NASA SBIR Company - Commercial Metrics

OMB No. 2700-0095

Date: _________

NASA SBIR Company - Commercial Metrics
(Commercially Sensitive Information)
Company: ___________________________________________________________________________
Company Contact Person: ____________________________
Title: ___________________________

State: ______________
Phone: ______________

Nondisclosure: Unless you advise otherwise on this form, the information provided below will be considered by NASA as confidential commercial data and accordingly will not be
disclosed for any purpose by NASA to non-NASA private or public parties, other than as part of data aggregated with that of other respondents, except for the compiling of this
information by NASA subcontractor personnel for NASA program evaluation purposes.

1. Regarding your firm’s commercial products or services, currently or formerly generating revenues in non-USG markets, which are based on or
partially based on technology developed under NASA SBIR awards to your firm:
(Note: “commercial” is defined to be non-U.S. Government (non-USG) markets. Count a “product line” of products having varying attributes as a single
product. “Best estimate” data is sufficient if the requested data is not available or unreasonably burdensome to obtain.)
Cumulative Revenues ($ Millions) to Date
Recognized by Your Firm from non-USG Sources

Your Firm’s No.
of Full-Time Job
Equivalents Currently
Applied to Related
Commercial Activities

Commercial Product or
Service (include venture
name, if different, and
Reg. Trademark name, if any)

NASA SBIR Contract #’s Other (e.g. dividends;
Briefly Identify
Associated with Each
Commercial Application
Comm’l Product/Service

Sales

License Fees/
Royalties

$ re: sell-off
of technology)

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(Please continue on reverse side, if additional space is necessary.)

2. Regarding your firm’s efforts (successful or unsuccessful) & planning to date regarding commercial ventures to develop commercial
products/services targeted to non-USG markets based on, or partially based on, technology developed under NASA SBIR Phase II
awards (a) which were made to your firm, please provide the following information with respect to your firm:
(A commercial venture is defined to be 1) a separate profit center established by your firm; or, 2) a profit center of another private entity that is a source of royalties, licensing fees,
or dividends for your firm or that has been established based on the outright purchase of NASA SBIR related technology from you firm.)

Venture
Name

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No. of Other
No Sig. Business
Associated
Strategic Alliance
Other
Development; but
NASA
Cum. Priv. Cap.
No. of Spin
Agreements
Significant Some Preliminary
SBIR
Investment by
Off Firms
No. of Joint No. of Lic./ Entered
No. of Other Firms
Business
Planning (e.g.
Contract
Your Firm & by
Formed
Partnerships Roy. Agmts. W/Priv . Involved: (Names: Optional* ) No. of
No. of
Development mkt. research)
Numbers Partner Firms ($ M) (Names: Opt.*) (JV’s) Entered Entered
Entities JV’s Lic./Roy. Other Agmts Patents Pat. Appl. Yes No
Yes
No

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(Note: For those NASA SBIR contracts not associated with a commercial venture to date, please enter “NONE” in the “Venture Name” column. Please continue on
reverse side, if additional space is necessary.)

3. NASA SBIR Phase II awards (a) made to your firm for which NASA and/or non-NASA USG agencies provided Phase III funding to your
firm:
(Note: USG Phase III funding is defined to be sales to NASA or to non-NASA USG agencies plus post-Phase II development funding awarded by NASA or by non-NASA
USG agencies.)

NASA SBIR Phase II (a) Contract No.’s

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Cumulative USG Phase III Funding (in $ Millions)
___________Received by Your Firm To Date___________
Phase III Funding From
Phase III Funding From NASA
non-NASA USG Agencies

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Your Firm’s No. of Full-Time Job
Equivalents (not accounted for in
Section 1 above) currently applied to
Related Phase III activities in USG Markets

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(Please continue on reverse side, if additional space is necessary.)

4.

Comments:

(*) Optional names of any spin-off or partnering entities referred to above plus any other optional comments; use backside of this form, if necessary. Also, you
may attach any marketing literature/other information on commercial applications of technology developed under NASA SBIR awards to your firm.)
(a) If commercial ventures or USG Phase III funding resulted from NASA Phase I awards for which there were no follow-on NASA Phase II awards, then please
provide the requested information with respect to those NASA Phase I awards.