COMMONWEALTH OF MASSACHUSETTS CHARLES D. BAKER MIKE KENNEALY GOVERNOR Office of Consumer Affairs and Business Regulation SECRETARY OF HOUSING AND 501 Boylston Street, Suite 5100, Boston, MA 02116 ECONOMIC DEVELOPMENT KARYN E. POLITO (617) 973-8700 FAX (617) 973-8799 LIEUTENANT GOVERNOR www.mass.gov/consumer EDWARD A. PALLESCHI UNDERSECRETARY Data Breach Notification Report Assigned Date Reported To OCA Organization Name Breach Type Breach Occur at MA Residents SSNBreached Account Drivers Credit Debit Provided Data Mobile Breach Description the Reporting Affected Number Licenses Numbers Credit Encrypted Device Lost Number Entity? Breached Breached Breached Monitoring Stolen 18488 1/2/2021 Anchor General Insurance Electronic Yes 2 Yes Yes Agency, Inc. 18478 1/4/2021 Matson Navigation Company Electronic Yes 375 Yes Yes 18481 1/4/2021 Kingswood Oxford School Electronic 40 Yes Yes 18483 1/4/2021 LineMaster Switch Corp & Electronic Yes 10 Yes Yes Yes Footworks LLC 18485 1/4/2021 Treasure Valley Community Electronic Yes 5 Yes Yes College 18486 1/4/2021 Worcester Community Action Electronic Yes 9 Yes Yes Yes Yes Council, Inc 18487 1/4/2021 Peter Pan Seafoods, Inc. Electronic Yes 1 Yes Yes 18470 1/5/2021 Paddock Publications, Inc. Electronic Yes 15 Yes Yes Yes 18471 1/5/2021 South Country Health Alliance Electronic Yes 17 Yes Yes 18472 1/5/2021 American Express Travel Related Electronic 336 Yes Services Company, Inc. 18473 1/5/2021 Rockland Trust Paper Yes 1 Yes Yes 18475 1/5/2021 Liberty Christian School Electronic 2 Yes Yes 18476 1/5/2021 St. Mary's Credit Union Electronic 4 Yes 18477 1/5/2021 The Village Bank Electronic 1 Yes 18396 1/6/2021 SAVERS BANK Electronic 2 Yes 18456 1/6/2021 Bay Cove Human Services Electronic Yes 1 18457 1/6/2021 Mutual One Bank Electronic 1 Yes 18459 1/6/2021 Mutual One Bank Electronic 1 Yes 18460 1/6/2021 Mutual One Bank Electronic 1 Yes 18461 1/6/2021 BlueCross BlueShield of Electronic 3 Yes Yes Tennessee, Inc. COMMONWEALTH OF MASSACHUSETTS CHARLES D. BAKER MIKE KENNEALY GOVERNOR Office of Consumer Affairs and Business Regulation SECRETARY OF HOUSING AND 501 Boylston Street, Suite 5100, Boston, MA 02116 ECONOMIC DEVELOPMENT KARYN E. POLITO (617) 973-8700 FAX (617) 973-8799 LIEUTENANT GOVERNOR www.mass.gov/consumer EDWARD A. PALLESCHI UNDERSECRETARY Data Breach Notification Report Assigned Date Reported To OCA Organization Name Breach Type Breach Occur at MA Residents SSNBreached Account Drivers Credit Debit Provided Data Mobile Breach Description the Reporting Affected Number Licenses Numbers Credit Encrypted Device Lost Number Entity? Breached Breached Breached Monitoring Stolen 18462 1/6/2021 Charleston Day School Electronic 1 Yes Yes 18463 1/6/2021 North Shore Medical Center Electronic Yes 1 Yes Yes 18464 1/6/2021 Bay State Community Services, Electronic Yes 1 Yes Yes Inc. 18465 1/6/2021 Watertown Savings Bank Electronic 3 Yes 18466 1/6/2021 The Governor's Academy Electronic 1409 Yes Yes 18467 1/6/2021 Rockland Trust Paper Yes 2 Yes Yes 18469 1/6/2021 Francis Parker School Electronic 1 Yes Yes 18505 1/6/2021 Dassault Falcon Jet Corp. Electronic Yes 31 Yes Yes Yes Yes 18552 1/6/2021 Porter Gaud School Electronic 3 Yes Yes 18543 1/7/2021 Tighe & Bond, Inc. Electronic 664 Yes Yes 18544 1/7/2021 Kents Hill School Electronic 253 Yes Yes 18546 1/7/2021 American Express Travel Related Electronic 3 Yes Services 18547 1/7/2021 EmPower HR Electronic Yes 5 Yes Yes 18548 1/7/2021 American Express Travel Related Electronic 34 Yes Services Company, Inc 18549 1/7/2021 The Village Bank Electronic 1 Yes 18550 1/7/2021 General Datatech, LP Electronic Yes 14 Yes Yes Yes 18551 1/7/2021 Old Trail School Electronic 6 Yes Yes 18527 1/8/2021 St. Norbert College Paper Yes 11 Yes Yes Yes 18528 1/8/2021 Roper St. Francis Healthcare Electronic Yes 13 Yes Yes 18529 1/8/2021 Shattuck-St. Mary's School Electronic Yes 4 Yes Yes Yes Yes 18530 1/8/2021 US Fertility LLC Electronic Yes 2936 Yes Yes Yes Report Ran: 9/16/2021 3:13:26 PM 2 COMMONWEALTH OF MASSACHUSETTS CHARLES D. BAKER MIKE KENNEALY GOVERNOR Office of Consumer Affairs and Business Regulation SECRETARY OF HOUSING AND 501 Boylston Street, Suite 5100, Boston, MA 02116 ECONOMIC DEVELOPMENT KARYN E. POLITO (617) 973-8700 FAX (617) 973-8799 LIEUTENANT GOVERNOR www.mass.gov/consumer EDWARD A. PALLESCHI UNDERSECRETARY Data Breach Notification Report Assigned Date Reported To OCA Organization Name Breach Type Breach Occur at MA Residents SSNBreached Account Drivers Credit Debit Provided Data Mobile Breach Description the Reporting Affected Number Licenses Numbers Credit Encrypted Device Lost Number Entity? Breached Breached Breached Monitoring Stolen 18531 1/8/2021 Mascoutah School District 19 Electronic Yes 1 Yes Yes 18532 1/8/2021 Annunciation Orthodox School Electronic 3 Yes Yes 18533 1/8/2021 Wells Fargo Bank, N.A. Electronic Yes 3 Yes Yes 18534 1/8/2021 CION Investment Group, LLC Electronic Yes 2 Yes Yes 18535 1/8/2021 Massachusetts Department of Both Yes 1 Yes Transportation Registry of Motor Vehicles 18536 1/8/2021 Nitta Corporation of America Electronic Yes 1 Yes Yes 18537 1/8/2021 County of Mercer Electronic Yes 1 Yes Yes 18538 1/8/2021 Charles Schwab & Co., Inc. Paper Yes 1 Yes 18539 1/8/2021 Granderson Des Rochers, LLP Electronic Yes 1 Yes Yes 18540 1/8/2021 WINCHESTER SAVINGS BANK Electronic 3 Yes 18541 1/8/2021 Wilmington Surgical Associates, Electronic Yes 51 Yes Yes P.A. 18542 1/8/2021 JPMorgan Chase Bank, N.A. Paper Yes 1 Yes Yes Yes 18526 1/9/2021 American Anesthesiology, Inc. Electronic Yes 419 Yes Yes Yes Yes Yes 18525 1/10/2021 American Health Information Electronic 145 Yes Yes Management Association 18520 1/11/2021 Veritex Holdings Inc. Electronic Yes 36 Yes Yes Yes Yes 18521 1/11/2021 Town of Bedford, Massachusetts Electronic Yes 33 Yes Yes 18522 1/11/2021 Robinson Financial Group Electronic Yes 2 Yes Yes Yes 18523 1/11/2021 The Village Bank Electronic 1 Yes 18524 1/11/2021 PASCO scientific Electronic Yes 3 Yes Yes 18519 1/12/2021 Fort McClellan Credit Union Electronic Yes 1 Yes Yes Report Ran: 9/16/2021 3:13:26 PM 3 COMMONWEALTH OF MASSACHUSETTS CHARLES D. BAKER MIKE KENNEALY GOVERNOR Office of Consumer Affairs and Business Regulation SECRETARY OF HOUSING AND 501 Boylston Street, Suite 5100, Boston, MA 02116 ECONOMIC DEVELOPMENT KARYN E. POLITO (617) 973-8700 FAX (617) 973-8799 LIEUTENANT GOVERNOR www.mass.gov/consumer EDWARD A. PALLESCHI UNDERSECRETARY Data Breach Notification Report Assigned Date Reported To OCA Organization Name Breach Type Breach Occur at MA Residents SSNBreached Account Drivers Credit Debit Provided Data Mobile Breach Description the Reporting Affected Number Licenses Numbers Credit Encrypted Device Lost Number Entity? Breached Breached Breached Monitoring Stolen 18508 1/12/2021 Los Angeles Community College Electronic 64 Yes Yes District 18509 1/12/2021 GreeneHurlocker, PLC Electronic Yes 3 Yes Yes Yes Yes 18510 1/12/2021 National Board for Certified Electronic Yes 11973 Yes Yes Counselors, Inc 18511 1/12/2021 Kuberneo CPA Electronic Yes 1 Yes Yes 18512 1/12/2021 Wells Fargo Bank, N.A. Electronic 1 Yes Yes 18513 1/12/2021 Wayne State Foundation Electronic 23 Yes Yes 18514 1/12/2021 Grinnell College Electronic 1 Yes Yes 18515 1/12/2021 Frame It Easy Electronic Yes 146 Yes Yes 18516 1/12/2021 President and Fellows of Harvard Electronic 136 Yes Yes Yes Yes Yes College 18517 1/12/2021 American Federation of Electronic Yes 11 Yes Yes Musicians and Employers' Pension Fund 18554 1/12/2021 Mutual One Bank Electronic 1 Yes 18555 1/12/2021 Mutual One Bank Electronic 1 Yes 18556 1/12/2021 Mutual One Bank Electronic 1 Yes 18557 1/12/2021 Mutual One Bank Electronic 1 Yes 18558 1/12/2021 Mutual One Bank Electronic 1 Yes 18559 1/12/2021 Mutual One Bank Electronic 1 Yes 18560 1/12/2021 Mutual One Bank Electronic 2 Yes 18561 1/12/2021 Mutual One Bank Electronic 1 Yes 18562 1/12/2021 St. John's Jesuit High School & Electronic 7 Yes Yes Academy Report Ran: 9/16/2021 3:13:26 PM 4 COMMONWEALTH OF MASSACHUSETTS CHARLES D. BAKER MIKE KENNEALY GOVERNOR Office of Consumer Affairs and Business Regulation SECRETARY OF HOUSING AND 501 Boylston Street, Suite 5100, Boston, MA 02116 ECONOMIC DEVELOPMENT KARYN E. POLITO (617) 973-8700 FAX (617) 973-8799 LIEUTENANT GOVERNOR www.mass.gov/consumer EDWARD A. PALLESCHI UNDERSECRETARY Data Breach Notification Report Assigned Date Reported To OCA Organization Name Breach Type Breach Occur at MA Residents SSNBreached Account Drivers Credit Debit Provided Data Mobile Breach Description the Reporting Affected Number Licenses Numbers Credit Encrypted Device Lost Number Entity? Breached Breached Breached Monitoring Stolen 18563 1/12/2021 SouthBeachSmoke.com, Electronic Yes 82 Yes Vaporfi.com & Directvapor.com 18564 1/12/2021 J.V. Dell, PC Electronic Yes 4 Yes Yes 18565 1/12/2021 Main Street Bank Electronic 2 Yes 18566 1/12/2021 Mutual One Bank Electronic 1 Yes 18568 1/12/2021 Country Bank Paper Yes 875 Yes 18709 1/12/2021 Bay Cove Human Services Electronic 11 Yes 18569 1/13/2021 Gann Academy The New Jewish Electronic 257 Yes Yes High School of Greater Boston 18570 1/13/2021 U.S. Bank, N.A. Electronic 1 Yes Yes Yes Yes 18507 1/13/2021 The Frederick Gunn School Electronic 13 Yes Yes 18624 1/13/2021 Waters & Kraus LLP Electronic Yes 231 Yes Yes Yes 18625 1/13/2021 ZOLL Medical Electronic Yes 55 Yes Yes Yes 18626 1/13/2021 Coastal Equities, Inc Electronic 3 Yes Yes 18627 1/13/2021 Rockland Trust Paper Yes 1 Yes Yes 18617 1/14/2021 Spinnaker Management Group, Electronic Yes 30 Yes Yes Yes LLC 18618 1/14/2021 E.R.