I.

UNIVERSITY OF LOUISVILLE BOARD OF TRUSTEES CONFLICT OF INTEREST STATEMENT
Year 7/1/2015 - 6/30/2016

Organization UNIVERSITY OF LOUISVILLE

 

 

 

Business Transaction with UofI.

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

I: transactions also include joint ventures in which either the pro?ts or capital interest of the Unit and

of the interested person exceeds 10%.

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



2. Do you or a family member own 35% of an entity {CZ-corporation, S?corporation, Partnership, LLC or
other entity typeis}, directly or indirectly, that conducts business with the UofL?

I Ii "Yes," describe your business transactionis) with the UofL:



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3. Do you or a family member, in combination with other "interested person{s}" own 35% of an
entity [C-corporation, S-corporation, Partnership, LLC or other entity type}, directly or indirectly,

that conducts business with the UofL?

I If ?Yes," describe your business transactionis} with the UofL:



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

I if ?Yes," describe your business transactionls} with the UofL:



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?

I If "Yes,? describe your business transactionts} with the UofL:

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El

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

I If "Yes," explain:



1. Did you or a family member receive grants or other assistance, including provision of goods,
services, or use of facilities from the UofL? Grants include scholarships, fellowships, internships, El

prizes, and awards.

II lf "Yes," explain:



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

- If "Yes," explain:

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

I If "Yes," explain.



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

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II If "Yes," explain.

Business and Family Relationshipiwith Interested Persons

11. Do you have a family or business relationship with any other officer, director, trustee, or key El 
employee of the LlofL?

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

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