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Conflict Of Interest Disclosure

Free Printable Conflict Of Interest Disclosure Form

Free Printable Conflict Of Interest Disclosure Form

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This review list is being supplied to you in order to inform you about the document in question and to assist you in preparing it for submission. It is critical that you adhere to the formalities of corporate governance and ensure that any party that has a conflict of interest appropriately recuses himself or herself and that this is recorded in the corporate minutes on a formal and permanent basis. This safeguards the individual, the Board of Directors, and the company from certain unfavorable repercussions in the event of a shareholder litigation.

  1. Make numerous copies of the document. Keep a copy of this in the company’s minutes book.

Conflict of Interest Disclosure

WHEREAS, I, _________________________, am a member of the Board of Directors of _________________________, and, WHEREAS, the Board of Directors of ________________________ will consider the following issue: _________________________, and, WHEREAS, I have a conflict of interest in that, _________________________, I herewith notify the board of such conflict, and recuse myself from the consideration and discussion of _________________________, and request that this disclosure be made a part of the records of the _________________________ Corporation.

Dated: ______________________
__________________________
_________________________

Receipt of this instrument is acknowledged on ________________________:

 

__________________________
Corporate secretary of _________________________
Conflict of Interest Disclosure
Review List
This review list is provided to inform you about this document in question and assist you in its preparation. It is extremely important that you follow the niceties of corporate governance and make sure any party with a conflict of interest properly recuses him or herself and records it on the record in the corporate minutes. This protects the individual, the Board, and the Company from certain negative consequences in a shareholder lawsuit.
1. Make multiple copies. File one in the corporate minute book.

 

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