GENERAL INFORMATION FOR CLINICAL TRIAL AGREEMENTS
(INDUSTRY-SUPPORTED STUDIES)

ADMINISTRATIVE CONTACTS

Authorized Signatory

Perrie M. Adams, Ph.D.
Associate Dean for Research
The University of Texas Southwestern Medical Center at Dallas
5323 Harry Hines Boulevard, H1.108
Dallas, TX 75390-9016       
Tel: (214) 648-6449   Fax: (214) 648-3362

Agreement Negotiation

Patty Hall-Taylor
Supervisor, Grants & Contracts Specialist
The University of Texas Southwestern Medical Center at Dallas
5323 Harry Hines Boulevard, H1.108
Dallas, TX 75390-9016     
Tel: (214) 648-7648   Fax: (214) 648-3362

Tracey Johnson
Sr. Grants & Contracts Specialist
The University of Texas Southwestern Medical Center at Dallas
5323 Harry Hines Boulevard, H1.108
Dallas, TX 75390-9016     
Tel: (214) 648-2318   Fax: (214) 648-3362

Scott Bergener
Grants & Contracts Specialist
The University of Texas Southwestern Medical Center at Dallas
5323 Harry Hines Boulevard, H1.108
Dallas, TX 75390-9016     
Tel: (214) 648-0225   Fax: (214) 648-3362

INDIRECT COST RATE:  30%

TAX ID NUMBER:  75-6002868

LOCKBOX ADDRESS FOR RECEIPT OF CHECKS

*NOTE:  Checks should be made payable to "The University of Texas Southwestern Medical Center at Dallas" and should reference the Principal Investigator's name and protocol number.

U.S. Mail:
UT Southwestern Clinical Trials
P.O. Box 842265
Dallas, TX 75284-2265

FedEx or Other Courier:
Bank of America
1401 Elm Street, 5th floor
Attn: Lockbox #842265
Dallas, TX 75202
214-508-6178 (for courier airbill)

Wire Transfer
Bank Name: Bank of America
ACH ABA Number: 111000025
Swift Code: BOFAUS3N
CHIPS: 0959
Account Name: UT Southwestern Medical Center at Dallas
Account Number: 000180794313
Bank Address: 901 Main Street, 10th Floor
Dallas, TX 75202-3714

Please reference Principal Investigator's name and Protocol number.