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Transfers of Value Re Research & Development As Defined

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Transfers of Value Re Research & Development As Defined SCHEDULE 2 - TEMPLATE Full Name HCPs: City of Principal Practice Country of Principal Practice Principal Practice Address Unique Country Identifier Donations and Grants to HCOs Contribution to Costs of Events Fee for Service and Consultancy (Art. 1.01) HCOs: City Where Registered (Schedule 1) (Art. 3) (Art. 3) (Art. 3.01.1.a) (Art. 3.01.1.b & 3.01.2.a) (Art. 3.01.1.c & 3.01.2.c) Related Expenses Agreed in the Fee for Total (Art. 3) Sponsorship Agreements with HCOs/ Service or Consultancy Contract, Including Registration Fees Travel & Accommodation Fees Third Parties Appointed by HCOs to Manage Travel & Accommodation Relevant to the an Event Contract INDIVIDUAL NAMED DISCLOSURE - one line per HCP (i.e. all transfers of value during a year for an individual HCP will be summed up: itemization should be available for the individual Recipient or public authorities' consultation only, as appropriate) Md Hazem Hassan Al-hashemi Herlev Denmark Herlev Ringvej, 2730 00YXK N/A N/A 7600 11389 0 0 18989 Professor Berit Andersen Randers Denmark Skovlyvej 15, 8930 00R4T N/A N/A 0 2786.32 0 0 2786.32 Nurse Rikke Lænsø Baltzer Aarhus C Denmark Nørrebrogade 44, 8000 N/A N/A 0 5461.13 7441.48 232.05 13134.66 Overlæge Gunnar Bastrup Svendborg Denmark Baagøes Alle 31, 5700 080156-xxxx N/A N/A 0 0 5000 0 5000 Clinical Dietitian Mette Borre Aarhus Denmark Nørrebrogade 44, 8000 05KG2 N/A N/A 0 5983 4000 0 9983 MD Mustafa Bulut Køge Denmark Lykkebækvej 1, 4600 05HMY N/A N/A 2405 3780 0 0 6185 Chief Physician Annette Dam Fialla Odense Denmark J. B. Winsløws Vej 4, 5000 06V2Q N/A N/A 0 278 8500 0 8778 Klinisk Afdelingssygeplejerske Lene Dupont Herlev Denmark Herlev Ringvej, 2730 05YQY N/A N/A 0 0 3000 0 3000 Leder af Alkohollinjen Bjarne Stenger Elholm København NV Denmark Drejervej 15, 2400 03XKR N/A N/A 0 616 3500 0 4116 MD Oliver Robert Ellendt Harrislee, Germany Denmark Käthe-Haken Strasse 10, 24955 063DG N/A N/A 7600 11029 0 0 18629 Professor Dr. med Peter Funch-Jensen Søborg Denmark Gyngemose Parkvej 66, 2860 00KN7 N/A N/A 0 0 18600 0 18600 Dr. Charlotte Gudbrand Hvidovre Denmark Kettegaard Allé 30, 2650 05XJ0 N/A N/A 3750 3780 0 0 7530 Overlæge, Ph.D. Jakob Hendel Herlev Denmark Herlev Ringvej, 2730 00MFT N/A N/A 7600 12245 0 0 19845 Corporate Health International ApS, Forskerparken 10 A, Nurse Jane Holt Odense Denmark 5230 N/A N/A 0 3551 7500 0 11051 Dr. Mogens Harrits Jepsen Herning Denmark Gl Landevej 61, 7400 00BY2 N/A N/A 7600 12639 0 0 20239 MD Niels René Johansen København NV Denmark Bispebjerg Bakke 24, 2400 00P2H N/A N/A 7600 11036 0 0 18636 Nurse Marthe Forbord Huss Jønsson Herlev Denmark Herlev Ringvej, 2730 N/A N/A 3725 0 0 0 3725 Professor, PhD Filip Knop Hellerup Denmark Kildegårdsvej 28, 2900 150173 N/A N/A 0 144 7400 0 7544 Odense University Hospital, Dept. of Medical Gastroint. Professor, PhD, MD Aleksander Krag Odense Denmark Diseases - S, 5000 N/A N/A 0 4293.83 0 0 4293.83 Nurse, LTX-coordinator Tonje Kristensen København Ø Denmark Blegdamsvej, 2100 0817T N/A N/A 0 0 3000 0 3000 Reservelæge, phD studerende Rasmus Krøijer Svendborg Denmark Baagøes Alle 31, 5700 08GSM N/A N/A 0 2078 15000 0 17078 Overlæge Henriette Ytting Lambert Hvidovre Denmark Kettegaard Allé 30, 2650 00QDY N/A N/A 0 0 11000 0 11000 Overlæge, ph.d. Michael Hareskov Larsen Odense Denmark J. B. Winsløws Vej 4, 5000 00S41 N/A N/A 0 0 5000 0 5000 MD Jakob Lykke Herlev Denmark Herlev Ringvej, 2730 00QS3 N/A N/A 0 0 5000 0 5000 Overlæge Søren Meisner København NV Denmark Bispebjerg Bakke 24, 2400 00DVR N/A N/A 0 0 7500 0 7500 Dr. Christian Otto Mortensen Hvidovre Denmark Kettegaard Allé 30, 2650 05HQX N/A N/A 0 1930 14900 0 16830 Senior Scientist, PhD, Cand. Scient Sisse Njor Randers Denmark Skovlyvej 15, 8930 70169 N/A N/A 0 1875 7500 0 9375 MD, PhD Palle Nordblad Schmidt Hvidovre Denmark Kettegaard Allé 30, 2650 270260 N/A N/A 0 0 7400 0 7400 MD, Ph.D. Søren Schou Olesen Aalborg Denmark Hobrovej 18-22, 9100 062K7 N/A N/A 0 2356 5500 0 7856 MD Niels Buch Pedersen Odense Denmark J. B. Winsløws Vej 4, 5000 002YM N/A N/A 0 0 5000 0 5000 MD, Overlæge Morten Rasmussen København NV Denmark Bispebjerg Bakke, 2400 00PM8 N/A N/A 11350 16708 23000 0 51058 MD Søren Roepstorff København NV Denmark Bispebjerg Bakke, 2400 094KH N/A N/A 3750 3780 0 0 7530 Nurse Pernille Sauer København Ø Denmark Blegdamsvej, 2100 N/A N/A 0 0 3000 0 3000 Dr. Stine Sloth Herlev Denmark Herlev Ringvej, 2730 05HS9 N/A N/A 2405 3780 0 0 6185 Nurse Astrid Stidsing-Heerfordt København NV Denmark Bispebjerg Bakke 24, 2400 0609X N/A N/A 0 2418.64 5000 0 7,419 MD Trine Stigaard Køge Denmark Lykkebækvej 1, 4600 00SWK N/A N/A 7600 11647 0 0 19247 Overlæge Bo Søndergaard Hvidovre Denmark Kettegaard Allé 30, 2650 00P8L N/A N/A 3750 4262 10000 0 18012 Overlæge Ane Søgaard Teisner Herlev Denmark Herlev Ringvej, 2730 00SSH N/A N/A 0 0 14000 0 14000 Afdelingslæge Morten Thorsteinsson KøbenhavnØ Denmark Blegdamsvej, 2100 062PB N/A N/A 0 0 5000 0 5000 Professor, Consultant, dr. med. Peter Vilmann Herlev Denmark Herlev Ringvej 75, 2730 00DMT N/A N/A 0 0 18600 0 18600 OTHER, NOT INCLUDED ABOVE - where information cannot be disclosed on an individual basis for legal reasons Aggregate amount attributable to transfers of value to such Recipients (Art. 3.02) N/A N/A 0 0 0 0 0 Number of Recipients in Aggregate Disclosure (Art. 3.02) N/A N/A 0 0 0 0 0 % of the number of Recipients Included in the Aggregate Disclosure in the total Number of Recipients Disclosed HCPs (Art. 3.02) N/A N/A 0.0% 0.0% 0.0% 0.0% N/A INDIVIDUAL NAMED DISCLOSURE - one line per HCO (i.e. all transfers of value during a year for an individual HCO will be summed up: itemization should be available for the individual Recipient or public authorities' consultation only, as appropriate) Aarhus Universitetshospital, Lever og Mave- Tarm sygdomme Aarhus N Denmark Palle Juul Jensens Boulevard, 8200 29190925 0 4500 0 0 0 0 4500 Hobro Sygehus, Endoskopien Hobro Denmark Stolbjergvej 8, 9500 29190941 0 6000 0 0 0 0 6000 Hvidovre Hospital Hvidovre Denmark Hvidovre Hospital, Gastro Unit, Kettegaards Alle 30, 2650 0 22500 0 0 0 0 22500 Kolding Sygehus, Organkirurgisk afd. Kolding Denmark Sygehusvej 24, 6000 33488955 0 10800 0 0 0 0 10800 MindTheLiver Esbjerg V Denmark Neptunvej 5, 6710 34263299 0 5000 0 955.8 0 0 5955.8 Nordsjællands Hospital, Gastromedicinsk Amb. Hillerød Denmark Dyrehavevej 29, 3400 N/A 0 3600 0 0 0 0 3600 R&D Aggregate ToV - Denmark Denmark Denmark Denmark - Various Investigator Sites, Denmark 0 0 0 0 0 0 0 Rigshospitalet, Department of Heptology København Ø Denmark Blegdamsvej 9, 2100 0 75000 0 0 0 0 75000 Socialpsykologisk Center Risskov Denmark Solbakken 47, 8240 27696988 0 7500 0 1047.84 0 0 8547.84 Søs Wollesen København N Denmark Lundtoftegade 66, 4 th., 2200 0 0 0 5108.88 15000 0 20108.88 OTHER, NOT INCLUDED ABOVE - where information cannot be disclosed on an individual basis for legal reasons Aggregate amount attributable to transfers of value to such Recipients (Art. 3.02) 0 0 0 0 0 0 0 Number of Recipients in aggregate disclosure (Art. 3.02) 0 0 0 0 0 0 0 % of the number of Recipients included in the aggregate disclosure in the total number of Recipients disclosed HCOs (Art. 3.02) 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% N/A AGGREGATE DISCLOSURE Research & Development Transfers of Value re Research & Development as defined - Article 3.04 and Schedule 1 82847.31 687014.28.
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