Academic Matching Grant Application is sponsored by South Carolina Research Authority. Final Grant Report SCRA-Academic Collaboration Team (SACT) Gran

Academic Institution (“Applicant”) Principal Investigator (PI) Project Summary Provide a brief, non-confidential summary of your project . Contents of this section may appear on the SCRA website or other marketing materials. Institutional Match Funding ($) Institutional Support of the project within 36 months (or concurrent ).

Description of Institutional Support Type Disbursement Date Amount ($) Total Institutional Match ($) *Federal funding, legal expenses, and salaries are not eligible as matching funds. # ACADEMIC MATCHING GRANT The Academic Matching Grant expands academic engagement in research and development to validate and advance technology concepts towards the potential of company formation.

1 Total Funds Requested from SCRA ($) Not to exceed total institutional match funding . Problem What problem do you wish to solve? Are there any current products in the market doing the same?

Solution Describe how your technology solves the problem. ☐ Life Sciences ☐ Advanced Materials/Manufacturing ☐ Information Technology ☐ Other ________________________________________ 2 Work Plan Describe milestones to be achieved within the project timeline (no longer than 12 months) . Describe how these activities are required to advance the technolog y to the next stage of development.

Market Viability Stage of Development What is the current stage of development for the technology? Link to TRL descriptions ☐ TRL 3: Late Ideation ☐ TRL 4: Early Prototype ☐ TRL 5: Late Prototype ☐ TRL 6+: Deployment 3 Spin-Out/Startup Plans Do you plan on forming an entity? Industry Partners List strategic partners that you have engaged that could accelerate your innovation's path to market.

Describe your ideal user , and why they would prefer your solution. What are your value propositions that are better than what is available in the market today? Who owns the IP?

Intellectual Property What is the status of the IP? (check all that apply) (Provide patent number in comment box) Intellectual Property Claims (include any official registered numbers) Proprietary Know-How Trade Secret Path to Market How do you envision selling your technology? Include any barriers/challenges.

*FOR NON-RESEARCH INSTITUTIONS: Has an IP Policy been put in place? ☐ Yes ☐ No ☐ In Discussion BUDGET Person per Month FUNDS REQUESTED A. PERSONNEL (non-saleried) List each separately with name and title PROJECT ROLE CAL ACAD SUMR C.

MATERIALS AND SUPPLIES (Itemize by category) TOTAL COSTS (A THROUGH F)4 ## ☐ Attachment A: Documentation of Institutional Support Listed on Page 1 provided by institution ## ☐ Attachment B: Quotes for consultant/prototyping services and/or equipment (if applicable) ## Completed application and attachments MUST be submitted by authorized institutional official, either from the Technology Transfer Office (TTO), or equivalent, to: academicinnovations@scra.

org Budget Justification Provide details on how theses expenditures will complete milestones towards commercial readiness. Signature Authority Provide the name and email of institution representatives that will perform the DocuSign Roles listed below , if grant application is approved for funding . 1a.

Principal Investigator (Review only) 1b. Agreement Review (Proceeds to Fin. Input) 2.

Financial Input (Proceeds to Final Signature) 3. Final Signature (Proceeds to SCRA)