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The following policy outlines requirements for disclosure and management of conflict of interest within SIO's Board of Directors, Committees, Task Forces, and Workgroups.

The Society of Interventional Oncology (SIO) Promotes the professional interests and continuing education opportunities or needs for interventional oncologists. SIO is dedicated to advancing interventional oncology (IO) as the fourth pillar of cancer therapy alongside medical, surgical, and radiation oncology worldwide.

The integrity of SIO, and the activities it undertakes, depends on the avoidance of conflicts of interest, or even the appearance of such conflicts, by the individuals involved in those activities. At the same time, SIO recognizes that its members have significant professional, business and personal interests and relationships. Therefore, SIO has determined that the most appropriate manner in which to address actual, potential, or apparent COI is initially through liberal disclosure of any relationship or interest which might be construed as resulting in such a conflict. Disclosure under this Conflict of Interest Policy (Policy) should not be construed as creating a presumption of impropriety or as automatically precluding someone from participating in an SIO activity or decision-making process. Rather, it reflects SIO's recognition of the many factors that can influence one's judgment and a desire to make as much information as possible available to other participants in SIO-related matters.

Any individual involved in an SIO activity or decision-making process has an obligation to disclose any conflicting or potentially conflicting personal, professional, or business interests they may have, directly or indirectly, with the affected activity or decision. Potentially conflicting interests may relate to SIO's programs and services (e.g., educational courses) or its operations (e.g., contracts with third parties). In the event that an officer, director, or member of an SIO Task Force, Workgroup, or other committee (collectively, referred to herein as "committee members") determines that they has a COI on a particular matter, they shall disclose the conflict to the SIO's Board of Directors or to the other committee members, as applicable.

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* 1. Business Interests and Positions. Please list any memberships on boards, offices held, employment or consulting arrangements or other affiliations you have had within the previous 24 months (or reasonably expect to have within the next 24 months) with any organization, business, group, agency, or other entity that has done business with, or potentially competes with, SIO, or that you reasonably believe may do business with, or compete with, SIO. Please note if the relationship has ended, or is ongoing.

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* 2. Material Ownership Interests. Please list any material ownership interests (including stock options but excluding indirect investments through mutual funds and the like) in any entity that has a commercial interest in any activity, contract, or matter directly related to the activities of SIO (just the fact of ownership must be reported and not the actual amount of such holdings).

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* 3. Organizational Interests and Positions. Please list any leadership roles or positions you have held (e.g., board member, committee member, chair, president, advisor, contributor) in any organization, business or other entity that involves, or may be perceived to compete with, or be contrary to the interests of SIO.

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* 4. Actual, Potential, or Apparent Conflicts. Please list any other activities, positions, or interests you engage in, hold, or anticipate engaging in or holding that reasonably could be perceived to conflict with the interests of SIO.

1 For purposes of this Disclosure Form, the term “immediate family or household” refers to an individual’s spouse, minor child, or other person with whom such individual directly shares income.

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* 5. I have read, understand and agree to the terms of SIO’s Conflict of Interest Policy. To the best of my knowledge and belief, the information reported above is complete and accurate, and I am not aware of any other personal or professional position(s) or interest(s) or activities in which I am, or am about to be, engaged that reasonably may be anticipated to conflict with the interests of SIO.

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* 6. Date:

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