Code of Conduct Questionnaire
Code of Conduct Questionnaire
1. Are you an officer, board member, or board advisor or own over 5% of an entity, other than Inter? If the answer is
"No", please go to question 3,
wk"No 4 Yes If you answered "Yes", please provide the name of the company or other entity for which you serve as an
officer, board member, or board advisor or of which you own over 5%: _____________
3. Are you currently employed or do you have any financial or business interest that could present a conflict of interest
sucl) as consulting, operating a personal business, holding political office, etcetera, outside of Intel?
..,KNo 4 Yes If you answered "Yes", please provide the name of the employer or the nature of the financial or business
interest _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
4. If you answered "Yes" to question 3, does this outside employment or financial or business interest relate to or
resemble business conducted at Intel; or, could your outside employment or financial or business activity have a direct
or adverse impact on your ability to make sound business decisions in the interest of Intel?
4 No4 Yes
Rev 9/2011
Distribution: White Copy- US Records CHZ-171 YeUaw Copy- Employee Pink Copy- CH2-171