PTO/AIA/14 (08-12) Approved for use through 01/31/2014. OMB 0651-0032 U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number. Application Data Sheet 37 CFR 1.76 Attorney Docket Number Application Number Title of Invention The application data sheet is part of the provisional or nonprovisional application for which it is being submitted. The following form contains the bibliographic data arranged in a format specified by the United States Patent and Trademark Office as outlined in 37 CFR 1.76. This document may be completed electronically and submitted to the Office in electronic format using the Electronic Filing System (EFS) or the document may be printed and included in a paper filed application. Secrecy Order 37 CFR 5.2 Portions or all of the application associated with this Application Data Sheet may fall under a Secrecy Order pursuant to 37 CFR 5.2 (Paper filers only. Applications that fall under Secrecy Order may not be filed electronically.) Inventor Information: Remove Inventor 1 Legal Name Prefix Given Name Middle Name Residence Information (Select One) City US Residency State/Province Family Name Non US Residency Suffix Active US Military Service i Country of Residence Mailing Address of Inventor: Address 1 Address 2 City State/Province Postal Code Country i All Inventors Must Be Listed - Additional Inventor Information blocks may be generated within this form by selecting the Add button. Add Correspondence Information: Enter either Customer Number or complete the Correspondence Information section below. For further information see 37 CFR 1.33(a). An Address is being provided for the correspondence Information of this application. Customer Number Email Address Add Email Remove Email Application Information: Title of the Invention Attorney Docket Number Small Entity Status Claimed Application Type Subject Matter Suggested Class (if any) Sub Class (if any) Suggested Technology Center (if any) Total Number of Drawing Sheets (if any) EFS Web 2.2.3 Suggested Figure for Publication (if any) American LegalNet, Inc. www.FormsWorkFlow.com PTO/AIA/14 (08-12) Approved for use through 01/31/2014. OMB 0651-0032 U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number. Application Data Sheet 37 CFR 1.76 Attorney Docket Number Application Number Title of Invention Publication Information: Request Early Publication (Fee required at time of Request 37 CFR 1.219) Request Not to Publish. I hereby request that the attached application not be published under 35 U.S.C. 122(b) and certify that the invention disclosed in the attached application has not and will not be the subject of an application filed in another country, or under a multilateral international agreement, that requires publication at eighteen months after filing. Representative Information: Representative information should be provided for all practitioners having a power of attorney in the application. Providing this information in the Application Data Sheet does not constitute a power of attorney in the application (see 37 CFR 1.32). Either enter Customer Number or complete the Representative Name section below. If both sections are completed the customer Number will be used for thr Representative Information during processing. Please Select One: Customer Number US Patent Practitioner Limited Recognition (37 CFR 11.9) Customer Number Domestic Benefit/National Stage Information: This section allows for the applicant to either claim benefit under 35 U.S.C. 119(e), 120, 121, or 365(c) or indicate National Stage entry from a PCT application. Providing this information in the application data sheet constitutes the specific reference required by 35 U.S.C. 119(e) or 120, and 37 CFR 1.78. Prior Application Status Application Number Remove Continuity Type Prior Application Number Filing Date (YYYY-MM-DD) Additional Domestic Benefit/National Stage Data may be generated within this form by selecting the Add button. Foreign Priority Information: This section allows for the applicant to claim benefit of foreign priority and to identify any prior foreign application for which priority is not claimed. Providing this information in the application data sheet constitutes the claim for priority as required by 35 U.S.C. 119(b) and 37 CFR 1.55(a). Remove Application Number Countryi Filing Date (YYYY-MM-DD) Priority Claimed Yes No Additional Foreign Priority Data may be generated within this form by selecting the Add button. American LegalNet, Inc. www.FormsWorkFlow.com EFS Web 2.2.3 PTO/AIA/14 (08-12) Approved for use through 01/31/2014. OMB 0651-0032 U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number. Application Data Sheet 37 CFR 1.76 Attorney Docket Number Application Number Title of Invention Authorization to Permit Access: Authorization to Permit Access to the Instant Application by the Participating Offices If checked, the undersigned hereby grants the USPTO authority to provide the European Patent Office (EPO), the Japan Patent Office (JPO), the Korean Intellectual Property Office (KIPO), the World Intellectual Property Office (WIPO), and any other intellectual property offices in which a foreign application claiming priority to the instant patent application is filed access to the instant patent application. See 37 CFR 1.14(c) and (h). This box should not be checked if the applicant does not wish the EPO, JPO, KIPO, WIPO, or other intellectual property office in which a foreign application claiming priority to the instant patent application is filed to have access to the instant patent application. In accordance with 37 CFR 1.14(h)(3), access will be provided to a copy of the instant patent application with respect to: 1) the instant patent application-as-filed; 2) any foreign application to which the instant patent application claims priority under 35 U.S.C. 119(a)-(d) if a copy of the foreign application that satisfies the certified copy requirement of 37 CFR 1.55 has been filed in the instant patent application; and 3) any U.S. application-as-filed from which benefit is sought in the instant patent application. In accordance with 37 CFR 1.14(c), access may be provided to information concerning the date of filing this Authorization. Applicant Information: Providing assignment information in this section does not substitute for compliance with any requirement of part 3 of Title 37 of CFR to have an assignment recorded by the Office. Applicant 1 If the applicant is the inventor (or the remaining joint inventor or inventors under 37 CFR 1.45), this section should not be completed. The information to be provided in this section is the name and address of the legal representative who is the applicant under 37 CFR 1.43; or the name and address of the assignee, person to whom the inventor is under an obligation to assign the invention, or person who otherwise shows sufficient proprietary interest in the matter who is the applicant under 37 CFR 1.46. If the applicant is an applicant under 37 CFR 1.46 (assignee, person to whom the inventor is obligated to assign, or person who otherwise shows sufficient proprietary interest) together with one or more joint inventors, then the joint inventor or inventors who are also the applicant should be identified in this section. Assignee Legal Representative under 35 U.S.C. 117 Person to whom the inventor is obligated to assign. Person who shows sufficient proprietary interest If applicant is the legal representative, indicate the authority to file the patent application, the inventor is: Name of the Deceased or Legally Incapacitated Inventor : If the Assignee is an Organization check here. Prefix Given Name Middle Name Family Name Suffix American LegalNet, Inc. www.FormsWorkFlow.com EFS Web 2.2.3 PTO/AIA/14 (08-12) Approved for use through 01/31/2014. OMB 0651-0032 U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number. Application Data Sheet 37 CFR 1.76 Attorney Docket Number Application Number Title of Invention Mailing Address Information: Address 1 Address 2 City State/Province Countryi Postal Code Phone Number Fax Number Email Address Additional Applicant Data may be generated within this form by selecting the Add button. Signature: NOTE: This form must be signed in accordance with 37 CFR 1.33. See 37 CFR 1.4 for signature requirements and certifications Signature First Name Date (YYYY-MM-DD) Last Name Registration Number Additional Signature may be generated within this form by selecting the Add button. This collection of information is required by 37 CFR 1.76. The information is required to obtain or retain a benefit by the public which is to file (and by the USPTO to process) an application. Confidentiality is governed by 35 U.S.C. 122 and 37 CFR 1.14. This collection is estimated to take 23 minutes to complete, including gathering, preparing, and submitting the completed application data sheet form to the USPTO. Time will vary depending upon the individual case. Any comments on the amount of time you require to complete this form and/or suggestions for reducing this burden, should be sent to the Chief Information Officer, U.S. Patent and Trademark Office, U.S. Department of Commerce, P.O. Box 1450, Alexandria, VA 22313-1450. DO NOT SEND FEES OR COMPLETED FORMS TO THIS ADDRESS. SEND TO: Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450. American LegalNet, Inc. www.FormsWorkFlow.com EFS Web 2.2.3