Policy on Conflicts of Interest and Disclosure of Certain Interests Purpose This conflict of interest policy is designed to help directors, officers and employees of [ORGANIZATION NAME] identify situations which present potential conflicts of interest and provide [ORGANIZATION NAME] with a procedure which, if observed, will allow a transaction to be treated as valid and binding even though a director, officer or employee has, or may have, a conflict of interest with respect to the transaction. The policy is intended to comply with the procedure prescribed in Indiana Code 23-17-13-2, governing conflicts of interest for directors of nonprofit corporations. In the event an inconsistency exists between the requirements and procedures prescribed herein, those in IC 23-17-13-2 shall take precedence. (All capitalized terms are defined in Part 2 of this policy.) Definition of Conflict of Interest Interested Person Any director, principal officer, member of a committee with board-delegated powers, or employee who has a direct or indirect financial interest, or whose family member has direct or indirect financial interest, as defined below, is an interested person. Family Member The spouse, parent or spouse of a parent, child or spouse of a child, brother, sister, or spouse of a brother or sister of an interested person, is considered a family member. Financial Interest Business, ownership, investment or compensation interest of any kind, which, in view of all the circumstances, is substantial enough that it would, or reasonably could, affect an interested person or family member’s judgment with respect to transactions to which the entity is a party. Circumstances For purposes of this policy, the following circumstances shall be deemed to create Conflicts of Interest: A. Outside Interests 1. A Contract or Transaction between [ORGANIZATION NAME] and an interested person or family member. 2. A Contract or Transaction between [ORGANIZATION NAME] and an entity in which an interested person or family member has a financial interest or of which such person is a director, officer, agent, partner, associate, trustee, personal representative, receiver, guardian, custodian, conservator or other legal representative. 3. The disclosure or use of information related to the business of [ORGANIZATION NAME] that might adversely affect its interests or might result in the personal profit or advantage of any director, principal officer, member of a committee with board-delegated powers, employee or family member. B. Outside Activities 1. An interested person competing with [ORGANIZATION NAME] in the rendering of services or in any other contract or transaction with a third party. 2. An interested person having a financial interest in; or serving as a director, officer, employee, agent, partner, associate, trustee, personal representative, receiver, guardian, custodian, conservator or other legal representative of, or consultant to, an entity or individual that competes with [ORGANIZATION NAME] in the provision of services or in any other contract or transaction with a third party. C. Gifts, Gratuities and Entertainment A Responsible Person accepting gifts, entertainment or other favors from any individual or entity that: 1. does or is seeking to do business with, or is a competitor of [ORGANIZATION NAME]; or 2. has received, is receiving or is seeking to receive a loan or grant, or to secure other financial commitments from [ORGANIZATION NAME]; or 3. is a charitable organization operating in Indiana, under circumstances where it might be inferred that such action was intended to influence or possibly would influence the interested person in the performance of his or her duties. This does not preclude the acceptance of items of nominal or insignificant value or entertainment of nominal or insignificant value which are not related to any particular transaction or activity of [ORGANIZATION NAME]. Procedures Disclosure of Conflict A. Prior to board or committee action on a contract or transaction all interested persons in attendance with any actual or possible conflicts of interest shall disclose his or her financial interest and all material facts. Such disclosure shall be reflected in the minutes of the meeting. B. All interested persons who plan not to attend a meeting at which he or she has reason to believe the board or committee will act on a matter in which the person has any actual or possible conflicts of interest shall disclose his or her financial interest and all material facts to the chair of the meeting. The chair shall report the disclosure at the meeting and the disclosure shall be reflected in the minutes of the meeting. C. After disclosure of the financial interest and all material facts, and after any discussion with the interested person, he or she shall leave the board or committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining board or committee members shall decide if a conflict of interest exists. Such vote shall be reflected in the minutes of the meeting. Addressing Conflict A. An interested person may make a presentation at the board or committee meeting, but after such presentation, he/she shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement resulting in the conflict of interest. Such person shall not attempt to exert his or her personal influence with respect to the matter, either at or outside the meeting. B. A person who has a Conflict of Interest with respect to a Contract or Transaction that will be voted on at a meeting shall not be counted in determining the presence of a quorum for purposes of the vote. The person having a conflict of interest may not vote on the Contract or Transaction and shall not be present in the meeting room when the vote is taken, unless the vote is by secret ballot. Such person’s ineligibility to vote shall be reflected in the minutes of the meeting. For purposes of this paragraph, a member of the Board of Directors of [ORGANIZATION NAME] has a Conflict of Interest when he or she stands for election as an officer or for re-election as a member of the Board of Directors. C. The chairperson of the board or committee shall, if appropriate, appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. D. After exercising due diligence, the board or committee shall determine whether the Corporation can obtain a more advantageous transaction or arrangement with reasonable efforts from a person or entity that would not give rise to a conflict of interest. E. If a more advantageous transaction or arrangement is not reasonably attainable under circumstances that would not give rise to a conflict of interest, the board or committee shall determine by a majority vote of the disinterested directors whether the transaction or arrangement is in the Corporation's best interest and for its own benefit and whether the transaction is fair and reasonable to the Corporation and shall make its decision as to whether to enter into the transaction or arrangement in conformity with such determination. F. If the board or committee has reasonable cause to believe that a member has failed to disclose actual or possible conflicts of interest it shall inform the member of the basis for such belief and afford the member an opportunity to explain the alleged failure to disclose. G. If, after hearing the response of the member and making such further investigation as may be warranted in the circumstances, the board or committee determines the member has in fact failed to disclose an actual or possible conflict of interest, it shall take appropriate disciplinary and corrective action such as request divestment of conflicted interest or dismissal from the board of directors. H. A voting member of any committee whose jurisdiction includes compensation matters and who receives compensation, directly or indirectly, from the Corporation for services is precluded from voting on matters pertaining to that member's compensation. Review of policy To ensure [ORGANIZATION NAME] operates in a manner consistent with its charitable purposes and does not engage in activities that could jeopardize its tax exempt status, periodic reviews shall be conducted and shall, at a minimum, include the following: A. Whether compensation arrangements and benefits are reasonable and are the result of arm'slength bargaining. B. Whether acquisitions provider goods and services result in inurement or impermissible private benefit. C. Whether partnership, joint venture, and management service arrangements conform to written policies, are properly recorded, reflect reasonable payments for goods and services, further [ORGANIZATION NAME]'s charitable purposes and do not result in inurement or impermissible private benefit. D. Annually, each director, principal officer, member of a committee with board-delegated powers, and employee shall sign a statement affirming that he or she received a copy of this policy, read and understands this policy, and agrees to comply with this policy. E. Annually, each director, principal officer, member of a committee with board-delegated powers, and employee shall complete a disclosure form identifying any relationships, positions or circumstances in which he or she is involved that might contribute to a conflict of interest arising. Such relationships, positions or circumstances might include service as a director of or consultant to a nonprofit organization, or ownership of a business that might provide goods or services to [ORGANIZATION NAME]. Any such information regarding business interests of a director, principal officer, member of a committee with board-delegated powers, employee, or family member shall be treated as confidential and shall generally be made available only to the Chair, the Executive Director, and any committee appointed to address conflicts of interest, except to the extent additional disclosure is necessary in connection with the implementation of this policy. F. The Board of Directors shall review this policy annually. Any changes to the policy shall be communicated immediately to all directors, principal officers, members of a committee with boarddelegated powers, and employees. I have reviewed, and agree to abide by, the Conflict of Interest Policy of [ORGANIZATION NAME] currently in effect. Signature: ____________________________________ Date: ___________________