Summary: REPA For:
Bianco
Year and Period: 2004-09/01/03-08/31/04 Departmental Approver: Brandt,Barbara F Collegiate Approver: Bock,Terry L |
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An
earlier answer indicated that, during the REPA reporting period
09/01/03-08/31/04 or the next 12 months, you, a member of your
immediate family, or an associated entity (e.g., a trust) had or expect
to have:
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A
financial interest from or in a business that relates to your
University activities and that equals or exceeds either: income of
$10,000 or equity interest valued at $10,000 or representing 5%
ownership. |
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A board position at a business that supports your University research. |
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An executive position in a business that engages in commercial or research activities that relate to your University activities. |
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Answer
the following questions as they relate to financial and business
interests engaged in during the REPA reporting period 09/01/03-08/31/04
or expected to be engaged in during the next 12 months, as identifed
above. |
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Royalties |
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1:Have
you received or will you receive, or be entitled to receive, royalties
from the University or from another academic institution's
royalty-sharing policy? |
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Financial Interests |
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2:
Regarding the previous or expected financial interest from or in a
business that relates to your University activities, does that business
provide funds (gifts or sponsored support) for your University research? |
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3:
Regarding the previous or expected financial interest from or in a
business that relates to your University activities, was or will that
interest be of a nature other than consulting income and/or publishing royalties? |
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Note: Answer No
if your financial interest is limited to consulting income and/or
publishing royalties, and there is no other relationship between the business(es) for which you consult or from which you receive royalties and your University work. |
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The
above questions that you just answered were related to financial
interests. An earlier answer indicated that you (or a member of your
immediate family or an associated entity) also had or expect to have
business interests.
Note: When providing supplemental disclosure information in the box below, remember to include information about financial and business interests.
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Supplemental Information |
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For each earlier Yes answer, as identified above: |
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Identify the entities in which you previously had or expect to have a financial or business interest; |
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Describe
the nature of your previous interests or expected interests (e.g.,
royalties, equity interest, consulting income, executive position,
member of the board of directors or advisory board); |
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Explain the relationship between your previous interests or expected interests and your University responsibilities; |
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Describe any previous involvement or expected involvement by students, and whether you serve as their primary advisor; and |
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Explain the mechanisms that have been or will be instituted to minimize the chances of conflict of interest occurring. |
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To detail more than one sponsored project, click Next Sponsored Project to add another data entry table. |
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