* Relationship to PTS: (check all that apply)


For purposes herein, “affiliated persons” include the following:

  • Any immediate family member (including a spouse of an immediate family member);
  • Any employer;
  • Any corporation, partnership, or organization of which you are an officer or a partner or are, directly or indirectly (i.e., through one or more immediate family members), the beneficial owner of 35 percent or more of the voting power or profits interest; or
  • Any trust or other estate in which you, directly or indirectly (i.e., through one or more immediate family members), have a substantial beneficial interest or to which you serve as a trustee or in a similar capacity.



I HEREBY CONFIRM that (1) I have received a copy of the Conflict of Interest Code; (2) I have read and understand the Conflict of Interest Code; (3) I agree to comply with the Conflict of Interest Code, including the disclosure of any conflict or potential conflict of interest; (4) I have conducted reasonable investigation to ensure that the information contained in this disclosure statement is complete and correct; and (5) I understand the Seminary is a charitable organization and, in order to maintain its federal tax exemption, must engage primarily in activities that accomplish one or more of its tax-exempt purposes.


* required