Common use of Sample Reporting Form Clause in Contracts

Sample Reporting Form. Stanford Docket No. S- This report is provided pursuant to the license agreement between Stanford University and (Company Name) License Agreement Effective Date: Name(s) of Licensed Products being reported: Report Covering Period Yearly Maintenance Fee $ Number of Sublicenses Executed Gross Revenue U.S. Gross Revenue Non-U.S. Gross Revenue $ $ Net Sales U.S. Net Sales Non-U.S. Net Sales $ $ Royalty Calculation Royalty Subtotal $ Credit $ Royalty Due $ Comments: [*] = Certain confidential information contained in this document, marked by brackets, has been omitted and filed separately with the Securities and Exchange Commission pursuant to Rule 406 of the Securities Act of 1933, as amended.