6th Annual Evercore ISI HealthCONx Conference

Charitable Contribution Privacy Notice

"*" indicates required fields

Crinetics Privacy Notice

With your consent, Crinetics will collect and use the information you submit here to indicate your interest in (i) supporting worthwhile causes through charitable contributions and/or (ii) supporting certain educational and professional activities by providing sponsorships to recognized institutions. Crinetics will collect, record, and use your information for the limited purpose of contacting you and determining your eligibility to participate in the above. Should you be eligible, Crinetics may use additional information you provide to assess your ability to contract with Crinetics. If you are selected, you will be contacted by Crinetics’s Corporate Affairs and Finance teams. Please make sure you review this Privacy Notice and consent statement before you submit your personal information. The use of your personal information for this limited purpose requires your explicit consent. If you consent to the use of your personal information as described below, please click the “YES” button on the bottom of this screen. You may revoke your consent at any time by contacting Crinetics using the information provided below.

Which information about you will be used?

Crinetics will record and use your personal information for the limited purposes described above. This information may include: Your identity (such as your name and email address), and other information you may choose to provide to us through our website, which may include sensitive information (e.g. financial information) under applicable privacy laws. In accordance with our privacy policy below, Crinetics does not sell personal information.

Who will have access to my information?

Only the Crinetics Corporate Affairs, Finance and Legal teams will have access to the personal information you provide. Your personal information will be protected and will not be shared with anyone outside the Crinetics Corporate Affairs, Finance and Legal teams.

For how long will my data be stored?

Information about you will only be kept as long as necessary to conduct the limited purposes described above. Unless Crinetics is required to retain your information for longer, for example, to meet a legal obligation, your personal information will be destroyed at the end of this period.

What are my rights

As further detailed in our privacy policy, You have the right to ask what data we collect from you and why. You may request a copy of your personal information and, if technically feasible, ask for your information to be transferred to another person or group of your choice. You may verify the accuracy of your personal information, ask for it to be updated and/or corrected, and in certain circumstances, you may restrict further processing of and request deletion of your personal information. Finally, you have the right to exercise the above rights without being treated in a discriminatory way. However, please note that these rights are not absolute, and conditions may apply. Additionally, if you withdraw your consent, your information will no longer be collected and reviewed for the purposes stated above.

Whom can I ask questions about the protection of my data?

If you have any questions about your personal information or if you wish to exercise those rights afforded to you above, please visit crinetics.com/privacy-policy. Additionally, you may contact Crinetics’ Data Privacy team at [email protected]

Consent Statement*

I consent and give my permission to Crinetics to process my personal information, including my financial information, for the limited purposes described in this privacy notice. I understand that I may revoke my consent at any time by giving notice to Crinetics using the information provided in this privacy notice.

YES

Comments

This field is for validation purposes and should be left unchanged.

Sponsorship Privacy Notice

"*" indicates required fields

Crinetics Privacy Notice

With your consent, Crinetics will collect and use the information you submit here to indicate your interest in (i) supporting worthwhile causes through charitable contributions and/or (ii) supporting certain educational and professional activities by providing sponsorships to recognized institutions. Crinetics will collect, record, and use your information for the limited purpose of contacting you and determining your eligibility to participate in the above. Should you be eligible, Crinetics may use additional information you provide to assess your ability to contract with Crinetics. If you are selected, you will be contacted by Crinetics’s Corporate Affairs and Finance teams. Please make sure you review this Privacy Notice and consent statement before you submit your personal information. The use of your personal information for this limited purpose requires your explicit consent. If you consent to the use of your personal information as described below, please click the “YES” button on the bottom of this screen. You may revoke your consent at any time by contacting Crinetics using the information provided below.

Which information about you will be used?

Crinetics will record and use your personal information for the limited purposes described above. This information may include: Your identity (such as your name and email address), and other information you may choose to provide to us through our website, which may include sensitive information (e.g. financial information) under applicable privacy laws. In accordance with our privacy policy below, Crinetics does not sell personal information.

Who will have access to my information?

Only the Crinetics Corporate Affairs, Finance and Legal teams will have access to the personal information you provide. Your personal information will be protected and will not be shared with anyone outside the Crinetics Corporate Affairs, Finance and Legal teams.

For how long will my data be stored?

Information about you will only be kept as long as necessary to conduct the limited purposes described above. Unless Crinetics is required to retain your information for longer, for example, to meet a legal obligation, your personal information will be destroyed at the end of this period.

What are my rights

As further detailed in our privacy policy, You have the right to ask what data we collect from you and why. You may request a copy of your personal information and, if technically feasible, ask for your information to be transferred to another person or group of your choice. You may verify the accuracy of your personal information, ask for it to be updated and/or corrected, and in certain circumstances, you may restrict further processing of and request deletion of your personal information. Finally, you have the right to exercise the above rights without being treated in a discriminatory way. However, please note that these rights are not absolute, and conditions may apply. Additionally, if you withdraw your consent, your information will no longer be collected and reviewed for the purposes stated above.

Whom can I ask questions about the protection of my data?

If you have any questions about your personal information or if you wish to exercise those rights afforded to you above, please visit crinetics.com/privacy-policy. Additionally, you may contact Crinetics’ Data Privacy team at [email protected]

Consent Statement*

I consent and give my permission to Crinetics to process my personal information, including my financial information, for the limited purposes described in this privacy notice. I understand that I may revoke my consent at any time by giving notice to Crinetics using the information provided in this privacy notice.

YES

Comments

This field is for validation purposes and should be left unchanged.

IIS Privacy Notice

"*" indicates required fields

Crinetics Privacy Notice

With your consent, Crinetics will collect and use the information you submit here to indicate your interest in potential funding to conduct Investigator Initiated Studies (IIS), or other opportunities for Independent Medical Education (IME). Crinetics will use your information for the limited purpose of determining the eligibility of your application for funding, and should Crinetics provide funding, your ability to contract with Crinetics and receive payment. If you are selected, you will be contacted by Crinetics Medical Affairs or Finance team. Please make sure you review this IIS/IME Privacy Notice and consent statement before you submit your personal information. Crinetics will collect, record and use your personal information solely for the purpose of determining whether you qualify for funding. The use of your personal information for this limited purpose requires your explicit consent. If you consent to the use of your personal information as described below, please click the “YES” button on the bottom of this screen. You may revoke your consent at any time by contacting Crinetics using the information provided below. Please make sure you review the PLC Privacy Notice and consent statement presented to you below before you submit your personal information. Crinetics will collect, record and use your personal data solely for the purpose of determining whether you may qualify to serve on the PLC as well as to prioritize diversity on each council. The use of your personal data for this limited purpose requires your explicit consent. If you consent to the use of your personal data as described below, please click the “YES” button on the bottom of this screen. You may revoke the consent at any time by contacting Crinetics at the information provided below.

Which information about you will be used?

Crinetics will record and use your personal information for the limited purposes described above. This information may include: Your identity (such as your name, email address and phone number), and certain information which may be considered sensitive information under applicable privacy laws, including financial information used to fulfill the above mentioned purposes.

Who will have access to my data?

Only the Crinetics Medical Affairs, Finance, and Legal teams will have access to the personal information you provide. Your personal information will be protected and will not be shared with anyone outside the Crinetics Medical Affairs, Finance, and Legal teams.

For how long will my data be stored?

Information about you will only be kept as long as necessary to conduct the limited purpose described above. At the end of this period, your personal information may be destroyed or anonymized.

What are my rights

You have the right to ask what data we collect from you and why. You may request a copy of your personal information and/or ask for your information to be transferred to another person or group of your choice. You may also correct or request deletion of your information, restrict further use, and revoke your consent to our processing of your personal information. Finally, you have the right to exercise the above rights without being treated in a discriminatory way. However, please note that these rights are not absolute, and conditions may apply. Additionally, if you withdraw your consent, your information will no longer be collected and reviewed for the purposes stated above.

Whom can I ask questions about the protection of my data?

If you have any questions about your personal information or if you wish to exercise those rights afforded to you above, you may contact Crinetics’ Data Privacy team at [email protected].

Consent Statement*

I consent and give my permission to Crinetics to process my personal information, including my financial data, for the limited purposes described in this privacy notice. I understand that I may revoke my consent at any time by giving notice to Crinetics using the information provided in this privacy notice.

YES

Email

This field is for validation purposes and should be left unchanged.

Medical Education Grant Privacy Notice

"*" indicates required fields

Crinetics Privacy Notice

With your consent, Crinetics will collect and use the information you submit here to indicate your interest in potential funding to conduct Investigator Initiated Studies (IIS), or other opportunities for Independent Medical Education (IME). Crinetics will use your information for the limited purpose of determining the eligibility of your application for funding, and should Crinetics provide funding, your ability to contract with Crinetics and receive payment. If you are selected, you will be contacted by Crinetics Medical Affairs or Finance team. Please make sure you review this IIS/IME Privacy Notice and consent statement before you submit your personal information. Crinetics will collect, record and use your personal information solely for the purpose of determining whether you qualify for funding. The use of your personal information for this limited purpose requires your explicit consent. If you consent to the use of your personal information as described below, please click the “YES” button on the bottom of this screen. You may revoke your consent at any time by contacting Crinetics using the information provided below. Please make sure you review the PLC Privacy Notice and consent statement presented to you below before you submit your personal information. Crinetics will collect, record and use your personal data solely for the purpose of determining whether you may qualify to serve on the PLC as well as to prioritize diversity on each council. The use of your personal data for this limited purpose requires your explicit consent. If you consent to the use of your personal data as described below, please click the “YES” button on the bottom of this screen. You may revoke the consent at any time by contacting Crinetics at the information provided below.

Which information about you will be used?

Crinetics will record and use your personal information for the limited purposes described above. This information may include: Your identity (such as your name, email address and phone number), and certain information which may be considered sensitive information under applicable privacy laws, including financial information used to fulfill the above mentioned purposes.

Who will have access to my data?

Only the Crinetics Medical Affairs, Finance, and Legal teams will have access to the personal information you provide. Your personal information will be protected and will not be shared with anyone outside the Crinetics Medical Affairs, Finance, and Legal teams.

For how long will my data be stored?

Information about you will only be kept as long as necessary to conduct the limited purpose described above. At the end of this period, your personal information may be destroyed or anonymized.

What are my rights

You have the right to ask what data we collect from you and why. You may request a copy of your personal information and/or ask for your information to be transferred to another person or group of your choice. You may also correct or request deletion of your information, restrict further use, and revoke your consent to our processing of your personal information. Finally, you have the right to exercise the above rights without being treated in a discriminatory way. However, please note that these rights are not absolute, and conditions may apply. Additionally, if you withdraw your consent, your information will no longer be collected and reviewed for the purposes stated above.

Whom can I ask questions about the protection of my data?

If you have any questions about your personal information or if you wish to exercise those rights afforded to you above, you may contact Crinetics’ Data Privacy team at [email protected].

Consent Statement*

I consent and give my permission to Crinetics to process my personal information, including my financial data, for the limited purposes described in this privacy notice. I understand that I may revoke my consent at any time by giving notice to Crinetics using the information provided in this privacy notice.

YES

Comments

This field is for validation purposes and should be left unchanged.

Patient Leadership Council Application

"*" indicates required fields

Name*

Date of application*

Phone*

Email*

Diagnosis*

I have been diagnosed with Acromegaly

I have been diagnosed with Carcinoid Syndrome associated with Neuroendocrine Tumors (NETs)

I have been diagnosed with Congenital Adrenal Hyperplasia (CAH)

I am a caregiver of someone who has been diagnosed with Congenital Adrenal Hyperplasia (CAH)

I have been diagnosed with ACTH-Dependent Cushing's Syndrome

Phone

This field is for validation purposes and should be left unchanged.

PLC Privacy Notice

"*" indicates required fields

Crinetics PLC Privacy Notice

With your consent, Crinetics will collect and use the information you submit here to indicate your interest in participating in the Patient Leadership Council (PLC), and to determine if you are eligible to serve on the PLC. If you are selected, you will be contacted by the Crinetics Patient Advocacy Team. Please make sure you review the PLC Privacy Notice and consent statement presented to you below before you submit your personal information. Crinetics will collect, record and use your personal data solely for the purpose of determining whether you may qualify to serve on the PLC as well as to prioritize diversity on each council. The use of your personal data for this limited purpose requires your explicit consent. If you consent to the use of your personal data as described below, please click the “YES” button on the bottom of this screen. You may revoke the consent at any time by contacting Crinetics at the information provided below.

Which information about you will be used?

Crinetics will record and use your personal data for the limited purpose as described above. This information may include: Your identity (such as your name, email address, phone number), your demographic data (such as your age, gender, race, or ethnicity) and your provided health data.

Who will have access to my data?

Only the Crinetics Patient Advocacy Team will have access to your personal data collected and will use it for the limited purpose described above. Your personal data will be protected and will not be shared with anyone outside the Crinetics Patient Advocacy Team.

For how long will my data be stored?

Information about you will only be kept as long as necessary to conduct the limited purpose described above. At the end of this period, your personal data, including any health data, may be destroyed or anonymized.

What are my rights

You have the right to ask what data are used and why. You can request a copy of your personal data and/or ask for your information to be transmitted to another person of your choice. You can correct or complete your information. You can ask to limit further use of your information. You also have the right to revoke your consent to the processing of your information. Please note that these rights are not absolute and that conditions may apply. If you withdraw your consent to the processing of your information, your information will no longer be collected.

Whom can I ask questions about the protection of my data?

If you have any questions about your data or if you wish to exercise your rights, you can contact Crinetics’ Data Privacy at [email protected] .

Consent Statement*

I consent and give my permission to Crinetics to process my personal data, including my health data, for the limited purpose described in this PLC privacy notice above. I understand that I can revoke my consent at any time by giving notice to Crinetics at the information provided in this PLC privacy notice.

YES

Email

This field is for validation purposes and should be left unchanged.

Medical Education Grant Application

"*" indicates required fields

Institution Name*

Date of application*

Investigator (or Contact Name)*

Phone*

Email*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Purpose of grant*

Therapeutic Categories

Acromegaly

NETs / Carcinoid Syndrome

Cushing's Syndrome

CAH

Other

Description of intended use of grant funds*

Requested amount (US$)*

Estimated total budget for the program, activity, event, etc.*

Estimated timeline for completion of activity*

Key Points for Consideration

If your request for support is approved, you will be required to enter into a written agreement with Crinetics. Please ensure that your institution is willing to abide by standard agreement terms before proceeding with submission of your application.

Supporting Documentation*

Max. file size: 40 MB.

Attestation*

I hereby attest that the request for funding is for an independent, accredited medical educator that conforms to Food and Drug Administration (FDA) and Accreditation Council for Continuing Medical Education (ACCME) standards.

Comments

This field is for validation purposes and should be left unchanged.

Investigator-Initiated Study Application

"*" indicates required fields

Name of Institution*

Date of Application*

Contact name*

Phone*

Email*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

NPI Number and State License Number(s) (US Investigator Only)

Study Title*

Therapeutic Categories:

Acromegaly

NETs/Carcinoid Syndrome

Cushing's Syndrome

CAH

Other

Study Hypothesis*

Primary and Secondary Objectives*

Include the type of support requested (product and/or financial support, including amount/quantities for products).*

Estimated total study budget. Please attach a detailed line-item budget.*

Estimated timeline for study completion, including all phases (initiation, recruitment/enrollment, etc.).*

Additional information relevant to this proposal:

Key points for Consideration

If your request for support is approved, you will be required to enter into a written agreement with Crinetics. Please ensure that your institution is willing to abide by standard agreement terms before proceeding with submission of your application.

Supporting Documentation*

Max. file size: 40 MB.

Name

This field is for validation purposes and should be left unchanged.

Events

6th Annual Evercore ISI HealthCONx Conference

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