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Docusign Envelope ID: B585AFF7-3200-4914-9ADB-7BC32036B13D <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 <br /> a 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: Q <br /> Na of Organizati�� <br /> Signatur of Organization Official <br /> . ; -I I � . <br /> Dat <br /> NCDHHS COI 1015 (Rev.4/I1) <br />