COMMITTEE APPLICATION FORM First Name: Home Phone #: Daytime Phone #: Address: Last Name: Mobile Phone#: Email Address: City: Highlands Ranch, CO Zip: 1. Please check the committee for which you are applying: Architectural Committee Development Review Committee Finance Committee Tribunal Hearings Panel Other 2. Will you have the time required to fulfill the duties of this position? Yes No 3. Are you able to attend the necessary Meetings? Yes No 4. Do you currently hold a committee position? Yes No 5. If yes, which committee and when? Page 1 of 2
6. Have you volunteered for a HRCA Committee Before? Yes No 7. Summarize your background and community involvement. What if any qualifications do you posses that might be an asset to the HRCA? 8. Please attach a current resume. 9. Please attach a letter of interest or statement of qualifications and experience indicating (a) Why you are interested in serving on this committee. (b) State your background, experience, qualifications, and education are best suited to serving on the committee, and (c) Why you should be considered for appointment. 10. Have you reviewed the conflict of interest policy? Yes No 11. Please fill out the attached disclosure statement for the Conflict of Interest Policy. I certify that this report is true, complete, and correct to the best of my knowledge. Printed Name Signature Admin Use Only Received by: :_ Applying for: Application Completed Resume Attached Letter of Interest COI Disclosure Page 2 of 2
DISCLOSURE STATEMENT UNDER CONFLICT OF INTEREST POLICY I, a DIRECTOR, OFFICER, COMMITTEE MEMBER OR APPLICANT COMMITTEE MEMBER of the Highlands Ranch Community Association, Inc., declare that I have reviewed the annual disclosure statement and HRCA s Conflict of Policy. I further understand that HRCA is a social welfare organization and that to maintain Federal Tax Exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. Check applicable box: / / I have no known past, present or future conflicts of interest that must be disclosed. / / I wish to disclose the following matter(s) that maybe a conflict o f interest: Signature Received and Reviewed by the Board of Directors on the Set Forth Below: Director s Signature Director s Signature Director s Signature Director s Signature Director s Signature
HRCA Conflict of Interest Policy (Adopted April 19, 2005) (Revised Policy Adopted July 19, 2005) Article I Purpose The purpose of the conflict of interest policy is to protect the interest of Highlands Ranch Community Association, Inc., a Colorado nonprofit tax-exempt organization ( HRCA ), when HRCA is contemplating entering into a transaction or arrangement that might benefit the private interest of an officer or director of HRCA, might result in a possible excess benefit transaction, or might be contrary to applicable Colorado law or public policy applicable to homeowners associations. This policy is intended to supplement but not replace any applicable state and federal law that governs conflicts of interest applicable to nonprofit and social welfare organizations. 1. Interested Person Article II Definitions Any director, principal officer, or member of a committee with Board of Director delegated powers, who has a direct or indirect financial interest, as defined below, is an interested person. 2. Financial Interest A person has a financial interest if the person has, directly or indirectly, through business, investment, or family a. An ownership or investment interest in any entity with which HRCA has a transaction or arrangement, b. A compensation arrangement with HRCA or with any entity or individual with which HRCA has a transaction or arrangement, or, c. A potential ownership or investment interest in, or compensation arrangement with, any entity or individual with which HRCA is negotiating a transaction or arrangement. Compensation includes direct and indirect remuneration as well as gifts or favors that are not substantial. Page 1of 7
A financial interest is not necessarily a conflict of interest. Under Article III, Section 2, a person who has a financial interest may have a conflict of interest only if the Board of Directors or committee decides that a conflict of interest exists. Notwithstanding the above, if any contract, decision, or other action taken by or on behalf of the Board of Directors, whether or not such contract, decision, or other action is required to be approved by the Board of Directors or may be approved by the community manager or by a staff member authorized by the Board of Directors to enter into or make any such contract, decision, or to take such other action, would financially benefit any member of the Board of Directors or any person who is a parent, grandparent, spouse, child or sibling of a member of the Board of Directors or a parent or spouse of any of those persons, that member of the Board of Directors shall declare a conflict of interest for that issue. 1. Duty to Disclose Article III Procedures In connection with any actual or possible conflict of interest an interested person must disclose the existence of the financial interest in an open meeting prior to any discussion or action on that issue and be given the opportunity to disclose all material facts to the Board of Directors and members of the committees with Board of Directors delegated powers considering the proposed transaction or arrangement. 2. Determining Whether a Conflict of Interest Exists After disclosure of the financial interest and all material facts, and after any discussion with the interested person, he/she shall leave the Board of Directors or committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining board or committee members shall decide if a conflict of interest exists. 3. Procedures for Addressing the Conflict of Interest a. An interested person may make a presentation at the Board of Directors or committee meeting, but after the presentation, he/she shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement involving the possible conflict of interest. b. The chairperson of the Board of Directors or committee shall, if appropriate, appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. Page 2of 7
c. After exercising due diligence, the Board of Directors or committee shall determine whether HRCA can obtain with reasonable efforts a more advantageous transaction or arrangement from a person or entity that would not give rise to a conflict of interest. d. If a more advantageous transaction or arrangement is not reasonably possible under circumstances not producing a conflict of interest, the Board of Directors or committee shall determine by a majority vote of the disinterested directors whether the transaction or arrangement is in HRCA s best interest, for its own benefit, and whether it is fair and reasonable. In conformity with the above determination it shall make its decision as to whether to enter into the transaction or arrangement. e. An interested member of the Board of Directors shall not vote on any issue in which said member of the Board of Directors has an interest. 4. Violations of the Conflicts of Interest Policy If the Board of Directors or committee has reasonable cause to believe a member has failed to disclose actual or possible conflicts of interest, it shall inform the member of the basis for such belief and afford the member an opportunity to explain the alleged failure to disclose. If, after hearing the Board or committee member's response and after making further investigation as warranted by the circumstances, the Board of Directors or committee determines that the Board or committee member has failed to disclose an actual or possible conflict of interest, it shall take appropriate disciplinary and corrective action. 5. Colorado Law a. Loans. No loans shall be made by HRCA to its officers or directors. Any director or officer who assents to or participates in the making of any such loan shall be liable to HRCA for the amount of such loan until repayment thereof. b. Compliance with Colorado Law. Notwithstanding any other provisions herein, HRCA shall follow all of the requirements of C.R.S. 7-128-501 and C.R.S. 38-33.3-310.5 or any revisions or supplements thereto. c. Any contract entered into in violation of C.R.S. 38-33.3-310.5 is void and unenforceable. 6. Exercise of Powers a. All members of the Board of Directors shall exercise their powers and duties in good faith and in the interest of, and with the utmost Page 3of 7
b. loyalty to HRCA. All members of the Board of Directors shall comply with all lawful provisions of HRCA s Community Declaration, Bylaws, Rules and Regulations and Policies and Procedures. c. In addition to the above, the following limitations are placed upon all directors, principal officers, or members of a committee with Board of Director delegated powers: 1) Directors, principal officers, or members of a committee with Board of Director delegated powers shall not recommend or suggest to HRCA or to any of its employees, the use of services or the purchase of products of another organization or business entity in which an HRCA director or officer has a direct or indirect interest; 2) Directors, principal officers, or members of a committee with Board of Director delegated powers shall not use their office for personal gain, whether financial, political or otherwise; 3) Directors, principal officers, or members of a committee with Board of Director delegated powers shall disclose any relationship that a director or family member has with any vendor, supplier, consultant or agent, etc., including serving as an unpaid officer, director, or consultant, as soon as the director becomes aware of the potential conflict of interest; 4) Directors, principal officers, or members of a committee with Board of Director delegated powers shall disclose any relationship that a director or family member has with any vendor, supplier, consultant or agent, etc., that results in a director or family member receiving from that vendor, supplier, consultant or agent, etc., any type of direct or indirect compensation as soon as the director becomes aware of the potential conflict of interest; and 5) Directors, principal officers, or members of a committee with Board of Director delegated powers shall not disclose information about the corporation s legitimate activities unless they are already known by the public or are of public record. Article IV Records of Proceedings The minutes of the Board of Directors and all committees with Board of Directors delegated powers shall contain: Page 4of 7
a. The names of the persons who disclosed or otherwise were found to have a financial or other interest in connection with an actual or possible conflict of interest, the nature of the financial or other interest, any action taken to determine whether a conflict of interest was present, and the Board of Directors or committee s decision as to whether a conflict of interest in fact existed. b. The names of the persons who were present for discussions and votes relating to the transaction or arrangement, the content of the discussion, including any alternatives to the proposed transaction or arrangement, and a record of any votes taken in connection with the proceedings. Article V Compensation A voting member of the Board of Directors who receives compensation, directly or indirectly, from HRCA for services is precluded from voting on matters pertaining to that member's compensation. A voting member of any committee whose jurisdiction includes compensation matters and who receives compensation, directly or indirectly, from HRCA for services is precluded from voting on matters pertaining to that member's compensation. No voting member of the Board of Directors or any committee whose jurisdiction includes compensation matters and who receives compensation, directly or indirectly, from HRCA, either individually or collectively, is prohibited from providing information to any committee regarding compensation. Article VI Annual Statements Each director, principal officer and member of a committee with Board of Directors delegated powers shall annually sign a statement, which affirms such person: a. Has received a copy of the conflict of interest policy, b. Has read and understands the policy, c. Has agreed to comply with the policy, and d. Understands HRCA is a social welfare organization and in order to maintain its federal tax exemption it must engage primarily in activities, which accomplish one or more of its tax-exempt purposes; and Page 5of 7
e. Understands that HRCA is a Colorado nonprofit corporation and homeowners association subject to the requirements of C.R.S. 7-128- 501 and C.R.S. 38-33.3-310.5. Disclosure statements are to be updated periodically when financial or other interests, relationships, transactions, activities or situations may cause an actual or potential conflict of interest to arise. Disclosures required under Article III, Paragraph 6. b., as set forth above, shall be made promptly in the updated disclosure statements. The disclosing director, principal officer or member of a committee with Board of Directors shall immediately circulate any such disclosure statement upon completion thereof to all of the directors and each director shall sign the disclosure form upon receipt and review thereof acknowledging receipt of the disclosure. Article VII Periodic Reviews To ensure HRCA operates in a manner consistent with its nonprofit corporate, homeowners association and social welfare purposes and does not engage in activities that could jeopardize its tax-exempt status or Colorado state law requirements, periodic reviews shall be conducted. The periodic reviews shall, at a minimum, include the following subjects: a. If there are new or major changes in compensation of disqualified persons, whether such compensation arrangements and benefits are reasonable, based on competent survey information, and the result of arm s length bargaining. b. In the event that there should be any partnerships, joint ventures, and arrangements with management organizations, whether they conform to HRCA's written policies, are properly recorded, reflect reasonable investment or payments for goods and services, further social welfare purposes and do not result in inurement, impermissible private benefit or in an excess benefit transaction. c. If there are changes in Colorado homeowners association or nonprofit corporate requirements which should be considered in the contracts or procedures of HRCA. Page 6of 7
Article VIII Use of Outside Experts When conducting the periodic reviews as provided for in Article VII, HRCA may, but need not, use outside advisors. If outside experts are used, their use shall not relieve the Board of Directors of its responsibility for ensuring periodic reviews are conducted. Article IX Competition in Contracting In the event that HRCA determines the need to procure outside suppliers or contractors, HRCA shall select such contractors in accordance with HRCA s Bid Policies and Procedures. Page 7of 7