General "Boilerplate" Information for Grant Application Forms -- Names and Personnel
Please also consult the
Office of University Research Annual Reports.
Performing Organization
California State University,
Long Beach
1250 Bellflower Boulevard
Long Beach, CA 90840
(hereafter referred to
as "University address")
Phone: 562-985-5314
Fax: 562-985-8665
E-Mail: research@csulb.edu
Applicant Organization
(Fiscal Agent)
California State University
Long Beach Foundation
6300 State University
Drive
Long Beach, CA 90815-4670
(hereafter referred to
as "Foundation address")
Phone: 562-985-5537
Fax: 562-985-7951
E-mail: rbehm@csulb.edu
Officials Authorized
to Negotiate:
Dr. James Till, Acting Associate
Vice President for Research and External Support
Dr. Robert Behm, Executive
Director, CSULB Foundation
Susanne DeRosa, Director,
Grants, Contracts, and Foundation Programs, CSULB Foundation
Officials Authorized
to Commit the University:
Dr. James Till, Acting Associate
Vice President for Research and External Support
Dr. Karen Gould,
Provost and Senior Vice President for Academic Affairs
University Business Official
/ Financial Officer
Mr. Joseph Latter, Associate Vice President for Administration and Finance (University address)
Foundation Business Official
Dr. Robert Behm, Executive Director, CSULB Foundation (Foundation address)
Organization Codes:
Employer EIN: 95-6106694
(Foundation)
Employer EIN: 93-1150363
(University Business Office)
CRS Entity ID # 1956106694A1
NSF Institutional Code
# 0011395000
DoED Entity # 1-946001347-F5
DUNS # 006199129
IPEDS # 196130
USDA 93R-0418
USDHHS IPF #0513605
USDHHS OHRP IORG000493
USDHHS OHRP IRB00000815
(IRB #1)
USDHHS OHRP Federalwide
Assurance #FWA00000022 1/24/01 to 8/15/08
USDHHS OLAW Assurance
#A3390-01 12/20/05 to 12/31/09
California "Single Point of Contact"
Grants Coordinator
Office of Planning &
Research
1400 Tenth Street, Room
121
Sacramento, California
95814
Telephone: (916) 323-7480
FAX: (916) 323-3018
Animal Care
Ms. Ellen Teneriello,
Research Facilities Coordinator
Dr. Dale Jorgenson, Faculty Liaison
for Research Compliance
Dr. Zed Mason, IACUC Chair
(c/o Office of University Research)
Dr. James Till, Acting
Associate Vice President and Institutional Official for Animal Care
and Use
Human Subjects
Ms. Paulette McIntosh,
Senior Associate Director of Research
Dr. Dale Jorgenson, Faculty Liaison
for Research Compliance
Chair,
Institutional Review Board for the Protection of Human Subjects
(c/o Office of University Research)
Patents and Copyrights
Dr. Dale Jorgenson, Faculty Liaison
for Research Compliance
Dr. James Till, Acting Associate
Vice President for Research and External Support
Conflict of Interest
in Grants and Contracts
Dr. James Till, Acting Associate
Vice President for Research and External Support
Safety and Risk Management
Dr. Maryann Rozanski,
Director (University address)
Phone: 562-985-8260
Fax:562-985-2411
E-Mail: mrozansk@csulb.edu
Recombinant DNA Molecules
Dr. Dale Jorgenson, Faculty Liaison
for Research Compliance
Dr. Ken Green, Chair,
Institutional Biosafety Committee (c/o Office of University Research) |
