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OFFICE OF TECHNOLOGY MANAGEMENT

UCSF Income Distribution Agreement Form

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AGREEMENT CONCERNING DISTRIBUTION OF INCOME AND DEVELOPMENT OF TECHNOLOGY

UCSF OFFICE OF TECHNOLOGY MANAGEMENT


CASE NO. SF:
Name of Technology:


Reference: University of California Patent Policy as revised

1. The University of California San Francisco ("UCSF") and Inventors desire that the above Technology be licensed by The Regents of the University of California (“The Regents”) to industry in order that the applications and uses of the Technology be made widely available for public use and benefit. Inventors therefore assign to The Regents any right, title, and interest he or she may have in the Technology, including, but not limited to, patent, copyright, and tangible research materials, and assure The Regents that he or she has not granted any such rights in Technology to any other person or entity. The term "tangible research materials" refers to research results that are in tangible form as distinct from intangible (or intellectual) property rights. Examples include computer software, biological organisms, engineering prototypes, drawings, and other property that can be physically distributed.

2. UCSF and The Regents shall take such actions as appropriate to make the Technology available for public use and benefit, but shall not be liable for any failure to generate income thereby.

3. Inventors agree to cooperate with The Regents to secure and protect The Regents’ interest in the Technology, including executing patent assignment and other documents, giving testimony, and providing pertinent information; provided, however, that if any expenses are incurred by Inventors in providing such cooperation, such expenses shall be paid by UCSF.

4. Considering the foregoing, net royalty income will be distributed to Inventors according to the practice under The Regents’ Patent Policy described at http://www.ucop.edu/ott/genresources/pat-pol_97.html.

5. When there are two or more Inventors, each Inventor shall share according to his/her respective applicable patent policy in the Inventors' share, unless all the Inventors have agreed in writing to a different distribution as presented here:

Inventor Share (%):
Inventor Initials:

Inventor Share (%):
Inventor Initials:

Inventor Share (%):
Inventor Initials:


6. The Regents agrees to pay Inventors their share of net royalties received in a university fiscal year within five (5) months of the close of the fiscal year. In the event of any litigation, actual or imminent, or any other action to protect rights in Technology, The Regents may withhold distribution and impound royalties until resolution of the matter.

7. Inventors shall have the right to examine The Regents’ financial records regarding Technology upon prior written request.


AGREED AND ACCEPTED: (sign below)

Inventor Signature:
Date:
SSN:
Employee ID Number:
Address (Residence):

Inventor Signature:
Date:
SSN:
Employee ID Number:
Address (Residence):

Inventor Signature:
Date:
SSN:
Employee ID Number:
Address (Residence):


REVIEWED BY
Office of Technology Management:
Date:

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