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Conflict of Interest Form
Information
Trustee’s Name (please print): ______________________________________________________
Today’s Date: ____________________________________________________________________
Definitions:
As you answer the questions in this questionnaire, please apply these definitions to the specified terms.
“Fiduciary” means an Intermountain Trustee, an Intermountain Officer, or a member of a Board committee of an
Intermountain organization.
“Conflict of Interest” means a situation in which a...
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