To be completed and approved by the Conflict of Interest Officer Conflict of Interest Management Plan For____________________________________ with respect to _________________________ Context for need for Conflict of Interest Management Plan: ________________________ is an employee (“Employee”) in the Department/Division of ____________________________________________ at the University of Nevada, Reno (“University”). S/he is an [officer, member of the board of directors, scientific advisor, owner] of (“Company”), a (Corp., LLC, etc.) _____________________ _____________________________________ founded for the purpose of ________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________. 1. Conflict of Interest Summary – Check all those that may apply: A conflict of interest (COI) may exist because: Company is or may be contracting with University. Employee’s commitment to Company activities could impact her/his commitment to University. It is anticipated that intellectual property (“IP”) might be created as a result of Company-funded projects or cooperative projects with Company. Students under Employee’s supervision are working on or may work on Company-funded projects. Company may wish to use University equipment or other resources. Other, please describe: __________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ 2. Conflict of Interest Management Oversight The University’s Conflict of Interest Officer (“Officer”) is responsible for this conflict of interest management plan (MP). The responsibilities of the Officer include initial plan implementation, monitoring and reporting as specified in this MP, and modification of the MP as needed. By December 31st of each year, the Officer will submit an annual report to the Conflicts of Interest Committee. The report will be a summary of the documented activities in each of the MP areas outlined in Section 3 and 4 below. The Employee’s relevant dean, vice president, or their designee, shall appoint one or more individuals, who may change during the MP, to assist the Officer in the creation and oversight of the MP. The relevant dean or vice president shall also be responsible for securing the cooperation of such individual or individuals. 3. Conflict of Interest Management Plan The following MP outlines areas in which COI situations arise, and in which COI management procedures will be implemented by the Employee and the Officer. University employees may have more than one role and it is difficult to specify in advance all possible COI situations. The Employee shall follow the guidelines in Section 2,691 of the University Administrative Manual. A. Commitment to University: The Employee reasserts her/his commitment to abide by State laws, the NSHE code, and University policies and procedures related to teaching, research, and service responsibilities. In carrying out these responsibilities, the Employee will be alert to any real or perceived conflict of interest or conflict of commitment. Through regular communication with the Officer, the Employee will be responsible for disclosing in a timely fashion any changes in activities that may give rise to a perceived or actual conflict of interest or commitment. B. Sponsored Research Agreements: The Employee shall disclose to the Office of Sponsored Projects the Employee’s affiliation with the Company on each University regulatory compliance protocol and sponsored proposal submission and for each grant/contract that also involves the transfer of materials to or from the Company and/or any collaboration with the Company. All research occurring under a sponsored research agreement (SRA) will be performed under financial terms consistent with standard University contracts, unless REV. March 2014 To be completed and approved by the Conflict of Interest Officer otherwise approved by University’s Vice President for Research and Innovation. The Officer may request additional information from the Employee and the Company, and the Employee agrees to provide any and all such information, as necessary for the Officer to confirm that University’s waiver of the COI or potential COI with respect to the SRA serves the public interest, including the overall disposition of any public funds received by the Company that are associated with the research conducted under the SRA, or as otherwise may be necessary to determine whether the Employee is in compliance with any provision of this MP and/or the University’s policies on conflict of interest, conflict of commitment, intellectual property, or other relevant subjects. C. Department/Division Commitment: The Employee’s supervisor agrees to assure that the Employee’s various responsibilities and commitments to University, including other non-Company research projects and teaching responsibilities are not adversely affected. The Employee’s supervisor also agrees to monitor the Employee’s commitment to the Company. In consultation with the Dean, or the Dean’s designee, the Officer shall determine the amount of the Employee’s time commitment that must be paid to the University by the Company. Should the Employee’s supervisor determine that the commitment to the Company is affecting the Employee’s performance as a University employee, appropriate changes must be made in consultation with the Officer. Any changes implemented will be documented and maintained by the Officer. D. Invention Disclosures and Intellectual Property: The Employee is responsible for seeing that everyone performing research under an SRA, including the Employee, maintains a lab notebook to document all discoveries that may emerge from the sponsored research and, in a timely manner, file with University’s Technology Transfer Office invention disclosures for any potential intellectual property developed during the SRA. Any intellectual property developed under the SRA will need to be documented for proper ownership and licensing according to the University Intellectual Property Policy. A copy of any invention disclosures will be sent to the Officer and kept on file. Notwithstanding the forgoing, if the Employee is employed by University on a full time basis, University shall own any intellectual property resulting in whole or in part from the Employee’s efforts under the SRA, or which the Officer determines are sufficiently related to the subject matter of the SRA, regardless of whether those efforts occurred at University or at the Company and regardless of the allocation of funds under the SRA. The Company may be given an option to license such intellectual property on commercially reasonable terms. E. Student Involvement in Research: Undergraduate and graduate students may be involved in Company sponsored research. The Officer will assure that safeguards are in place to prevent undergraduate and/or graduate students from being harmed through delayed graduation, reduction in research time, reduced commitment to coursework, compromised academic or research program, compromised publication ability or any other action caused by the relationship of the Employee with the Company. Examples of an adequate process to protect the student(s) include, but are not limited to, naming an academic co-advisor or involving the graduate student’s advisory committee. Graduate student research results will be published in a thesis/dissertation, and the students will be strongly encouraged to publish in peer-reviewed journals and to present results at academic conferences consistent with the terms of the SRA. Students may be employed directly by the Company, in addition to working at University under a SRA with the Company. If a student is employed by University, the student will need a separate conflict of interest management plan. The students shall not use University resources for Company work, other than as explicitly set forth in a SRA. The Officer shall work with the students and the Employee to document the scope of the students’ work at University, including under any SRA, and with the Company. If the Officer determines that the work to be performed at the Company is sufficiently similar to the students’ work at University under the SRA, University shall own any intellectual property resulting in whole or in part from such overlapping work, regardless of whether those efforts occurred at University or at the Company and regardless of the allocation of funds under any SRA. The Company may be given an option to license such intellectual property on commercially reasonable terms. F. Publications: In order to ensure objectivity and continued quality of the research results of the University/Company project, research results will be presented at refereed academic conferences and published in peer-reviewed journals as appropriate. When submitting a manuscript for review when the Employee is an author, the association with both University and the Company will be acknowledged. A listing of all Companyrelated publications, including published patents and patent applications, will be provided by the Employee to the Officer on an annual basis. Any agreement between University and the Company shall not inhibit or restrict REV. March 2014 To be completed and approved by the Conflict of Interest Officer the rights of any University personnel (including faculty and students) involved in the project to receive, analyze, or interpret any data generated under the project. G. Recusal: (check one) The Employee will recuse herself/himself from participating in any University capacity associated with negotiations or decision-making with respect to any transaction with or on behalf of the University that involves the Company, and will request that any related responsibilities be assigned to another individual, except as this MP may otherwise specify. When engaged in negotiations with University on behalf of the Company, it is incumbent upon the Employee to inform the University representative involved that the Employee is negotiating on behalf of the Company and not on behalf of University or as part of the university position held by the Employee. � The Employee and members of the Employee’s family will abstain from any Company Board decisions involving research at University in which the Employee is involved. The abstention in such votes will be documented in Company Board minutes, which will be sent in a timely fashion to the UA to be kept on file. The Employee will refrain from engaging in negotiations on behalf of the Company with University but, instead, will have professional management and/or legal counsel for the Company perform such negotiations. 4. Use of University Resources: The use of any University resources will be consistent with University policy and any agreements between University and the Company. University resources, including but not limited to, space (including the Employee’s University office or laboratory space), personnel and equipment, may not be used for the benefit of the Company without a properly documented agreement between the Company and the University, which includes commercially reasonable compensation, consistent with standard University practices, to University for such use, unless otherwise approved by University’s Vice President for Research and Innovation. 5. Required Disclosure: The following disclosure applies: “Nevada statutes, including N.R.S. §§ 281.230 and 396.255, create individual and personal obligations for disclosing and managing conflicts of interest, including requiring employees of the Nevada System of Higher Education to follow procedures established by their employing institution. A violation of such statutes can result in criminal sanctions. Thus, it is recommended that the Employee seek their own legal counsel as they may deem appropriate to protect their legal interests with respect to compliance with conflict of interest statutes.” 6. Additional Considerations: ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ All of the undersigned hereby acknowledge and agree to abide by the University’s Conflict of Interest Policy (Administrative Manual section 2,691) and agree to abide by the above stated management plan. Approved and Agreed: __________________________________________________ Employee Date: _________ __________________________________________________ Department Chair Date: _________ __________________________________________________ Dean/VP Date: _________ __________________________________________________ Date: _________ REV. March 2014 To be completed and approved by the Conflict of Interest Officer Conflict of Interest Officer After review of this Management Plan, I approve the proposed transaction as I find it serves the public interest, so long as the Employee complies with the terms of the Management Plan. ___________________________________ Vice President for Research and Innovation Date:_________ ___________________________________ President Date: _________ REV. March 2014