# [COMMUNITY] Conflict of Interest Disclosure Version: 1.1.0 Review date: [DATE] Name: [NAME] Role in community: [MEMBER / HOST / EDITOR / SPONSOR / SPEAKER] Please disclose relationships that could reasonably affect, or appear to affect, your participation in [DECISION, SESSION OR PUBLICATION]. Financial or commercial interests: [DETAIL / NONE] Employment or advisory roles: [DETAIL / NONE] Investor, board or governance relationships: [DETAIL / NONE] Competitive or portfolio conflicts: [DETAIL / NONE] Personal relationships relevant to the decision: [DETAIL / NONE] Other material interests: [DETAIL / NONE] Proposed management: [DISCLOSURE / RECUSAL / SESSION SEPARATION / OTHER] Decision owner: [NAME] Decision and review date: [DETAIL] I confirm this disclosure is accurate to the best of my knowledge and will update it if circumstances change. Signature / date: [NAME / DATE] Disclaimer: This operating form is not legal, fiduciary or compliance advice.