UNIVERSITY OF LOUISVILLE FOUNDATION, INC., ULI-I, INC. CONFLICT OF INTEREST
STATEMENT YEAR 7/1/2015 - 6/30/2016 and Board of Trustees

Organization UNIVERSITY OF LOUISVILLE FOUNDATION. ULH, INC.

   
  

Name of lndividu ?93m uses-IE 35g:

?pwf?y

usiness Transaction with ULF ULH

 

1. Other than an employment relationship, do you or a family member conduct business with the ULF,

2.

Business transactions include, but are not limited to contracts of sale, lease, license and
performance of services, whether initiated during the ULF, ULH tax year or ongoing from a prior year.

Business transactions also include joint ventures in which either the pro?ts or capital interest of the
ULF, ULH and of the interested person exceeds 10%.

0 if ?Yes,? describe your business transactionls) with the ULF, ULH:

Do you or a family member own 35% of an entity (C-corporation, S-corporation, Partnership, LLC or
other entity type(s), directly or indirectly, that conducts business with the ULF, 

- If ?Yes," describe your business transactionls) with the ULF, ULH:

Page 1 of4

 

3

 

919
133'
I311

 

 

 

 

 

 

 

3. Do you or a family member, in combination with other ?interested person(s)" own 35% of an 
entity (ti-corporation, S-corporation, Partnership, LLC or other entity type), directly or indirectly,
that conducts business with the ULF, 

- if ?Yes,? describe your business transaction(s) with the ULF, ULH:

4. Do you or a family member, serve as an of?cer, director, trustee, or key employee or an entity 
that does business with the ULF, 

- If ?Yes," describe your business transactionls) with the ULF, ULH:

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

I If "Yes,? describe your business transaction(s) with the ULF, ULH:

Page 2 of 4

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

I If "Yes," explain:

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

a If "Yes," explain:

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 ULF, 

I If "Yes," explain:

9. Do you have any loans to or from the ULF, 

- If "Yes," explain.

10. Are you aware of any excess bene?t transactions to report? An excess benefit transaction is
where the ULF, ULH directly or indirectly provided an economic bene?t where the value of the
bene?t exceeds the value of the consideration received by the ULF, ULH.

Page 3 of 4

El



El

El

I- If "Yes," explain.

Business and Family Relationships with Interested Persons

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

For each family and business relationship, identify the persons and indicate family or business
relationship.

Page 4 of 4