Conflict of Interest Disclosure Log
Instructions for Use
This log is the Compliance Officer's register of every conflict of interest disclosure and its determination. POL-009 (Conflicts of Interest), Section 5.0, Steps 4 and 6, requires the Compliance Officer to record routine determinations in a disclosure log and to report a summary of disclosures and management plans to the Compliance Committee at least annually. This register satisfies those requirements.
Who maintains this log: the Compliance Officer. The log is retained in the compliance program files and is not circulated.
How to use this log:
- Record one row for every disclosure received (CFM-002), including annual "no conflicts" attestations.
- Enter the workforce member's name and role, the date of the disclosure, and the trigger (at hire, annual refresh, or change within 10 business days).
- Summarize what was disclosed in one or two lines. For a "no conflicts" attestation, record "No conflicts attested."
- Record the determination, conflict or no conflict, and the date it was made.
- Where a conflict exists, record the management plan reference (CFM-003) and keep the plan status current (Active, Under review, or Closed).
- At least annually, use this log to prepare the summary report of disclosures and management plans for the Compliance Committee (see the note below the register).
- Disclosures involving the Compliance Officer are logged by the Executive Director; disclosures involving the Executive Director are logged by the Compliance Committee, consistent with the routing in POL-009, Section 5.2.
Form Realization and Fallback
This is the canonical, authoritative version of Form CFM-004, maintained in the compliance documentation. It defines the columns, fields, and structure that any realization of the log must capture.
ABAS may maintain this log through an electronic realization: a spreadsheet, a database, or a compliance management system that records submissions directly to company files. Any electronic realization must capture the same content and carry the form identifier CFM-004, so the policy and SOP refer to the log by its identifier rather than to any one channel.
The documented log here is always available as a fallback. It can be printed and maintained on paper whenever the electronic register is unavailable or a paper record is otherwise needed, for example during a system outage or a loss of internet access.
Alternate-language and electronically read (screen-reader) versions are derived from this canonical form and must match it, so the same content stays authoritative across every realization.
Disclosure Log
Conflict of Interest Disclosure Log
Maintained by: Compliance Officer · Location: Compliance program files
Record one row per disclosure received. The trigger is one of: At hire, Annual, or Change (within 10 business days). The determination is Conflict or No conflict. Plan status applies only where a conflict exists: Active, Under review, or Closed.
| Entry ID | Name | Role | Disclosure Date | Trigger | Disclosure Summary | Determination | Determination Date | Management Plan (CFM-003) Ref. | Plan Status |
|---|---|---|---|---|---|---|---|---|---|
Annual Summary Report to the Compliance Committee
At least annually, the Compliance Officer prepares a summary from this log for the Compliance Committee (POL-009, Section 5.0, Step 6). The summary reports counts and themes, not individual identities unless the Committee requires them.
| Field | Entry |
|---|---|
| Reporting Period | |
| Total Disclosures Received | |
| "No Conflicts" Attestations | |
| Conflicts Identified | |
| Management Plans Active at Period End | |
| Management Plans Closed During Period | |
| Notable Themes or Recurring Issues | |
| Prepared By (Compliance Officer) | |
| Date Reported to Compliance Committee |
Form CFM-004 · Owning policy: POL-009 (Conflicts of Interest). Version number and effective date are set in ABAS's document-control record at adoption.
Retention
The disclosure log is part of the compliance program files. Per POL-009, Section 5.0, Step 6:
- The Compliance Officer retains the log, the underlying disclosure forms (CFM-002), and any management plans (CFM-003) in the compliance program files.
- The log is the source for the at-least-annual summary report to the Compliance Committee.
The Compliance Officer is custodian of the disclosure log and maintains it at a company-owned level, consistent with the compliance program's records practices.