Form 1

Means To Demonstrate U.S. Ownership and Control of a Qualified Health Information Network (QHIN) Standard Operating Procedure (SOP) Questionnaire

Question 5.

Do any Non-U.S. Person(s) serve as members of the Applicant’s board of directors (or similar governing body), Designated Network Governance Body, officers, executive personnel, general partners, regents, trustees, or senior management officials? If yes, please explain.

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