1) Your Name: |
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Picture/Image: | |
2) Stakeholder Group: | Commercial |
3) Constituency: | Intellectual Property (IPC) |
4) ICANN Affiliation (if not covered by item 2 or 3): |
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5) Please identify your current employer(s): |
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6) Please identify your current position(s): |
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7) Please identify the type(s) of work performed: |
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8) Please identify your declared country of primary residence (e.g., country to which you pay taxes): |
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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: |
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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? | 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? |
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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? |
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If the answer is “yes,” please describe the arrangements/agreements and the name of the group, constituency, or person(s): | |
12) Please identify any Working Groups or other chartered teams in which you are participating (include acronyms, if applicable): | Discussion Group and Writing Team member, Name Collision Analysis Project (NCAP) Previous Roles: CSG appointed voting member to the CCWG Auction Proceeds Subsequent Procedures Working Group member Cross-Community Working Group on Accountability - Participant CCWG-Accountability WS2 - Human Rights - Participant GNSO Policy and Implementation Working Group member GNSO Standing Committee on Improvement Implementation - 2015 Chair, 2016 Vice Chair |
13) Additional Information (optional): | I previously represented two U.S. federally-recognized Indian Tribes, a video-game publishing and merchandising company, two non-profit agencies serving individuals with Parkinson's disease and Vision Impairment respectively, an opera company, a casino with entertainment operations, a defense contractor, three museums (one for indigenous people), various restaurant and clothing retailers, an old southwestern town tourist attraction, and various authors and artists. I am a former member of INTA's Harmonization of Trademark Law and Practice Committee, International Cooperation Developments Subcommittee. I am a former member of the INTA Internet Committee, gTLD subcommittee and the INTA Non-Traditional Marks Committee, Right of Publicity Subcommittee. |
14) Page last revised: |
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SOI Template v5 (6 Feb 2014)