Fauci Awards Package (Redacted) — page 86

NIH] National Institutes of Health NIH Ethics Office AWARD REVIEW WORKSHEET Date Received EMIS ID # Ethics Official IC Employee Name Full Name of Award Award Sponsor Event Date Event Location Sponsor's Contact Phone Number Email ALL GIFTS ASSOCIATED WITH AWARD: Cash/stipend/cash equivalent $ Tangible gift (e.g., trophy, crystal bowl, sculpture) $ Other Gifts being offered: Award Ceremony Dinner, reception, entertainment $ Can be accepted under WAG mechanism? Yes No Travel expenses (e.g., meal, lodging, transportation, waived registration) $ Can accept under Sponsored Travel? Yes No List other items Total value of other items $ Is Award on NEO's Approved List? Yes No If Yes, date approved: If Yes, confirm no changes to: Cash Prize Amount Lecture Requirement Selection Process New Gifts Offered Can the employee's performance or non-performance of their official responsibilities have any effect on the donor (5 CFR 5501.111)? Yes No Documentation of confirmation must be included with package 2/1/21 Jeremy R. Tam NIAID Anthony Fauci Dan David Prize Expected to attend the award ceremony and virtual symposium at which recipients are expected to give a presentation Presentations are talks about 5/9/2021 Virtual Charlotte Halle @tauex.tau.ac.il 900000