APPENDIX 4.3(a) COMMERCIAL LICENSE REQUEST FORM (To be completed for each Commercial Target)
Exhibit 10.3(B)
Execution Version
[***] Certain information in this document has been omitted and filed separately with the Securities and Exchange Commission. Confidential treatment has been requested with respect to the omitted portions.
APPENDIX 4.3(a)
COMMERCIAL LICENSE REQUEST FORM
(To be completed for each Commercial Target)
Target requested pursuant to Section 4.3 of the Subscription and License Agreement (define: by common name(s), accession number, and amino acid sequence, if possible):
[***]
Type of Commercial License Requested: Commercial Therapeutic License
ONCOMEDPHARMACEUTICALS, INC. | MORPHOSYS AG | |||||||
By: | /s/ John A. Lewicki | By: | /s/ I.A. Christine Rothe | |||||
Name: | John A. Lewicki | Name: | Christine Rothe | |||||
Title: | SR VP, R&D | Title: | Senior Manager, Alliance Manager | |||||
Date: | 28th April, 2008 | Date: | 6th May 2008 | |||||
MORPHOSYS AG | ||||||||
By: | /s/ Harald Watzka | |||||||
Name: | Harald Watzka | |||||||
Title: | Director, Head of AM | |||||||
Date: | 6th May 2008 |
[to be filled out by MORPHOSYS:] Does the Commercial License include a Clinical Monitoring License? (please circle) [***]
APPENDIX 4.3(a)
COMMERCIAL LICENSE REQUEST FORM
(To be completed for each Commercial Target)
Target requested pursuant to Section 4.3 of the Subscription and License Agreement (define: by common name(s), accession number, and amino acid sequence, if possible):
[***]
Type of Commercial License Requested: Commercial Therapeutic License
ONCOMEDPHARMACEUTICALS, INC. | MORPHOSYS AG | |||||||
By: | /s/ John A. Lewicki | By: | /s/ I.A. Christine Rothe | |||||
Name: | John A. Lewicki | Name: | Christine Rothe | |||||
Title: | SR VP, R&D | Title: | Senior Manager, Alliance Manager | |||||
Date: | 17th April, 2008 | Date: | 28th April 2008 | |||||
MORPHOSYS AG | ||||||||
By: | /s/ Harald Watzka | |||||||
Name: | Harald Watzka | |||||||
Title: | Director, Head of AM | |||||||
Date: | 28th April 2008 |
[to be filled out by MORPHOSYS:] Does the Commercial License include a Clinical Monitoring License? (please circle) [***]
[***] Certain information in this document has been omitted and filed separately with the Securities and Exchange Commission. Confidential treatment has been requested with respect to the omitted portions.