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Community Foundation of Hancock County

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LEGACY PROPERTIES OF CFHC CONFIDENTIALITY COMMITMENT AND CONFLICT OF INTEREST DISCLOSURE

Please refer to our Conflict of Interest Policy and Confidentiality Policy before completing and submitting this form.

    If yes, disclose the organization(s) and your relationship to the organization(s).
    If yes, disclose your relationship to the individual, the organization(s) they are affiliated with and your relationship to the organization(s).
    If yes, disclose the organization(s) and your relationship to the organization(s).
    If yes, disclose your relationship to the individual, the organization(s) they are affiliated with and your relationship to the organization(s).
  • I have read Legacy Properties of CFHC's Conflict of Interest policy approved by the Board of Directors and understand that as an Employee/Director/Officer of Legacy Properties of CFHC, it is my obligation to act in a manner that promotes the best interests of Legacy Properties of CFHC and to avoid conflicts of interest when making decisions and taking actions on behalf of Legacy Properties of CFHC.

    My answers to this disclosure form are correctly stated to the best of my knowledge and belief. Should a possible conflict of interest arise in my responsibilities to Legacy Properties of CFHC, I recognize that I have the obligation to notify, based on my position, the appropriate designated individual (Chairman, President), and to abstain from any participation in the matter until Legacy Properties of CFHC can determine whether a conflict exits and how that conflict shall be resolved. If any relevant changes occur in my affiliations, duties, or financial circumstances, I recognize that I have a continuing obligation to file an amended "Conflict of Interest Disclosure Form" with the appropriate designated office.

    I have read and understand the Confidentiality Policy and shall exercise care not to disclose confidential information in connection with my affiliation with Legacy Properties of CFHC.

    I understand that the information on this form is solely for use by Legacy Properties of CFHC and is considered confidential information. Release of this information within Legacy Properties of CFHC will be on a need-to-know basis only. Release to external parties will be only when required by law.
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Community Foundation of Hancock County
312 East Main Street
Greenfield, Indiana 46140

Phone 317-462-8870
Office Hours Monday - Friday, 8 a.m. - 4 p.m.

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