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Introduction
MembersoftheBoardofDirectorsofKivaMicrofunds(Kiva),officersandkeyemployeesmustactat
alltimesinthebestinterestsofKiva.MembersoftheBoard,officersandkeyemployeesshalldisclose
allpotentialandactualconflictsofinteresttotheBoardofDirectorsand,asrequired,remove
themselvesfromalldiscussionandvotingonanyrelatedmatter.
Disclosure
TheBoardofDirectorsrecognizesthatconflictsofinterestmayoccur,andthatnotallconflictsof
interestarenecessarilyharmfultoKiva.However,theBoardrequiresfulldisclosureof
allactualandpotentialconflictsofinterest.EachmemberoftheBoard,officerandkeyemployeeshall
discloseanyandallfactsthatmaybeconstruedasaconflictofinterest,boththroughanannual
disclosureprocessandwheneversuchactualorpotentialconflictoccurs.
Processandremedy
TheBoardofDirectorswilldeterminewhetherornotaconflictofinterestexists,andwhetherornot
suchconflictmateriallyandadverselyaffectstheinterestsofKiva.AmemberoftheBoard,officerorkey
employeewhosepotentialconflictisunderreviewmaynotdebate,vote,orotherwiseparticipatein
suchdetermination.IftheBoardofDirectorsdeterminesthatanactualorpotentialconflictofinterest
doesexist,theBoardshallalsodetermineanappropriateremedy.Suchremedymayinclude,for
example,therecusaloftheconflictedindividualfromparticipatingincertainmatterspendingbeforethe
BoardorotherKivabody.
Specifically,membersoftheBoard,officersandkeyemployeesshall:
AvoidplacingselfinterestortheinterestsofathirdpartyabovetheinterestsofKiva,andavoid
theappearanceofplacingselfinterestortheinterestsofathirdpartyabovetheinterestsof
Kiva;
RefrainfromusingKivasstaff,services,equipment,materials,resources,orpropertyfor
personalorthirdpartygain,andfromrepresentingtothirdpartiesthatauthorityasaBoard
memberextendsanyfurtherthanthatwhichitactuallyextends;
NotengageinanyoutsideactivitiesthatmaybeadversetotheinterestsofKiva;
Notsolicitoracceptgifts,gratuities,freetravel,oranyotheritemofvaluefromanypersonor
entityasadirectorindirectinducementtoprovidespecialtreatmentwithrespecttomatters
pertainingtoKivawithoutfullydisclosingsuchanexchangetotheBoardofDirectors;
ProvidegoodsorservicestoKivaasapaidvendortoKivaonlyafterfulldisclosureto,and
advanceapprovalby,theBoardofDirectors,andpursuanttoanyrelatedproceduresadopted
bytheBoard;
NotpersuadeanyemployeeofKivatoleavetheemployofKivaortobecomeemployedbyany
personorentityotherthanKiva;and
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Notpersuadeorattempttopersuadeanydonor,lender,supplier,contractor,oranyother
personorentitywithanactualorpotentialrelationshipwithKivatoterminate,curtail,ornot
enterintoitsrelationshipwithKiva,ortoreduceanybenefitthatmaybeprovidedtoKivawith
respecttosuchrelationship.
ThispolicyshallapplytothemembersoftheKivaBoardofDirectors,butalsoshallapplytoall
membersofKivacommittees,taskforces,andothersintheKivagovernancestructure,aswellasto
Kivaskeyemployees.
Onanannualbasis,allindividualstowhomthispolicyshallapplyshallbeprovidedwithacopyofthis
policyandrequiredtocompleteandsignanacknowledgementanddisclosureformpreparedbythe
BoardofDirectors.
Kivareservestherighttoamend,alterandterminatethispolicyatanytime.
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AcknowledgementandDisclosureForm
IhavereadtheKivaMicrofunds(Kiva)ConflictofInterestPolicysetforthaboveandagreetocomply
fullywithitstermsandconditionsatalltimesduringmyserviceasamemberoftheKivaBoardof
Directors,anofficer,orakeyemployeeofKiva.
IfIbecomeawareofanyactualorpotentialconflictsofinterestatanytimefollowingthesubmissionof
thisform,oriftheinformationprovidedbelowbecomesinaccurateorincomplete,Iwillpromptlynotify
theKivaBoardofDirectorsortheChiefExecutiveOfficerofKivainwriting.
Disclosureofactualorpotentialconflictsofinterest:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
DoyoureceivecompensationasanOfficer,Director,orkeyemployeeofKiva?Yes______No_______
Otherthanreimbursementofreasonableexpenses,haveyoureceivedordoyouexpecttoreceivefrom
Kivacompensationforservicesprovidedasanindependentcontractor?Yes____No_____
HaveyoureceivedordoyouexpecttoreceiveanymaterialfinancialbenefitfromKivainadditionor
apartfromthebenefitsdescribedintheaboveinquiries?Yes____No_____
DoesanyfamilymemberreceivecompensationormaterialfinancialbenefitfromKiva?Yes____No____
DoyouhaveafamilyrelationshiporbusinessrelationshipwithanycurrentorformerOfficer,Director,
orkeyemployeeofKiva?Yes____No_____
IfyouansweredYestoanyoftheabove,pleaseexplaininaseparatestatement(e.g.,Iamaregular
fulltimeemployeeandreceiveasalaryaspartofmyemployment)
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Signature:
______________________________________
PrintedName:
______________________________________
Date:
______________________________________
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