`
`PTO/SB/43 (07-09)
`Approved for use through 07/31/2012. OMB 0651-0031
`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.
`
`DISCLAIMER IN PATENT UNDER 37 CFR 1.321(a)
`
`Name of Patentee
`
`Patent Number
`
`(cid:42)(cid:85)(cid:76)(cid:73)(cid:73)(cid:76)(cid:87)(cid:75)(cid:3)(cid:39)(cid:17)(cid:3)(cid:49)(cid:72)(cid:68)(cid:79)
`
`(cid:26)(cid:15)(cid:19)(cid:25)(cid:26)(cid:15)(cid:28)(cid:24)(cid:21)
`
`Docket Number (Optional)
`(cid:46)(cid:48)(cid:21)(cid:28)(cid:24)(cid:25)(cid:17)(cid:19)(cid:19)(cid:22)(cid:51)(cid:20)
`Date Patent Issued
`
`(cid:45)(cid:88)(cid:81)(cid:17)(cid:3)(cid:21)(cid:26)(cid:15)(cid:3)(cid:21)(cid:19)(cid:19)(cid:25)
`
`Title of Invention
`(cid:54)(cid:87)(cid:68)(cid:87)(cid:82)(cid:85)(cid:3)(cid:36)(cid:86)(cid:86)(cid:72)(cid:80)(cid:69)(cid:79)(cid:92)(cid:3)(cid:48)(cid:68)(cid:71)(cid:72)(cid:3)(cid:41)(cid:85)(cid:82)(cid:80)(cid:3)(cid:68)(cid:3)(cid:48)(cid:82)(cid:79)(cid:71)(cid:72)(cid:71)(cid:3)(cid:58)(cid:72)(cid:69)(cid:3)(cid:82)(cid:73)(cid:3)(cid:38)(cid:82)(cid:85)(cid:72)(cid:3)(cid:54)(cid:72)(cid:74)(cid:80)(cid:72)(cid:81)(cid:87)(cid:86)(cid:3)(cid:68)(cid:81)(cid:71)(cid:3)(cid:48)(cid:82)(cid:87)(cid:82)(cid:85)(cid:3)(cid:56)(cid:86)(cid:76)(cid:81)(cid:74)(cid:3)(cid:54)(cid:68)(cid:80)(cid:72)
`
`I hereby disclaim the following complete claims in the above identified patent:
`
`(cid:20)(cid:16)(cid:25)(cid:3)(cid:68)(cid:81)(cid:71)(cid:3)(cid:27)(cid:16)(cid:20)(cid:23)
`
`The extent of my interest in said patent is (if assignee of record, state liber and page, or reel and frame, where
`(cid:36)(cid:87)(cid:87)(cid:82)(cid:85)(cid:81)(cid:72)(cid:92)(cid:3)(cid:73)(cid:82)(cid:85)(cid:3)(cid:36)(cid:86)(cid:86)(cid:76)(cid:74)(cid:81)(cid:72)(cid:72)(cid:3)(cid:82)(cid:73)(cid:3)(cid:53)(cid:72)(cid:70)(cid:82)(cid:85)(cid:71)(cid:15)(cid:3)(cid:44)(cid:81)(cid:87)(cid:72)(cid:79)(cid:79)(cid:72)(cid:70)(cid:87)(cid:88)(cid:68)(cid:79)(cid:3)(cid:57)(cid:72)(cid:81)(cid:87)(cid:88)(cid:85)(cid:72)(cid:86)(cid:3)(cid:44)(cid:44)(cid:3)(cid:47)(cid:47)(cid:38)
`assignment is recorded):
`(cid:53)(cid:72)(cid:72)(cid:79)(cid:3)(cid:19)(cid:23)(cid:22)(cid:21)(cid:24)(cid:23)(cid:15)(cid:3)(cid:41)(cid:85)(cid:68)(cid:80)(cid:72)(cid:3)(cid:19)(cid:25)(cid:25)(cid:20)(cid:30)(cid:3)(cid:53)(cid:72)(cid:72)(cid:79)(cid:3)(cid:19)(cid:23)(cid:20)(cid:20)(cid:20)(cid:24)(cid:15)(cid:3)(cid:41)(cid:85)(cid:68)(cid:80)(cid:72)(cid:3)(cid:19)(cid:27)(cid:20)(cid:27)
`The fee for this disclaimer is set forth in 37 CFR 1.20(d).
`
`Patentee claims small entity status. See 37 CFR 1.27.
`
`Small entity status has already been established in this case, and is still proper.
`
`A check in the amount of the fee is enclosed.
`
`Payment by credit card. Form PTO-2038 is attached.
`
`(cid:59)
`
`The Director is hereby authorized to charge any fees which may be required or credit any
`(cid:20)(cid:20)(cid:16)(cid:20)(cid:23)(cid:20)(cid:19)
`overpayment to Deposit Account No. ________________ .
`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 PTO-2038.
`
`Signed at
`
`(cid:44)(cid:85)(cid:89)(cid:76)(cid:81)(cid:72)
`
` , State of
`
`(cid:38)(cid:68)(cid:79)(cid:76)(cid:73)(cid:82)(cid:85)(cid:81)(cid:76)(cid:68)
`
` ,
`
`this
`
`(cid:20)(cid:20)
`
`day of
`
`(cid:45)(cid:88)(cid:81)(cid:72)
`
`(cid:20)(cid:27)
`
`20
`
` .
`
`(cid:18)(cid:54)(cid:70)(cid:82)(cid:87)(cid:87)(cid:3)(cid:53)(cid:68)(cid:72)(cid:89)(cid:86)(cid:78)(cid:92)(cid:18)
`Signature
`(cid:54)(cid:70)(cid:82)(cid:87)(cid:87)(cid:3)(cid:53)(cid:68)(cid:72)(cid:89)(cid:86)(cid:78)(cid:92)
`Typed or printed name of patentee/ attorney or agent of record
`
`(cid:24)(cid:23)(cid:15)(cid:22)(cid:27)(cid:23)
`Registration Number, if
`applicable
`(cid:28)(cid:23)(cid:28)(cid:16)(cid:26)(cid:25)(cid:19)(cid:16)(cid:19)(cid:23)(cid:19)(cid:23)
`Telephone Number
`
`(cid:21)(cid:19)(cid:23)(cid:19)(cid:3)(cid:48)(cid:68)(cid:76)(cid:81)(cid:3)(cid:54)(cid:87)(cid:17)(cid:15)(cid:3)(cid:20)(cid:23)(cid:87)(cid:75)(cid:3)(cid:41)(cid:79)(cid:82)(cid:82)(cid:85)
`Address
`(cid:44)(cid:85)(cid:89)(cid:76)(cid:81)(cid:72)(cid:15)(cid:3)(cid:38)(cid:36)(cid:3)(cid:28)(cid:21)(cid:25)(cid:20)(cid:23)
`City, State, Zip Code or Foreign Country as applicable
`
`This collection of information is required by 37 CFR 1.321. 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 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 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.
`INTELLECTUAL VENTURES II EX. 2005
`Mitsuba v. Intellectual Ventures II
`IPR2018-00071
`
`- 1 -
`
`
`
`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, pursuant to the Patent Cooperation Treaty.
`6. A record in this system of records may be disclosed, as a routine use, to another federal
`agency for purposes of National Security review (35 U.S.C. 181) and for review pursuant to
`the Atomic Energy Act (42 U.S.C. 218(c)).
`7. A record from this system of records may be disclosed, as a routine use, to the Administrator,
`General Services, or his/her designee, during an inspection of records conducted by GSA as
`part of that agency’s responsibility to recommend improvements in records management
`practices and programs, under authority of 44 U.S.C. 2904 and 2906. Such disclosure shall
`be made in accordance with the GSA regulations governing inspection of records for this
`purpose, and any other relevant (i.e., GSA or Commerce) directive. Such disclosure shall not
`be used to make determinations about individuals.
`8. A record from this system of records may be disclosed, as a routine use, to the public after
`either publication of the application pursuant to 35 U.S.C. 122(b) or issuance of a patent
`pursuant to 35 U.S.C. 151. Further, a record may be disclosed, subject to the limitations of 37
`CFR 1.14, as a routine use, to the public if the record was filed in an application which
`became abandoned or in which the proceedings were terminated and which application is
`referenced by either a published application, an application open to public inspection or an
`issued patent.
`9. A record from this system of records may be disclosed, as a routine use, to a Federal, State,
`or local law enforcement agency, if the USPTO becomes aware of a violation or potential
`violation of law or regulation.
`
`
`
`- 2 -
`
`
`
`Electronic Acknowledgement Receipt
`
`EFS ID:
`
`Application Number:
`
`32861575
`
`10383219
`
`International Application Number:
`
`Confirmation Number:
`
`9248
`
`Title of Invention:
`
`STATOR ASSEMBLY MADE FROM A MOLDED WEB OF CORE SEGMENTS AND
`MOTOR USING SAME
`
`First Named Inventor/Applicant Name:
`
`Griffith D. Neal
`
`Customer Number:
`
`20995
`
`Filer:
`
`Scott Edward Raevsky/Christina Graul
`
`Filer Authorized By:
`
`Scott Edward Raevsky
`
`Attorney Docket Number:
`
`KM2956.003P1
`
`Receipt Date:
`
`Filing Date:
`
`Time Stamp:
`
`11-JUN-2018
`
`05-MAR-2003
`
`16:05:51
`
`Application Type:
`
`Utility under 35 USC 111(a)
`
`Payment information:
`
`Submitted with Payment
`Payment Type
`Payment was successfully received in RAM
`RAM confirmation Number
`
`yes
`
`CARD
`
`$
`
`160
`
`061218INTEFSW16062400
`
`111410
`
`Deposit Account
`Authorized User
`Christina Graul
`The Director of the USPTO is hereby authorized to charge indicated fees and credit any overpayment as follows:
`
`37 CFR 1.16 (National application filing, search, and examination fees)
`37 CFR 1.17 (Patent application and reexamination processing fees)
`- 3 -
`
`
`
`File Listing:
`Document
`Number
`
`Document Description
`
`File Name
`
`File Size(Bytes)/
`Message Digest
`
`Multi
`Part /.zip
`
`Pages
`(if appl.)
`
`1
`
`Statutory disclaimers per MPEP 1490
`
`Disclaimer-KM2956-003P1.pdf
`
`Warnings:
`Information:
`
`2
`
`Fee Worksheet (SB06)
`
`fee-info.pdf
`
`Warnings:
`Information:
`
`198981
`
`c471858e5db9f7a12094c2a602662ef8ec09
`1193
`
`30764
`
`0547e87272dd6c852faefbc0067402144171
`42fc
`
`no
`
`no
`
`2
`
`2
`
`Total Files Size (in bytes):
`
`229745
`
`This Acknowledgement Receipt evidences receipt on the noted date by the USPTO of the indicated documents,
`characterized by the applicant, and including page counts, where applicable. It serves as evidence of receipt similar to a
`Post Card, as described in MPEP 503.
`
`
`New Applications Under 35 U.S.C. 111
`If a new application is being filed and the application includes the necessary components for a filing date (see 37 CFR
`1.53(b)-(d) and MPEP 506), a Filing Receipt (37 CFR 1.54) will be issued in due course and the date shown on this
`Acknowledgement Receipt will establish the filing date of the application.
`National Stage of an International Application under 35 U.S.C. 371
`If a timely submission to enter the national stage of an international application is compliant with the conditions of 35
`U.S.C. 371 and other applicable requirements a Form PCT/DO/EO/903 indicating acceptance of the application as a
`national stage submission under 35 U.S.C. 371 will be issued in addition to the Filing Receipt, in due course.
`New International Application Filed with the USPTO as a Receiving Office
`If a new international application is being filed and the international application includes the necessary components for
`an international filing date (see PCT Article 11 and MPEP 1810), a Notification of the International Application Number
`and of the International Filing Date (Form PCT/RO/105) will be issued in due course, subject to prescriptions concerning
`national security, and the date shown on this Acknowledgement Receipt will establish the international filing date of
`the application.
`
`- 4 -
`
`