Automatic Carry Forward. Yes No (If No, Carry Forward requests must be sent to Prime Recipient's Authorized Official, as shown in Attachment 3). Attachment 3A Research Subaward Agreement Subaward Number: Institution/Organization ("Prime Recipient") Name: University of Alaska Fairbanks Address: Procurement & Contract Services ▇▇ ▇▇▇ ▇▇▇▇▇▇ City: Fairbanks State: Alaska ZipCode: 99775-7940 Administrative Contact Name: Address: University of Alaska Fairbanks City: Telephone: Fax: Email: ZipCode: State: Principal Investigator Name: Address: University of Alaska Fairbanks City: State: ZipCode: Telephone: Fax: Email: Financial Contact Name: ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇ Address: University of Alaska Fairbanks Office of Grants & Contracts Administration PO Box 757880 City: Fairbanks State: Alaska ZipCode: ▇▇▇▇▇-▇▇▇▇ Telephone: ▇▇▇-▇▇▇-▇▇▇▇ Fax: ▇▇▇-▇▇▇-▇▇▇▇ Email: ▇▇▇▇▇▇▇▇@▇▇▇▇▇▇.▇▇▇ Authorized Official Name: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇, C.P.M., Assoc Director, Procurement and Research Services Address: University of Alaska Fairbanks Procurement & Contract Services ▇▇ ▇▇▇ ▇▇▇▇▇▇ City: Fairbanks State: Alaska ZipCode: ▇▇▇▇▇-▇▇▇▇ Telephone: ▇▇▇-▇▇▇-▇▇▇▇ Fax: ▇▇▇-▇▇▇-▇▇▇▇ Email: ▇▇▇.▇▇▇▇▇@▇▇▇▇▇▇.▇▇▇ Institution/Organization ("Subrecipient") Name: Attachment 3B - Research Subaward Agreement Subrecipient Contacts Subaward Number: Address: City: State: ZipCode + 4: EIN No.: Institution Type: Is the Performance Site the Same Address as Above? Yes No If no, is the Performance Site the same as PI address below? Yes No If no to both questions, please complete 3B page 2 (if ARRA funding use Attachment 4A). Subrecipient currently registered in CCR? Yes No DUNS No.: Parent DUNS No.: Is Subrecipient exempt from reporting compensation? Yes No Congressional District: Congressional District: If no , please complete 3B page 2 (if ARRA funding use Attachment 4A). Administrative Contact Name: Address: City: Telephone: Email: State: ZipCode: Fax: Principal Investigator Name: Address: City: Telephone: Email: State: ZipCode: Fax: Financial Contact Name: Address: City: Telephone: Email: State: ZipCode: Fax: Authorized Official Name: Address: City: Telephone: State: ZipCode: Fax: Email: FDP version 20111123 Institution/Organization ("Subrecipient") Name: Subaward Number: Place of Performance Name: Address: City: Telephone: Email: State: Fax: Congressional District: ZipCode + 4: The names and total compensation of the five most highly compensated officers of the entity(ies) must be listed if-- (i) the entity in the preceding fiscal year received— (I) 80 percent or more of its annual gross revenues in Federal awards (federal contracts (and subcontracts), loans, grants (and subgrants) and cooperative agreements); AND (II) $25,000,000 or more in annual gross revenues from Federal awards; and (ii) the public does not have access to information about the compensation of the senior executives of the entity through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986.
Appears in 6 contracts
Sources: Subaward Agreement, Subaward Agreement, Subaward Agreement
Automatic Carry Forward. Yes No (If No, Carry Forward requests must be sent to Prime Recipient's Authorized Official, as shown in Attachment 3). Attachment 3A Research Subaward Agreement Subaward Number: Institution/Organization ("Prime Recipient") Name: University of Alaska Fairbanks Address: Procurement & Contract Services ▇▇ ▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇, ▇▇▇▇▇ ▇▇▇ City: Fairbanks State: Alaska ZipCodeZip Code: 99775-7940 99709 Administrative Contact Name: Address: University of Alaska Fairbanks City: Telephone: Fax: Email: ZipCode: State: Principal Investigator Name: Address: University of Alaska Fairbanks City: State: ZipCode: Telephone: Fax: Email: Financial Contact Name: ▇▇G. ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇, Director Address: University of Alaska Fairbanks Office of Grants & Contracts Administration PO P.O. Box 757880 City: Fairbanks State: Alaska ZipCode: ▇▇▇▇▇-▇▇▇▇ Telephone: ▇▇▇-▇▇▇-▇▇▇▇ Fax: ▇▇▇-▇▇▇-▇▇▇▇ Email: ▇▇▇▇▇▇▇▇@▇▇▇▇▇▇.▇▇▇ Authorized Official Name: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇, ▇ C.P.M., Assoc Director, Procurement and & Research Services Service Address: University of Alaska Fairbanks Procurement & Contract Services ▇▇ ▇▇▇ ▇▇▇▇▇▇▇ City: Fairbanks State: Alaska ZipCode: ▇▇▇▇, ▇-▇▇▇▇ Telephone: ▇▇▇-▇▇▇-▇▇▇▇ FaxZipCode: ▇▇▇99775-▇▇▇-▇▇▇▇ 7880 Email: ▇▇▇.▇▇▇▇▇@▇▇▇▇▇▇.▇▇▇ ZipCode: 99709 FDP version 20101012 Institution/Organization ("Subrecipient") Name: Attachment 3B - Research Subaward Agreement Subrecipient Contacts Subaward Number: Address: City: State: ZipCode + 4: EIN No.: Institution Type: Did the subrecipient's gross income, from all sources, in the previous tax year exceed $300,000? Yes No If no, FFATA reporting of this subaward is not required. Is the Performance Site the Same Address as Above? Yes No Currently registered in CCR? Yes No If no, is the Performance Site the same as PI address below? Yes No If no to both questions, please complete 3B page 2 (if ARRA funding use Attachment 4A). Subrecipient currently registered in CCR? Yes No DUNS No.: Parent DUNS No.: Is Subrecipient exempt from reporting compensation? Yes No Congressional District: Congressional District: If no , please complete 3B page 2 (if ARRA funding use Attachment 4A). DUNS No.: Congressional District: Parent DUNS No.: Congressional District: Administrative Contact Name: Address: City: Telephone: Email: State: ZipCode: Fax: Principal Investigator Name: Address: City: Telephone: Email: State: ZipCode: Fax: Financial Contact Name: Address: City: Telephone: Email: State: ZipCode: Fax: Authorized Official Name: Address: City: Telephone: State: ZipCode: Fax: Email: FDP version 20111123 20101012 Institution/Organization ("Subrecipient") Name: Subaward Number: Place of Performance Name: Address: City: Telephone: Email: State: Fax: Congressional District: ZipCode + 4: The names and total compensation of the five most highly compensated officers of the entity(ies) must be listed if--
(i) the entity in the preceding fiscal year received—
(I) 80 percent or more of its annual gross revenues in Federal awards (federal contracts (and subcontracts), loans, grants (and subgrants) and cooperative agreements); AND
(II) $25,000,000 or more in annual gross revenues from Federal awards; and
(ii) the public does not have access to information about the compensation of the senior executives of the entity through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986.
Appears in 1 contract
Sources: Subaward Agreement