UBIT Questionnaire

A. Royalties and Commissions

1. Does the activity generate revenue from royalties, i.e. does the activity generate income from licensing a non-University person or entity to market property belonging to the University?

Yes
No
Not Applicable

a. If yes, please forward a copy of any royalty, commission or other applicable contract for review.

Send copy of contracts and legal agreements to Dwaine Cook and Paige Bates

2. Is the royalty income derived in part from the performance of services?

Yes
No
Not applicable

a. If yes, please explain.

3. Does the activity generate income to the University in the form of commissions or a percentage of income from the sale of a non-University entity's goods or services (e.g. a percentage of sales of outside company's pizza, magazine subscription, etc.?)

Yes
No
Not applicable

a. If yes, describe the goods or services being sold, the payment arrangements, the non-University person or entity involved, and who markets the goods or services

B. Rents

1. Real Property Rents

a. Does the activity generate revenue from real property (i.e. land and/or buildings?

Yes
No
Not Applicable

b. Is the amount of rent based on income or profits derived from the property?

Yes
No
Not Applicable

c. If yes, please attach the rental arrangement or contract.

Send copy of contract or legal agreements to Dwaine Cook (dtcook@ncsu.edu) and Misty Wilson (mabaugue@ncsu.edu )

2. Real and Personal Property Rents

a. Is revenue collected for the combined rental of real property (land, building, or space) and personal property (equipment, furniture, etc.?)

Yes
No
Not Applicable

b. If yes, indicate the percentage of total rents received attributable to the real and personal property in field below.

c. Describe the type of real and personal property rented, the person or group to whom the property is rented, and the purpose for which the property is rented.

3. Rendering of Services

a. Does the activity provide for tenant services (e.g., maid, food, janitorial, security, etc.) in connection with the real property?

Yes
No
Not Applicable

b. If yes, describe the nature and extent of the services (listed above) rendered to the tenants.

Debt-financed Property

a. If the answer to 1a or 1b is yes, is the rent or lease received for the use of debt-financed property (e.g. property acquired through the use of indebtedness, with a current balance outstanding)?

Yes
No
Not Applicable

b. If yes describe the following:

Debt Instrument:

Date of Acquisition:

Original Amount of Debt:

Current Balance:

Expected date of retirement of debt:

c. Indicate the percentage make-up of individuals who occupy the debt-financing property on an annualized basis: Students, Faculty/Staff employees, Other Departments, Non-University Tenants

C. Sponsored Research

1. Describe the person or entity for whom research is performed for a fee, and whether a governmental or other agency is involved.

2. Is the research an investigative activity done to validate a scientific hypothesis in which the University is interested, the results are made freely available to the general public?

Yes
No
Not Applicable

a. If yes, briefly describe the intellectual questions posed, how these are being explored, and how the results are publicized.