DISCLOSURE OF FINANCIAL INTEREST Sample Clauses

DISCLOSURE OF FINANCIAL INTEREST. 15.1 Principal Investigator shall ensure that he/she and collaborators and any member of the Research Staff involved in this Clinical Trial at Principal Investigator’s Clinical Trial Site provide Sponsor with the appropriate financial disclosures required for compliance with CFR title 21 Part 54, on such forms as Sponsor may supply or approve.
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DISCLOSURE OF FINANCIAL INTEREST. Principal Investigator shall ensure that he/she and collaborators and any member of the Research Staff involved in this Clinical Trial at Principal Investigator’s Clinical Trial Site provide Sponsor with the appropriate financial disclosures required for Sponsor’s compliance with CFR title 21 Part 54, on Sponsor’s request and on such forms as Sponsor may supply or approve. During the term of this Agreement and for one (1) year following termination or completion of the Clinical Trial, Principal Investigator shall promptly notify Sponsor of any material change in the information disclosed on a previous form. Parties may disclose the financial terms of this Agreement only if required by Law or transparency regulations.
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DISCLOSURE OF FINANCIAL INTEREST. 15.1 Institution shall make any necessary disclosures of financial interests and arrangements and cause the Principal Investigator to make any necessary disclosures of financial interests and arrangements as required by regulations and for the purposes of these obligations Sponsor shall advise the Principal Investigator and Institution in writing of the completion date of the Clinical Trial.
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DISCLOSURE OF FINANCIAL INTEREST. Plano Orthopedic & Sports Medicine Center physician you are seeing may have a financial interest in the facilities listed on page 2. The facilities and our physicians are committed to providing clinical excellence in a safe and attractive environment for you and your family members. Their financial interest in these facilities enables them to have a voice in administration and their policies. This involvement helps to ensure the highest quality of care for you. Should you have any concerns regarding this notice, please ask your physician or a member of the staff. I verify that I have read and understand the above statement and information. POSMC POLICIES & CONSENT TO TREAT Baylor Medical Center at Frisco Frisco Therapy Center 0000 Xxxxxx Xxxx 6363 Dallas Parkway Ste 207 Frisco, TX 75034 Frisco, TX 75034 000-000-0000 000-000-0000 Methodist Hospital for Surgery Plano Therapy Center 00000 X Xxxxxx Xxxx 0000 Xxxxxx Xxx 000 Addison, TX 75001 Plano, TX 75093 000-000-0000 000-000-0000 Surgery Center of Plano Allen Therapy Center 0000 Xxxx Xxxx 0000 X XxXxxxxxx Xxx 50 Plano, TX 75075 Allen, TX 75013 000-000-0000 000-000-0000 Preston Plaza Surgery Center Akumin Inc. 00000 Xxxxxxx Xx Xxx 75 5072 W Plano Pkwy Ste 170 Dallas, TX 75252 Plano, TX 75093 000-000-0000 000-000-0000 ACKNOWLEDGEMENT • I understand that I am financially responsible to the physician for any and all charges incurred by myself and/or dependents. • I have read and understand the “Physician’s Consent” and the “Disclosure of Financial Interest” • I further acknowledge and understand that I accept the terms outlined in each of the policies. X Patient or Legal Authorized Representative Date Electronically Signed Patient Signature Date PATIENT HIPAA & PRIVACY PRACTICES AUTHORIZATION FORM (Required by Health Insurance Portability & Accountability Act) I hereby authorize Plano Orthopedic & Sports Medicine Center to use and/or disclose my protected health information which specifically identifies me or which can reasonably be used to identify me to carry out my medical treatment, billing or claims payment and other health care operations. I understand that while this consent is voluntary, if I refuse to sign this consent, Plano Orthopedic & Sports Medicine Center can refuse to see me. I have been provided with access to either review and/or receive a copy of “Notice of Privacy Practices” for Plano Orthopedic & Sports Medicine Center which more fully describes the uses and disclosures, and I understand tha...
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DISCLOSURE OF FINANCIAL INTEREST. (i) Institution shall ensure that the Principal Investigator and other researchers engaged in a Study individually complete the form for the disclosure of financial interests and arrangements as attached at Appendix B as updated from time to time by Medarex to conform with applicable laws and regulations (the “Disclosure”) and return it to Medarex. If circumstances change during the Study, and the Disclosure submitted by Principal Investigator is no longer truthful and accurate, then Principal Investigator will promptly submit to Medarex an updated Disclosure reflecting the new circumstances.
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Related to DISCLOSURE OF FINANCIAL INTEREST

  • DISCLOSURE OF FINANCIAL INFORMATION 26.1 The Customer represents and warrants that the financial information disclosed to us in his/its Application is an accurate representation of the Customer’s current financial condition.

  • DISCLOSURE OF INTEREST Interest of the Firm in the Procuring Entity.

  • Accounting of Disclosures Business Associate shall document disclosures of PHI and all information related to such disclosures as would be required for Covered Entity to respond to a request by an Individual for an accounting of disclosures of PHI in accordance with 45 CFR § 164.528. Business Associate shall provide such information to Covered Entity or as directed by Covered Entity to an Individual, to permit Covered Entity to respond to an accounting request. Business Associate shall provide such information in the time and manner reasonably designated by Covered Entity. Within three (3) business days, Business Associate shall forward to Covered Entity for handling any accounting request that Business Associate directly receives from an Individual.

  • Provision of Financial Information Whether or not the Company is subject to Section 13 or 15(d) of the Exchange Act, the Company shall, to the extent permitted under the Exchange Act, file with the Commission the annual reports, quarterly reports and other documents which the Company would have been required to file with the Commission pursuant to such Section 13 or 15(d) if the Company were so subject, such documents to be filed with the Commission on or prior to the respective dates (the “Required Filing Dates”) by which the Company would have been required so to file such documents if the Company were so subject. The Company shall also in any event (x) within 15 days of each Required Filing Date (i) if the Company is not then subject to Section 13 or 15(d) of the Exchange Act, transmit by mail to all Holders, as their names and addresses appear in the Security Register, without cost to such Holders, copies of the annual reports and quarterly reports which the Company would have been required to file with the Commission pursuant to Section 13 or 15(d) of the Exchange Act if the Company were subject to such Sections, and (ii) file with the Trustee copies of annual reports, quarterly reports and other documents which the Company would have been required to file with the Commission pursuant to Section 13 or 15(d) of the Exchange Act if the Company were subject to such Sections and (y) if filing such documents by the Company with the Commission is not permitted under the Exchange Act, promptly upon written request and payment of the reasonable cost of duplication and delivery, supply copies of such documents to any prospective Holder. Delivery of such reports, information and documents to the Trustee is for informational purposes only and the Trustee’s receipt of such shall not constitute constructive notice of any information contained therein or determinable from information contained therein, including the Company’s compliance with any of its covenants hereunder (as to which the Trustee is entitled to rely exclusively on Officers’ Certificates).

  • Disclosure of Interests When required in order to comply with applicable laws and regulations or the articles of association or similar document of the Company, the Company may from time to time request each Owner and Holder to provide to the Depositary information relating to: (a) the capacity in which it holds American Depositary Shares, (b) the identity of any Holders or other persons or entities then or previously interested in those American Depositary Shares and the nature of those interests and (c) any other matter where disclosure of such matter is required for that compliance. Each Owner and Holder agrees to provide all information known to it in response to a request made pursuant to this Section. Each Holder consents to the disclosure by the Depositary and the Owner or any other Holder through which it holds American Depositary Shares, directly or indirectly, of all information responsive to a request made pursuant to this Section relating to that Holder that is known to that Owner or other Holder. The Depositary agrees to use reasonable efforts to comply with written instructions requesting that the Depositary forward any request authorized under this Section to the Owners and to forward to the Company any responses it receives in response to that request. The Depositary may charge the Company a fee and its expenses for complying with requests under this Section 3.4.

  • Seller Financial Information If requested by Buyer, Seller shall deliver to Buyer (a) within one hundred twenty (120) days following the end of each fiscal year, a copy of Seller’s annual report containing unaudited consolidated financial statements for such fiscal year (or audited consolidated financial statements for such fiscal year if otherwise available) and (b) within sixty (60) days after the end of each of its first three fiscal quarters of each fiscal year, a copy of such Party’s quarterly report containing unaudited consolidated financial statements for such fiscal quarter. In all cases the statements shall be for the most recent accounting period and shall be prepared in accordance with Generally Accepted Accounting Principles; provided, however, that should any such statements not be available on a timely basis due to a delay in preparation or certification, such delay shall not be an Event of Default so long as such Party diligently pursues the preparation, certification and delivery of the statements.

  • Disclosure of Transactions All financial statements of the Servicer, the Parent, the Performance Guarantor, the Originators or any Affiliate thereof that are consolidated to include the Borrower will disclose that (i) the Borrower’s sole business consists of the purchase or acceptance through capital contributions of the Receivables and Related Rights from the Originators and the subsequent retransfer of or granting of a security interest in such Receivables and Related Rights to the Administrative Agent pursuant to this Agreement, (ii) the Borrower is a separate legal entity with its own separate creditors who will be entitled, upon its liquidation, to be satisfied out of the Borrower’s assets prior to any assets or value in the Borrower becoming available to the Borrower’s equity holders and (iii) the assets of the Borrower are not available to pay creditors of the Servicer, the Parent, the Performance Guarantor, the Originators or any Affiliate thereof.

  • Other Financial Information Budgets, sales projections, operating plans and other financial information reasonably requested by Bank.

  • Disclosure of Transaction The Company shall, on or before 8:30 a.m., New York City Time, on or prior to the first business day after the date of this Agreement, file a Current Report on Form 8-K describing the terms of the transactions contemplated hereby in the form required by the 1934 Act and attaching the Exchange Documents, to the extent they are required to be filed under the 1934 Act, that have not previously been filed with the SEC by the Company (including, without limitation, this Agreement) as exhibits to such filing (including all attachments, the “8-K Filing”). From and after the filing of the 8-K Filing, the Company shall have disclosed all material, non-public information (if any) provided up to such time to the Holder by the Company or any of its Subsidiaries or any of their respective officers, directors, employees or agents. In addition, effective upon the filing of the 8-K Filing, the Company acknowledges and agrees that any and all confidentiality or similar obligations under any agreement with respect to the transactions contemplated by the Exchange Documents or as otherwise disclosed in the 8-K Filing, whether written or oral, between the Company, any of its Subsidiaries or any of their respective officers, directors, affiliates, employees or agents, on the one hand, and any of the Holder or any of their affiliates, on the other hand, shall terminate. Neither the Company, its Subsidiaries nor the Holder shall issue any press releases or any other public statements with respect to the transactions contemplated hereby; provided, however, the Company shall be entitled, without the prior approval of the Holder, to make a press release or other public disclosure with respect to such transactions (i) in substantial conformity with the 8-K Filing and contemporaneously therewith or (ii) as is required by applicable law and regulations (provided that in the case of clause (i) the Holder shall be consulted by the Company in connection with any such press release or other public disclosure prior to its release). Without the prior written consent of the Holder (which may be granted or withheld in the Holder’s sole discretion), except as required by applicable law, the Company shall not (and shall cause each of its Subsidiaries and affiliates to not) disclose the name of the Holder in any filing, announcement, release or otherwise.

  • Disclosure of Information Holder is aware of the Company’s business affairs and financial condition and has received or has had full access to all the information it considers necessary or appropriate to make an informed investment decision with respect to the acquisition of this Warrant and its underlying securities. Holder further has had an opportunity to ask questions and receive answers from the Company regarding the terms and conditions of the offering of this Warrant and its underlying securities and to obtain additional information (to the extent the Company possessed such information or could acquire it without unreasonable effort or expense) necessary to verify any information furnished to Holder or to which Holder has access.

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