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Confidential Office of the Conflict of Interest Commissioner FORM 4 MEMBER S STATEMENT OF MATERIAL CHANGE Member s Name: General Instructions Complete this Form by answering all the questions. If
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Form 4 member's statement is a document that discloses member-specific information.
All members are required to file form 4 member's statement.
Form 4 member's statement can be filled out electronically or by hand with accurate member information.
The purpose of form 4 member's statement is to provide updated member information to the governing body.
Information such as member name, contact details, membership status, and any changes need to be reported on form 4 member's statement.
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