UFRF Royalty Report. Licensee: Agreement No.: Inventor: P#: P Period Covered: From: / /2 Through: / /2 Prepared By Date: Approved By: Date: If license covers several major product lines, please prepare a separate report for each line. Then combine all product lines into a summary report.
UFRF Royalty Report. Company Name: If multiple license agreements are required to generate this product, indicate what percentage of the royalty is attributable to each agreement. UFRF Agreement No.: Percentage: UFRF Agreement No.: Percentage: Period Covered: From: / /2 Through: / /2 Prepared By: Date: Print Preparer Name: Preparer Email Address: ______________________Phone No.: _________________ Approved By: ____________________________________________ Date: ____________ (Requires Executive Officer Signature) Print Officer Name: If license covers multiple product lines, please prepare a separate spreadsheet for each product line, and a summary report for all products combined. The spreadsheet should include the following information: • Product Name • Country(ies) of Sales (List each country. If royalties vary by country, provide a breakdown of specified information for each country.) • Unit Sales
UFRF Royalty Report. Licensee Name: If multiple license agreements are required to generate this product, indicate what percentage of the royalty is attributable to each agreement. UFRF Agreement No.: Percentage: _________________________ UFRF Agreement No.: __________________ Percentage: ________________________ Period Covered: From / /20 Through / /20 Prepared By: Date: _____________ Print Preparer Name: Preparer Email Address: ____________________________Phone No.: _________________ Approved By: Date: (Requires Executive Officer Signature) Print Officer Name: If license covers multiple product lines, please prepare a separate spreadsheet for each product line, and a summary report for all products combined. The spreadsheet should include the following information: Product Name Country(ies) of Sales (List each country) Unit Sales Gross Sales Promotional Discounts (or other deductions) Net Sales Royalty Rates Total Royalty due this period Total Royalty paid last period Appendix E – Milestones Event Time [**] [**] [**] [**] [**] [**] Appendix F – Subsequently Added Intellectual Property Appendix G – Certain Obligations Under [**] Policy
UFRF Royalty Report. Company Name: If multiple license agreements are required to generate this product, indicate what percentage of the royalty is attributable to each agreement. UFRF Agreement No.: Percentage: UFRF Agreement No.: Percentage: Period Covered: From: / /2 Through: / /2 Prepared By: Date: Print Preparer Name: Preparer Email Address: Phone No.: Approved By: Date: (Requires Executive Officer Signature) Print Officer Name: If license covers multiple product lines, please prepare a separate spreadsheet for each product line, and a summary report for all products combined. The spreadsheet should include the following information: • Product Name • Country(ies) of Sales (List each country. If royalties vary by country, provide a breakdown of specified information for each country.) • Unit Sales
