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 Desert Research Institute (“DRI”). The Employee is also an [officer, member of the board of directors, scientific advisor, owner] of (“Company”), a _____________________________________ 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 DRI. The Employee’s commitment to Company activities could impact the Employee’s commitment to DRI. It is anticipated that intellectual property (“IP”) might be created as a result of Company-funded projects or cooperative projects with Company. Students under the Employee’s supervision are working on or may work on Company-funded projects. Company may wish to use DRI equipment or other resources. Other, please describe: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ 2. Conflict of Interest Management Oversight The Institutional Administrator (IA) shall be the Director of the DRI division in which the Employee is employed or, if the Employee is not employed in a division, the IA shall be chosen by the relevant Vice President. The responsibilities of the IA include initial implementation of the management plan (“MP”), monitoring and reporting as specified in this MP, and recommending modification of the MP to the Director of Sponsored Projects and Compliance for DRI (“Designated Official”) as needed. By December 31st of each year, the IA will submit an annual report to the Designated Official. The report will be a summary of the documented activities in each of the MP areas outlined in Section 3 and 4 below. 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 IA. DRI employees may have more than one role and it is difficult to specify in advance all possible COI situations. The Employee shall follow the relevant COI guidelines, including those in Sections 2.01.04-2.01.06 of the Desert Research Institute Administrative Manual. REV. Apr-11 A. Commitment to DRI: The Employee reasserts her/his commitment to abide by State laws, the NSHE code, and DRI 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 IA, 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, and the relevant division Business Manager, the Employee’s affiliation with the Company on each DRI 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 prevailing, commercially reasonable financial terms. In addition, in the event the SRA involves public funding, the Employee shall provide DRI with a full accounting of how all public funding received by the Company and associated with the SRA will be spent. The overall use of such public funding must be in the public interest. C. Department/Division commitment: The Employee agrees to monitor his/her commitment to the Company and communicate with his/her supervisor and the IA to assure that this commitment does not adversely impact the Employee’s various responsibilities and commitments to DRI, including other non-Company research projects and teaching responsibilities. Should the IA, in consultation with the Employee’s supervisor, determine that the Employee’s commitment to the Company is affecting the Employee’s performance as a DRI employee, appropriate changes will be made in consultation with the IA. Any changes implemented will be documented and maintained by the IA, with copies of the change(s) sent to the Designated Official. D. Invention Disclosures and Intellectual Property: The Employee is responsible for seeing that everyone performing research under a 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 DRI’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 DRI Intellectual Property Policy. A copy of each invention disclosure will be sent to the IA and kept on file. Notwithstanding the forgoing, if the Employee is employed by DRI as a regular faculty member, DRI shall own any intellectual property resulting in whole or in part from the Employee’s efforts under the SRA or otherwise associated with the SRA, regardless of whether those efforts occurred at DRI 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. Undergraduate and graduate students may also be employed directly by the Company. The IA will assure that safeguards are in place to prevent REV. Apr-11 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. F. Publications: In order to ensure objectivity and continued quality of the research results of the DRI/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 DRI and the Company will be acknowledged. A listing of all Company-related publications, including published patents and patent applications, will be provided by the Employee to the IA on an annual basis. G. Recusal: (check all that apply) The Employee will recuse herself/himself from participating in any DRI capacity associated with negotiations or decision-making with respect to any transaction with or on behalf of DRI 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 DRI on behalf of the Company, it is incumbent upon the Employee to inform the DRI representative involved that the Employee is negotiating on behalf of the Company not on behalf of DRI or as part of the DRI position held by the Employee. � The Employee and members of the Employee’s family will abstain from any Company board decisions involving research at DRI 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 IA to be kept on file. The Employee will refrain from engaging in negotiations on behalf of the Company with DRI but, instead, will have professional management and/or legal counsel for the Company perform such negotiations. 4. Use of DRI Resources: The use of any DRI resources will be consistent with DRI policy and any agreements between DRI and the Company. DRI resources, including, but not limited to, space (including the Employee’s DRI office or laboratory space), personnel, equipment, and administrative support services may not be used for the benefit of the Company without a properly documented agreement between the Company and the University that includes compensation to DRI for such use. 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 REV. Apr-11 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 DRI’s Conflict of Interest Policy (Administrative Manual Sections 2.01.04-2.01.06) and agree to abide by the above stated management plan. Approved and Agreed: ____________________________________________ Employee Date: _________ _____________________________________________ Institutional Administrator Date: _________ _______________________________________________ Director of Sponsored Projects and Compliance Date: _________ 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. ___________________________________ Executive Vice President for Research REV. Apr-11 Date: _________