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Docusign Envelope ID:OB18F280-87A5-4A76-8CD5-OD6337C1BB4C <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 /> Z 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 arran9ement, and a record of any votes taken in connection <br /> with the proceedings. <br /> Approved by: <br /> Mation <br /> nization Official <br /> Date <br /> NCDHH5 COI1015 (Rev.4/11) <br />