ࡱ> (*'a L bjbj .hGbhGbL    -//////$\SSh--@Pd/ ~0$SS B b: Disclosure of Financial Interest Form I have read and will abide by the Loyola University of Chicago Conflicts of Interest in Research policy. Significant financial interests, as defined in the Conflicts of Interest in Research policy, are disclosed below. I agree to comply with the restrictions imposed by the university in managing, reducing or eliminating conflicts of interest. I will provide updated financial disclosure annually and, to disclose any significant change in the financial holdings of myself, spouse or dependent children to the Associate Provost for Research. Signature: ______________________________ Printed Name: ______________________________ Date: ____________________ The significant financial interests held by myself, spouse and dependent children are as follows: (Attach additional pages as needed) &\_K L hE%PhqOJQJ^JhE%POJQJ^JhE%P5CJOJQJ^JaJ&'(J K L w x ' K L $a$,1h/ =!"#$% s2&6FVfv2(&6FVfv&6FVfv&6FVfv&6FVfv&6FVfv&6FVfv8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH DA D Default Paragraph FontViV  Table Normal :V 44 la (k (No List PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vc:E3v@P~Ds |w< LL L 8@0(  B S  ?_fNN\_KN\_NqE%PSLN@____L@UnknownG.[x Times New Roman5Symbol3. .[x ArialACambria Math"hjF}}!r4KK3QHP ?S2!xxhU %Disclosure of Financial Interest FormHai WuRios, Jennifer Oh+'0 (4 T ` lx(Disclosure of Financial Interest FormHai Wu Normal.dotmRios, Jennifer3Microsoft Office Word@F#@Je@/} ՜.+,0$ hp  Loyola University ChicagoK &Disclosure of Financial Interest Form Title  !"#$%&)Root Entry Fd/+1Table WordDocument.SummaryInformation(DocumentSummaryInformation8CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q