificae; ably (atleast 10%) Som the V.A. dated witha telat 6 (Gaxbled vera'sdocaens Gato within lst 6 months (veteran ‘months mot bv 100% disability) [D__ VerirAn: DD214 sowing dates of service and type of discharge Requisition Number (for announced jobs only}: _ EQUAL EMPLOYMENT OPPORTUNITY INFORMATION “The information you give inthis section is optional. It is used by the Georgia Merit System and other state agencies f0 oaply with Federal guidelines for monitoring the equal erploynoent opportunity eferts ofthe State of Georgie. Last Name First Name MI Ethnic Background (Check One): Gender Birth Date 1.0) American Indian 2. D] White, not of Hispanic origin (Check One): MO DAY YR 3.) Hispanic 4. Black, not of Hispanic origin Dale 5.0 Asian/Pacific Islander 6.00 Multi-racial Ci Femate ith Det Repuratfor Jobe For Agency Use 4 Georgia Merit System, P.O. Box 347100, Atlanta, GA 30334 (4527-1) Rev. 01708 EVALUATION PROCEDURES ‘ettea Terts: Toobaina job bexrsin fl ‘Vchus cial junice ml sarearid outa paws stander paomaate ef. The i sen Oot ree alow. Prop esiedien with your ctu gash sch at x river's en, rege fox adsion wall examinations. ‘Wanein Exarclostins: Tess wre cron sled days i Alcs soy ona walkin bas, 1 you wish etn Adeta, apply online cr bing capt raion wih you Some ng cue Alta alo Geom wali The "Wain ening Sebel avalon cur Web tem hho Pesan ls eal 04) 6862724 sad ees copy of hi ached ‘Schedeled or Reserved Seating Examinations: We ees we ore ca crain Shuiays in ct cca. I'you runt «scheduled exaniaio ed eeceson seer, you wil reciven easily by al fo inet evalabl tt ssn sowing th wet fe tetng centr You he daoet Ide ate sd io ou opokiment. This may «math or long: eo ited eng. ‘Select ONE city where you wish to take a written test on Saturday: - 141 (angusta -{S) LF] i <1] LE] (Dsavannah - (3) Bitte Waycross -[L] ‘Retest Policy: Your score will nomally ein onthe list of ealbleaplioans for ax moots from the dt of your examination (nd in many cases, you ma #0 ‘tend your score fx onetime aot). Generally, youcan apply tobe evaluated orto take a waton tet far the sae job ony tre times in on Yo, is ‘Sinan 30 day weling period tetweea examinations. Upon re-excistion, he higher of your sores will generally be pt. The lower score will not be ace to ACCOMMODATIONS FOR APPLICANTS WITH DISABILITIES For Merit System Walk-in or Scheduled testing purposes only, do you require special examination accommodations because of Gdsabilig? If 90, atach a note to this application asking us to call. PRIOR ARRANGEMENTS ARE NECESSARY. Note tet i ‘Order to receive sccommodetions for testing, you must (1) tell the Merit System you need an examination sccommodation at leas one (i) day PRIOR to the test, (2) have the accommodation authorized BEFORE being tested; end (3) provide documentation to show the need for the accommodation (if requested by the Merit System). If you have questions about this process and have a hearing or speech impairment, please call the Georgia Relay at 1-800-255-0056 or 7-1-1 (TTYfext phone) ot 1-800-255-0135 (standard phooe). Ifyou ‘need the State of Georgia Application in an alternate format, please call the Georgia Merit System at (404) 656-2725 ‘Training and Experience Ratings? Iyeu oply fra job ft dove ot gece a writin tex, your evaluation wil bs bused onthe experienc, ect, ant ‘rising you deprib on you appion. "Ye wil abo be evant o any elemental fenton you maybe eked to provie VETERAN'S PREFERENCE: Tec lnws of te Site of Georgia regu that points be added fo passing examination scores fox extn vets ant nbet tops of the Armed Foees of he United Sates, The following types of prefresce are cure graced. Ifyou wat to apply for Veteran's Prefers check {he ope blow and etch copie ofthe appropcne document(s) to your application. Copies cannot be returned (SPB 16.102) ()_ VermrAn: 10214 showing dates of service and typeof discharge (C1 peceasep VETERAN'S SPOUSE: DD214; marrage cetifet, ‘etem’s doth evificte or eamuly report (11 _DisABLED VETERAN; D214; certificate of service-comnected (C__DisaBLep VETERAN'S SPOUSE: D214; marriage contificat, any test 10%) fre he VA. dad within te Int 6 ‘Gaabed vtenn's documents dated within last 6 months (vee {seats ‘at ave 100% diay) RegulsiGon ‘Number (for announced jobs only): ] EQUAL EMPLOYMENT OPPORTUNITY INFORMATION ‘The information you give in this section is optional. It is used by the Georgia Merit System and other state agencies to comply with Federal guidelines for monitoring the equal employment opportunity efforts of the State of Georgia. Last Name First Name MI ‘Ethnic Background (Check One): Gender Birth Date 1.0) American Indian 2. J White, not of Hispanic origin (Check One): = MO DAY YR 3.) Hispanic 4. D] Black, not of Hispanic origin Male 5.(D Asian/Pacific Islander 6. C1] Multi-racial (Female salt For Agency Use 4 Georgia Merit System, P.O, Box 347100, Atlanta, GA 30334 (827-1) Rev, 0708 OFFICE OF SECREATRY OF STATE PERFORMANCE MANAGMENT EVALUATION (07/01/2012 through 06/30/2013 ese Employee Name: Gary W. Cooley Employee (0: Position Title: Programmer (SP) HireDate: 12/16/2008 Oo Department: information Technology Hourly Supervisor's Name/Title: Vacant/Director of Information Systems Section (1) Job Description: (See Attached.) Employee's Comments Employee's Initial ‘Supervisor's Comments, Supervisor's Init {Successfully reviewed with Vendor each data field on every fle in Legacy and created over 25 programs and pr [Gain a working knowledge of the Table Structure in the new system in order to do data analysis and data reco [established a good working knowledge of the new VR system and continue to learn more about new function Employee's Comments Employee's Initials Section (2) Established Goats: 07/01/2012 through 06/30/2013 Supervisor's Initial Supervisor's Comments, Serve as backup for other DBAs and Programmers on Elections databases. i Employee's initials. Supervisor's intial Employee's Comments, Supervisor's Comments Section (4) Overall Performance Rating: Exceeds Employee's Comments: Employee's Signature pate: PAQI/LZ ‘My supervisor has reviewed with me, he current job description; goals from this performance period, advised me of my current job performance, and reviewed the performance goals for next period. Date: a v ze Wh 3 1¢ employee's performance. | Téve reviewed the crrent jb description, goals from this Performance pe fnce, and the performance goals for next performance period with the employee. | have attached a copy of the job description and goals from this performance period. ‘Supervisor's Comments: ‘Supervisor's Signature Branch, Byron From: Cooley, Gary Sent: Friday, September 13, 2013 10:41 AM To: Branch, Byron ce Fralick, Alan Subject: RE: Emailing: 2013 Programmer (SP).pdf, 2013 _caroolSetfsauatonpot ‘Attachments: Self Evaluation for Annual Performance review. Byron, attach is my Self Evaluation document. | will attach a hard copy to the paperwork you gave me last week and ‘drop it by as well. Original Message— From: Branch, Byron ‘Sent: Wednesday, September 11, 2013 11:33 AM ‘Subject: Emailing: 2013_Programmer (SP).pdf, 2013_GaryCooleySelfEvaluation.pat Gary, Have you had a chance to work on this? need to get them all completed and back to HR. The deadline was 8/31. 41. Byron (1) Job Description: Technical lead on the new Voter Registration System Project ‘Work with Election’s staff and Counties to resolve technical and functional issues Work with IBM/GTA concerning Computer generated billing cost Bridge the Gap between Voter Registration Vendor and Elections staff, KSU staff, and any other Vendor that would be interfacing with the Application. ‘Write Programs to support the mass migration of data from Legacy to ElectioNet. Also create programs to reconcile the data from all databases which include Legacy, ElectioNet, and Sequel. Come up with necessary solutions to complex problems to keep the elections moving while the new system is continuing to evolve. (2) Established Goals 07/01/2012 - 06/30/2013 : ‘a. Successfully reviewed with Vendor each data field on every file in Legacy and created ‘over 25 programs and processes to migrate all data from Legacy to the New Voter Registration System. 'b, Gaina working knowledge of the Table Structure in the new system in order to do data ‘analysts and data reconciliation between platforms. . Established a good working knowledge of the new VR system and continue to learn ‘more about new functionality has we try and sunset the conversion project. 4d. Gained information on how GTA/IBM processes the billing invoice to look for ways to ‘curb the costas it relates to CPU time. Worked with our Contract DBA’s to do the analysis on monitoring and making suggestion on reducing the number of CPU hours used in a given month. . Continue to work toward sunseting the Legacy processes as we move to the web based system. pose (3) Future Performance Goals ‘8, Leam Microsoft Sequel Initially | what to work with Scott on those specific tasks he performs on behalf of the Election's Division. Daily transaction process, History uploads, Reconciliation process between ElectioNet and Legacy. Also | want to understand how. ‘Sequel interfaces with MVP to deliver Polling location information, early voting information and information about the voter. All of these processes require updates to Sequel on a daily basis. b. Workwith Ronnie Heath on his responsibilty to the Election Division. Ronnie has automatic processes set up to push daily updates to over 35 counties from Sequel. ‘These processes consist on script writing, Sequel queries, and using the active X scheduler on the server. ¢. would like to be considered Scott's and Ronnie’s backup for all things Elections because currently we are very exposed as there is no real backup for what Ronnie and Scott does for the Election Division. d. Work with PCC, Scott and Ronnie to develop my idea of creating ElectioNet report requests from the Sequel database instead of DB2. Since all report requests process ‘through DB2 has an IBM CPU cost associated with it, this will be a cost saving project that should help reduce the cost significantly as the report requests grown moving into a busy election year next year. Continue building on the understanding of the Table Structure for ElectioNet and develop more sophisticated processes to extract data for analysis and reconciliation Purpose as well as for quick and dirty reporting, Become proficiency in using the IBM CPU usage monitoring tools ike CQM and Omegamon to help stay ahead of the exorbitant cost coming from GTA/IBM. Continue to work with our DB2 DBA’s on recognizing those cost saving opportunities and catching bad SQ. statements issued by ElectioNet. 8 I want to continue working closer with our Contract DBA’s to gain knowledge on the ‘maintaining of our 082 database once we go into a maintenance mode with the Vendor. h. Get up to speed on the Scanning procedures in the new system. |. Continue to work toward sunseting the Legacy processes as we move to the web based system, {4) Overall Performance Rating: 3. I believe | have exceeded my job requirements. | not only do what is required but go the ‘extra step to be proactive when necessary and I am always looking for ways to automate processes to free up resources. 'b. Iwork a lot of extra hours to try and stay up with the work flow. Ifthere is a hard deadline date that has to be met then | will put in the extra hours to make it happen. Pay Grade: Information Technology ISupervisor: Director of Information Systems FLSA: Professional [Date created: Revision Date: September 4, 2013 POSITION SUMMARY: Under limited supervision, the Systems Programmer 3 position will be part of a team responsible for the application support of the Elections and Voter Registration Systems. Technologies employed to create the current system include CICS Cobol, and Mantis. There are also a variety of package and other non-mainframe applications. ESSENTIAL DUTIES and RESPONSIBILITIES: ‘Involved in the assessment, implementation and support of new systems and potential conversions to replacement systems as the needs of the Elections Division require. “Involved in systems development and maintenance of current systems, which includes requirements gathering, system analysis and design, documentation, coding, testing, implementation, monitoring production performance and issues, Interfacing with change management personnel. + Acts as point-of-contact for customers and the Elections Division. + Provides training and technical support to end users, clients and county election officials. ‘Performs project management duties and other responsibilities as assigned to support Elections Technology Systems and Interfaces. * Involved in the future conversion of the selected Elections Systems to a yet to be named platform. Provides training and technical support to end users, clients and county election officials. ‘Responsible for the application support of the Elections and Voter Registration Systems. “Prepares detailed workflow charts and diagrams that describe input, output, and logical operations. ‘Writes and debugs programs or program modules. ‘*Utilizes, modifies, or develops algorithms that maximize processing speed and utilize memory efficiently. ‘Tests code to identify errors and debug. ‘*Compiles and writes documentation of program development and subsequent revisions, inserting comments in the coded instructions. Consults with others to clarify program intent, identify problems and suggest changes. ‘Develops and maintains test standards relevant to the development life cycle and change management processes. Evaluates, selects, integrates and implements new system architecture, tools, and techniques. Oversees and/or performs work in designing, maintaining, and coding programs using agency standard programming languages. + Debugs, adapts, and modifies code and logic of existing applications. ‘*Writes or contributes to instructions or manuals to guide end users. ‘Determines portability of code between operating systems and hardware. “Team work and deliberate efforts to share kni__-dge and communicate with team memb are essential. “Utilizes good written and inter-personal communication skill. ‘Possesses good methodical work habits and the ability to work without supervision. «Motivates self to provide high quality customer service. ‘*Demonstrates a high commitment to accuracy and ability to foresee issues before they arise, ‘Performs other related duties as assigned. KNOWLEI SKILLS and ABIL! ‘Knowledge of programming systems, software and hardware configuration and their application to a system environment. ‘Skil in the use of application programming languages, job control language, and host resident software packages. ‘Ability to manage projects and use project management tools. ‘Ability to communicate technical information to targeted audience. *Knowledge of change management process of the agency. “Knowledge of the system design. Knowledge of the application and associated business processes, ‘Ability to code computer programs. “Ability to perform application debugging. “Ability to write specifications. “Ability to write efficient codes. ‘knowledge of systems analysis techniques. ‘Ability to document system modifications, comply with standards. ‘*Ability to logically design innovative solutions that meet client requirements and internal standards. ‘Ability to act with discretion when dealing with sensitive data. ‘Ability to work to tight deadlines and multitask. ‘Ability to work long hours, work after hours, and/or is on call. SUPERVISION REQUIREMENT: None required. MINIMUM QUALIFICATIONS: Developer (programmer) with a minimum of 10-15 years of proven advanced proficiency with COBOL, JCL, Mainframe, ‘TSO/ISPF, VSAM, DB2 and Mantis mainframe tool set. 3-5 years experience with Elections and Voter Registration System Packages is highly desirable. Project Management and experience with Control-M, Expeditor ‘strongly desired. EDUCATION REQUIREMENT: Bachelor's degree from a nationally accredited college or university in computer science or a related field, Performance Improvement Plan Summary Meeting ‘Current Status ‘Theemployce: (Meets Expectations) ‘As outlined in the PIP Expectations: Gary successfully demonstrated his commitment to quality and satisfied the objectives stated in the PIP within the review period. He continues to fulfill the intent of the performance improvement process at this 6 month interval after ‘successfully completing the performance improvement pian. L Performance Objectives Met by Gary Cooley Gary has achieved high levels of accuracy in reporting statistics and he has consistently demonstrated that the additional controls are part of his standard operating procedures. . Gary has established audit and review process key processes to find opportunities for process improvement, and identify design deficiencies or programming errors. . Gary consistently documents and communicates any defects or data integrity Issues identified with any process as discovered with a suggested resolution plans. Gary provides achievable conservative estimates on time sensitive critical tasks that include adequate testing and peer review opportunities in sufficient time to meet the deadline established. . Gary has implemented best practices for the Elections IT Environment and our contracted programming resources through his professional expertise in the analysis, design, construction and support of systems. Gary continues to conduct system continuity sessions for programming staff to train or receive training to develop a secondary and backup support programmer for each major system. a Page 4 Employees Comments: Failure to correct the performance or conduct deficiency or follow normal work rales, iplinary action, up to and including *The employee's signature indicates that the manager discussed the above matter and does not necessarily indicate the employee's agrecment. HR125-18-F2 11/08 Page 5 Prospect Employment Verification February 27, 2010 To: State of GA 2MLK Jr. Dr Atlanta GA. RE: Employment Verification \ Gary Cooley has applied to rent an apartment at our community. In order for us to ‘complete processing the application, we must verify employment status with you. Please provide the following: Baployment Date: L2/4-08 To Be.scatt Caren Position: 5) FullorPart Time: __Fiuil-Tiyme. No. of Hours Worked Per Week: _ 44/7 ‘Anmual Income: 493.922. 83 connission QO Boms:__ 7 . Overtime: __O Your Name: ‘Signature: Position: Please fax completed verification to the following, mumber: (770) 419-3797 ‘Thank you, Applicant's ‘authorize this investigation into my employment record. Signature: Date: Sfalso ‘enature: : Circle Method: ‘Employee Signature: Date: fevotal 07-001/08.17.09 Zz Employee Employment Verification for Gary Cooley: Hour office con be of further aesiatance, pleese fot ws knew. ‘Tuank you for your sasistetoe. laine Des! 404-656-6343 xo] [v8.0 | seest'z | BREN 26296100226] 230N 3 1nsay |se6eq| OTL eS ‘POW daqumy auoydatay et OT. fH Td sok FUOdey"ZUOD FFWSUBUL act OSseTsovor:xP4 “US 20 AWLRORS tO Performance Improvement Plan Expectations Please refer to the Performance Improvement Pisn guidelines when using this form. This form documents the initial performance/condust deficiency. The PIP Form must be used in conjunction with the PIP thirty-day summary to ensure consistent follow-up. Division: Elections Employee: Gary Cooley Date of Meeting: September 16,2009 Deseribe the performance/conduct that needs improvement: ited Perf Objectives f esse Methods of improvement (i. training, mentoring, OJT, etc.) Please include dates/times of expected sessions. Employees Comments: Failure to cores the behavior or conduct deficiency orto fon nomad work mies polis, onde perfomance gf et infer dpi on, pt GMb/e9 Date Department Director Deputy Secretary of State Date Lp Bak bape DateofNext Reviews juman Resources ©The employee's signature indicates that the manager discussed the above matter and does not necessarily indicate the employee's agreement. -F2 11/08 Page 1 Performance Objectives for Gary Cooley 1. Gary must achieve high levels of accuracy effective immediately in reporting statistics and numbers irrespective of their ultimate use. From now forward, any external release of numbers must have the highest standard of review and accuracy through mandatory development procedures developed by Gary. Gary will define and document electronically the checklist of procedures to ensure the higher standards occur by September 30, 2009 and store these reporting policy standards in the Elections Technology repository on the network. «Any figures released in response to data requests must tie to existing published numbers on our website or Gary must provide an explanation in advance to his supervisor, the Elections Technology Manger or the Elections Director in his absence. (subsequently referred to as defined as Elections Management) © Gary must disclose any disclaimers-or qualifying information that might influence the decision to use or release information to Elections Management far enough in advance to allow sufficient time to satisfy alternate data requests. * Elections Management requests for approximations will specifically communicated as such. ‘© Gary will indentify in an email the required elements to include in the design of an information request form by Elections Management by September 22, 2009. The detailed elements should enable documentation of input files, as of dates, backup locations, and assumptions, including JCL and program names/locations developed to enable follow up research and audits months or years later. The purpose of the information request form is also te a, Ensure he clearly understands statistical requests and plays the request back with several iterations if necessary to ensure he delivers what the requestor requested and approved. b, Identify any additional information that might be useful to the requestor for them to approve the additional scope. 2. Gary will create an audit and review process of the following key processes he designed by October 30, 2009 (Felon processing, deceased voter processing, DDS/SSA verification, express poll download processing, and credit for voting). This must include ongoing review and audits of existing system processes for opportunities for process improvement, design deficiencies and programming errors. Opportunities for process improvement would include system control total checking, threshold warnings, notifications of exception conditions and periodic manual review of records prompted by Help Desk inquiries. 3. Gary will thoroughly document and communicate any defects or data integrity issues identified with any process as discovered with a suggested resolution plan and add to the Elections Technology task list. This should include a detailed specification that would enable any experienced Elections Programmer to resolve. Gary will provide an immediate oral briefing of the defect or issue to his supervisor Harvey Davis followed by an emailed write-up. . Gary will provide conservative estimates on time sensitive critical tasks that include adequate testing and peer review opportunities in sufficient time to meet the deadline established. fin his judgment he cannot accurately complete a task within the requested timeframe, he must say so in advance or as soon as it becomes apparent. ;. Gary will document and implement best practices for the Elections IT Environment through research (as required) and his professional expertise in the analysis, design, constuction and support of all systems and processes by November 15, 2009. Gary will document these “Tiving” best practices will be documented electronically in a best practices document in the elections network folder. . Gary will add to the Global System Repository of all of his significant processes with process flowcharts and detailed step-by-step instructions to enable anyone familiar with the SOS/GTA environment to execute them by December 15, 2009. All development minutes email et cetera of new and existing systems should be stored in this electronic central repository using the new governance methodology implemented. The priority is key processes where there is not 2 backup trained, This list includes but it not limited to: (©. felon processing, © deceased voter processing, © DDS/SSA verification, © cancellation processing, elections related activities like the creation of downstream KSU data for Express Poll rosters and Absentee Voting updates ‘©. updating SVRS with credit for voting from the DRE’s and the interface to the SOS IT shadow database used for Poll Locator and to create voter and county electronic files. Participate in weekly system continuity sessions for programming staff to train or receive training to develop a secondary and backup support programmer for each major system. Gary will be given the opportunity to learn and provide support to Election Night Reporting, the Elections Supply Inventory System, and other Elections Division Systems to increase overall ‘support continuity. . Provide a weekly status report by 9 AM Friday articulating your progress on meeting each of these objectives. ° PERSONNEL ACCOUNTING AND CONTROL SYSTEM — SHORT-TERM LEAVE AND SUSPENSION — (Qc) —— ID Number, NAME (LAST, FIRST MIDDLE INITIAL JR. eta) Cooky, @ary [CURRENT PAY PERIOD DAY EXITDATE |_| RETURN/EFFECTIVE DATE O13 1 l Ty if MO | DA | y¥R' mo | pa | yr mo | DA YR i AUTHORITY CODE | § jee DESCRIPTION Spey Siete dah seh Qi/l@:alo} | |: | HRS 1 MIN [ars a] REMARKS ONLY 44 CHARACTERS ALLOWED ON SHORT-TERM LEAVE My 8/AH07 SCHEDULED HRS IF DIFFERENT FROM STANDARD WORK SCHEDULE. PACS-A102 (6-85) State of Georgia Office of Secretary of State Human Resources Policy Orientation Acknowledgement Statement This is to acknowledge that | WSd ta Print Full Namo have reviewed 6 following Office of The Secretary of State Policy and Procedures. Polley Title Polley Number Unlawful Harassment 125-88 Sexual Harassment 1.25-96 Employee Leave 1.25-20 Progressive Discipline 1.25-18a Fair Labor Standards Act (FLSA) 125-15 Equal Employment Opportunity (EEO) 1.252 Family and Medical Leave (FML) 1.2521 Employee Grievance Procedure 1.2527 | understand the policies and procedures listed above, and | agree to comply with them as a condition of my employment. | understand that any violation of these procedures may be the basis for disciplinary action, up {0 and including termination. | also understand that adverse action can be taken for matters not covered by these procedures. | understand that these procedures are not conclusive and that abiding by these procedures does not create any new rights for me or other employees of the Office of Secretary of State. understand that if! have any questions conceming interpretation or application of this policy or these procedures, | should direct my questions to my Supervisor or to Human Resources. entree 1g Wine Lay fa Full Name MMUDDIYYYY Rev 2/09 FICE OF SECRETARY OF STAT). PAYROLL AUTHORIZATION AGREEMENT FOR TRANSIT CARD DEDUCTIONS Gage Wi Conte ___. SSN OR EMPLOYEE (01 SS. ‘rie Name) authorize the Office of Secretary of State to deduct from my pay a sum not to exceed the amounts given below forthe purchase of a ‘monthly Transcard. I request thatthe first deduction be made as soon as possible. My signing ofthis agreement acknowledges the following: 1. Beginning as soon as possible, an amount not to exceed the amounts given below will be deducted from the first paycheck of month until the Human Resources Offic is notified in writing to cancel deductions. 2. The cancellation notice must be received in the Human Resources Office by the ninth of each month, If received after the ninth, a Transit Card is ordered and the deduction is made. The deduction will be stopped the following month. f will not be ‘entitled to a refund for the deduction, 3. Acard will only be released to me or the division coordinator. Once the card is in my possession, the Office of Secretary of State relinquishes all responsibility for the Transcard. 4. If am placed on leave without pay during the pay period the deduction is scheduled to be made, the required deductions + (taxes, retirement, benefis, ec.) will be taken before the Transit Card dedustion. The deduction forthe Transit Card will be ‘only if sufficient funds remain. Direct payments for Trancit Cards are not accepted. Pu. Care beay den Lie OP (Employee's Si ) (ate) ‘Check Ome Onty: OD MARTA 1D Gwinnett County Transit 1 Xpress Bus (20 ride pass) 49.87 10-Ride Ticket Book ZONE 1 $45.00 (Routes 102, 410 & Reverse Commutes) 1 CCT 31 Day Express $30.00 1 Xpress Buss Pass (31 day only pass) ‘$90.60 monthly ‘$40.00 1D Gwinnett County Transit A 10-Ride Ticket Book ZONE 2 1 Xpress Buss Past (40 ride pass) ‘CCT 20 Ride Pass (Routes 101. 103, 412.8 418) ‘s85.00 47.00 LY 1D Gwinnett County Transit 1 Xpress Bus (31 day unlimited rides) ID Pe Tax DEDUCTION $98.00 monthly $80.00 _AFTER-TAX DEDUCTION. CANCELLATION OF DEDUCTION 1 SSN. ‘Print Name) authorize the Office of Secretary of State to cancel payroll deduction forthe purchase of a monthly Transit Card, I request thatthe deduction is stopped as soon as possible. (Baplnes Signatire) (an) Date_{ 7 995 Personnel Office Receipt: Signature /.cx _y.¥— Deduction StarvStop LLL Y Please return this form to the Human Resources Office a» &. OFFICE OF SECRETARY OF STATE UNCLASSIFIED POSITION - WAIVER STATEMENT ‘Employee Lateral Transfer Voluntary Demotion Promotion Administratively Attached Thereby acknowledge that the position have accepted, Sys hams Fase arent 3 Job Title With the Georgia Secretary of State's Office, Lec tvous Division is in the unclassified service. I understind that as an etployee inthe unclassified service, my employment is “at-will” and I may be separated at any time without notice or statement of reasons. I understand that in accepting this unclassified position, any employment rights 1 may have had in a classified service no longer exist. further understand that I shall be eligible to receive all fringe benefits such as ‘hospitalization, life insurance, annual and sick leave, ete. G ) of Employee print) of Employee 19/ /6/ OX Date The Office of Secretary of State aren Handel Minuand CMe Gui scarrany or are ‘macros oF ADENTRATIN December 8, 2008 Mr. Gary Cooley Dear Mr. Cooley: This isto confirm our verbal offer and your acceptance of the unclassified service appointment to the Elections Division with the Office of Secretary of State as a Systems Programmer 3, Position Number 00170209, effective December 16, 2008. Your salary will be $6,985.24 monthly/$83,822.83 annually, Pay Grade 19. ‘Your office will be located at 2 Martin Luther King Jr. Drive, Suite 1104, West Tower, Atlanta, Georgia, Your supervisor will be Harvey Davis. During your initial six (6) months of employment, a Management Review will be ‘performance i ‘Waiver Statement. Please read the acknowledgement form carefully. You must sign and return this form to the Human Resources Office prior to or on the date you report for work. Please complete the attached forms and bring them with you to the Human Resources Office, 2 Martin Luther King Jr. Drive, West Tower, Suite 802, Atlanta, Georgia at 8:15 am., ‘Tuesday, December 16, 2008. Also, complete the employee portion of the Verification Form ([-9) and bring with you any of the documentation listed on the back of the form. Note: You will not be allowed to start work until documents are received to fulfill the requirements of the Employment Eligibility Verification Form (1-9). ‘2 Martin Lather King Jr. Drive 8.E. e Bulte 620 West Tower « Atlanta, Georgia 30324 (404) 657-0665 + (404) 696-7784 FAX. 5 . Gary Cooley 8, 2008 2 t ‘Welcome to the Office of Secretary of State and may you have a successful and rewarding career with us. ‘Sincerely, Lirm Abr~. John Jurkiewicz Human Resources Manager Wed Enclosures é cc: ‘Davis we Form W-4 (2008) fb eutone Cg coe aoa” Purpore Compt Fem W-sitatyox slowness” Head of ourehold. Ganealy, you may can amo 0 Fereonal Allowances Pub, O10, How Do | Aadet My Tax fo nformaton'on converting ‘your other crects ito wird alowances. Nonmage nome. youre alae smut omage come eich as resto Personal Allowances Worksheet (Keep for your Enter “1" for yourself i no one else can claim you 82 a dependent... “# You are single end have only one job: or + tor "17 ‘¢ You are merred, have only one job, and your spouse doge not workc of Your wages from a secord job or your spouse's wages (or he total of both) are $7,500 or ls. Enter “1* for your spouse, But, you mey choose to enter *-0-" you are marred and have ete’ a worklag ‘more than one job. (Entering *-0-" may help you avoid having too Ite tax withheld)... Enter number of dependents (other than your spouse or yours) you wil claim on your tax retum Enter “1" i you wil fle és heed of household on your tax retum (see conditions under Head of household above) | Enter “1” if you have at least $1,500 of child or dependent care expsnses for which you plan to claim a credit. soe Pub 10 brs out Kyou hocld ayer on Form Wt eset at ata 0 working spose sere hn Se Rare the tot mer of wens yo aCe ‘Cokin coat rg washer fom tne Farm Wet Your withaeg sy tenon eonario ven a elownnces oo ‘aed onthe rorm aro ght faye and fon sowarcan were on Secshar See Pub Bre deta Serene ecm shetenes Eee Rees Be by 10 eoey far earn semen ‘spouse or, “a 2 e amoo (ote. Do not include child support payments. See Pub, 508, Child and Dependent Care Expenses, for details.) Child Tax Creat (including additional child tax.creit. See Pub. 872, Child Tax Credit, for more information, © If your total income wil be less than $58,000 (86,000 if mariec, entee“2" for each eligible child. © If your total income wil be between $58,000 and $84; 1,000 ($86,000 and $119,000 i married}, enter °1" for eaéh eligible ¥ fom al obs exceed child plus “1” additional f you have 4 or more eligible cidren. ‘Ad lines A through and enor total hee. Mote. This may be cern for the ruber of exemptions you claim on your tax rem) For: J. {© Ifyou plan to emize or claim adjustments to income and want to reduce your 1.600 the| zuncy | sche withholding, Deductions ‘worksheets { ¢ Hfyouhavemore than one ob or are maried and you and your spouse beth workend the combined earings that apply. | $40,000 25,000 t marie, 200 the Two-Eamern/Mutiple Jobe Worksheet on pabe 2 o avoid hevng to ite tax wine neither ofthe above situations apptes, ‘stop hore and enter the number from na H on line § of Form W=4 bolow. rom W-4 Sopa tenets” 7 Viome athe aber and eve rr rota) Total number of altowances you wo Cut here and give Form W-4 to your employer. Keep the top part for your records. Employee’s Withholding Allowance Certificate > Wether you ce ented 1o claim «cara numberof Howances or semtion from wicking Ie _sbject to review bythe IRS. Your emeloyer many be reed to ene 0 Sony has frm fo tha Se “Type opt your ft are nc ae a] as ae G + your tat rae 2 Re BB ares Seria, Perr emi [2008 2 Yaw ex mec rane bt witold at hgh Sg xt cect ‘iors fom at shew on your socal sect cond nck here. You mute 1-800-772-1213 for replcement card.) H above or from the applcable workshoot 8 Adcltionel amount, # any, you want wield from each paycheck... 7 claim exemption om wathokdng for 2008, ad I cert that I meet both ofthe folowing condtons for exemption. { Last year I had right toa refund of al federal income tax wield because I had no tax fablty and ‘This your! expecta rend of all federal income tax withheld because | expect to have no tax 4 you mest both condone, wite “Exempt” here. ‘on page 2) | a rawr 7 hve examined tie corticat and fo the Beet at miy trowtadpe ae okt ie Bon, are . ures you gn tae h/I-7 eo - OP © Empoye'e name f Comoe tree 8 end 10 nyt grog to tw FS) i=" lr deta ba ET i ‘Cat. No, 102200 Form W=4 (2008) ‘For Privacy Aat and Paperwork Reduction Aet Notice, ase page 2. "spouses working: enter O or or 3 . Married Filing Joint, one. 5. ADDITIONAL ALLOWANCES | Spouse working: enter 0 (complete worisheet below) D. Manted Fling Separate: ‘enter 0 oF 1 oF... ' E. Head ot Household. ©. ADDITIONAL WITHHOLDING $___ enter 0 or 1 or... Bw WORKSHEET FOR CALCULATING ADDITIONAL ALLOWANCES ‘This worksheet must be completed if Line & is greater than zero. 1. COMPLETE THIS LINE ONLY IF USING STANDARD DEDUCTION: Yoursett 1] Age 65 rover CJ Bind Spotise: T) Age@sorover E Blind Number of boxes checked _x 1300 ='$__ 2. ADDITIONAL ALLOWANCES FOR DEDUCTIONS: A. Estimated Federal itemized Dedkictions.. C. Subtract Line B from Line A... — — $e D. Allowable Deductions to Federal Adjusted Gross Income $i E. Add the Amounis on Lines 1, 2C, and 2D : $e arrel on his Pam any oak ah led te nano’ ot wating Savanna Sapa Fan WTO Gaimod on his Form G-4. Aig aunoze my employer t deduct per pay period the eddtenal moun! tied chore Be nt secept forms claiming addtional alowances unless the workshoet has been comploted. Donot accept forme Claiming exempt if numbers are written on Lines 3-7. ~ LOYALTY OATH 1, Cag py 0. a Z ‘CRAMEY A CITIZEN OF THE STATE OF GEORGIA AND OF THE UNITED STATES AND BEING AN EMPLOYEE OF THE OFFICE OF THE SECRETARY OF STATE OF THE STATE OF GEORGIA : AND THE RECIPIENT OF PUBLIC FUNDS FOR SERVICES RENDERED AS SUCH EMPLOYEE, DO HEREBY SOLEMNLY - SWEAR AND AFFIRM THAT I WILL SUPPORT THE CONSTITUTION OF THE UNITED STATES AND THE CONSTITUTION OF THE STATE OF GEORGIA. SWORN TO AND SUBSCRIBED ‘THIS THE DAY OF / 7 2008 Abate, Nort Rochdale County, “iy Gowmsece pees 475010 ) 1 OFFICE OF SECRETARY OF STATE CONSENT AGREEMENT FOR NEW EMPLOYEES CONSENT AGREEMENT FOR NEW EMPLOYEES UNDERSTANDING CONCERNING THE USE OF FLSA COMPENSATORY TIME 1, . Je ’ do hereby acknowledge as part of the te and conditions of my employment with the Office of Secretary of State (herein- after referred to as my employer), | understand that | moy be required on occasion to work more than forty hours in a work week. I further understand that If | am classified by my employer as a covered (non-exempt) employee under the “Fair Labor Standards Act (FLSA), in lieu of overtime payment for compensation, | will receive FLSA compensatory time off at the rate of ‘one and one-half hours for each hour of ‘employment for which overtime compensation Ps required by the Fair, Labor Standards Act of 1983. If | am classified by my employer as an exempt employee with respect to the FLSA, 1 may receive state compensatory time off at the rate of one hour for each hour’ of employment exceeding forty 2 week. Employes Signature /A-/ 6- OF Date: ‘APPROVED: Bnr~ Personnel Director ec: Division Director Employee Fite OFFICE OP THE SECRETARY OF STATE Secretary of State shal The provisions of this policy gpely to all persons eaployed by the Office of Secretary of State. The provisions Shit tls apply to any person performing contrace st consulting services when such Part, with Federal grant funds. mutt Office of the Secretary of State strictly Prohibits the unlawful sabetaceuring, distributing, dispensing, possession’ ot Use of any controlled substances at ‘any time, incl ‘ding in the workplace. Such unlawful activity will be considered a sufficient ground for seriou, 's adverse personnel action, up to and including dismissal from employment. d any person performing contract teres agiting services under the terns of this olin is required to abide by the Statement. Further, each Policy If desired, rkplace Policy ‘d contract or (Date) UW. Cos fx Elen pions (Please Print Name] (bivision Please detach acknowledgement form & return to the Personnel Office Office of Secretary of State Employee Acknowledgement Form Receipt of Information Technology Resources Policy acknowledge that I have received a copy of the Policy 1.23-53 for the Office of Secretary of State. I to be familiar with and comply with the requirements of understand that by using equipment and technology that belong to the Agency, Iam consenting to the monitoring of my use of thst equipment and technology by the Agency. understand thatthe Internet address of any site that I visit and any images or documents that I print or download will be recorded and reviewed as determined by the Agency. Tunderstand that my internal and external e-mail communications are not private and that ‘any messages that I send or receive are recorded and stored on the Agency's network server and will be reviewed as determined necessary by the Agency. am aware that violations ofthis policy may subject me to disciplinary action, up to and including discharge from employment. 1 am also aware that the Agency reserves the right to change its policies with regard to Intemet usage. Office of Secretary of State Human Resources Policy Orientation Acknowledgement Statement This is to acknowledge that|_Gag- Coo 4. Print Full Name have reviewed the following Office of The Secretary of State Policy and Procedures. Policy Title Policy Number ‘Unlawful Harassment: 1.25-3a ‘Sexual Harassment 1.25-3b Employee Leave 1.25-20 Progressive Discipline 1.25-18a Fair Labor Standards Act (FLSA) 1.2515 understand the policies and procedures listed, and | agree to comply with them as a condition of my employment. |understand that any violation of these procedures may be the basis for disciplinary action, up to and including termination. | also understand that adverse action can be taken for matters not covered by these procedures. | understand that these procedures are not conclusive and that abiding by these procedures does not create any new rights for me or other employees of the Office of Secretary of State. \ | understand that if| have any questions conceming interpretation or application of this policy or Procedures, I should direct my questions to my supervisor or to Human Resources. owner [Crag Cayo 25 rit Full Name ‘MMIDDIYYYY Office of Secretary of State Human Resources Policy Orientation Acknowledgement Statement This is to acknowledge that|_Gae- Cos /. Print Full Name have reviewed the following Office of The Secretary of State Policy and Procedures. —Policy Title Policy Number Unlawful Harassment 1.2538 Sexual Harassment 1.25-3b Employee Leave 1.25-20 Progressive Discipline 1.25-18a Fair Labor Standards Act (FLSA) 1.25-15 {'understand the policies and procedures listed, and | agree to comply with them as a condition of my employment. poco shad roe ee one eneanrslaton ot leo Procedures, | should direct my questions to my supervisor or to Human Resour rem iy olny rs OS feilrcor Rev 3/08

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