conflict of interest

Conflict of Interest Disclosure Statement

I have read and am fully familiar with the Suburban Metro Area Continuum of Care's Conflict of Interest policy as described in the Bylaws. Except for the matters listed below, there is no situation in which I am involved in which my decision on behalf of the Suburban Metro Area Continuum of Care may be influenced by my own gain or advantage, financial or otherwise.

Please describe any existing or potential conflict of interest associated with any particular contract or transaction relating to your role within the Suburban Metro Area Continuum of Care If none please indicate in space below

Iagree to promptly, in accordance with the requirements of the Suburban Metro Area

Continuum of Care Bylaws and Conflict of Interest Policy, any additional interests which may arise after the filing of this statement.

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