This form is to initially be submitted upon your acceptance of election/appointment as a member or officer of the Board of Directors or as an employee of Residential Energy Services Network, Inc. (the “Company”). You are further required to re-submit this form each year thereafter that you serve as a director, officer or employee of the Company as well as each time you or an immediate family member receives a personal financial benefit form has any other interest in a transaction resulting from your position as a member or officer of the Board of Directors or as an employee of the Company. Further, by signing this Disclosure Form, you are warranting and representing that you have received and have read, reviewed and understood the Bylaws and policies of the Company, including, but not limited, to the Conflict of Interest Policy of the Company.
This conflict of interest questionnaire is designed to help directors, officers, and employees of RESNET identify situations that present potential conflicts of interest and to provide RESNET with a procedure that, if observed, will allow a transaction to be treated as valid and binding even though a director, officer, or employee has or may have a conflict of interest with respect to the transaction. In the event there is an inconsistency between the requirements and the procedures of RESNET's Conflict of Interest Policy, and those in federal or state law, the law shall control.
A. Outside Interests.(i) A Contract or Transaction between RESNET and a Responsible Person or FamilyMember.(ii) A Contract or Transaction between RESNET and an entity in which a Responsible Person or Family Member has a Material Financial Interest or of which such person is a director, officer, agent, partner, associate, trustee, personal representative, receiver, guardian, custodian, conservator, or other legal representative.
B. Outside Activities.(i) A Responsible Person competing with RESNET in the rendering of services or in any other Contract or Transaction with a third party.(ii) A Responsible Person’s having a Material Financial Interest in; or serving as a director, officer, employee, agent, partner, associate, trustee, personal representative, receiver, guardian, custodian, conservator, or other legal representative of, or consultant to; an entity or individual that competes with RESNET in the provision of services or in any other Contract or Transaction with a third party.
*RESNET’s Conflict of interest policy defines interests as:
Any director, officer or employee of the Company who has a direct or indirect financial interest in any transaction of the Company is an Interested Person. Also, Interested Persons are any third party, whether or not a contractor to the Company, and whether a person or entity:
a) That supplies goods or services to the Company;
b) From whom the company leases property or equipment;
c) With whom the company is dealing or planning to deal in connection the gift, purchase or sale of real estate, securities, or other property;
d) That is a competitor or affinity organization to the Company;
e) Who is a donor or other supporter of the Company; and
f) That is an agency, organization or association that affects the operations of the Company.
Finally, any person who is related by blood or marriage, including by adoption, to any such person, or any person or persons who in the aggregate own more than 35% of the profit, voting or beneficial interest of any such entity, are Interested Persons. (Responses should include interests of the individual, his/her spouse, and/or any dependent children.)
•I agree to update this disclosure to RESNET either on an annual basis, or as new reportable significant financial interests are obtained.
• I agree to cooperate in the development of a plan to address any actual or potential conflict of interest identified with RESNET via this
• I agree to comply with any conditions or restrictions imposed by RESNET to manage, reduce, or eliminate actual or potential conflicts of interest or forfeit the award. I further understand and agree that my violation of the Conflict of Interest Policy of the Company is grounds for disciplinary and corrective action.
• I declare under the penalty of perjury under the laws of the State of California that the foregoing is true and correct.