UB Center for Advanced Technology in Big Data & Health Sciences (UB CAT)

UB Center for Advanced Technology in Big Data & Health Sciences (UB CAT)

Project Application 2018-19

Also available online:

Proprietary Information Notice for Reviewers / No proprietary information is included in this UB CAT Application
All proprietary information is either identified in the body of the UB CAT Application with a “CONFIDENTIAL” notation or included as an appendix to the UB CAT Application
UB CAT Project Title:
UB Principal Investigator: / [Name]
[Title]
[Department]
[Phone]
[Email]
Private Sector Company Sponsor (“Sponsor”)
Full Legal Name: / Number of Company Employees:
Address of Principle Office / Facility: / [Address]
[City, State Zip Code] / Does the Company have a New York State Office / Facility? / ☐Yes
☐No
Does the Research Proposed Require IACUC Approval? / ☐Yes
☐No
Does the Research Proposed Require IRB Approval? / ☐Yes
☐No
Sponsor Contact: / [Name]
[Title]
[Phone]
[Email]
Have you previously received UB CAT / NYSTAR funding? ☐Yes ☐ No
If Yes, please indicate the results of the previous project, including specific deliverables:
Project Budget Summary: / Private Sector Sponsor Cash (or equivalent): / $ / Match Ratio:
Capped at
<100 employees = $1.00 CAT/$1.50 Company
>100 employees = $1.00 CAT/$3.00 Company
UB CAT / NYSTAR Cost Sharing: / $
TOTAL PROJECT COST: / $
Status of Sponsor Cash: / ☐In Hand ☐ Other, please explain:
Anticipated Economic Development Impact (over next five years):
Required Years of Reporting / New Jobs Created / Retained Jobs / Acquisition of Federal Funding* / Acquisition of Non-government Funding ** / Increased Company Revenues / Cost Savings
*** / Capital Expenditures
****
2019– 2023

New York State Center of Excellence in Bioinformatics and Life Sciences
Business and Entrepreneur Partnerships

701 Ellicott Street, Buffalo, NY 14203-1101
716.881.8900 (f) 716.849.6657

UB Center for Advanced Technology in Big Data & Health Sciences (UB CAT)

Project Application 2018-19

Also available online:

* SBIR, STTR, DoD, NIH, NSF or other federal funds

** Venture capital, angel investor or stock proceeds

*** Savings compared to alternative work plans, value of special equipment or expertise, and other savings

**** Purchases of equipment, construction or renovation of facilities by the company specifically initiated by the UB CAT project

New York State Center of Excellence in Bioinformatics and Life Sciences
Business and Entrepreneur Partnerships

701 Ellicott Street, Buffalo, NY 14203-1101
716.881.8900 (f) 716.849.6657

UB Center for Advanced Technology in Big Data & Health Sciences (UB CAT)

Project Application 2018-19

Also available online:

Please provide a response to the information requested as it applies to this project application. Please provide a complete yet concise response to the information requested as it applies to this project application. The length admissible for each section is at the discretion of the principal investigator or company sponsor.

1. Company background and technology/expertise brief:

2. Purpose of project and how it addresses the big data and health sciences focus area (non-proprietary &in

layman’s terms):

3. Market or commercial opportunity (describe relevance of project to creation of new products and services

and/or improvement on existing products and services; provide quantitative information on market size and

revenue where possible; include detailed information on target customer, competition and product):

4. Applied research to be performed, specific deliverables, time frame,location:

5. Describe Disclosure/Patent Status of Any Intellectual Property Involved in this project:

6. Detailed Project Budget(project expense administration must adhere to SUNY RF purchasing policies and

guidelines):

Budget Items / Projected Cost
UB Personnel Costs (Faculty, Researchers, or Students [Include % Effort])

15% Indirect Rate (applied to UB Personnel costs)

/ $0
Equipment Purchases (item > $5,000):
$0
Materials and Supplies:
$0
Other Expenses:
$0
TOTAL PROJECT COST = / $0

The Sponsor agrees by signing below that they are willing to complete the above Economic Development Impact information for the five years (2019-2023) following the receipt of UB CAT / NYSTAR funds.

Sponsor Signature: ______

Sponsor Printed Name and Title: ______
UB Principal Investigator Signature: ______

Please submit final application to by 5pm, March 15, 2018.

New York State Center of Excellence in Bioinformatics and Life Sciences
Business and Entrepreneur Partnerships

701 Ellicott Street, Buffalo, NY 14203-1101
716.881.8900 (f) 716.849.6657