Dec 2816 05:42p - CONFLICT OF INTEREST QUESTIONNAIRE Marie Abrams FISCAL YEAR 7/1/2016 - 6/30/2017 Check all covered companies and note average hours spent 91m per week. fC/ Uofl. Found ation r' . Uofl. Housing (ULH) University Holdings, Inc. The l" cleus Real Properties, nc. UofL eal Estate Foundation, Inc. (ULREF) Pediatric Mec - Building, In ical Of?ce c. l" . Louisville Medical Center Development Corporatio Othe 1 gm Entit?s}: me 5 7 Page 1 of 5 Printed Name: {Zenith/O Average hours per week: 5022286318 p.1 . #5997299 Dec 28 16 05:42p Marie Abrams 5022286318 p.2 CONFLICT or NTEREST QUESTIONNAIRE FISCAL YEAR [1/2015 - 6/30/2017 . I . .8 am ?-riileop lo ?bril/13%; . When used in low, the term "affiliated persons." include the following: your spous domestic partner, child, mother, father, brother or sister; any orporation or organization of which you are a board member, an ificer, a partner, participate in management or are employed by, or are directly or indirectly, a debt holder or the beneficial ow er of any class of equity securities; and any trust or other estate i which you have a substantial beneficial interest or as to which you ser as a trustee or in a similar capacity. When used is low, the term "business transactions" include, but are not .lirnited to, co tracts of sale, lease, license and performance of services, whether initia ed during a Covered Company?s tax year or ongoing from a prior year. siness transactions also include joint ventures in which either the pro its or capital interest of the organization and of the interested tie son exceeds 10%. Business Tran actions with Organization LEE N0 Do you or an affiliated person conduct business with an organization? if ?Yes," descr be your business tra nsactionis} with the organization and, specify which one if you checked multiple organizationis) above: 2} Do you or an affiliated person own 35% of an entity (C-corporation, S?corporation, Partnership, LLC or other entity type), directly or indirectly, that conducts business with an organization? If ?Yes," describe your business transactiontsi with the organization and, specify which one if you checked multiple organizationis) above: Page 2 of ULF-OO727O 0902816 05:43p CONFLICT or FISCAL YEAR 3} Do you or a person(sl? ow Partnership, conducts busi if ?Yes," descr and, specify key employ if "Yes,? descr and, specify Vii Marie Abrams QUESTIONNAIRE ill/2016 - 6130/2017 Priipted Name: mt? LU . WW affiliated person, in combination with other affiliated 35% of an entity (ti-corporation, S?corporation, LC or other entity type], directly or indirectly, that mess with an organization? ibe your business the organization hich one if you checked. multiple organization{s) above: in affiliated person, serve as an officer, director, trustee, ee, of an entity that does business with an organization? ibe your business transaction(sl with the organization hich one if you checked multiple organization(s) above: 5) Do you or an affiliated person serve as a partner, member, or shareholder 0 an entity {with ownership interest in excess of 5% of a partnership 0 professional corporation} that conducts business with an organization? if "Yes," descr the your business transactionis) with the organization and, specify which one if you checked muitipie orga nization(s) above: 6) Did you or an affiliated person receive a compensation payment in excess of $10,000 from an organization? If "Yes," expia orga nizations and, specify which one if you checked multiple above: Page 3 of 5022286318 1E5 11:5 ACES we p.3 ULF-OO7271 Dec 28 16 05:43p Marie Abrams CONFLICT OF INTEREST QUESTIONNAIRE FISCAL YEAR 1/ 2016 - 6/30/2017 7) Did vou or Pr' 1: ame K'ng?ap [d . j' an affiliated person receive grants or other assistance, including provision of goods, services, or use of facilities from an organization? prizes, and alards. if "Yes," expla organizations 8) Do you has assistance, in: from an orgar If "Yes," expla organizations 9) Do you hav if "Yes," expla organizations Grants include scholarships, fellowships, internships, and, Specify which one if you checked multiple above: re 35% control in an entity that received grants or other :luding provision of goods, services, or use of lization? in and, specify which one if you checked multiple above: any loans to or from an organization? in and, specify which one if you checked multiple above: 10} Are you aware of any excess benefit transactions to' report? An excess benefit is where an organization is directly or indirectiy provided an no nomic benefit where the value of the benefit exceeds the value of the consideration received by the organization. If "Yes," expla organizations and, specify which one if you checked multiple above: Pagell of 5022286318 re ?515 ?55: 13/ N2 o4 Dec 28 16 05:43p Marie Abrams CONFLICT OF INTEREST FISCAL YEAR '1 Prir 11) Are you or pending legal if Yes, exp]; affiliated pers 12) Are you at situations tha? should be exa If ?Yes," expia organizations 71/2016 - 6130(2017 ited Name: ?u NW9 {3le any affiliated persons a party to, or have an interest in, any proceeding involving an organization? rin, and if an affiliated person is involved, the identity of that on and your reiatlonship with that person: ?rare of any other eve nts, transactions, arrangements or other :have occurred or may occur in the future that you believe mined bvvan organization?s governing body? in and, specify which one if you checked multiple above: Signature: I Date: 12/11/416, Page 5 of 5 5022286318 3:6 lo p5 ULF-007273