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DocuSign Envelope ID:675A1D41-4B16-4980-B798-628F35E22EDB <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, including <br /> any alternatives to the transaction or arrangement, and a record of any votes taken in connection <br /> with the proceedings. <br /> Approved by: <br /> S4-whensvrs <br /> Name of Organization'-- <br /> /&��--;e - 4e!22"� <br /> Signature of Organization Official <br /> 69-4 / 00 ZL/ <br /> Date <br /> NCDHHS COI 1015 (Rev.4/11) <br />