YEAR 7/ 1/2916 - 6/30/2017

Organization UNIVERSITY OF LOUISVILLE

Business Transaction with Uo?.

UNIVERSITY OF LOUISVILLE BOARD OF TRUSTEES CONFLICT OF INTEREST STATEMENT

Name of Individual famm A - Macy?

Signature . 

1. Other than an employment relationship, do you or a family member conduct business with the Uoft?
Business transactions include, but are not limited to contracts of seie, iease, license and performance
of services, whether initiated during the Uo?. tax year or ongoing from a prior year. Business

transactions also inciude joint ventures in which either the pro?ts or capital interest of the UofL and
of the interested person exceeds 10%.

If ?Yes.? describe your business trensactioms} with the Unit:

9n CW memilq

Qt wij/HUL mundahm SHALL ZDIO
poi/WW? Lam m5 Sen/1mg



 

2. Do you or a farnIIy member own 35% of an entity (C~corporation, S-corporation, Partnership, LLC or
other entity typels), directly or indirectly, that conducts business with the Uoft?

 

If ?Yes," describe your business transaction(s) with the UofL:


Saf- 1?2? 4W 



 

Page 1 of 4

 

 

 

3. Doyou or a family member, in combination with other "interested personis)? own 35% of an {3 
entity (ii-corporation, S-corporation, Partnership, LLC or other entity type), directly or indirectly,
that conducts business with the UofL?

if "Yes,? describe your business transactionis) with the Unit:

4. no you or a family member, serve as an of?cer, director, trustee, or key employee or an entity 
that does business with the Uofl?

If "Yes,? describe your business transactionis) with the Unit:

5. Do you or a family member serve as a partner, member, or shareholder of an entity (with 
ownership interest in excess of 5% of a partnership or professional corporation) that conducts
business with the UofL?

if ?Yes,? describe your business transaction(s] with the UofL:

Page 2 of 4

6. Did a family member receive a compensation payment in excess of $10,000 from the UoiL?

if "Yes," explain:

7. Did you or a family member receive grants or other assistance, including provision of goods,
services, or use of from the Uofl? Grants include scholarships, feilowships, internships,
prizes, and awards. 

If ?Yes," expiain:

8. Do you have 35% control in an entity that received grants or other assistance, including provision
of goods, services, or use of facilities from the Unit?

9 if ?Yes," explain:

9. Do you have any loans to or from the UofL?

explain.

'Page 3 of4

?c




@ls'

Dl?/

12.5. 
10. Are you aware of any excess bene?t transactions to report? An excess bene?t transaction is Lg/
where the UofL directly or indirectly provided an economic bene?t where the value of the
benefit exceeds the value of the consideration received by the Unit.

0 if ?Yes," explain.

Business and Famil Relationshi with interested Persons

 

11. Do you have a family or business relationship with any other of?cer, director. trustee, or key [3
employee of the UofL?

savor. at: or 01.? gamm?w
(,ququ wt-Hn bound (sings?
MSG as 0. ?ail/Cl 

beam mouse/1m lino. WH'ln
9i and Elam W.

Dime. mow_ ?5 a 

For-leash farnil'gr and business relationship, identify the persons and indicate family or business
relationship.

What \9 493' 
@Lonm-?eu TvaS'l' mpahq.

 

40w 69W
l?C. boa?VG Inn 

and Van: .Sevuzd 0?1 Mutto'
150M 

47th Nomw zone,

(id/x W?sczuql ?lm a 

mm 7mm 

a: an adm?OV 

hag/1.9T: mmagtd ?94 eme-cw 0/ am.

msmaw; War eamm-awf: mmagmar?.
1AA 0%

?sz

Dim Masai/l 
MidLUq, 0m aCLW?Unhrg