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Conflict of Interest Verification (Annual) <br />We, the undersigned entity, hereby testify that our Organization's Conflict <br />of Interest Acknowledgement and Policy adopted by the Board of <br />Directors/Trustees or other governing body, is on file with the North <br />Carolina Department of Health and Human Services (DHHS). If any <br />changes are made to the Conflict of Interest Policy, we will submit a new <br />Conflict of Interest Acknowledgment and Policy to the Department <br />(DHHS). <br />Salisbury Rowan Community Action Agency <br />Name of Organization <br />Chairman, Executive Director, or other Authorized Official Date <br />Attachment number 2 <br />G -2 Page 316 <br />