NIL Deal Compliance Report

NILEMS NIL DEAL COMPLIANCE REPORT

Submit to athlete’s school compliance office before executing deal.

A. Athlete Information

Athlete Name: ___________________________________
School/Team: ____________________________________
Sport/Position: __________________________________
Year: ____________________________________________
Parent/Guardian (if minor): _______________________

B. Deal Information

Brand/Company Name: _______________________________
Type of Business: _________________________________

Description of NIL Activity:

Deliverables Required (Check all that apply):
☐ Social media posts
☐ Autograph session
☐ Public appearance
☐ Camp/clinic participation
☐ Media interview
☐ Digital content creation
☐ Merchandise promotion
☐ Other: _____________________________________________

C. Compensation Structure

☐ Flat fee: $________________
☐ Hourly rate: $_____________
☐ Commission percentage: _______%
☐ Merchandise royalty: _______%
☐ Other: ___________________________________________

Payment Method:
☐ Direct deposit
☐ Check
☐ Other: ____________________

Payment Timeline:

D. Athlete Agent/Representative Information

NILEMS (DBA)
Echelon Media Sports LLC
Representative: Roechard D. Lewis
Phone: _________________________
Email: _________________________

Registered Athlete Agent in Ohio:
☐ Yes
☐ No (Representation limited to marketing, not contract negotiation)

E. Conflict of Interest Statement

The representative confirms no conflict of interest exists and that the deal complies with applicable NIL, OHSAA, NCAA, and school rules.

Signature: _______________________________
Printed Name: ____________________________
Date: ___________________________________

F. School Compliance Office Decision

☐ Approved
☐ Denied
☐ More Information Needed

Notes:

Compliance Officer Signature: __________________________
Date: _________________________________________________