{"page.id":"106799287","macro.hash":"1d2a49a1-4f8c-4d80-b596-5dec6f741cd9","contentAdfStringified":"{\"type\":\"doc\",\"version\":1,\"content\":[{\"type\":\"paragraph\",\"content\":[{\"text\":\"IMPORTANT\",\"type\":\"text\",\"marks\":[{\"type\":\"underline\"},{\"type\":\"textColor\",\"attrs\":{\"color\":\"#ff0000\"}},{\"type\":\"em\"}]},{\"text\":\": (1) \",\"type\":\"text\",\"marks\":[{\"type\":\"textColor\",\"attrs\":{\"color\":\"#ff0000\"}},{\"type\":\"em\"}]},{\"text\":\"Please use the menu option at the top of this page when updating this page/form; and (2) \",\"type\":\"text\",\"marks\":[{\"type\":\"textColor\",\"attrs\":{\"color\":\"#ff0000\"}},{\"type\":\"em\"}]},{\"text\":\"You must be logged in to this site with a valid Username/Password in order to add/change SOI information. \",\"type\":\"text\",\"marks\":[{\"type\":\"textColor\",\"attrs\":{\"color\":\"#ff0000\"}},{\"type\":\"em\"}]}]},{\"type\":\"table\",\"content\":[{\"type\":\"tableRow\",\"content\":[{\"type\":\"tableHeader\",\"attrs\":{\"colspan\":1,\"rowspan\":1},\"content\":[{\"type\":\"paragraph\",\"content\":[{\"text\":\"1) Your Name:\",\"type\":\"text\"}]}]},{\"type\":\"tableCell\",\"attrs\":{\"colspan\":1,\"rowspan\":1},\"content\":[{\"type\":\"paragraph\",\"content\":[{\"type\":\"hardBreak\"}]},{\"type\":\"extension\",\"attrs\":{\"extensionType\":\"com.atlassian.confluence.macro.core\",\"extensionKey\":\"paragraph\",\"parameters\":{\"id\":\"00n7fezjje\",\"extensionKey\":\"paragraph\",\"name\":\"NAME\",\"isRequired\":false,\"width\":\"250px\",\"content\":\"text\",\"atlassian-macro-output-type\":\"INLINE\"},\"layout\":\"default\"}},{\"type\":\"paragraph\",\"content\":[{\"type\":\"hardBreak\"}]}]}]},{\"type\":\"tableRow\",\"content\":[{\"type\":\"tableHeader\",\"attrs\":{\"colspan\":1,\"rowspan\":1},\"content\":[{\"type\":\"paragraph\",\"content\":[{\"text\":\"Personal Profile Picture/Image (Optional): \",\"type\":\"text\"},{\"type\":\"hardBreak\"},{\"text\":\"(\",\"type\":\"text\",\"marks\":[{\"type\":\"em\"}]},{\"text\":\"Instructions\",\"type\":\"text\",\"marks\":[{\"type\":\"underline\"},{\"type\":\"em\"}]},{\"text\":\": Click in the field to the right to open up the text input window. Then click the menu button, select , 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).\",\"type\":\"text\",\"marks\":[{\"type\":\"em\"}]}]}]},{\"type\":\"tableCell\",\"attrs\":{\"colspan\":1,\"rowspan\":1},\"content\":[{\"type\":\"paragraph\",\"content\":[{\"type\":\"hardBreak\"}]},{\"type\":\"extension\",\"attrs\":{\"extensionType\":\"com.atlassian.confluence.macro.core\",\"extensionKey\":\"paragraph\",\"parameters\":{\"id\":\"grhmsqhzz1\",\"extensionKey\":\"paragraph\",\"name\":\"IMAGE\",\"isRequired\":false,\"atlassian-macro-output-type\":\"BLOCK\"},\"layout\":\"default\"}},{\"type\":\"paragraph\",\"content\":[{\"type\":\"hardBreak\"}]}]}]},{\"type\":\"tableRow\",\"content\":[{\"type\":\"tableCell\",\"attrs\":{\"colspan\":1,\"background\":\"#f0f0f0\",\"rowspan\":1},\"content\":[{\"type\":\"paragraph\",\"content\":[{\"text\":\"2) Stakeholder 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Constituency:\",\"type\":\"text\"}]}]},{\"type\":\"tableCell\",\"attrs\":{\"colspan\":1,\"rowspan\":1},\"content\":[{\"type\":\"paragraph\",\"content\":[{\"type\":\"hardBreak\"}]},{\"type\":\"paragraph\",\"content\":[{\"type\":\"inlineExtension\",\"attrs\":{\"extensionType\":\"com.atlassian.confluence.macro.core\",\"extensionKey\":\"custom-list\",\"parameters\":{\"id\":\"suif6o73p1\",\"extensionKey\":\"custom-list\",\"options\":\"Business (BC)\\nIntellectual Property (IPC)\\nInternet Service Providers (ISPC)\\nNon-Commercial Users (NCUC)\\nNot-for-Profit Operational Concerns (NPOC)\\nNot Applicable\",\"name\":\"CONSTITUENCY\",\"isRequired\":false,\"isMulti\":false,\"atlassian-macro-output-type\":\"BLOCK\"}}}]},{\"type\":\"paragraph\",\"content\":[{\"type\":\"hardBreak\"}]}]}]},{\"type\":\"tableRow\",\"content\":[{\"type\":\"tableHeader\",\"attrs\":{\"colspan\":1,\"rowspan\":1},\"content\":[{\"type\":\"paragraph\",\"content\":[{\"text\":\"4) ICANN Affiliation (if not covered by item 2 or 3):\",\"type\":\"text\"}]}]},{\"type\":\"tableCell\",\"attrs\":{\"colspan\":1,\"rowspan\":1},\"content\":[{\"type\":\"paragraph\",\"content\":[{\"type\":\"hardBreak\"}]},{\"type\":\"extension\",\"attrs\":{\"extensionType\":\"com.atlassian.confluence.macro.core\",\"extensionKey\":\"paragraph\",\"parameters\":{\"id\":\"8rdovl1e6p\",\"extensionKey\":\"paragraph\",\"name\":\"AFFIL\",\"isRequired\":false,\"width\":\"250px\",\"content\":\"text\",\"atlassian-macro-output-type\":\"INLINE\"},\"layout\":\"default\"}},{\"type\":\"paragraph\",\"content\":[{\"type\":\"hardBreak\"}]}]}]},{\"type\":\"tableRow\",\"content\":[{\"type\":\"tableHeader\",\"attrs\":{\"colspan\":1,\"rowspan\":1},\"content\":[{\"type\":\"paragraph\",\"content\":[{\"text\":\"5) Please identify your current employer(s):\",\"type\":\"text\"}]}]},{\"type\":\"tableCell\",\"attrs\":{\"colspan\":1,\"rowspan\":1},\"content\":[{\"type\":\"paragraph\",\"content\":[{\"type\":\"hardBreak\"}]},{\"type\":\"extension\",\"attrs\":{\"extensionType\":\"com.atlassian.confluence.macro.core\",\"extensionKey\":\"paragraph\",\"parameters\":{\"id\":\"0fkfkuef5e\",\"extensionKey\":\"paragraph\",\"name\":\"EMPLOYER\",\"isRequired\":false,\"width\":\"250px\",\"content\":\"text\",\"atlassian-macro-output-type\":\"INLINE\"},\"layout\":\"default\"}},{\"type\":\"paragraph\",\"content\":[{\"type\":\"hardBreak\"}]}]}]},{\"type\":\"tableRow\",\"content\":[{\"type\":\"tableHeader\",\"attrs\":{\"colspan\":1,\"rowspan\":1},\"content\":[{\"type\":\"paragraph\",\"content\":[{\"text\":\"6) Please identify your current position(s):\",\"type\":\"text\"}]}]},{\"type\":\"tableCell\",\"attrs\":{\"colspan\":1,\"rowspan\":1},\"content\":[{\"type\":\"paragraph\",\"content\":[{\"type\":\"hardBreak\"}]},{\"type\":\"extension\",\"attrs\":{\"extensionType\":\"com.atlassian.confluence.macro.core\",\"extensionKey\":\"paragraph\",\"parameters\":{\"id\":\"jxnri3v4f9\",\"extensionKey\":\"paragraph\",\"name\":\"POSITION\",\"isRequired\":false,\"width\":\"250px\",\"content\":\"text\",\"atlassian-macro-output-type\":\"INLINE\"},\"layout\":\"default\"}},{\"type\":\"paragraph\",\"content\":[{\"type\":\"hardBreak\"}]}]}]},{\"type\":\"tableRow\",\"content\":[{\"type\":\"tableHeader\",\"attrs\":{\"colspan\":1,\"rowspan\":1},\"content\":[{\"type\":\"paragraph\",\"content\":[{\"text\":\"7) Please identify the type(s) of work performed:\",\"type\":\"text\"}]}]},{\"type\":\"tableCell\",\"attrs\":{\"colspan\":1,\"rowspan\":1},\"content\":[{\"type\":\"paragraph\",\"content\":[{\"type\":\"hardBreak\"}]},{\"type\":\"extension\",\"attrs\":{\"extensionType\":\"com.atlassian.confluence.macro.core\",\"extensionKey\":\"paragraph\",\"parameters\":{\"id\":\"mq915sltdp\",\"extensionKey\":\"paragraph\",\"name\":\"WORK\",\"isRequired\":false,\"width\":\"250px\",\"content\":\"text\",\"atlassian-macro-output-type\":\"INLINE\"},\"layout\":\"default\"}},{\"type\":\"paragraph\",\"content\":[{\"type\":\"hardBreak\"}]}]}]},{\"type\":\"tableRow\",\"content\":[{\"type\":\"tableHeader\",\"attrs\":{\"colspan\":1,\"rowspan\":1},\"content\":[{\"type\":\"paragraph\",\"content\":[{\"text\":\"8) Please identify your declared country of primary residence (e.g., country to which you pay taxes):\",\"type\":\"text\"}]}]},{\"type\":\"tableCell\",\"attrs\":{\"colspan\":1,\"rowspan\":1},\"content\":[{\"type\":\"paragraph\",\"content\":[{\"type\":\"hardBreak\"}]},{\"type\":\"extension\",\"attrs\":{\"extensionType\":\"com.atlassian.confluence.macro.core\",\"extensionKey\":\"paragraph\",\"parameters\":{\"id\":\"5xp2tbie6i\",\"extensionKey\":\"paragraph\",\"name\":\"COUNTRY\",\"isRequired\":false,\"width\":\"250px\",\"content\":\"text\",\"atlassian-macro-output-type\":\"INLINE\"},\"layout\":\"default\"}},{\"type\":\"paragraph\",\"content\":[{\"type\":\"hardBreak\"}]}]}]},{\"type\":\"tableRow\",\"content\":[{\"type\":\"tableHeader\",\"attrs\":{\"colspan\":1,\"rowspan\":1},\"content\":[{\"type\":\"paragraph\",\"content\":[{\"text\":\"9) Please list any financial relationship beyond \",\"type\":\"text\"},{\"text\":\"de minimis\",\"type\":\"text\",\"marks\":[{\"type\":\"em\"}]},{\"text\":\" stock ownership you may have with any company that to your knowledge has a financial relationship or contract with ICANN:\",\"type\":\"text\"}]}]},{\"type\":\"tableCell\",\"attrs\":{\"colspan\":1,\"rowspan\":1},\"content\":[{\"type\":\"paragraph\",\"content\":[{\"type\":\"hardBreak\"}]},{\"type\":\"extension\",\"attrs\":{\"extensionType\":\"com.atlassian.confluence.macro.core\",\"extensionKey\":\"paragraph\",\"parameters\":{\"id\":\"fqdc6l0dq6\",\"extensionKey\":\"paragraph\",\"name\":\"RELATIONSHIP\",\"isRequired\":false,\"width\":\"250px\",\"content\":\"text\",\"atlassian-macro-output-type\":\"INLINE\"},\"layout\":\"default\"}},{\"type\":\"paragraph\",\"content\":[{\"type\":\"hardBreak\"}]}]}]},{\"type\":\"tableRow\",\"content\":[{\"type\":\"tableHeader\",\"attrs\":{\"colspan\":1,\"rowspan\":1},\"content\":[{\"type\":\"paragraph\",\"content\":[{\"text\":\"10) Do you believe you are participating in the GNSO policy process as a representative of any individual or entity, whether paid or unpaid?\",\"type\":\"text\"}]}]},{\"type\":\"tableCell\",\"attrs\":{\"colspan\":1,\"rowspan\":1},\"content\":[{\"type\":\"paragraph\",\"content\":[{\"type\":\"hardBreak\"}]},{\"type\":\"paragraph\",\"content\":[{\"type\":\"inlineExtension\",\"attrs\":{\"extensionType\":\"com.atlassian.confluence.macro.core\",\"extensionKey\":\"custom-list\",\"parameters\":{\"id\":\"bv6d7qxeoi\",\"extensionKey\":\"custom-list\",\"options\":\"No\\nYes\",\"name\":\"REP\",\"isRequired\":false,\"isMulti\":false,\"atlassian-macro-output-type\":\"BLOCK\"}}}]},{\"type\":\"paragraph\",\"content\":[{\"type\":\"hardBreak\"}]}]}]},{\"type\":\"tableRow\",\"content\":[{\"type\":\"tableCell\",\"attrs\":{\"colspan\":1,\"background\":\"#f0f0f0\",\"rowspan\":1},\"content\":[{\"type\":\"paragraph\",\"content\":[{\"text\":\"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\\\"):\",\"type\":\"text\",\"marks\":[{\"type\":\"strong\"}]}]}]},{\"type\":\"tableCell\",\"attrs\":{\"colspan\":1,\"rowspan\":1},\"content\":[{\"type\":\"paragraph\",\"content\":[{\"type\":\"hardBreak\"}]},{\"type\":\"extension\",\"attrs\":{\"extensionType\":\"com.atlassian.confluence.macro.core\",\"extensionKey\":\"paragraph\",\"parameters\":{\"id\":\"bcynqotbz2\",\"extensionKey\":\"paragraph\",\"name\":\"REPEXPLAIN\",\"isRequired\":false,\"width\":\"250px\",\"content\":\"text\",\"atlassian-macro-output-type\":\"BLOCK\"},\"layout\":\"default\"}},{\"type\":\"paragraph\",\"content\":[{\"type\":\"hardBreak\"}]}]}]},{\"type\":\"tableRow\",\"content\":[{\"type\":\"tableCell\",\"attrs\":{\"colspan\":1,\"background\":\"#f0f0f0\",\"rowspan\":1},\"content\":[{\"type\":\"paragraph\",\"content\":[{\"text\":\"11) Please identify any other relevant arrangements, interests, or benefits as requested in the following two questions:\",\"type\":\"text\",\"marks\":[{\"type\":\"strong\"}]}]}]},{\"type\":\"tableCell\",\"attrs\":{\"colspan\":1,\"background\":\"#f0f0f0\",\"rowspan\":1},\"content\":[{\"type\":\"paragraph\",\"content\":[{\"type\":\"hardBreak\"}]}]}]},{\"type\":\"tableRow\",\"content\":[{\"type\":\"tableHeader\",\"attrs\":{\"colspan\":1,\"rowspan\":1},\"content\":[{\"type\":\"paragraph\",\"content\":[{\"text\":\"a) Do you have any type of material interest in ICANN GNSO policy development processes and 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person(s):\",\"type\":\"text\"}]}]},{\"type\":\"tableCell\",\"attrs\":{\"colspan\":1,\"rowspan\":1},\"content\":[{\"type\":\"paragraph\",\"content\":[{\"type\":\"hardBreak\"}]},{\"type\":\"extension\",\"attrs\":{\"extensionType\":\"com.atlassian.confluence.macro.core\",\"extensionKey\":\"paragraph\",\"parameters\":{\"id\":\"0595w95yfz\",\"extensionKey\":\"paragraph\",\"name\":\"ARRANGEEXPLAIN\",\"isRequired\":false,\"width\":\"250px\",\"content\":\"text\",\"atlassian-macro-output-type\":\"INLINE\"},\"layout\":\"default\"}},{\"type\":\"paragraph\",\"content\":[{\"type\":\"hardBreak\"}]}]}]},{\"type\":\"tableRow\",\"content\":[{\"type\":\"tableHeader\",\"attrs\":{\"colspan\":1,\"rowspan\":1},\"content\":[{\"type\":\"paragraph\",\"content\":[{\"text\":\"12) Please identify any Working Groups or other chartered teams in which you are participating (include acronyms, if applicable):\",\"type\":\"text\"}]}]},{\"type\":\"tableCell\",\"attrs\":{\"colspan\":1,\"rowspan\":1},\"content\":[{\"type\":\"paragraph\",\"content\":[{\"type\":\"hardBreak\"}]},{\"type\":\"extension\",\"attrs\":{\"extensionType\":\"com.atlassian.confluence.macro.core\",\"extensionKey\":\"paragraph\",\"parameters\":{\"id\":\"wcqjt9wr0k\",\"extensionKey\":\"paragraph\",\"name\":\"TEAMS\",\"isRequired\":false,\"content\":\"richtext\",\"atlassian-macro-output-type\":\"INLINE\"},\"layout\":\"default\"}},{\"type\":\"paragraph\",\"content\":[{\"type\":\"hardBreak\"}]}]}]},{\"type\":\"tableRow\",\"content\":[{\"type\":\"tableHeader\",\"attrs\":{\"colspan\":1,\"rowspan\":1},\"content\":[{\"type\":\"paragraph\",\"content\":[{\"text\":\"13) Additional Information 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\",\"type\":\"text\",\"marks\":[{\"type\":\"textColor\",\"attrs\":{\"color\":\"#ff0000\"}},{\"type\":\"em\"}]},{\"text\":\"Please use the menu option at the top of this page when updating this page/form; and (2) \",\"type\":\"text\",\"marks\":[{\"type\":\"textColor\",\"attrs\":{\"color\":\"#ff0000\"}},{\"type\":\"em\"}]},{\"text\":\"You must be logged in to this site with a valid Username/Password in order to add/change SOI information. \",\"type\":\"text\",\"marks\":[{\"type\":\"textColor\",\"attrs\":{\"color\":\"#ff0000\"}},{\"type\":\"em\"}]}]},{\"type\":\"table\",\"content\":[{\"type\":\"tableRow\",\"content\":[{\"type\":\"tableHeader\",\"attrs\":{\"colspan\":1,\"rowspan\":1},\"content\":[{\"type\":\"paragraph\",\"content\":[{\"text\":\"1) Your 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Then click the menu button, select , 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).\",\"type\":\"text\",\"marks\":[{\"type\":\"em\"}]}]}]},{\"type\":\"tableCell\",\"attrs\":{\"colspan\":1,\"rowspan\":1},\"content\":[{\"type\":\"paragraph\",\"content\":[{\"type\":\"hardBreak\"}]},{\"type\":\"extension\",\"attrs\":{\"extensionType\":\"com.atlassian.confluence.macro.core\",\"extensionKey\":\"paragraph\",\"parameters\":{\"id\":\"grhmsqhzz1\",\"extensionKey\":\"paragraph\",\"name\":\"IMAGE\",\"isRequired\":false,\"atlassian-macro-output-type\":\"BLOCK\"},\"layout\":\"default\"}},{\"type\":\"paragraph\",\"content\":[{\"type\":\"hardBreak\"}]}]}]},{\"type\":\"tableRow\",\"content\":[{\"type\":\"tableCell\",\"attrs\":{\"colspan\":1,\"background\":\"#f0f0f0\",\"rowspan\":1},\"content\":[{\"type\":\"paragraph\",\"content\":[{\"text\":\"2) Stakeholder 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Then click the menu button, select , 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: Registries 3) Constituency: Not Applicable 4) ICANN Affiliation (if not covered by item 2 or 3): 5) Please identify your current employer(s): Verisign Inc 6) Please identify your current position(s): Snr Director Strategic Partnerships 7) Please identify the type(s) of work performed: I manage strategic initiatives and relationships 8) Please identify your declared country of primary residence (e.g., country to which you pay taxes): United Kingdom 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: 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. 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