PUBLIC HEALTH SERVICE SECOND AMENDMENT TO PATENT LICENSE AGREEMENT — EXCLUSIVE (LICENSE NUMBER: L-127-2007/0) (AMENDMENT NUMBER: L-127-2007/2)
Exhibit 10.13.2
[*] = Certain confidential information contained in this document, marked by brackets, is filed with the Securities and Exchange Commission pursuant to Rule 24b-2 of the Securities Exchange Act of 1934, as amended.
PUBLIC HEALTH SERVICE
SECOND AMENDMENT TO PATENT LICENSE AGREEMENT — EXCLUSIVE
(LICENSE NUMBER: L-127-2007/0)
(AMENDMENT NUMBER: L-127-2007/2)
This is the second amendment (“Second Amendment”) of the Patent License Agreement—Exclusive by and between the National Institutes of Health (“NIH”) or the Food and Drug Administration (“FDA”), hereinafter singly or collectively referred to as agencies of the United States Public Health Service (“PHS”) within the Department of Health and Human Services (“HHS”), and GlobeImmune, Inc., having an effective date of June 12, 2007 and having NIH Reference Number L-127-2007/0 (“Agreement”). This Second Amendment, having NIH Reference Number L-127-2007/2, is made between the PHS through the Office of Technology Transfer, NIH, having an address at 0000 Xxxxxxxxx Xxxxxxxxx, Xxxxx 000, Xxxxxxxxx, Xxxxxxxx 00000-0000, U.S.A., and GlobeImmune, Inc., having an office at 0000 Xxxxxxxx Xxxxx, Xxxxxxxxxx, Xxxxxxxx 00000 (“Licensee”). This Second Amendment includes, in addition to the amendments made below, a Signature Page and Attachment 1 (Royalty Payment Information).
WHEREAS, PHS and Licensee desire that the Agreement be amended a second time in order to amend the Licensed Patent Rights, as set forth herein.
NOW, THEREFORE, in consideration of the mutual covenants and promises contained herein, PHS and Licensee, intending to be bound, hereby mutually agree to the following:
1) | The following Patent(s) or Patent Application(s) shall be deleted in their entirety from the paragraphs on the cover page under the subheading titled “Serial Number(s) of Licensed Patent(s) or Patent Application(s);” and the paragraphs in Appendix A under the subheading “Patent(s) or Patent Applications(s)” of the Agreement and as set forth in the First Amendment.[*] |
2) | The following Patent(s) or Patent Application(s) shall be added, as per Licensee’s letter to PHS dated July 8, 2011, to the cover page under the subheading titled “Serial Number(s) of Licensed Patent(s) or Patent Application(s):” and in Appendix A under the subheading “Patent(s) or Patent Applications(s)” of the Agreement.:[*] |
3) | In the event any provision(s) of the Agreement is/are inconsistent with Attachment 1, such provision(s) is/are hereby amended to the extent required to avoid such inconsistency and to give effect to the payment information in such Attachment 1. |
4) | All terms and conditions of the Agreement (as amended by the First Amendment) not herein amended remain binding and in effect. |
5) | The terms and conditions of this Second Amendment shall be null and void, unless this Second Amendment is executed by the Licensee and a fully executed original is received by PHS within sixty (60) days from the date of PHS signature found at the Signature Page |
6) | This Second Amendment is effective upon execution by all parties. |
SIGNATURES BEGIN ON NEXT PAGE
A-314-2011
CONFIDENTIAL | ||||
First Amendment of L-127-2007/0 |
GlobeImmune, Inc. [October 6, 2011] | |||
Model 09-2006 (updated 1-2008) |
Page 1 of 5 | L-127-2007/2 |
[*] = Certain confidential information contained in this document, marked by brackets, is filed with the Securities and Exchange Commission pursuant to Rule 24b-2 of the Securities Exchange Act of 1934, as amended.
SECOND AMENDMENT TO PATENT LICENSE AGREEMENT — EXCLUSIVE
(LICENSE NUMBER: L-127-2007/0)
(AMENDMENT NUMBER: L-127-2007/1)
SIGNATURE PAGE
In Witness Whereof, the parties have executed this Second Amendment on the dates set forth below.
For PHS: | ||||
/s/ Xxxxxxx X. Xxxxxxxxx | 10-21-11 | |||
Xxxxxxx X. Xxxxxxxxx Director, Division of Technology Development and Transfer Office of Technology Transfer National Institutes of Health |
Date | |||
Mailing Address or E-mail Address for Agreement notices and reports:
Chief, Monitoring & Enforcement Branch, DTDT Office of Technology Transfer National Institutes of Health 0000 Xxxxxxxxx Xxxxxxxxx, Xxxxx 000 Xxxxxxxxx, Xxxxxxxx 00000-0000 X.X.X.
E-mail: XxxxxxxXxxxxxx_Xxxxxxx@xxxx.xxx.xxx
| ||||
For GlobeImmune: | ||||
/s/ Xxxxxxx X. Xxxxxx M.D. |
31 Oct ‘11 | |||
Xxxxxxx X. Xxxxxx M.D.
President & Chief Executive Officer GlobeImmune, Inc. |
Date |
I. | Official and Mailing Address for Agreement notices: |
Xxxx Xxxxxxxxxxxxxx
Name
Senior Director Corporate Development
Title
Mailing Address:
0000 Xxxxxxxx Xx.
Xxxxxxxxxx XX 00000
XXX
A-314-2011
CONFIDENTIAL | ||||
First Amendment of L-127-2007/0 |
GlobeImmune, Inc. [October 6, 2011] | |||
Model 09-2006 (updated 1-2008) |
Page 2 of 5 | L-127-2007/2 |
[*] = Certain confidential information contained in this document, marked by brackets, is filed with the Securities and Exchange Commission pursuant to Rule 24b-2 of the Securities Exchange Act of 1934, as amended.
Email Address: |
xxxxx@xxxxxxxxxxx.xxx | |
Phone: |
0.000.000.0000 | |
Fax: |
0.000.000.0000 | |
II. Official and Mailing Address for Financial notices (Licensee’s contact person for royalty payments) | ||
Xxxx Xxxxxx | ||
Name |
||
Vice President Finance | ||
Title |
||
Mailing Address: | ||
0000 Xxxxxxxx Xx. | ||
Xxxxxxxxxx XX 00000 |
||
XXX |
||
Email Address: |
xxxx.xxxxxx@xxxxxxxxxxx.xxx | |
Phone: |
0.000.000.0000 | |
Fax: |
0.000.000.0000 |
Any false or misleading statements made, presented, or submitted to the Government, including any relevant omissions, under this Agreement and during the course of negotiation of this Agreement are subject to all applicable civil and criminal statutes including Federal statutes 31 U.S.C. §§3801-3812 (civil liability) and 18 U.S.C. §1001 (criminal liability including fine(s) or imprisonment).
A-314-2011
CONFIDENTIAL | ||||
First Amendment of L-127-2007/0 |
GlobeImmune, Inc. [October 6, 2011] | |||
Model 09-2006 (updated 1-2008) |
Page 3 of 5 | L-127-2007/2 |
[*] = Certain confidential information contained in this document, marked by brackets, is filed with the Securities and Exchange Commission pursuant to Rule 24b-2 of the Securities Exchange Act of 1934, as amended.
ATTACHMENT 1 – ROYALTY PAYMENT OPTIONS
The XXX License Number MUST appear on payments, reports and correspondence.
Automated Clearing House (ACH) for payments through U.S. banks only
The NIH encourages our licensees to submit electronic funds transfer payments through the Automated Clearing House (ACH). Submit your ACH payment through the U.S. Treasury web site located at: xxxxx://xxx.xxx.xxx. Locate the “NIH Agency Form” through the Xxx.xxx “Agency List”.
Electronic Funds Wire Transfers
The following account information is provided for wire payments. In order to process payment via Electronic Funds Wire Transfer sender MUST supply the following information within the transmission:
Drawn on a U.S. bank account via FEDWIRE should be sent directly to the following account:
[*]
Drawn on a foreign bank account should be sent directly to the following account. Payment must be sent in U.S. Dollars (USD) using the following instructions:
[*]
A-314-2011
CONFIDENTIAL | ||||
First Amendment of L-127-2007/0 |
GlobeImmune, Inc. [October 6, 2011] | |||
Model 09-2006 (updated 1-2008) |
Page 4 of 5 | L-127-2007/2 |
[*] = Certain confidential information contained in this document, marked by brackets, is filed with the Securities and Exchange Commission pursuant to Rule 24b-2 of the Securities Exchange Act of 1934, as amended.
Checks
All checks should be made payable to “NIH Patent Licensing”
Checks drawn on a U.S. bank account and sent by US Postal Service should be sent directly to the following address:
National Institutes of Health (NIH)
X.X. Xxx 000000
Xx. Xxxxx, XX 00000-0000
Checks drawn on a U.S. bank account and sent by overnight or courier should be sent to the following address:
US Bank
Government Lockbox SL-MO-C2GL
0000 Xxxxxxxxxx Xxxxx
Xx. Xxxxx, XX 00000
Phone: 000-000-0000
Checks drawn on a foreign bank account should be sent directly to the following address:
National Institutes of Health (NIH)
Office of Technology Transfer
Royalties Administration Xxxx
0000 Xxxxxxxxx Xxxxxxxxx
Xxxxx 000, XXX 0000
Xxxxxxxxx, Xxxxxxxx 00000
A-314-2011
CONFIDENTIAL | ||||
First Amendment of L-127-2007/0 |
GlobeImmune, Inc. [October 6, 2011] | |||
Model 09-2006 (updated 1-2008) |
Page 5 of 5 | L-127-2007/2 |