Orange County NC Website
DocuSign Envelope ID:AB039DC1-8309-4D41-B525-6E84F973FAA6 <br /> NC DEPARTMENT OF PUBLIC SAFETY <br /> DPSktal JJ NOT FOR PROFIT <br /> , <br /> BPS CONFLICT OF INTEREST POLICY STATEMENT <br /> This document is only required from not for profit organizations ONLY:In accordance with <br /> the N.C.G.S. 143C-6-23 (b), every Grantee shall file with the State agency/Grantor a copy of the <br /> Grantee's agency policy addressing conflicts of interest that may arise involving the Grantee's <br /> management employees and the members of its board of directors or other governing body. The <br /> policy shall address situations in which any of these individuals may directly or indirectly benefit <br /> except as the Grantee's employees or members of its board or other governing body,from the <br /> Grantee's disbursing of State funds and shall include actions to be taken by the Grantee or the <br /> individual, or both to avoid conflicts of interest and the appearance of impropriety. Agency <br /> conflict of interest policy shall be submitted to the Department of Public Safety(DPS)to avoid any <br /> delay with the disbursement of DPS JCPC funds. <br /> The Grantee shall submit this form(Not for Profit DPS Conflict of Interest Policy Statement Form <br /> DPS 13 001) along with the agency's conflict of interest policy when applyingfor funding. <br /> Accordingly, no member or board member of the private, nonprofit entity may receive <br /> directly or indirectly, any funds received from the State of North Carolina, except for <br /> duly, authorized staff compensation and benefits, and reimbursement for expenses <br /> actually incurred in connection with the private, nonprofit entity's business and in <br /> accordance with final approved ant agreements. <br /> WHEREAS, Exchange Club Center for the.Prevention of Child Abuse of North <br /> Carolina,Inc. desires to require its Board of Directors and managing employees to avoid <br /> conflicts of interest or the appearance of impropriety in the disbursement of State funds; <br /> THEREFORE, no member of the Board of Directors or staff members of said private, <br /> nonprofit entity shall participate in the solicitation, negotiation, formation, award, <br /> arbitration, modification, or settlement of any contract or grant funded in whole or in part <br /> by State funds or of any dispute arising under such contract or grant when,the director or <br /> staffmembers stands to benefit, either directly or indirectly,from such grant or contract; <br /> PROVIDED, no member of the Board of Directors or staff members shall be deemed to <br /> benefit directly or indirectly from any contract or grant funded in whole or in part by State <br /> funds if he/she receives only the salary or stipend due to him/her in the normal course of <br /> employment with, or service to, said private,nonprofit entity. <br /> FURTHERMORE, said private,nonprofit entity has written conflict of interest policies <br /> and reporting procedures applicable to board members, staff members and volunteers who <br /> have any interest or any authority regarding the resources of the private,nonprofit entity. <br /> These policies have been comninnicated to board members, staff members and volunteers <br /> and full disclosure has been provided for any possible appearance of conflict of interest <br /> that may exist. <br /> Form DPS 13 001 Not for Profit DPS Conflict of Interest Policy Statement <br /> Form structure last revised July 2014 <br /> NC Department of Public Safety Page 1 of 3 <br /> • <br />