Effective

DS-2016-020-6719
CEE - Poland Disclosure Report_Updated
1.0 Effective from July 7, 2016
Schedule 2 - Poland
Article 2 - Section 2.03
Full Name
HCPs: City of
Principal Practice
HCOs: city where
registered
Country of Principal
Practice
Principal Practice Address
(Art. 1.01)
(Art. 3)
(Schedule 1)
(Art. 3)
Contribution to costs of
Events (Art. 3.01.1.b &
3.01.2.a)
Sponsorship agreements
with HCOs / third parties
appointed by HCOs to
manage an Event
(Art. 3)
Fee for service and
consultancy (Art. 3.01.1.c &
3.01.2.c)
Registration Fees
Travel & Accomodation
Glab-Jablońska, Ewa
Warszawa
Poland
Grzelak, Zdislaw
Wroclaw
Poland
Markowska, Janina
Poznan
Poland
Matuszewski, Tomasz
Warszawa
Poland
Piskorz, Dorota
Legnica
Poland
Satora, Wojciech
Krakow
Poland
Skrzypczyk, Michal
Warsaw
Poland
Szydlowska, Anna
Legnica
Poland
Wiesik-Sczwcyk, Ewa
Warszawa
Poland
Wilczynska, Aleksandra
Rybnik
Poland
Wilczynski, Artur
Rybnik
Poland
Wolska-Kuśnierz, Beata
Related expenses agreed in
the fee for service or
consultancy contract
Fees
Warszawa
Instytut Matki i Dziecka ; Kasprzaka 17A,
Warszawa, 01-211
Regionalne Centrum Krwiodawstwa i
Krwiolecznictwa im. prof. dr hab. Tadeusza
Dorobisza we Wrocławiu; Czerwonego Krzyża
5/9, 50-345 Wrocław
Szpital Kliniczny Przemienieia Panskiego UM;
ul. Szamarzewskiego 82/84
60-569 Poznan
Wojskowy Instytut Medyczny; ul. Szaserów
128
04-141 Warszawa
Wojewodzki Szpital Specjalisticzny;
Jaroslawa Iwaszkiewicza 5, 59-220 Legnica
ORTO-MED Klinika ortopedyczna; ul. Sw.
Lazarza 14, 31-530 Krakow
Clinical Dep. Of Urology, Centre of
Postgraduate Medical Education Warsaw,
Poland; ul. Zeganska 29/20, 04-736
Warszawa
Wojewodzki Szpital Specjalisticzny;
Jaroslawa Iwaszkiewicza 5, 59-220 Legnica
Wojskowy Instytut Medyczny; ul. Szazerów
128, 04-141, Warszawa
Prywatna Praktyka Lekarska; ul. Platanova,
44-217 Rybnik
Prywatna Praktyka Lekarska; ul. Platanova,
44-217 Rybnik
Instytut - Pomnik Centrum Zdrowia Dziecka;
Aleja Dzieci Polskich 20, Warszawa, 00-999
Poland
N/A
N/A
2 800 PLN
9 750 PLN
N/A
N/A
850 PLN
N/A
N/A
2 000 PLN
N/A
N/A
3 000 PLN
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
2 100 PLN
N/A
N/A
2 100 PLN
N/A
N/A
250 PLN
2 100 PLN
1 046 PLN
250 PLN
5 600 PLN
13 384 PLN
7 450 PLN
30 950 PLN
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. 3.2
N/A
N/A
Number of Recipients (named list, where appropriate) - Art. 3.2
N/A
N/A
N/A
N/A
% of total transfers of value to individual HCPs - Art. 3.2
6 442 PLN
2
25%
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)
HCOs
INDIVIDUAL
Transfers of Value re
TOTAL
Research & Development as
OPTIONAL
defined (Art. 3.04)
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)
HCPs
INDIVIDUAL
Unique country
Donations and Grants to HCOs
local identifyer
(Art. 3.01.1.a)
OPTIONAL
Centrum Medyczym Ujastek
SP.zo.oz
Krakow
Poland
Siedziba w Krakowie, ul Uljastek 3, 31-752
Krakow
1 489 PLN
Fundacja Bank Mleka Kobiecego
Warszawa
Poland
Fundacja Bank Mleka Kobiecego, z siedziba
pod adresen ul Podkowy 128J, 04-937
Warsawa
2 798 PLN
Fundacja Male Serca w Zdrowym
Swiecie
Fundacja Male Serca w Zdrowym Swiecie, z
siedziba pod adresen ul . Pasterska 12/14, 91826 Lodz
Fundacja Rozwoju Kardilogii i Kardiochirugii
Wad Wrodzonynch Serca Insttutu Centrum
Zdrowia Matki Polki w Lodzi - Mamy Serce, Ul
Rzgowska 281/289, 93-338 Lodz, Poland
Lodz
Poland
Fundacja Rozwoju Kardilogii i
Kardiochirugii Wad Wrodzonynch
Lodz
Serca Insttutu Centrum Zdrowia
Matki Polki w Lodzi - Mamy Serce
Poland
Fundacja Rozwoju Neonatologii w
Poznan
Wielkopolsce
Poland
Fundacja Rozwoju Neonatologii w
Wielkopolsce, ul Polna 33, 60-535 Poznan
4 170 PLN
Poland
Instytutem "Pomnik-Centrum Zdrowia
Dziecka, z siedziba pod adresem 04-730
Warsawa, Al. Dzieci Polskich 20
1 686 PLN
Instytutem "Pomnik-Centrum
Zdrowia Dziecka
Warszawa
2 376 PLN
4 643 PLN
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. 3.2
Number of Recipients (named list, where appropriate) - Art. 3.2
Exported date and time: 2016-07-11 10:25:27
2 566 PLN
This document is controlled in a computerized system. Status is: Effective
Name:
Title:
Version:
DS-2016-020-6719
CEE - Poland Disclosure Report_Updated
1.0 Effective from July 7, 2016
Schedule 2 - Poland
Article 2 - Section 2.03
Full Name
HCPs: City of
Principal Practice
HCOs: city where
registered
Country of Principal
Practice
Principal Practice Address
(Art. 1.01)
(Art. 3)
(Schedule 1)
(Art. 3)
Unique country
Donations and Grants to HCOs
local identifyer
(Art. 3.01.1.a)
OPTIONAL
(Art. 3)
Contribution to costs of
Events (Art. 3.01.1.b &
3.01.2.a)
Sponsorship agreements
with HCOs / third parties
appointed by HCOs to
manage an Event
Fee for service and
consultancy (Art. 3.01.1.c &
3.01.2.c)
Registration Fees
Travel & Accomodation
Fees
Transfers of Value re
TOTAL
Research & Development as
OPTIONAL
defined (Art. 3.04)
Related expenses agreed in
the fee for service or
consultancy contract
AGGREGATE
% of total transfers of value to individual HCOs - Art. 3.2
AGGREGATE DISCLOSURE
N/A
Exported date and time: 2016-07-11 10:25:27
N/A
N/A
N/A
N/A
55 445 PLN
This document is controlled in a computerized system. Status is: Effective
Name:
Title:
Version: