MIED (Rev. 05/08) Report on the Filing or Determination of an Action Regarding a Patent or Trademark UNITED STATES DISTRICT COURT EASTERN DISTRICT OF MICHIGAN Plaintiff(s), Case No. v. Judge Magistrate Judge Defendant(s). / REPORT ON THE FILING OR DETERMINATION OF AN ACTION REGARDING A PATENT OR TRADEMARK In Compliance with 35 U.S.C. § 290 and/or 15 U.S.C. § 1116 you are hereby advised that a court action has been filed in the U.S. District Court, Eastern District of Michigan, on the following           Patents or           Trademarks PATENT OR TRADEMARK NO. DATE OF PATENT OR TRADEMARK HOLDER OF PATENT OR TRADEMARK  1  2  3  4  5  6  7  8  9 10 To list additional patent/trademark numbers, please attach another page with the number, date and holder. Date: Signature Bar No. Street Address City, State, Zip Code Telephone Number Primary Email Address American LegalNet, Inc. www.FormsWorkflow.com