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1) Your Name: |
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Picture/Image: |
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2) Stakeholder Group: | Registrar
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3) Constituency: | Not Applicable
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4) ICANN Affiliation (if not covered by item 2 or 3): |
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5) Please identify your current employer(s): | Web.com Group, Inc.
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6) Please identify your current position(s): | SVP, Domains
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7) Please identify the type(s) of work performed: | Domains, Policy & Regulation
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8) Please identify your declared country of primary residence (e.g., country to which you pay taxes): | USA
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9) Please list any financial relationship beyond de minimus stock ownership you may have with any company that to your knowledge has a financial relationship or contract with ICANN: | No financial relationships aside from my employment with Web.com Group, Inc.
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10) Do you believe you are participating in the GNSO policy process as a representative of any individual or entity, whether paid or unpaid? | Yes
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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"): | Representing Web.com Group, Inc. and affiliated Registrars
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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
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If the answer is “yes,” please describe the material interest in ICANN GNSO policy development processes and outcomes: |
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b) Are there any arrangements/agreements between you and any other group, constituency or person(s) regarding your participation as a work team member? | No
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If the answer is “yes,” please describe the arrangements/agreements and the name of the group, constituency, or person(s): |
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12) Please identify any Working Groups or other chartered teams in which you are participating (include acronyms, if applicable): |
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13) Additional Information (optional): | Primary Language: English Time Zone: Eastern Email: bwiegand@web.com | |||||||
14) Page last revised: |
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SOI Template v4 (23 Jan 2014)