Corporate Formalities

Conflict of Interest Disclosure

Vicky Randolph Vicky Randolph
How To Use

This review list is provided to inform you about this document in question and assist you in its preparation. It is extremely important that you follow the niceties of corporate governance and make sure any party with a conflict of interest properly recuses him or herself and records it on the record in the corporate minutes. This protects the individual, the Board, and the Company from certain negative consequences in a shareholder lawsuit.

1. Make multiple copies. File one in the corporate minute book.


Conflict of Interest Disclosure

WHEREAS, I, ______________________________, am a member of the Board of Directors of _________________________, and,

WHEREAS, the Board of Directors of _______________________ will consider the following issue: ______________________________________________________,

and, WHEREAS, I have a conflict of interest in that, _________________________, I herewith notify the board of such conflict, and recuse myself from the consideration and discussion of _________________________, and request that this disclosure be made a part of the records of the _________________________ Corporation.

__________________
Date

Receipt of this instrument is acknowledged on ________________.

__________________
Corporate secretary of ____________________