ࡱ> ] ebjbjZ!Z! 8K4\8K4\-2228j\2t?p rD$>>>>>>>AD>Q">4.?&&&F>&>&&R3:=@ 6\:R';>?0?;ٷٷ<=tE=&>>Dt?tE> :  In accordance with 42.CFR.50 and 42.CFR.94, all subrecipients responsible for the design, conduct or reporting of research must complete this form when submitting a proposal to SWAGƵto receive funding from the United States Public Health Service (PHS). This form must be returned to the SWAGƵOffice of Research Administration along with the subrecipient application materials. This form will be incorporated as an attachment into any subaward resulting from this proposal. Please see Instructions on the following page. 1. Subrecipient InformationSubrecipient Legal Name: FORMTEXT      DUNS: FORMTEXT      Subrecipient PI: FORMTEXT      Title of Proposal: FORMTEXT       2. Certification of ComplianceCheck one of the following options: FORMCHECKBOX Subrecipient DOES HAVE a Financial Conflict of Interest (FCOI) Policy compliant with requirements in 42.CFR.50 and 45.CFR.94, and Subrecipient Investigators will rely on this policy and associated procedures. FORMCHECKBOX  Subrecipient DOES NOT HAVE a Financial Conflict of Interest Policy compliant with requirements in CFR Part 50 and Part 94, and Subrecipient Investigators will comply with VCOMs Financial Conflict of Interest In Research Policy, available at:  HYPERLINK "http://www.vcom.edu/ora/ORApp.html" http://www.vcom.edu/ora/ORApp.html.  3. FCOI Initial ReportCheck one of the following options: FORMCHECKBOX Subrecipient certifies that there is currently NO FCOI for any subrecipient investigators and agrees to notify SWAGƵOffice of Research Administration of any subsequently identified FCOI within 45 days of identification. FORMCHECKBOX Subrecipient certifies that the attached FCOI disclosure forms for all subrecipient Investigators are a complete and current list and agrees to notify SWAGƵOffice of Research Administration of any subsequently identified FCOI within 45 days of identification. 4. FCOI Subsequent ReportingUpon execution of a subaward, should this project be awarded by the PHS Agency:If the subrecipient complies with their own FCOI policy, the written subaward agreement shall specify timelines for the subrecipient institution to report all identified financial conflicts of interest to VCOM. If the subrecipient applies VCOMs Policy to its Investigators, the written subaward agreement shall establish timelines and information requirements for the subrecipient to submit all Investigator disclosures of significant financial interest to VCOM.  5. CertificationSignature of Subrecipients Authorized Official:I certify that the above information is complete and true to the best of my knowledge, and my institution is knowledgeable about the PHS FCOI requirements, and is prepared to enter into an inter-institutional agreement requiring adherence to those regulations. Signature:Date:Printed Name: FORMTEXT      Title: FORMTEXT       Instructions This form must be completed by the potential subrecipient on a proposal that VCOM intends to submit for funding to one of the PHS agencies listed below. The PHS Conflict of Interest regulations, specifically  HYPERLINK "http://www.gpo.gov/fdsys/pkg/CFR-2012-title42-vol1/xml/CFR-2012-title42-vol1-part50-subpartF.xml" 42.CFR.50 Subpart F, Promoting Objectivity in Research and  HYPERLINK "http://www.gpo.gov/fdsys/pkg/CFR-2012-title45-vol1/xml/CFR-2012-title45-vol1-part94.xml" 45.CFR.94, Responsible Prospective Contractors, require institutions to collect certain information from subrecipients at time of proposal and during the life of the project, if awarded. It is mandatory for subrecipient Authorized Officials to check one of the options in Section 2. If the subrecipient Authorized Official has checked box 2, they are certifying that the subrecipient does not have its own FCOI Policy and will follow VCOMs Policy, available here:  HYPERLINK "http://www.vcom.edu/ora/ORApp.html" http://www.vcom.edu/ora/ORApp.html. Adherence to VCOMs FCOI Policy includes agreeing to comply with the reporting timelines specified in Section5 and Section 10, as well as training requirements as detailed in Section 12. It is mandatory for the subrecipient Authorized Official to check one of the options in Section 3. If the subrecipient Authorized Official has checked box 2, all investigator FCOI disclosures must be returned with this form to VCOM. The term Investigator is defined as: The project director or principal Investigator and any other person, regardless of title or position, who is responsible for the design, conduct, or reporting of research funded by the PHS, or proposed for such funding, which may include, for example, collaborators or consultants. Definition is take from 45,CFR.50.603 and 45.CFR.94.3. Note that this form, as well as any FCOI disclosures if applicable, must be on file before SWAGƵcan submit a proposal containing the subrecipients application. Please submit this form, and FCOI disclosures if applicable, to the  HYPERLINK "http://www.vcom.edu/ora/" SWAGƵOffice of Research Administration. List of the Public Health Service Agencies: National Institutes of Health (NIH) Agency for Healthcare Research and Quality (AHRQ) Health Resources Services and Administration (HRSA) Food and Drug Administration (FDA) Centers for Disease Control and Prevention (CDC) Substance Abuse and Mental Health Services Administration (SAMHSA) Agency for Toxic Substances and Disease Registry (ATSDR) Indian Health Services (IDS) Office of the Assistant Secretary for Preparedness and Response (ASPR)     " R T {qdSd?S'jch^h+OJQJU^J!jh^h+OJQJU^Jh^h+OJQJ^Jh+OJQJ^J#hKh+5CJOJQJ^JaJh+h+5OJQJ^JhO5OJQJ^JhOhO5OJQJ^Jh^h OJQJ^Jh^hrN^OJQJ^Jh h 5OJQJ^Jh hrN^5OJQJ^Jh h 5OJQJ^JhOJQJ   < T ~~ P$Ifgd~ P$IfgdR0$qqP$If]q^qa$gdjCkd$$IfTl4)L*L*4 laf4yt+T $$Ifa$gd gd    & ( * 4 6 > b d f z | ~ ˭˙˅ti[hKh-5OJQJ^JhO5OJQJ^J h+h+CJ OJQJ^JaJ 'jh^h+OJQJU^J'j7h^h+OJQJU^J'jh^h+OJQJU^Jh+OJQJ^Jh^h+OJQJ^J!jh^h+OJQJU^J,jh^h+OJQJU^JmHnHu# shh]] P$Ifgd~ P$IfgdR0kd$$IfTl4p\X ()   L*4 laf4p ytT  8 : shh]] P$Ifgd~ P$IfgdR0kdN$$IfTl4^\X ()    L*4 laf4p ytT: < > d sh]RR P$Ifgd~ P$Ifgd P$IfgdR0kd$$IfTl4^\X ()    L*4 laf4p ytT sh_ $Ifgd+ P$IfgdR0kd $$IfTl4^\X ()    L*4 laf4p ytT  wl P$Ifgd$qqP$If]q^qa$gdjxgdOjkd$$IfTl40) `&  L*2 s4 laf4p ytT    ! " # $ 1 : y     $ ,./QRUXxihl02h-0JOJQJ^Jh h-OJQJ^Jhxdh-5OJQJ^J!j h-OJQJU^JhOOJQJ^Jh7^h-5OJQJ^J!jh-OJQJU^Jjh-OJQJU^Jh^h-OJQJ^JhYh-5OJQJ^Jh-OJQJ^J"   $ rgTI P$IfgdO & FVP$If^VgdY P$Ifgdkd$$IfTl40I)`&  0L*4 laif4p ytjT V_TA6 P$Ifgd  & FVP$If^Vgd P$Ifgdkd $$IfTl4FmI) "  0L*    4 laif4p ytTVWXY_TK $Ifgd- P$Ifgdkd $$IfTl4FmI) "  0L*    4 laif4p ytTXYZ[]_sy|ʿ⋧zl⋧[MhOh-5OJQJ^J!jk h-OJQJU^Jhxdh-5OJQJ^J!j3 h-OJQJU^Jjh-OJQJU^JhYh-5OJQJ^Jh-OJQJ^JhKh-5OJQJ^JhO5OJQJ^JhOhO5OJQJ^Jh+OJQJ^Jh^h-OJQJ^J h-h-CJ OJQJ^JaJ YZ[srkUJ P$Ifgd$qqP$If]q^qa$gdjxgdOkd $$IfTl4F0I) `&  0L*4 laif4p ytOT{p P$Ifgdxd & FVP$If^Vgd P$Ifgdfkd $$IfTl40I)`&  L*4 laif4p ytjT{h] P$Ifgd7^ & FVP$If^Vgdxd P$Ifgdykd $$IfTl4FmI) "  L*    4 laif4p ytT25tzߖߖߋ~pfYLfYfYhZhqOJQJ^Jh^hqOJQJ^JhqOJQJ^JhKhq5OJQJ^JhOh+OJQJ^Jh-h-CJ aJ h-hKh-5OJQJ^JhO5OJQJ^JhOhO5OJQJ^Jh^h+OJQJ^J h-h-CJ OJQJ^JaJ h^h-OJQJ^Jh-OJQJ^JhC.OJQJ^J{r $Ifgd- P$Ifgdykd $$IfTl4FmI) "  L*    4 laif4p ytT|q P$Ifgdxd$qqP$If]q^qa$gdjxgdOfkd$$IfTl4F0I) `&  L*4 laif4p ytOTl & FVP$If^VgdKP$If^gd P$Ifgdfkd=$$IfTl40I)`&  L*4 laif4p ytjT{{h & FVP$If^VgdK P$Ifgdykd$$IfTl4FmI) "  L*    4 laif4p ytT{n $If^gd- P$Ifgdykd$$IfTl4FmI) "  L*    4 laif4p ytT3|q P$Ifgd$qqP$If]q^qa$gdjxgdOfkdy$$IfTl4F0I) `&  L*4 laif4p yt[T345vP$If^gdK P$Ifgdfkd$$IfTl40I)`&  L*4 laif4p ytjTvxzxxxx $If^gd+ $Ifgd+ P$Ifgdfkd$$IfTl40I) `&  L*4 laif4p ytT&(*,.0JL۬ћ۬sfXMhhOJQJhh )5OJQJ^Jh^h )OJQJ^Jh+hOJQJ^JhKOJQJ^J hqhqCJ OJQJ^JaJ !jhOJQJU^J&jhOJQJU^JmHnHu!jhOJQJU^JhOJQJ^JjhOJQJU^Jh^hqOJQJ^JhqOJQJ^JMB7(P$If^gd+ P$Ifgd+ P$Ifgdkdo$$IfTl4-ֈ](I) ,~   L*4 laif4p ytT "$&>3 P$Ifgdkdk$$IfTl4Fֈ](I) ,~   L*4 laif4p ytOTP$If^gd+&(*,.0Jx PP$Ifgd8PgdR0fkd{$$IfTl4P0I) `&  L*4 laif4p ytT $If^gdqJLNHIst^_ $Ifgdyi $Ifgdo $Ifgd?Qkd$$IfTl4I)L*  L*4 laif4p ytT Ljwx$%GH`am۱ۘyj`VLV>VjhC.OJQJU^Jh[OJQJ^JhC.OJQJ^JhOJQJ^Jhoho0JOJQJ^J!jhoOJQJU^JjhoOJQJU^JhoOJQJ^JhOho0JOJQJ^JhOhl&0JOJQJ^J!jhOOJQJU^JhOOJQJ^JjhOOJQJU^JhOhl&OJQJ^Jhl&OJQJ^Jm]^htCK  d}peXVUhhOJQJ^Jhh )OJQJh^hoOJQJ^JhC.hC.0JOJQJ^J!j"hC.OJQJU^JhOJQJ^JhC.hC.OJQJ^JhC.hC.5OJQJ^JhoOJQJ^Jhl02hC.0JOJQJ^JjhC.OJQJU^JhC.OJQJ^Jh hC.OJQJ^J>b_4dSdTdUd.e/e $Ifgdyi & F $Ifgd $Ifgd?Jkd$$IfTl4{I)L*L*4 laif4p yt =TOffice of the Assistant Secretary for Health (OASH) Office of Global Affairs (OGA) Further information regarding Promoting Objectivity in Research can be found at the  HYPERLINK "http://www.gpo.gov/fdsys/pkg/FR-2011-08-25/pdf/2011-21633.pdf" Federal Register. (This link will open a .pdf file.)      SUBRECIPIENT FINANCIAL Conflict of Interest CERTIFICATION Edward Via College of Osteopathic Medicine Office of Research Administration Page  PAGE 1 of 2 Form Revised: 3.11.15 ddddddddee/e0e1e2e4e5e7e8e:e;e=e>eJeTeUeje޾|obP"hrhr5;CJOJQJaJhr5CJOJQJaJhb5CJOJQJaJ$hrN^5CJOJQJaJmHnHujh}UmHnHuh?jh?Uh )OJQJ^JhhOJQJhhyi0JOJQJ^J!jRhyiOJQJU^JjhyiOJQJU^Jh[OJQJ^JhyiOJQJ^J/e0e1e3e4e6e7e9e:ee4-f5҄K2TrlڀkT Cz`kB0KJwV^CcP68 5XLP >SP*:ydRQV/+' 8Tyoc}1*9^K>(F]Z>\ @I3mD8q?p2#WQ9ͅɬt@%k @y\Ol"JZs|p0ϠSQM8T%}X+'<m%KK2[>L4[ %‘_fJDYZVSŒjs,cwtaT+no74l A6'Mr2ʆ^x*s@:5)6{SP8>8pT2 䕋F Dz:+`Y$FR! SQwt{؛b N:Y(KXyI U%Qf5bZHOc ?-9yc X['*D5~uTx@Cdd /%mժKG&M`Pg0%@t4f:=ᄉBgĿ泧W~=by2 #_4W\ߜ-]vl9{6|n8&gɏeK/ uE#{N|ߏE[dzε!9Ǽ#{V-C{kn[tϟ3 '׭Xk wEϽҼ>ڳIJϸFӷɰұ900oGa@ܱ5əx۵|C򎭠00^$$I?_nvpD !^@𪄮^u p#tU] &8  M n禞\ 0/n9[n*A;@ H$[o̱T/8v%{8r7J'? ꤛznԥuXD`{Tvh+ }yMtESˮ]`(-[v&&;IQW ;M&g^s 8C&-p@|Dbj'(SJ>O%tuE(o@4p^|?$ t@i^z 5VBSOs[~ula 8_(`IgAC`;my]N=ؿ@޲# ) C&Ǯ6I5 i gOҶd>fEpfw:zr ܗ}ͯ/A(c%۵ GHt;;{UyJ 0΃$@_k }n/Yvkkn[l *|㭏4,Zf[V-thAh0r cң.ƙC這`1 V.gvRiucFݯJqFK:b,o<%v[o[s8ܾ3/ϊ>ψO'aƎ%&8ی=6xݲı<[ON[ vˈxbiY+r}' lݩkZ3U5bI){l#,@kHˌS!8zJ簪-~DbBA#b$庉̀(u!n:c( 1:`bP7xTuVdXرSh1a4Zx.%u`:9E?FQZeiyvc)6X$jV^V+ * <#iQZ׸۴(_Fdme!5Of4>?Y^)ڴ\Z8eS E"`ZyH3JSOK?Z A** 3lD1$b6a-9 T$7H"pV{b`S&F6֯]:M)PG3Rdbtos1ar>Fvʙn2^(-Mb Sa(02u 8ھ\ r?R)+ɏ=V7OSu\% ic!S$)i{n o[˭7IܟuTͧ"[:nÕr  (rR 89r0Mj9f3S2^anyv50%c*-Snd~P,@ Xy"̃&'! m:vlMnG`ŮɃ3,x$Y\Lrݑ@l/ˤddņ,=yyhuy6ZTZ&> "6Py}JeY'F g]/𒛫&N)" r{=!#\1V `9N=)2rG8qY-bC^Y$B/nY,bٽ$ぇt=xvLi'Jvr=ٸ(e{ke$(gu)yVx=Áh"&+)%F9)L 2Xٌ7<g} HYTb;XMx9tCvǖ"Ibna)d) pM!Q-dgby}IENDB`a$$If!vh#vL*:V l4L*5L*/ 4f4yt+TtDText7$$If!vh#v#v #v#v:V l4p  L*)v+,55 55/  / / / / /  4f4p ytTtDText9$$If!vh#v#v #v#v:V l4^  L*+55 55/  / / / / 4f4p ytTvDText10$$If!vh#v#v #v#v:V l4^  L*+55 55/  / / / / 4f4p ytTvDText10$$If!vh#v#v #v#v:V l4^  L*+55 55/  / / / / 4f4p ytT$$If!vh#v#v`&:V l4  L*+55`&/ 2 s4f4p ytT$$Ifi!vh#v#v`&:V l4  0L*)v+,55`&/ / / / 4aif4p ytjTtDeCheck3$$Ifi!vh#v#v#v":V l4  0L*+555"/ / / / 4aif4p ytTtDeCheck3$$Ifi!vh#v#v#v":V l4  0L*+555"/ / / / 4aif4p ytT$$Ifi!vh#v#v`&:V l4F  0L*+55`&/ / / / 4aif4p ytOT$$Ifi!vh#v#v`&:V l4  L*)v+,55`&/ /  4aif4p ytjTtDeCheck4$$Ifi!vh#v#v#v":V l4  L*+555"/ / / 4aif4p ytTtDeCheck5$$Ifi!vh#v#v#v":V l4  L*+555"/ / / 4aif4p ytT$$Ifi!vh#v#v`&:V l4F  L*+55`&/ 4aif4p ytOT$$Ifi!vh#v#v`&:V l4  L*)v+,55`&/ /  4aif4p ytjT$$Ifi!vh#v#v#v":V l4  L*+555"/ / / 4aif4p ytT$$Ifi!vh#v#v#v":V l4  L*+555"/ / / 4aif4p ytT$$Ifi!vh#v#v`&:V l4F  L*+55`&/ 4aif4p yt[T$$Ifi!vh#v#v`&:V l4  L*)v+,55`&/ /  4aif4p ytjT$$Ifi!vh#v#v`&:V l4  L*+55`&/ /  4aif4p ytT$$Ifi!vh#v#v#v,#v#v~ #v:V l4-  L*+,555,55~ 5/ / / / / 4aif4p ytTvDText11vDText12$$Ifi!vh#v#v#v,#v#v~ #v:V l4F  L*+,555,55~ 5/ / / / / 4aif4p ytOT$$Ifi!vh#v#v`&:V l4P  L*+,55`&/ 4aif4p ytT$$Ifi!vh#vL*:V l4  L*5L*/ 4aif4p ytTKDyK yK http://www.gpo.gov/fdsys/pkg/CFR-2012-title42-vol1/xml/CFR-2012-title42-vol1-part50-subpartF.xmlyX;H,]ą'c9DyK yK http://www.gpo.gov/fdsys/pkg/CFR-2012-title45-vol1/xml/CFR-2012-title45-vol1-part94.xmlyX;H,]ą'cDyK yK Jhttp://www.vcom.edu/ora/yX;H,]ą'cs$$Ifi!vh#vL*:V l4{L*5L*/ 4aif4p yt =TDyK yK http://www.gpo.gov/fdsys/pkg/FR-2011-08-25/pdf/2011-21633.pdfyX;H,]ą'ce$$Ifi!vh#vL*:V l4{L*5L*4aif4p yt =Ts666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH nH sH tH @`@ NormalOJQJ_HmH sH tH DA`D Default Paragraph FontRi@R  Table Normal4 l4a (k (No List jj O Table Grid7:V04@4 oHeader  !4 @4 oFooter  !.)@!. o Page NumberH2H 0 Balloon TextCJOJQJ^JaJ6U`A6 q-0 Hyperlink >*B*phPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭VvnB`2ǃ,!"E3p#9GQd; H xuv 0F[,F᚜K sO'3w #vfSVbsؠyX p5veuw 1z@ l,i!b I jZ2|9L$Z15xl.(zm${d:\@'23œln$^-@^i?D&|#td!6lġB"&63yy@t!HjpU*yeXry3~{s:FXI O5Y[Y!}S˪.7bd|n]671. tn/w/+[t6}PsںsL. J;̊iN $AI)t2 Lmx:(}\-i*xQCJuWl'QyI@ھ m2DBAR4 w¢naQ`ԲɁ W=0#xBdT/.3-F>bYL%׭˓KK 6HhfPQ=h)GBms]_Ԡ'CZѨys v@c])h7Jهic?FS.NP$ e&\Ӏ+I "'%QÕ@c![paAV.9Hd<ӮHVX*%A{Yr Aբ pxSL9":3U5U NC(p%u@;[d`4)]t#9M4W=P5*f̰lk<_X-C wT%Ժ}B% Y,] A̠&oʰŨ; \lc`|,bUvPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!R%theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] p tt XLmdjeee )./357 :  VY3v&J/eee!"#$%&'(*+,-046COU`lr".Qa m s | w  $ ` FFFFG$G$XG$G$FFXXXXX!t ,b$en9 r`8p@@ (    S Ah VCOM_multi_campus_logo_small_transparent_background"`0(  B S  ? )Jt@Text7Text9Text10Check3Check4Check5Text11Text12Dab } Wt#t -/0235689-/02356893  ,-/0235689  ,-/0235689Pfs [? xA; !#R`w&&K'\e@(x+%CP>U+MQBT^r3wJ|AnZ*]^s:2qfuZ1 Jpv:2^`o(. ^`hH. yL^y`LhH. I ^I `hH.  ^ `hH. L^`LhH. ^`hH. ^`hH. YL^Y`LhH.^`o(. ^`hH. yL^y`LhH. I ^I `hH.  ^ `hH. L^`LhH. ^`hH. ^`hH. YL^Y`LhH.^`o(. ^`hH. yL^y`LhH. I ^I `hH.  ^ `hH. L^`LhH. ^`hH. ^`hH. YL^Y`LhH.h^`OJQJo(hHhp^p`OJQJ^Jo(hHoh@ ^@ `OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHhP^P`OJQJ^Jo(hHoh ^ `OJQJo(hHh ^`hH.h ^`hH.h pL^p`LhH.h @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PL^P`LhH.h ^`o(hH. ^`hH. pL^p`LhH. @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PL^P`LhH.h^`OJQJo(hHh^`OJQJ^Jo(hHohp^p`OJQJo(hHh@ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohP^P`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohp^p`OJQJo(hHh@ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohP^P`OJQJo(hHh ^`o(hH. ^`hH. pL^p`LhH. @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PL^P`LhH.h ^`o(hH. ^`hH. pL^p`LhH. @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PL^P`LhH.h^`OJQJo(hHh^`OJQJ^Jo(hHohp^p`OJQJo(hHh@ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohP^P`OJQJo(hHh ^`o(hH. ^`hH. pL^p`LhH. @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PL^P`LhH. (]^sJ|AnT^K'+%Cpvqfu !#[? w&+MQ dvz        &R        >                                                                                         gf =KxjS O4t bZ&7!l&F'YV( )++-f.R05?C@DuGGKlXwZ^rN^r`xd8oiQje*oOo&sTyL@{}VC3?a&Mv!0DOHyi0h8P5Yyo~/5[ 3Y0FoA9-q!^vprJ W dd$# Kqj#$7^``O}q-C.j9-/@L p@p p@pp,@p@Unknown G*Ax Times New Roman5Symbol3. *Cx Arial;. *Cx Helvetica7. [ @VerdanaQ. *Microsoft Sans Serif5. .[`)Tahoma?= *Cx Courier New;WingdingsA$BCambria Math"1h\3g\3gtu *u *qx4"" 2QHP ?2! xx 3Edward Via Virginia College of Osteopathic MedicineppheleyStormageddon, Dark Lord of All<         Oh+'0  4@ ` l x 4Edward Via Virginia College of Osteopathic MedicineppheleyNormal Stormageddon, Dark Lord of All3Microsoft Office Word@@` a@x6\@x6\u՜.+,D՜.+,d  hp  EVVCOM* " 4Edward Via Virginia College of Osteopathic Medicine Title8 8@ _PID_HLINKSA$LQ)>http://www.gpo.gov/fdsys/pkg/FR-2011-08-25/pdf/2011-21633.pdf@ &http://www.vcom.edu/ora/;>##http://www.vcom.edu/ora/ORApp.html!/ Xhttp://www.gpo.gov/fdsys/pkg/CFR-2012-title45-vol1/xml/CFR-2012-title45-vol1-part94.xmlHahttp://www.gpo.gov/fdsys/pkg/CFR-2012-title42-vol1/xml/CFR-2012-title42-vol1-part50-subpartF.xml;>#http://www.vcom.edu/ora/ORApp.html  !"#$%&'()*+,-./0123456789:;<=>?@ACDEFGHIJKLMNOPRSTUVWXYZ[\]^_`abcdefghijklmnopqrsuvwxyz{}~Root Entry F6\Data B1TableQEWordDocumentSummaryInformation(tDocumentSummaryInformation8|CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q