Conflict of Interest Questionnaire: FY 2024 - The Denver Gold Group, Inc.

Employment by the Denver Gold Group: Do you have an immediate family member who is now employed by the Denver Gold Group?

Yes

No

If yes, please identify the person, position and date of such employment by the Denver Gold Group.

Personal Remuneration from the Denver Gold Group: Are you or any of your immediate family members receiving or expecting to receive any remuneration from the Denver Gold Group other than employment compensation?

Yes

No

If yes, please identify the person and relationship of the person who expects to receive remuneration, the amount to be received and date on which the amount is to be received.

Business with the Denver Gold Group: Do you or an immediate family member have a financial, business or personal interest in a business or organization with which the Denver Gold Group does business or expects to do business or with a business or organization receiving payments from the Denver Gold Group for property, goods or services?

Yes

No

If yes, please identify: (a) your financial, business, personal, contractual or organizational interest; (b) the relationship between the Denver Gold Group and the other business or organization; (c) if an immediate family member has the interest, identify the relationship of the person to you; and (d) the impact on the interest of the Denver Gold Group or the other business.

Business with the Denver Gold Group: Have you or an immediate family member been a party to or involved in contractual transactions with the Denver Gold Group?

Yes

No

If yes, please identify: (a) your financial, business, personal, contractual or organizational interest; (b) the relationship between the Denver Gold Group and the other business or organization; (c) if an immediate family member has the interest, identify the relationship of the person to you; and (d) the impact on the interest of the Denver Gold Group or the other business.

Please list all corporations, organizations or institutions on whose board of directors, board of trustees or other governing bodies or advisory boards you currently serve. Identify the nature of the organization’s business, and whether that organization does business or is involved in litigation with the Denver Gold Group. *

Employees or Board Members serving with you: Do other employees of the Denver Gold Group or members of the Denver Gold Group Board of Governors serve on boards or governing bodies listed in Question 4?

Yes

No

If yes, please identify the Denver Gold Group Directors or Employees.

Association with Denver Gold Group Auditors: The auditor for the Denver Gold Group is currently Kundinger, Corder & Montoya, P.C. Are you or any immediate family member a partner or principal in Kundinger, Corder & Montoya, P.C?

Yes

No

Legal Proceedings: Are there any legal proceedings adverse to the Denver Gold Group pending or anticipated in which you, an immediate family member or any entity listed by you in response to the questions above are a party?

Yes

No

If yes, please list below.

Criminal Proceedings: During the past five years have you been convicted in a criminal proceeding or are you now the named subject of a pending criminal proceeding, excluding traffic violations and other minor offenses?

Yes

No

If yes, please explain and provide details below.

Date

Name

First

Last

Email *