1) Your Name: Lyman Chapin


Lyman Chapin

Picture/Image:
(Instructions: Click in the field to the right to open up the text input window. Then click the <Insert> menu button, select <Image>, then choose (or browse) to locate an image file (e.g., JPG, PNG, BMP) from your local computer to upload. After insertion, please click on the picture and adjust the size to no larger than 200 pixels).

2) Stakeholder Group: SSAC

Not Applicable

3) Constituency:

Not Applicable

4) ICANN Affiliation (if not covered by item 2 or 3):


SSAC

5) Please identify your current employer(s): Interisle Consulting Group


Interisle Consulting Group

6) Please identify your current position(s): Principal


Principal

7) Please identify the type(s) of work performed: Internet technology consulting


Internet technology consulting

8) Please identify your declared country of primary residence (e.g., country to which you pay taxes): USA


USA

9) Please list any financial relationship beyond de minimis stock ownership you may have with any company that to your knowledge has a financial relationship or contract with ICANN: My company has a consulting contract with ICANN.


My company has a consulting contract with ICANN.

10) Do you believe you are participating in the GNSO policy process as a representative of any individual or entity, whether paid or unpaid? No

No

If the answer is “Yes,” please provide the name of the represented individual or entity. (If professional ethical obligations prevent you from disclosing this information, please enter "Private"):
11) Please identify any other relevant arrangements, interests, or benefits as requested in the following two questions:

a) Do you have any type of material interest in ICANN GNSO policy development processes and outcomes? No


No

If the answer is “yes,” please describe the material interest in ICANN GNSO policy development processes and outcomes:


b) Are there any arrangements/agreements between you and any other group, constituency or person(s) regarding your participation as a work team member? Yes


Yes

If the answer is “yes,” please describe the arrangements/agreements and the name of the group, constituency, or person(s): I have been appointed to participate in the work team by SSAC (of which I am a member), but am under no obligation to act in their interest or on their behalf.


I have been appointed to participate in the work team by SSAC (of which I am a member), but am under no obligation to act in their interest or on their behalf.

12) Please identify any Working Groups or other chartered teams in which you are participating (include acronyms, if applicable): None


None

13) Additional Information (optional):


 

14) Page last revised:




===========================

SOI Template v5 (6 Feb 2014)

For comments, suggestions, or technical support concerning this space, please email: ICANN Policy Department
© 2015 Internet Corporation For Assigned Names and Numbers