Example COI Disclosure Information Name of the Speaker I have the following financial relationships to disclose. Leadership position/advisory role for: XXXX, Inc. Stockholder in: YYY.

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Transcript Example COI Disclosure Information Name of the Speaker I have the following financial relationships to disclose. Leadership position/advisory role for: XXXX, Inc. Stockholder in: YYY.

Example
COI Disclosure Information
Name of the Speaker
I have the following financial relationships to disclose.
Leadership position/advisory role for: XXXX, Inc.
Stockholder in: YYY Corporation, ZZZ Corporation
Patents and royalties from: YYY Corporation
Honoraria(lecture fee) from: None
Honoraria(manuscript fee) from: None
Grant/Research funding from: YYY Corporation
Other remuneration from: WWW Corporation
Employee of: ZZZ Corporation
-
or –
I have no financial relationships to disclose.