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Conflict of Interest Policy - Gift Policy and Disclosure Form

GIFT POLICY AND DISCLOSURE FORM
(This policy should be used in conjunction with a Conflict of Interest Policy)
 
As part of its conflict of interest policy, “The Nonprofit Named” requires that directors, officers and employees decline to accept certain gifts, consideration or remuneration from individuals or companies that seek to do business with  “The Nonprofit Named” or are a competitor of it. This policy and disclosure form is intended to implement that prohibition on gifts.
 
Section 1.  Responsible Person is any person serving as an officer, employee or a
member of the board of directors of “The Nonprofit Named”.
 
Section 2. Family Member is a spouse, domestic partner, parent, child or spouse of
a child, or a brother, sister, or spouse of a brother or sister, of a Responsible Person.
 
Section 3. Contract or Transaction is any agreement or relationship involving the
sale or purchase of goods, services or rights of any kind, receipt of a loan
or grant, or the establishment of any other pecuniary relationship. The making of a gift to “The Nonprofit Named” is not a “contract” or “transaction.”
 
Section 4.  Prohibited gifts, gratuities and entertainment - Except as approved by the

Chairman of the Board or his designee or for gifts of a value less than $50
which could not be refused without discourtesy, no Responsible Person or
Family Member shall accept gifts, entertainment or other favors from any
person or entity which:

1. Does or seeks to do business with “The Nonprofit Named” or,
2. Does or seeks to compete with “The Nonprofit Named” or,
3. Has received, is receiving, or is seeking to receive a Contract or
Transaction with “The Nonprofit Named”.
 
 
GIFT STATEMENT
 
I certify that I have read the above policy concerning gifts, and I agree that I will not accept gifts, entertainment or other favors from any individual or entity, which would be prohibited by the above policy. Following my initial statement, I agree to provide a signed statement at the end of each calendar year certifying that I have not received any such gifts, entertainment or other favors during the preceding year.
 
 
____________________________________            ___________________
Signature                                                                     Date


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3 Comments to Conflict of Interest Policy - Gift Policy and Disclosure Form:

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1. Does or seeks to do business with “The Nonprofit Named” or, 2. Does or seeks to compete wit
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