Archived Conflict of Interest Forms

Signed Commitment Letters & Conflict of Interest Disclosures 2022

• David Dodick – Chair
• Orly Avitzur
• Merit Cudkowicz
• David Eagleman
• James Essey
• Jaqueline French
• Dan Gasby
• Robert Griggs
• James Grotta
• Frances Jensen
• Ben Lenail
• Ralph Leslie
• Ronald Petersen
• Alyx Porter
• Mary Post
• Jane Ransom
• Sean Sansiveri

Signed Commitment Letters & Conflict of Interest Disclosures 2021:

• David Dodick – Chair
• Susan Schneider Williams
• Shafali Jeste
• David Eagleman
• Jacqueline French
• James Grotta
• Robert Griggs
• Frances Jensen
• Ben Lenail 
• Cindy Hensley McCain
• Suzanne Miller
• Alyx Porter 
• Jane Ransom
• Sean Sansiveri
• Martin Shenkman
• Ken Shubin Stein
  

Signed Commitment Letters & Conflict of Interest Disclosures 2020:

• Susan Schneider Williams
• James Essey
• Shafali Jeste
• Kevin Goodno
• David Eagleman
• James Erwin
• Jacqueline French
• James Grotta
• Frances Jensen
• Sharon Klein
• Robert Griggs
• Ronald Peterson
• Martin Shenkman
• Joseph Sirven

Signed Commitment Letters & Conflict of Interest Disclosures 2018:

• Kevin Goodno, Chair
• David W. Dodick, MD
• David Eagleman, PhD
• James A. Essey
• Dan Gasby
• Robert C. Griggs, MD
• James C. Grotta, MD
• Shafali Jeste, MD
• Ralph F. Józefowicz, MD
• John C. Mazziotta, MD, PhD
• Bruce Miller, MD
• Jane Ransom
• Jeffrey Rosenfeld, MD, PhD
• Catherine M. Rydell, CAE
• Ralph Sacco, MD, MS
• Joseph I. Sirven, MD
• Martin Shenkman, CPA, MBA, PFS, AEP, JD
• Lisa M. Shulman, MD
• A. Gordon Smith, MD
• Ben Utecht
• Susan Schneider Williams, BFA

Conflict of Interest Disclosures for 2017

• Kevin Goodno, Chair
• Ralph F. Józefowicz, MD
• John C. Mazziotta, MD, PhD
• Bruce Miller, MD
• Catherine M. Rydell, CAE
• Ralph L. Sacco, MD, MS
• Martin Shenkman, CPA, MBA, PFS, AEP, JD
• Lisa M. Shulman, MD
• Joseph I. Sirven, MD
• A. Gordon Smith, MD
• Susan Schneider Williams, BFA