Board Conflict of Interest Disclosure and Statement Board Conflict of Interest Disclosure and Statement Name Date List the organizations for which you or your spouse serve in the position of trustee, director or other member of a governing board, officer, employee or consultant: Organization Position with Organization Self or Spouse Self Spouse plus1 Add minus1 Remove The above listed organizations which are potentially eligible for grants from Filantropía Puerto Rico, Inc. and/or Fondo Adelante Puerto Rico are the only ones for which I or my spouse serve in the position of trustee, director or other member of a governing board, officer, employee or consultant. I have received a copy of the Conflicts of Interest Policy adopted by the Filantropía Puerto Rico on August 4, 2017. I have read and understand the policy, I agree to comply with the policy, and I understand that the Organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. By checking this box, I confirm that I have read, understood, and agree to all the terms mentioned above. I agree to the terms mentioned above. Submit If you are human, leave this field blank.
