Recipient Information. Recipient shall provide the information set forth below. PLEASE PRINT OR TYPE THE FOLLOWING INFORMATION Recipient Name (exactly as filed with the IRS: Street Address: City, State, ZIP: Email: Phone: ( ) Fax: ( ) Is Recipient a nonresident alien, as defined in 26 USC § 7701(b)(1)? (Check one box): YES NO
Appears in 3 contracts
Samples: Grant Agreement, Grant Agreement, Grant Agreement
Recipient Information. Recipient shall provide the information set forth below. PLEASE PRINT OR TYPE THE FOLLOWING INFORMATION Recipient Name (exactly as filed with the IRS: ): Street Addressaddress: City, Statestate, ZIPzip code: EmailEmail address: PhoneTelephone: ( ) Fax: ( ) Is Recipient a nonresident alien, as defined in 26 USC § 7701(b)(1), a foreign person, or a foreign entity? (Check one box): YES NO
Appears in 1 contract
Samples: Grant Agreement
Recipient Information. Recipient shall provide the information set forth below. PLEASE PRINT OR TYPE THE FOLLOWING INFORMATION Recipient Name (exactly as filed with the IRS: ): Street Addressaddress: City, Statestate, ZIPzip code: EmailEmail address: PhoneTelephone: ( ) FaxFacsimile: ( ) Is Recipient a nonresident alien, as defined in 26 USC § 7701(b)(1)? (Check one box): YES NO
Appears in 1 contract
Samples: Vax Grant Agreement
Recipient Information. Recipient shall provide the information set forth below. PLEASE PRINT OR TYPE THE FOLLOWING INFORMATION Recipient Name (exactly as filed with the IRS: ): Street Address: City, State, ZIP: Email: Phone: ( ) Fax: ( ) Is Recipient a nonresident alien, as defined in 26 USC § 7701(b)(1); a foreign person, or a foreign entity? (Check one box): YES NO
Appears in 1 contract
Samples: Grant Agreement
Recipient Information. Recipient shall provide the information set forth below. PLEASE PRINT OR TYPE THE FOLLOWING INFORMATION Recipient Name (exactly as filed with the IRS: ): Street Addressaddress: City, Statestate, ZIPzip code: EmailEmail address: PhoneTelephone: ( ) FaxFacsimile: ( ) Is Recipient a nonresident alien, as defined in 26 USC § 7701(b)(1)? (Check one box): YES NO
Appears in 1 contract
Samples: Grant Agreement