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DocuSign Envelope ID: AA1647C8 -6778- 4021- 9E83- EDC4C913A37C <br />making further investigation as warranted by the circumstances, the Board of Directors/Trustees or other <br />governing body determines the member, officer, employee or agent has failed to disclose an actual or <br />possible conflict of interest, it shall take appropriate disciplinary and corrective action. <br />G. Record of Conflict -- The minutes of the governing board and all committees with board delegated <br />powers shall contain: <br />1. The names of the persons who disclosed or otherwise were found to have an actual or possible <br />conflict of interest, the nature of the conflict of interest, any action taken to determine whether a <br />conflict of interest was present, and the governing board's or committee's decision as to whether a <br />conflict of interest in fact existed. <br />2. The names of the persons who were present for discussions and votes relating to the transaction <br />or arrangement that presents a possible conflict of interest, the content of the discussion, <br />including any alternatives to the transaction or arrangement, and a record of any votes taken in <br />connection with the proceedings. <br />Approved by: <br />SHI -Oran i- <br />G ' <br />me 111'11rgpnz 'tiara <br />Signature cif Organization fficial <br />A& <br />Da e <br />NOTARIZED CONFLICT OF INTEREST POLICY <br />State of North Carolina <br />County of /311RO <br />I, rCtC4kd /3 �� YCrI Notary Public for said County and State, certify <br />that <br />TQ—grzao? 21- <br />acknowledged - <br />personally appeared before me this day and <br />that he/she is 1M410IC6t of <br />N - dRst G� GG 'L [enter name of entity] <br />and by that authority duly given and as the act of the Organization, affirmed that the foregoing Conflict of <br />Interest Policy was adopted by the B and of Directors/Trustees or other governing body in a meeting <br />held on the 4r* day of vw .x0119 . <br />Sworn to and subscribed before me this y r4' day of <br />/ �, �- 6� <br />{Official Seal} <br />My Commission expires It NIL- IL- ,?,Z <br />Rev. 06-07-2015 <br />�z A04 <br />�y�t�iidBdiYtr <br />©r <br />N `,51, C7 <br />_ C() , MY c <br />f <br />" ryq ublic <br />800 'ZI <br />it G r <br />���1lii1111 ►�5 <br />