Gifts and Benefits Disclosure Form

INTERNATIONAL AERIAL COMBAT SPORT FEDERATION

GIFTS & BENEFITS DISCLOSURE FORM

To be completed whenever a Director, officer, official, judge, or employee receives or is offered a gift or benefit in connection with their IACSF role

IACSF-FORM-GOV-001

PART A — DECLARANT INFORMATION

Full Name		Date of Disclosure
IACSF Role / Position		Member Team (if applicable)

PART B — GIFT OR BENEFIT DETAILS

Description of Gift / Benefit
Name of Giver
Organization / Affiliation of Giver
Date Offered / Received
Estimated Market Value (USD)
Occasion or Context

PART C — RELATIONSHIP AND CONTEXT

Answer each question:

Question	Yes	No
Does the giver have a current or pending commercial, contractual, or competitive relationship with the IACSF?	☐ Yes	☐ No
Does the giver have a matter under active consideration by the IACSF (sanctioning, discipline, appeal, sponsorship, etc.)?	☐ Yes	☐ No
Could this gift or benefit reasonably be perceived as intended to influence an IACSF decision or outcome?	☐ Yes	☐ No
Was the gift received in a clearly social or ceremonial context (e.g., event gift bag, hospitality open to all attendees)?	☐ Yes	☐ No
Does the estimated value exceed USD $100?	☐ Yes	☐ No
Was the gift declined?	☐ Yes	☐ No

PART D — DECLARANT DISPOSITION

Select one:

☐ I accepted the gift / benefit and disclose it here for the record.

☐ I declined the gift / benefit at the time of offer.

☐ I am seeking guidance from the Commissioner before accepting or declining.

If accepted, reason for acceptance

PART E — DECLARATION AND SIGNATURE

I declare that the information provided in this form is true and complete to the best of my knowledge. I understand that failure to disclose gifts and benefits as required by IACSF policy may result in disciplinary action.

Signature	Date
Printed Name	Role / Position

FOR IACSF USE ONLY

Received By
Date Received
Action Taken
File Reference

Policy reference: IACSF Sponsorship Integrity Policy §6; IACSF Code of Conduct. Submit completed form to the IACSF Commissioner within 5 business days of receipt or offer.