PTO/SB/56 (0313) Approved for use through 01/31/2020. OMB 06510033 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. REISSUE APPLICATION FEE TRANSMITTAL FORM (1) Claims in Patent (A) (C) (2) Claims Filed in Reissue Application (B) (D) (3) Number Extra Application as Filed ­ Part 1 Micro Entity Rate ($) Fee ($) Docket Number (Optional) Small Entity Rate ($) Fee ($) Undiscounted Rate ($) Fee ($) Total Claims (37 CFR 1.16(i)) Ind. Claims (37 CFR 1.16(h)) Application Size Fee (37 CFR 1.16(s)) * = ** = x = x = x = x = x = x = If the specification and drawings exceed 100 sheets of paper, the application size fee due is $400 ($200 for small entity, $100 for micro entity) for each additional 50 sheets or fraction thereof. See 35 U.S.C. 41(a)(1)(G) and 37 CFR 1.16(s). Filing Fee (37 CFR 1.16(e)) Search Fee (37 CFR 1.16(n)) Examination Fee (37 CFR 1.16(r)) Total Filing Fee Application as Amended ­ Part 2 (1) (2) (3) Micro Entity Claims Highest Extra Rate ($) Fee ($) Remaining Number Claims After Previously Present Amendment Paid For *** *** **** ***** = = x = x = Small Entity Rate ($) Fee ($) Undiscounted Rate ($) Fee ($) Total Claims (37 CFR 1.16(i)) Ind. Claims (37 CFR 1.16(h)) Application Size Fee (37 CFR 1.16(s)) x = x = x = x = If the specification and drawings exceed 100 sheets of paper, the application size fee due is $400 ($200 for small entity, $100 for micro entity) for each additional 50 sheets or fraction thereof. See 35 U.S.C. 41(a)(1)(G) and 37 CFR 1.16(s). Total Additional Fee * Enter (B) ­ 20, or enter "0" if (B) is less than 20. ** Enter (D) ­ minus 3, or enter "0" if (D) is less than 3. *** After any cancellation of claims. **** If the "Highest Number of Total Claims Previously Paid For" is less than 20, enter "20" in this space. ***** If the "Highest Number of Independent Claims Previously Paid For" is less than 3, enter "3" in this space. Applicant asserts small entity status. See 37 CFR 1.27. Applicant certifies micro entity status. See 37 CFR 1.29. Form PTO/SB/15A or B or equivalent must either be enclosed or have been submitted previously. The Director is hereby authorized to charge any additional fees under 37 CFR 1.16 or 1.17 which may be required, or credit any overpayment to Deposit Account No. ______________________. A check in the amount of $ __________ to cover the filing/additional fee is enclosed. Payment made via EFSWeb. Payment by credit card. Form PTO2038 is attached. WARNING: Information on this form may become public. Credit card information should not be included on this form. Provide credit card information and authorization on PTO2038. __________________________________________________ _______________________________________ Signature Date __________________________________________________ _______________________________________ Typed or Printed Name Registration Number, if applicable _______________________________________ Telephone Number This collection of information is required by 37 CFR 1.16. 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, 1.14 and 41.6. This collection is estimated to take 12 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 223131450. DO NOT SEND FEES OR COMPLETED FORMS TO THIS ADDRESS. SEND TO: Commissioner for Patents, P.O. Box 1450, Alexandria, VA 223131450. If you need assistance in completing the form, call 1800PTO9199 and select option 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 request involving an individual, to whom the record pertains, when the individual has requested assistance from the Member with respect to the subject matter of the record. 4. A record in this system of records may be disclosed, as a routine use, to a contractor of the Agency having need for the information in order to perform a contract. Recipients of information shall be required to comply with the requirements of the Privacy Act of 1974, as amended, pursuant to 5 U.S.C. 552a(m). 5. A record related to an International Application filed under the Patent Cooperation Treaty in this system of records may be disclosed, as a routine use, to the International Bureau of the World Intellectual Property Organization, pursua