'RF&RGH5(,6'(&/ 'RFXPHQW'HVFULSWLRQ5HLVVXH'HFODUDWLRQ)LOHG,Q$FFRUGDQFH:LWK03(3 PTO/$,$5 (0-) Approved for use through 01/31/2020. OMB 0651-0033 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 displays a valid OMB control number. Docket Number (Optional) REISSUE APPLICATION DECLARATION BY THE INVENTOR I hereby declare that: Each inventor's residenceDQG mailing address are stated below next to their name. I believe ,DPWKHRULJLQDOLQYHQWRURUDQRULJLQDOMRLQWLQYHQWRU of the subject matter which is described and claimed in patent number , granted and for which a reissue patent is sought on the invention titled _______BB_________________________________________________, , the specification of which is attached hereto. was filed on as reissue application number 7KHDERYHLGHQWLILHGDSSOLFDWLRQZDVPDGHRUDXWKRUL]HGWREHPDGHE\PH I KHUHE\DFNQRZOHGJHWKDWDQ\ZLOOIXOIDOVHVWDWHPHQWPDGHLQWKLVGHFODUDWLRQLVSXQLVKDEOHXQGHU1886&E\ILQH RULPSULVRQPHQWRIQRWPRUHWKDQILYH\HDUVRUERWK. I believe the original patent to be wholly or partly inoperative or invalid, for the reasons described below. (Check all boxes that apply.) by reason of a defective specification or drawing. by reason of the patentee claiming more or less than he had the right to claim in the patent. by reason of other errors. At least one error upon which reissue is based is described below.If the reissue is a broadening reissue, DFODLPWKDWWKHDSSOLFDWLRQVHHNVWREURDGHQPXVWEHLGHQWLILHG: [Page 1 of 2] This collection of information is required by 37 CFR 1.175. 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 1.11 and 1.14. This collection is estimated to take 30 minutes to complete, including gathering, preparing, and submitting the completed application 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. If you need assistance in completing the form, call 1-800-PTO-9199 and select option 2. American LegalNet, Inc. www.FormsWorkFlow.com PTO/$,$ (0-) Approved for use through 01/31/2020. OMB 0651-0033 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 displays a valid OMB control number. Docket Number (Optional) (REISSUE APPLICATION DECLARATION BY THE INVENTOR, page 2) Note: To appoint a power of attorney, use form PTO/AIA/81. Correspondence Address: Direct all communications about the application to: The address associated with Customer Number: OR Firm or Individual Name Address City Country Telephone State Zip Email WARNING: Petitioner/applicant is cautioned to avoid submitting personal information in documents filed in a patent application that may contribute to identity theft. Personal information such as social security numbers, bank account numbers, or credit card numbers (other than a check or credit card authorization form PTO-2038 submitted for payment purposes) is never required by the USPTO to support a petition or an application. If this type of personal information is included in documents submitted to the USPTO, petitioners/applicants should consider redacting such personal information from the documents before submitting them to the USPTO. Petitioner/applicant is advised that the record of a patent application is available to the public after publication of the application (unless a non-publication request in compliance with 37 CFR 1.213(a) is made in the application) or issuance of a patent. Furthermore, the record from an abandoned application may also be available to the public if the application is referenced in a published application or an issued patent (see 37 CFR 1.14). Checks and credit card authorization forms PTO-2038 submitted for payment purposes are not retained in the application file and therefore are not publicly available. /HJDO name of sole or first inventor ((J*LYHQ1DPHILUVWDQGPLGGOHLIDQ\DQG)DPLO\1DPHRU6XUQDPH) Inventor's 6ignature Date2SWLRQDO Residence&LW\6WDWH&RXQWU\ Mailing Address &LW\6WDWH=LS&RXQWU\ Additional joint inventors are named on WKHBBBBBBVXSSOHPHQWDO sheets PTO/$,$/DWWDFKHGKHUHWR. [Page 2 of 2] American LegalNet, Inc. www.FormsWorkFlow.com Privacy Act Statement The Privacy Act of 1974 (P.L. 93-579) requires that you be given certain information in connection with your submission of the attached form related to a patent application or patent. Accordingly, pursuant to the requirements of the Act, please be advised that: (1) the general authority for the collection of this information is 35 U.S.C. 2(b)(2); (2) furnishing of the information solicited is voluntary; and (3) the principal purpose for which the information is used by the U.S. Patent and Trademark Office is to process and/or examine your submission related to a patent application or patent. If you do not furnish the requested information, the U.S. Patent and Trademark Office may not be able to process and/or examine your submission, which may result in termination of proceedings or abandonment of the application or expiration of the patent. The information provided by you in this form will be subject to the following routine uses: 1. The information on this form will be treated confidentially to the extent allowed under the Freedom of Information Act (5 U.S.C. 552) and the Privacy Act (5 U.S.C 552a). Records from this system of records may be disclosed to the Department of Justice to determine whether disclosure of these records is required by the Freedom of Information Act. 2. A record from this system of records may be disclosed, as a routine use, in the course of presenting evidence to a court, magistrate, or administrative tribunal, including disclosures to opposing counsel in the course of settlement negotiations. 3. A record in this system of records may be disclosed, as a routine use, to a Member of Congress submitting a reque