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HCC Conflict of Interest Disclosure StatementAffidavit Hccfl Form
Business entity no such relationships exist as described herein. Per one or more of the above items the following relationships exist attach additional sheets as necessary Legal Name of Individual Business Position/Title Relationship to Business Ownership Legal Name of HCC Employee/Trustee HCC Employee/Trustee Position/Title When Please Note Failure to disclose any affiliation or relationship described herein shall be deemed a material misrepresentation and reason for you/your business entity...
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