To: Secretary of the Corporations, VP Operations

      DAMA International

Annual Disclosure of Conflicts of Interest

RE: Compliance with Board of Directors' Conflict of Interest Policy

This is to confirm that I have read and understand the DAMA-I Board of Directors' Conflict of Interest Policy, and that I understand that DAMA-I is a tax-exempt non-profit organization that must engage primarily in activities that accomplish one or more of its tax-exempt purposes in order to maintain its federal tax exemption and that, as a tax-exempt organization, it is prohibited from providing a substantial private benefit to anyone. If it does, DAMA-I risks losing its tax-exempt status.

Check only one:

_____ I am in full compliance with the policy

_____ I am not (may not be) in compliance for the reason(s) stated below:

Signature: ________________________________________     Date: __________

Name (printed): __________________________________

Title/Responsibility: ______________________________

(NOTE: RETURN ORIGINAL to the Secretary of the DAMA-I Corporation/VP of Operations; RETAIN A DUPLICATE FOR YOUR FILES)