This Material Transfer Agreement (\"**MTA**\") has been adopted for use
by the National Institutes of Health (\"NIH\"), the Food and Drug
Administration (\"FDA\"), and the Centers for Disease Control and
Prevention (\"CDC\"), collectively referred to herein as the United
States Public Health Service (\"**PHS**\") within the Department of
Health and Human Services (\"**DHHS**\"), in all transfers of research
material (\"**Research Material**\") whether **PHS** is identified below
as its **Provider** or **Recipient**.

**Provider**: National Institute of Dental and Craniofacial Research
(\"NIDCR\")

  ---------------- ------------------------------------------------------------
  **Recipient**:   ***Legal_Name_of_University_or_Institution***

  ---------------- ------------------------------------------------------------

1\. **Provider** agrees to transfer to **Recipient**\'s Investigator
named below the following **Research Material**:

  -----------------------------------------------------------------------
  ***Identify the Research Material.***

  -----------------------------------------------------------------------

2\. THIS **RESEARCH MATERIAL** MAY NOT BE USED IN HUMAN SUBJECTS. The
**Research** **Material** will only be used for research purposes by
**Recipient**\'s investigator in his/her laboratory, for the research
project described below, under suitable containment conditions. This
**Research Material** will not be used by for-profit recipients for
screening, production or sale, for which a commercialization license may
be required. **Recipient** agrees to comply with all Federal rules and
regulations applicable to the **Research Project** and the handling of
the **Research Material**.

2(a). Were **Research Materials** collected according to 45 CFR Part 46,
\"Protection of Human Subjects\"?

> Yes (Please provide Assurance Number: [     ]{.underline})
>
> No
>
> Not Applicable (Materials not collected from humans)

3\. This **Research Material** will be used by **Recipient**\'s
investigator solely in connection with the following research project
(\"**Research Project**\") described with specificity as follows (use an
attachment page if necessary): See ATTACHMENT.

4\. In all oral presentations or written publications concerning the
**Research Project**, **Recipient** will acknowledge **Provider**\'s
contribution of this **Research Material** unless requested otherwise.
To the extent permitted by law, **Recipient** agrees to treat in
confidence, for a period of three (3) years from the date of its
disclosure, any of **Provider**\'s written information about this
**Research Material** that is stamped **\"CONFIDENTIAL\"**, except for
information that was previously known to **Recipient** or that is or
becomes publicly available or which is disclosed to **Recipient**
without a confidentiality obligation. Any oral disclosures from
**Provider** to **Recipient** shall be identified as being
**CONFIDENTIAL** by written notice delivered to **Recipient** within
thirty (30) days after the date of the oral disclosure. **Recipient**
may publish or otherwise publicly disclose the results of the **Research
Project**, but if **Provider** has given **CONFIDENTIAL** information to
**Recipient** such public disclosure may be made only after **Provider**
has had thirty (30) days to review the proposed disclosure to determine
if it includes any **CONFIDENTIAL** information, except when a shortened
time period under court order or the Freedom of Information Act
pertains.

5\. This **Research Material** represents a significant investment on
the part of **Provider** and is considered proprietary to **Provider**.
**Recipient**\'s investigator therefore agrees to retain control over
this **Research** **Material** and further agrees not to transfer the
**Research Material** to other people not under her or his direct
supervision without advance written approval of **Provider**.
**Provider** reserves the right to distribute the **Research Material**
to others and to use it for its own purposes. When the **Research**
**Project** is completed, the **Research Material** will be disposed of,
if directed by **Provider**.

6\. This **Research Material** is provided as a service to the research
community. IT IS BEING SUPPLIED TO **RECIPIENT** WITH NO WARRANTIES,
EXPRESS OR IMPLIED, INCLUDING ANY WARRANTY OF MERCHANTABILITY OR FITNESS
FOR A PARTICULAR PURPOSE. **Provider** makes no representations that the
use of the **Research Material** will not infringe any patent or
proprietary rights of third parties.

[7. When **Provider** is the **PHS**:]{.underline} **Recipient** shall
retain title to any patent or other intellectual property rights in
inventions made by its employees in the course of the **Research
Project**. **Recipient** agrees not to claim, infer, or imply
endorsement by the Government of the United States of America
(hereinafter referred to as \"**Government**\") of the **Research
Project**, the institution or personnel conducting the **Research
Project** or any resulting product(s). Unless prohibited by law from
doing so, **Recipient** agrees to hold the **Government** harmless and
to indemnify the **Government** for all liabilities, demands, damages,
expenses and losses arising out of **Recipient**\'s use for any purpose
of the **Research Material**.

[8. When **Recipient** is the **PHS**:]{.underline} The **PHS** shall
retain title to any patent or other intellectual property rights in
inventions made by its employees in the course of the **Research
Project**. The **PHS** is not authorized to promise rights in advance
for inventions developed under this **Agreement**. **Provider** acquires
no intellectual property rights under this **MTA**, but may apply for
license rights to any patentable invention that might result from this
**Research Project**. It is the intention of **PHS** that **Provider**
not be liable to **PHS** for any claims or damages arising from
**PHS**\'s use of the **Research Material**; however, no indemnification
is provided or intended.

9\. The undersigned **Provider** and **Recipient** expressly certify and
affirm that the contents of any statements made herein are truthful and
accurate.

10\. This **MTA** shall be construed in accordance with Federal law as
applied by the Federal courts in the District of Columbia.

11\. Any additional terms: See ATTACHMENT.

+-------------+---+----------------+---+-----------------------------------+
| **Rec       |   |                |   |                                   |
| ipient**\'s |   |                |   |                                   |
| I           |   |                |   |                                   |
| nvestigator |   |                |   |                                   |
| and Title:  |   |                |   |                                   |
+-------------+---+----------------+---+-----------------------------------+
| ***Dr./     |   | **             | * |                                   |
| Mr./Mrs.*** |   | *first_name*** | * |                                   |
|             |   |                | * |                                   |
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|             |   |                | * |                                   |
|             |   |                | * |                                   |
|             |   |                | * |                                   |
+-------------+---+----------------+---+-----------------------------------+
| ***Job_T    |   |                |   |                                   |
| itle_of_Rec |   |                |   |                                   |
| ipient_Inve |   |                |   |                                   |
| stigator*** |   |                |   |                                   |
+-------------+---+----------------+---+-----------------------------------+
| Authorized  |   |                |   |                                   |
| Signature   |   |                |   |                                   |
| for         |   |                |   |                                   |
| **          |   |                |   |                                   |
| Recipient** |   |                |   |                                   |
| and Title:  |   |                |   |                                   |
+-------------+---+----------------+---+-----------------------------------+
|             |   |                |   |                                   |
+-------------+---+----------------+---+-----------------------------------+
| (signature  |   |                |   |                                   |
| / date)     |   |                |   |                                   |
+-------------+---+----------------+---+-----------------------------------+
| ***Dr.      |   | **             | * |                                   |
| /Mr./Ms.*** |   | *first_name*** | * |                                   |
|             |   |                | * |                                   |
|             |   |                | l |                                   |
|             |   |                | a |                                   |
|             |   |                | s |                                   |
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|             |   |                | * |                                   |
+-------------+---+----------------+---+-----------------------------------+
| ***Jo       |   |                |   |                                   |
| b_Title_of_ |   |                |   |                                   |
| Authorized_ |   |                |   |                                   |
| Official*** |   |                |   |                                   |
+-------------+---+----------------+---+-----------------------------------+
| **Rec       |   |                |   |                                   |
| ipient**\'s |   |                |   |                                   |
| Official    |   |                |   |                                   |
| and Mailing |   |                |   |                                   |
| Address:    |   |                |   |                                   |
+-------------+---+----------------+---+-----------------------------------+
| ***Name_    |   |                |   |                                   |
| of_Official |   |                |   |                                   |
| _Office_for |   |                |   |                                   |
| _Legal_Noti |   |                |   |                                   |
| fication*** |   |                |   |                                   |
+-------------+---+----------------+---+-----------------------------------+
| ***Offi     |   |                |   |                                   |
| cial_Street |   |                |   |                                   |
| _Address*** |   |                |   |                                   |
+-------------+---+----------------+---+-----------------------------------+
| ***city***  |   |                |   | ***state_or_province***           |
+-------------+---+----------------+---+-----------------------------------+
| ***         |   |                |   | ***country***                     |
| zip_code*** |   |                |   |                                   |
+-------------+---+----------------+---+-----------------------------------+
| **Pr        |   |                |   |                                   |
| ovider**\'s |   |                |   |                                   |
| I           |   |                |   |                                   |
| nvestigator |   |                |   |                                   |
| and Title:  |   |                |   |                                   |
+-------------+---+----------------+---+-----------------------------------+
| Dr.         | * |                | * |                                   |
|             | * |                | * |                                   |
|             | * |                | * |                                   |
|             | f |                | l |                                   |
|             | i |                | a |                                   |
|             | r |                | s |                                   |
|             | s |                | t |                                   |
|             | t |                | _ |                                   |
|             | _ |                | n |                                   |
|             | n |                | a |                                   |
|             | a |                | m |                                   |
|             | m |                | e |                                   |
|             | e |                | * |                                   |
|             | * |                | * |                                   |
|             | * |                | * |                                   |
|             | * |                |   |                                   |
+-------------+---+----------------+---+-----------------------------------+
| Principal   |   |                |   |                                   |
| I           |   |                |   |                                   |
| nvestigator |   |                |   |                                   |
+-------------+---+----------------+---+-----------------------------------+
| Authorized  |   |                |   |                                   |
| Signature   |   |                |   |                                   |
| for         |   |                |   |                                   |
| *           |   |                |   |                                   |
| *Provider** |   |                |   |                                   |
| and Title:  |   |                |   |                                   |
+-------------+---+----------------+---+-----------------------------------+
| []{.mark}   |   |                |   |                                   |
+-------------+---+----------------+---+-----------------------------------+
| (signature  |   |                |   |                                   |
| / date)     |   |                |   |                                   |
+-------------+---+----------------+---+-----------------------------------+
| David W.    |   |                |   |                                   |
| Bradley     |   |                |   |                                   |
| Ph.D.       |   |                |   |                                   |
+-------------+---+----------------+---+-----------------------------------+
| Technology  |   |                |   |                                   |
| Development |   |                |   |                                   |
| Coordinator |   |                |   |                                   |
+-------------+---+----------------+---+-----------------------------------+
| **Pr        |   |                |   |                                   |
| ovider**\'s |   |                |   |                                   |
| Official    |   |                |   |                                   |
| and Mailing |   |                |   |                                   |
| Address:    |   |                |   |                                   |
|             |   |                |   |                                   |
| Technology  |   |                |   |                                   |
| Development |   |                |   |                                   |
| Coordinator |   |                |   |                                   |
|             |   |                |   |                                   |
| NIDCR       |   |                |   |                                   |
| Intramural  |   |                |   |                                   |
| Technology  |   |                |   |                                   |
| Transfer    |   |                |   |                                   |
| Office      |   |                |   |                                   |
|             |   |                |   |                                   |
| Building    |   |                |   |                                   |
| 10, Room    |   |                |   |                                   |
| 1N103       |   |                |   |                                   |
|             |   |                |   |                                   |
| 10 Center   |   |                |   |                                   |
| Dr, MSC     |   |                |   |                                   |
| 1197        |   |                |   |                                   |
|             |   |                |   |                                   |
| Bethesda,   |   |                |   |                                   |
| MD          |   |                |   |                                   |
| 20892-1197  |   |                |   |                                   |
| USA         |   |                |   |                                   |
+-------------+---+----------------+---+-----------------------------------+
| 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)     |   |                |   |                                   |
| and/or      |   |                |   |                                   |
| imp         |   |                |   |                                   |
| risonment). |   |                |   |                                   |
+-------------+---+----------------+---+-----------------------------------+

**MTA ID# [2007-NNN]{.underline}**

**ATTACHMENT**

The shipping and email address for **Recipient**'s Investigator are:

  --------------------------------------------- ------------------------- ---------------- -------------------------------------------------- ------------------------------
  *Address (Line 1):*                                                                                                                         

  ***Department,\_Laboratory,\_or_Building***                                                                                                 

  *(Line 2)*                                                                                                                                  

  ***Street_address_and_Floor/Room***                                                                                                         

  *City*                                        *State or Province*       *Zip Code*                                                          *Country*

  ***City***                                    ***State_or_Province***   ***Zip_Code***                                                      ***Country***

  *Email Address:*                                                                                                                            

  ***email_address_for_investigator***                                                                                                        

  *telephone*                                                                              *Shipping Vendor & Account No. (optional)*         

  ***telephone_number***                                                                   ***Shipper\_(e.g.\_FEDEX)\_and_Account_number***   
  --------------------------------------------- ------------------------- ---------------- -------------------------------------------------- ------------------------------

The email address of the **Recipient**'s Authorized Signatory is:

  -----------------------------------------------------------------------
  *Email Address:*

  ***email_address_for_Authorized_Official***
  -----------------------------------------------------------------------

**Recipient** has no preference for delivery of an executed agreement or
prefers to have

an original, fully executed agreement sent by mail or

a copy of the fully executed agreement sent by email and

**Recipient** requests the executed agreement be sent to: \[choose one\]

the **Recipient**'s Investigator,

the **Recipient**'s Authorized Signatory, or

the **Recipient**'s Contact with the name, job title, mailing address,
and email address, shown below:

  ----------------------------------------------------- ----------------------------- ------------------------- ---------------------------- -------------------------
  *(Dr. Ms. Mr.)*                                       *First Name*                                            *Last Name*                  

  ***Dr./Ms./Mr.***                                     ***Contact\'s_first_name***                             ***Contact\'s_Last_Name***   

  *Job Title*                                                                                                                                

  ***Job_Title_of_Contact_Person***                                                                                                          

  *Address (Line 1)*                                                                                                                         

  ***Contact\'s_Office,\_Building,\_or_Room_Number***                                                                                        

  *(Line 2)*                                                                                                                                 

  ***Contact\'s_Street_Address***                                                                                                            

  *City*                                                                              *State or Province*       *Zip Code*                   *Country*

  ***City***                                                                          ***State_or_Province***   ***Zip_Code***               ***Country***

  *Email Address*                                                                                                                            

  ***Contact\'s_email_address***                                                                                                             
  ----------------------------------------------------- ----------------------------- ------------------------- ---------------------------- -------------------------

> Provider requests inquires and partly executed agreements be sent to
> **Provider**'s Contact:
>
> David Bradley, Ph.D.
>
> Technology Development Coordinator
>
> BLDG 10 RM 1N103
>
> 10 CENTER DR MSC 1197
>
> BETHESDA MD 20892-1197 UNITED STATES
>
> bradleyda@nidcr.nih.gov

**Research Project**:

  -----------------------------------------------------------------------
  ***Write_a_brief_research_plan_here.***

  -----------------------------------------------------------------------

**Instructions** (for Scientists Requesting Materials from NIDCR)

1.  Replace the **BLUE TEXT** in this sample agreement with your
    information. If the information does not apply to you, leave the
    field blank.

2.  Fill in the **[legal name]{.underline}** for your university or
    institution next to "**Recipient**." This is not your lab, nor your
    department. Do not include your department or laboratory name.

3.  Define \"**Research Material**\" at the top of the form. Be
    specific. A general description such as \"plasmids\" or \"antisera\"
    is not acceptable. If you are uncertain which materials to request,
    it is important to contact the NIDCR investigator for clarification.

4.  Fill in the first and last name of the "**Recipient's**
    Investigator." Directly below the name fill in the
    **[JOB]{.underline}** title. Examples of Job Titles are Professor,
    Investigator, or Ph.D. Candidate.

5.  Determine who the Authorized Official is from your organization.
    This person is an official authorized to sign Material Transfer
    Agreements on behalf of your Institution or University. Usually he
    or she is the head of your technology transfer office, intellectual
    property office, a Dean of Research, or an administrative official.
    The Authorized Official does not necessarily have an academic
    appointment. **[Fill in the name and job title of the Authorized
    Official under the section headed by "Authorized Signature for
    Recipient and Title.".]{.underline}** If you are not certain what
    their job title is, ask your Authorized Official and they will
    provide this information.

6.  Provide an official address for your organization. We will use this
    address to return an original copy of the fully executed agreement
    if you request that your authorized signatory receive an original
    copy. (Fully executed means that the agreement was signed by
    authorized officials at each institution.)

7.  Indicate the name of the "**Provider's** Investigator," that is the
    Principal Investigator at NIDCR who will be providing the Research
    Material. A directory of NIDCR staff is available here:
    <http://www.nidcr.nih.gov/AboutNIDCR/StaffDirectory>.

8.  Fill in your shipping address on the top of the second page of the
    agreement. In the middle of the second page, fill in the email
    address, telephone number and fax number of the authorized official.
    Indicate how you want the executed agreement sent back (by email or
    regular mail) and indicate who should receive a copy of the
    completed agreement (either the authorized official, the
    investigator, or a contact person).

9.  **[Include a brief description]{.underline}** of your Research
    Project at the bottom of the ATTACHMENT.

10. **[Send the electronic copy of the agreement via
    email]{.underline}** for us to review before obtaining signatures
    (email: <bradleyda@nidcr.nih.gov>). We will generate an
    Identification Number (MTA ID#) for the agreement which will help
    speed processing.

11. **[Wait for us to review the agreement and reply with a MTA ID#.
    Print out two copies of the agreement]{.underline}.**

12. Ask the Authorized Official to **[sign and date]{.underline}** below
    \" Authorized Signature for **Recipient** and Title" **[next to the
    GREEN ARROW]{.underline}**. If you are the Recipient's Investigator
    and you intend to sign the form yourself as the Authorized Official,
    you must confirm that you are authorized to execute Material
    Transfer Agreements. If you falsely represent yourself as the
    authorized official, there may be negative personal and/or
    professional repercussions.

13. Mail both copies of the agreement to the Provider's Contact. For
    fastest delivery, we suggest using a courier service or certified
    mail/return receipt.

14. Please include the MTA ID# on any correspondence.

**If this agreement is filled out completely and accurately we can
process your request quickly. If there are mistakes or if contact
information is wrong or incomplete, there can be significant delays.
Thank you for your help in providing the information we need so delays
can be minimized**.

(This page is not part of the agreement.)