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I would say build a custom object for these meetings. Customize it to have fields that capture all the different areas discussed in the meetings (I'm sure a lot of this will just be text fields under different headers probably!) and then build relationships so that a meeting record can be linked back to many different accounts, contacts, ops, etc. (junction object).
We do something similar for some internal meeting reports, except it only links back to a single account and not multiple (which is an easy adjustment to make anyway).