Do the examples need to be four different innovations or would four examples from three innovations be sufficient (e.g., one webinar, two enduring materials, one M&M conference)?

Implementing a new format or a series of new formats of activities into your CME program could be considered one innovation. To meet the expectations for this criterion you would need to describe and demonstrate three additional innovations, as well as how each of the innovations contributes to your ability to meet your CME mission.