Schedule 2: Annual Conflicts of Interest Questionnaire
SCHEDULE 2: ANNUAL CONFLICTS OF INTEREST QUESTIONNAIRE
It is the policy of PHEO PARA ALLIANCE (the “Corporation”) that prompt disclosure be made of any actual or potential conflict of interest as soon as an individual becomes aware of such conflict. In furtherance of this policy, please complete and sign this questionnaire as an affirmation of the existence (whether or not previously disclosed) or nonexistence of any conflicts of interest.
If any statement below might reasonably be applicable to you at any time from ______________ to the present, please mark the "Yes" column, and give an explanation of the conflict of interest below. Please review the attached Conflict of Interest Policy for any term that you do not understand or that is defined therein.
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