this report lists personal financial interests/outside ... · this report lists personal financial...
TRANSCRIPT
-
Last Name First Name Job Title Sub-Question Response
Question
Review Status
Abbara Suhny 710CS-
PROFESSOR Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
society for
cardiovascular
computed
tomography
No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Board of Directors
Position,
Leadership Role;
Other
Management
Position;
Ownership
Interests
No Conflict
Identified
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$0
(Uncompensated)
No Conflict
Identified
This report lists personal financial interests/outside activities from the 2020
Statement of Financial Interests that have been assessed or are currently
undergoing assessment.
-
Abhyankar Rahul Affiliated Individual
Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
ELI LILLY AND
COMPANY
Under COI Office
Assessment
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self Under COI Office
Assessment
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Investments Under COI Office
Assessment
Please indicate the
value of your investment
interests at the time of
completing this 2020
Statement of Financial
Interests.
$5,000 - $10,000 Under COI Office
Assessment
Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Novartis Pharma
AG
Under COI Office
Assessment
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self Under COI Office
Assessment
-
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Investments Under COI Office
Assessment
Please indicate the
value of your investment
interests at the time of
completing this 2020
Statement of Financial
Interests.
$5,000 - $10,000 Under COI Office
Assessment
Abraham Liju U5602-CLIN STF
PHARMACIST Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Walgreens
pharmacy
No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Part-Time
Employment or
PRN Work
No Conflict
Identified
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$0
(Uncompensated)
No Conflict
Identified
Abreu Marconi 730CN-ASSISTANT
PROFESSOR Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
NOVO NORDISK
INC
No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Consulting
including Scientific
and Medical
Advisory Board
Service
No Conflict
Identified
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$1 - $4,999 No Conflict
Identified
Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Tandem Diabetes No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Covered Family No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Full time employee No Conflict
Identified
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$80,000 -
$100,000
No Conflict
Identified
Abuharb Belal U9120-FINA
ANLST II Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Childrens Medical
Center
No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Part-Time
Employment or
PRN Work
No Conflict
Identified
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$1 - $4,999 No Conflict
Identified
Adams Quentin 755WO-FACULTY
ASSOCIATE Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
NFL No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Neurological
evaluation of
former NFL players
as part of the NFL
Concussion
Settlement
Agreement
No Conflict
Identified
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$1 - $4,999 No Conflict
Identified
Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
The University of
Texas at Arlington
No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Academic
Teaching
No Conflict
Identified
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$1 - $4,999 No Conflict
Identified
Addo Tayo 720CN-ASSOC
PROFESSOR Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
MMIT Network No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Consulting
including Scientific
and Medical
Advisory Board
Service
No Conflict
Identified
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$5,000 - $10-000 No Conflict
Identified
Adkins Patricia 9576-COMP ANLST
III Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Managed
Resources Inc.
No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Part-Time
Employment or
PRN Work
No Conflict
Identified
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$0 (Relationship
has ended)
No Conflict
Identified
Adogwa Owoicho 730CN-ASSISTANT
PROFESSOR Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Evolution Spine
LLC
No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Consulting
including Scientific
and Medical
Advisory Board
Service
No Conflict
Identified
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$1 - $4,999 No Conflict
Identified
Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
SMAIO No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Consulting
including Scientific
and Medical
Advisory Board
Service
No Conflict
Identified
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$1 - $4,999 No Conflict
Identified
Agarwal Amit 720CN-ASSOC
PROFESSOR Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Authentic 4D No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Second opinion No Conflict
Identified
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$10,000 - $20,000 No Conflict
Identified
Agarwal Shivum 730CN-ASSISTANT
PROFESSOR
Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Faith Community
Hospital, Jack
County Hospital
District, Discovery
Medical Network,
Service
Organization of
North Texas
No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Part-Time
Employment or
PRN Work
No Conflict
Identified
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$80,000 -
$100,000
No Conflict
Identified
Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Global Family
Practice pLLC
No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Board of Directors
Position,
Leadership Role;
Other
Management
Position;
Ownership
Interests
No Conflict
Identified
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$80,000 -
$100,000
No Conflict
Identified
Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Acclaim Medical
Group, John Peter
Smith Hospital
No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Part-Time
Employment or
PRN Work
No Conflict
Identified
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$1 - $4,999 No Conflict
Identified
Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Private
Investments via
Fidelity
Investments
(Stocks, Funds,
Retirement)
No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Investments No Conflict
Identified
Please indicate the
value of your investment
interests at the time of
completing this 2020
Statement of Financial
Interests.
>$100,000 No Conflict
Identified
-
Agosto Salgado Sarimar 730CN-ASSISTANT
PROFESSOR Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Eisai Inc No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Consulting
including Scientific
and Medical
Advisory Board
Service
No Conflict
Identified
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$1 - $4,999 No Conflict
Identified
Aguilera Todd 730TA-ASSISTANT
PROFESSOR Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Avelas Biosciences No Conflict
Identified
-
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Investments No Conflict
Identified
Please indicate the
anticipated income from
Licensing/Royalty
fees for the 2020
calendar year.
$1 - $4,999 No Conflict
Identified
Please indicate the
value of your investment
interests at the time of
completing this 2020
Statement of Financial
Interests.
$1 - $4,999 No Conflict
Identified
Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
AKSO Biosciences No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
-
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Investments No Conflict
Identified
Please indicate the
anticipated income from
Licensing/Royalty
fees for the 2020
calendar year.
$1 - $4,999 No Conflict
Identified
Please indicate the
value of your investment
interests at the time of
completing this 2020
Statement of Financial
Interests.
$1 - $4,999 No Conflict
Identified
Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Galera
therapeutics
No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
research No Conflict
Identified
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$5,000 - $10-000 No Conflict
Identified
Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Apexigen
incorporated
Review Complete -
Mgmt. Plan Issued
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self Review Complete -
Mgmt. Plan Issued
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Research Review Complete -
Mgmt. Plan Issued
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$1 - $4,999 Review Complete -
Mgmt. Plan Issued
Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
iTeos Therapeutics No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Sponsored
Research
No Conflict
Identified
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$0 (Relationship
has ended)
No Conflict
Identified
Aguiling Sarah U1073-CARE
COORDINATOR Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Texas Health
Arlington Memorial
No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Part-Time
Employment or
PRN Work
No Conflict
Identified
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$1 - $4,999 No Conflict
Identified
Aguirre Alanna U5317-ASSIST
MGR THRPY STF
COORD Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Baylor Scott &
White Inpatient
Rehabilitation
Under COI Office
Assessment
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self Under COI Office
Assessment
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Part-Time
Employment or
PRN Work
Under COI Office
Assessment
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$1 - $4,999 Under COI Office
Assessment
Ahmad Zahid 720CS-ASSOC
PROFESSOR Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Esperion No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Consulting
including Scientific
and Medical
Advisory Board
Service
No Conflict
Identified
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$0 (Relationship
has ended)
No Conflict
Identified
Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Halal BBQ
Pitmasters, LLC
No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Board of Directors
Position,
Leadership Role;
Other
Management
Position;
Ownership
Interests
No Conflict
Identified
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$0
(Uncompensated)
No Conflict
Identified
Ahmed Mohammed Affiliated Individual
Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
The American
Board of
Anesthesiology
No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Travel that is
Reimbursed or
Sponsored by the
Outside Entity
No Conflict
Identified
Please indicate the
approximate value of the
reimbursed or sponsored
travel on behalf of the
outside entity for the
2020 calendar year.
$1 - $4,999 No Conflict
Identified
-
Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
CRICO- Risk
Management
Foundation of the
Harvard Medical
Instituitions
No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Consulting
including Scientific
and Medical
Advisory Board
Service
No Conflict
Identified
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$0 (Relationship
has ended)
No Conflict
Identified
Ahn Chul 710TT-
PROFESSOR Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Advenchen
Laboratories LLC
No Conflict
Identified
-
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Data and Safety
Monitoring Board
No Conflict
Identified
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$10,000 - $20,000 No Conflict
Identified
Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Eutilex No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
-
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Consulting
including Scientific
and Medical
Advisory Board
Service
No Conflict
Identified
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$0
(Uncompensated)
No Conflict
Identified
Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
PPD Inc No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Data and Safety
Monitoring
Committee
No Conflict
Identified
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$1 - $4,999 No Conflict
Identified
Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Psomagen No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Board of Directors
Position,
Leadership Role;
Other
Management
Position;
Ownership
Interests
No Conflict
Identified
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$10,000 - $20,000 No Conflict
Identified
Akam Venkata Jyothsna 7801-CLINICAL
FELLOW - NON-
ACGME Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Submitted my
research abstract
to the American
Society of
Echocardiography
Annual Meeting
Pre Approved
Activity
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outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self Pre Approved
Activity
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Research
presentation for
educational
purposesonly
Pre Approved
Activity
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$0
(Uncompensated)
Pre Approved
Activity
Akamatsu Hiroaki 4804-
POSTDOCTORAL
RESEARCHER Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Pfizer Japan Inc No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Consulting
including Scientific
and Medical
Advisory Board
Service
No Conflict
Identified
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$0 (Relationship
has ended)
No Conflict
Identified
Aldridge Claire 10063-ASSOC VP
COMMERCIALI &
BUS DEV Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
LH Capital Under COI Office
Assessment
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outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self Under COI Office
Assessment
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Consulting
including Scientific
and Medical
Advisory Board
Service
Under COI Office
Assessment
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$10,000 - $20,000 Under COI Office
Assessment
Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Medical Innovation
Collaboration
Under COI Office
Assessment
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self Under COI Office
Assessment
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Board of Directors
Position,
Leadership Role;
Other
Management
Position;
Ownership
Interests
Under COI Office
Assessment
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$0
(Uncompensated)
Under COI Office
Assessment
Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Remeditex
Ventures
Under COI Office
Assessment
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self Under COI Office
Assessment
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Investments Under COI Office
Assessment
Please indicate the
value of your investment
interests at the time of
completing this 2020
Statement of Financial
Interests.
$1,000,000 Under COI Office
Assessment
-
Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Sandhill
Therapeutics
Under COI Office
Assessment
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self Under COI Office
Assessment
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Investments Under COI Office
Assessment
Please indicate the
value of your investment
interests at the time of
completing this 2020
Statement of Financial
Interests.
$400,000 Under COI Office
Assessment
Alexander Jennifer U5413-MGR UH
IMG SVCS & SYS Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
American College
of Healthcare
Executives
Supervisor
Approval Sought
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self Supervisor
Approval Sought
-
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Board of Directors
Position,
Leadership Role;
Other
Management
Position;
Ownership
Interests
Supervisor
Approval Sought
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$0
(Uncompensated)
Supervisor
Approval Sought
Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
University of
Texas, Arlington
Supervisor
Approval Sought
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self Supervisor
Approval Sought
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Board of Directors
Position,
Leadership Role;
Other
Management
Position;
Ownership
Interests
Supervisor
Approval Sought
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$0
(Uncompensated)
Supervisor
Approval Sought
Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
University of
Texas, Tyler
Supervisor
Approval Sought
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self Supervisor
Approval Sought
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Academic
Teaching
Supervisor
Approval Sought
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$5,000 - $10-000 Supervisor
Approval Sought
Alexander Shibbi 1026-ADV PRAC
RN Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
VA, dallas No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Part-Time
Employment or
PRN Work
No Conflict
Identified
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$1 - $4,999 No Conflict
Identified
Alexander Taylor U5602-CLIN STF
PHARMACIST Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Baylor Scott &
White Medical
Center - Sunnyvale
No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Part-Time
Employment or
PRN Work
No Conflict
Identified
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$20,000 - $40,000 No Conflict
Identified
Alford Jennifer 755WO-FACULTY
ASSOCIATE Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Association of
Corporate Counsel
No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Covered Family No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Board of Directors
Position,
Leadership Role;
Other
Management
Position;
Ownership
Interests
No Conflict
Identified
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$0
(Uncompensated)
No Conflict
Identified
Ali Sadia 730CN-ASSISTANT
PROFESSOR Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Array Biopharma No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Covered Family No Conflict
Identified
Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Ipsen
Biopharmaceutical
s Inc
No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Covered Family No Conflict
Identified
-
Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
AstraZeneca AB No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Covered Family No Conflict
Identified
Allen Lainie U2901-CHAPLAIN
Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Meaning By Design
Life Coaching
Supervisor
Approval Sought
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self Supervisor
Approval Sought
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Part-Time
Employment or
PRN Work
Supervisor
Approval Sought
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$1 - $4,999 Supervisor
Approval Sought
Amin Anik 730CN-ASSISTANT
PROFESSOR Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Virginia Mason
Medical Center
OAE Denied
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self OAE Denied
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Part-Time
Employment or
PRN Work
OAE Denied
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$20,000 - $40,000 OAE Denied
Ananthakrishna
n
Lakshmi 730CN-ASSISTANT
PROFESSOR Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Texas Health
Surgery Center
Fort Worth
Midtown
No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Covered Family No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Board of Directors
Position,
Leadership Role;
Other
Management
Position;
Ownership
Interests
No Conflict
Identified
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
Investment
interest see below
No Conflict
Identified
Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Ophthalmology
Associates
No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Covered Family No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Board of Directors
Position,
Leadership Role;
Other
Management
Position;
Ownership
Interests
No Conflict
Identified
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
ownership interest
see below
No Conflict
Identified
Andersen John 710CS-
PROFESSOR Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Merck Sharp &
Dohme
Corporation
Under COI Office
Assessment
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self Under COI Office
Assessment
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Investments Under COI Office
Assessment
Please indicate the
value of your investment
interests at the time of
completing this 2020
Statement of Financial
Interests.
$80,000 -
$100,000
Under COI Office
Assessment
-
Anderson Chelsea 730CN-ASSISTANT
PROFESSOR Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
USRC/Tarrant LP No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Covered Family No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Ownership
through family
limited partnership
No Conflict
Identified
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$0
(Uncompensated)
No Conflict
Identified
Please indicate the
value of your investment
interests at the time of
completing this 2020
Statement of Financial
Interests.
$2,000,000 No Conflict
Identified
-
Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Greater Houston
Dialysis LP
No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Covered Family No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
ownership through
family limited
partnerships
No Conflict
Identified
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$0
(Uncompensated)
No Conflict
Identified
Please indicate the
value of your investment
interests at the time of
completing this 2020
Statement of Financial
Interests.
$300,000 No Conflict
Identified
-
Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
The Lee Anderson
Family Limited
Partnership
No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Covered Family No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Ownership
through family
limited partnership
No Conflict
Identified
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$0
(Uncompensated)
No Conflict
Identified
Please indicate the
value of your investment
interests at the time of
completing this 2020
Statement of Financial
Interests.
$4,500,000 No Conflict
Identified
-
Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
Bristol-Myers
Squibb Company
No Conflict
Identified
Are you reporting
outside activities and/or
financial interests with
this outside entity for
yourself or a covered
family member?
Check all that apply:
Self No Conflict
Identified
Please indicate the type
of outside activity and/or
financial interest with
the outside entity:
Check all that apply:
Investments No Conflict
Identified
Please indicate the
value of your investment
interests at the time of
completing this 2020
Statement of Financial
Interests.
$179,161.51 No Conflict
Identified
Please provide the
name of the outside
entity. If the name does
not auto-populate, type
the full name in the text
box below.
AbbVie Inc No Conflict
Identified
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financial interests with
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yourself or a covered
family member?
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Self No Conflict
Identified
-
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financial interest with
the outside entity:
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Investments No Conflict
Identified
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value of your investment
interests at the time of
completing this 2020
Statement of Financial
Interests.
$20,000 - $40,000 No Conflict
Identified
Anderson Elizabeth Ellen 8520-MKTG SPEC
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entity. If the name does
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Sub-Zero Wolf
Cove
No Conflict
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financial interests with
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Self No Conflict
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Part-Time
Employment or
PRN Work
No Conflict
Identified
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$0 (Relationship
has ended)
No Conflict
Identified
Anderson Larry 720CN-ASSOC
PROFESSOR Please provide the
name of the outside
entity. If the name does
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GlaxoSmithKline
LLC
Review Complete -
Mgmt. Plan Issued
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Self Review Complete -
Mgmt. Plan Issued
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financial interest with
the outside entity:
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Consulting
including Scientific
and Medical
Advisory Board
Service
Review Complete -
Mgmt. Plan Issued
-
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year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$1 - $4,999 Review Complete -
Mgmt. Plan Issued
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name of the outside
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Celgene
Corporation
No Conflict
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financial interests with
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Self No Conflict
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financial interest with
the outside entity:
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Consulting
including Scientific
and Medical
Advisory Board
Service
No Conflict
Identified
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$1 - $4,999 No Conflict
Identified
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name of the outside
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box below.
Janssen Biotech
Inc
Review Complete -
Mgmt. Plan Issued
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financial interests with
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family member?
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Self Review Complete -
Mgmt. Plan Issued
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financial interest with
the outside entity:
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Consulting
including Scientific
and Medical
Advisory Board
Service
Review Complete -
Mgmt. Plan Issued
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$1 - $4,999 Review Complete -
Mgmt. Plan Issued
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name of the outside
entity. If the name does
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Karyopharm
Therapeutics
Review Complete -
Mgmt. Plan Issued
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financial interests with
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family member?
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Self Review Complete -
Mgmt. Plan Issued
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financial interest with
the outside entity:
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Consulting
including Scientific
and Medical
Advisory Board
Service
Review Complete -
Mgmt. Plan Issued
-
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year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$1 - $4,999 Review Complete -
Mgmt. Plan Issued
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name of the outside
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Amgen Inc No Conflict
Identified
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financial interests with
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family member?
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Self No Conflict
Identified
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financial interest with
the outside entity:
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Consulting
including Scientific
and Medical
Advisory Board
Service
No Conflict
Identified
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$0 (Relationship
has ended)
No Conflict
Identified
Andriola Michele 9532-TAL ACQUIS
PART Please provide the
name of the outside
entity. If the name does
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Brokerage
Investments
No Conflict
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Covered Family No Conflict
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Investments No Conflict
Identified
Please indicate the
value of your investment
interests at the time of
completing this 2020
Statement of Financial
Interests.
900000 No Conflict
Identified
-
Anerobi Keshia 4377-RESEARCH
STUDY
COORDINATOR Please provide the
name of the outside
entity. If the name does
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The College of
Healthcare
Professions
No Conflict
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family member?
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Self No Conflict
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Part-Time
Employment or
PRN Work
No Conflict
Identified
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
of any license/royalty
payments, investment
interests, or sponsored
travel, as you will be
prompted to disclose
those values in later
questions.
$1 - $4,999 No Conflict
Identified
Annaswamy Thiru 710CN-
PROFESSOR Please provide the
name of the outside
entity. If the name does
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box below.
Dane Street No Conflict
Identified
-
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family member?
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Self No Conflict
Identified
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Part-Time
Employment or
PRN Work
No Conflict
Identified
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
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value
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payments, investment
interests, or sponsored
travel, as you will be
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those values in later
questions.
$5,000 - $10-000 No Conflict
Identified
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entity. If the name does
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American Academy
of Physical
Medicine &
Rehabilitation
Pre Approved
Activity
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Self Pre Approved
Activity
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Board of Directors
Position,
Leadership Role;
Other
Management
Position;
Ownership
Interests
Pre Approved
Activity
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year, please indicate the
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value
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$0
(Uncompensated)
Pre Approved
Activity
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Foundation for
PM&R
No Conflict
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family member?
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Self No Conflict
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financial interest with
the outside entity:
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Board of Directors
Position,
Leadership Role;
Other
Management
Position;
Ownership
Interests
No Conflict
Identified
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
you or your covered
family member from this
outside entity.
Do not provide the
value
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payments, investment
interests, or sponsored
travel, as you will be
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those values in later
questions.
$0
(Uncompensated)
No Conflict
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Antoine ReNita 9640-CONTS SPEC
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United States
Census Bureau
No Conflict
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Self No Conflict
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Part-Time
Employment or
PRN Work
No Conflict
Identified
-
For the 2020 calendar
year, please indicate the
anticipated
compensation level for
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family member from this
outside entity.
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value
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interests, or sponsored
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questions.
$5,000 - $10-000 No Conflict
Identified
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entity. If the name does
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box below.
None No Conflict
Identified
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family member?
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Self No Conflict
Identified
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Investments No Conflict
Identified
Please indicate the
value of your investment
interests at the time of
completing this 2020
Statement of Financial
Interests.
$1 - $4,999 No Conflict
Identified
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Anton Corinne Affiliated Individual
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Dallas Center for
Evidenced Based
Treatment
No Conflict
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family member?
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Self No Conflict
Identified
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Part-Time
Employment or
PRN Work
No Conflict
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For the 2020 calendar
year, please indicate the
anticipated
compensation level for
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family member from this
outside entity.
Do not provide the
value
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$5,000 - $10-000 No Conflict
Identified
Antonelli Jodi 720CS-ASSOC
PROFESSOR Please provide the
name of the outside
entity. If the name does
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Boston Scientific
Corporation
Under COI Office
Assessment
-
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Self Under COI Office
Assessment
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financial interest with
the outside entity:
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Consulting
including Scientific
and Medical
Advisory Board
Service
Under COI Office
Assessme