ERA-EDTA

Mrs ANNA MARTI I MONROS

1. Do you have, or have you had during the past 2 years, any formal association with a company or other interested party?

Board of company

Date	2016- 2016
Company or interest group	Arbor Research DOPPS Steering Committee
Value	Less than EUR 1,000
Payment made to	Personal account

Consultant for company

Date	2016- 2016
Company or interest group	BAXTER
Value	Less than EUR 1,000
Payment made to	Personal account

2. Do you have, or have you had during the past 2 years, any of the following types of association with a company or other interested party?

Lecturing, chairing lectures or participation in symposia/panel discussions

Date	2016- 2016
Company or interest group	NIPRO
Value	Less than EUR 1,000
Payment made to	Personal account

Date	2016- 2016
Company or interest group	Arbor Research
Value	EUR 1,000-10,000
Payment made to	Personal account

Travel or accommodation provided or reimbursed

Date	2016- 2016
Company or interest group	NIPRO
Value	Less than EUR 1,000
Payment made to	Other, Conference Department

3. Do you have, or have you had during the past 2 years, any job, position, research grant, or other grant that involved a company or other interested party?

Other type of grant

Date	2016- 2016
Company or interest group	EDTNA/ERCA DOPPS European Product Manager
Value	EUR 1,000-10,000
Payment made to	Personal account
Nature of interest	Coordinating data collection in DOPPS European countries
Nature of restriction	Unrestricted

4. Other potential conflicts of interest?

5. Is there anything else that might influence your judgement, or might be perceived to do so?

6. Member (current) of any kind of committee, board, WG, etc. of another scientific association with similar aims as ERA-EDTA

Yes. EDTNA/ERCA