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CONFLICT OF INTEREST ACKNOWLEDGEMENT AND POLICY <br />State of N ( -tp C� <br />fir � \ - 1 (Ic 11 f <br />County },(�k '-1a n <br />I, , B (� \\ , Notary Public for said County and State, certify that <br />L�IL LIA K;Ft4 FF —DT personally appeared before me this day and acknowledged <br />that he /she is BoAlZn CPAIRMA#4 of _J�.�i513 1 ` • RMAti Como7w AG iloIJ A(:irmcy <br />[name of Organization] <br />and by that authority duly given and as the act of the Organization, affirmed that the foregoing Conflict of <br />Interest Policy was adopted by the Board of Directors/Trustees or other governing body in a meeting held on <br />the I '1''I4 day of �a'�Kar 2012 _ <br />Sworn to and subscribed before me this day of [ � _ (�' _ o <br />SAARON S HALL <br />NOTARY PUBLIC <br />ROWAN COUNTY, N.C. <br />MY COMMISSION EXPIRES: <br />(Official Seal) Notary Public <br />My Commission expires f Q 2011 <br />1 ■ 1 ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ a ■ ■ ■ a ■ ■ ■ a a ■ ■ ■ ■ ■ a ■ ■ ■ a ■ ■ ■ ■ ■ a 1 a ■ ■ ■ ■ a a ■ ■ ■ ■ ■ ■ ■ a ■ ■ ■ ■ ■ ■ a ■ a ■ ■ ■ ■ a ■ a ■ ■ a ■ ■ ■ ■ a ■ ■ <br />Instruction for Organization: <br />Sign and attach the following pages after adopted by the Board of Directors /Trustees or other <br />governing body OR replace the following with the current adopted conflict of interest policy. <br />Salisbury Rowan Community Action Aclencv, Inc <br />Name f Organiza ' <br />Signature of Organization Official <br />NCDHHS C011015 (Rev_ 4/1t) <br />Attachment number 1 <br />F -13 Page 276 <br />