UNITED STATES PATENT AND TRADEMARK OFFICE
`
`Ul\TfED STATES DEPA RTME'IT OF COMMERCE
`United States Patent and Trademark Office
`
`Adiliess. COMMISSIO'JER FOR PATENTS
`PO Box 1450
`Alexandria, Virgmia 22313-1450
`\VVi\V.USpto.gov
`
`FILING or
`APPLICATION
`GRPART
`NUMBER
`37l(c)DATE
`UNIT FIL FEE REC'D
`
`02/26/2016 260
`62/300,333
`
`68103
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`Jefferson IP Law, LLP
`
`1130 Connecticut Ave., NW, Suite 420
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`Washington, DC 20036
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`ATTY.DOCKET.NO
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`TOT CLAIMS IND CLAIMS
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`0203-1828
`CONFIRMATION NO. 8981
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`FILING RECEIPT
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`
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`11111111111111111111111
`11111111111111
`11111111
`�1H�i�w
`m�mmmmi
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`Date Mailed: 03/11/2016
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`Receipt is acknowledged of this provisional patent application. It will not be examined for patentability and will
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`become abandoned not later than twelve months after its filing date. Any correspondence concerning the application
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`must include the following identification information: the U.S. APPLICATION NUMBER, FILING DATE, NAME OF
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`APPLICANT, and TITLE OF INVENTION. Fees transmitted by check or draft are subject to collection. Please verify
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`the accuracy of the data presented on this receipt.
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`If an error is noted on this Filing Receipt, please submit
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`a written request for a Filing Receipt Correction. Please provide a copy of this Filing Receipt with the
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`changes noted thereon. If you received a "Notice to File Missing Parts" for this application, please submit
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`any corrections to this Filing Receipt with your reply to the Notice. When the USPTO processes the reply
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`to the Notice, the USPTO will generate another Filing Receipt incorporating the requested corrections
`
`lnventor(s)
`Anil AGIWAL, Suwon-si, KOREA, REPUBLIC OF;
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`Youngbin CHANG, Anyang-si, KOREA, REPUBLIC OF;
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`Anshuman NIGAM, Bangalore, INDIA;
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`Applicant( s)
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`Samsung Electronics Co., Ltd., Suwon-si, KOREA, REPUBLIC OF;
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`Power of Attorney:
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`
`
`
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`The patent practitioners associated with Customer Number 68103
`
`Yes
`
`Permission to Access Application via Priority Document Exchange:
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`
`
`No
`Permission to Access Search Results:
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`
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`Applicant may provide or rescind an authorization for access using Form PTO/SB/39 or Form PTO/SB/69 as
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`
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`appropriate.
`
`03/10/2016
`If Required, Foreign Filing License Granted:
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`The country code and number of your priority application, to be used for filing abroad under the Paris Convention,
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`is US 62/300,333
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`publication is not eligible for pre-grant Projected Publication Date: None, application
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`No
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`Non-Publication Request:
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`No
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`Early Publication Request:
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`page 1 of 3
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`1
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`APPLE 1006
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`

`

`Title
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`SYSTEM AND METHOD OF PERFORMING RANDOM ACCESS IN BEAM-FORMED SYSTEM
`
`Statement under 37 CFR 1.55 or 1.78 for AIA (First Inventor to File) Transition Applications: No
`
`PROTECTING YOUR INVENTION OUTSIDE THE UNITED STATES
`
`Since the rights granted by a U.S. patent extend only throughout the territory of the United States and have no
`effect in a foreign country, an inventor who wishes patent protection in another country must apply for a patent
`in a specific country or in regional patent offices. Applicants may wish to consider the filing of an international
`application under the Patent Cooperation Treaty (PCT). An international (PCT) application generally has the same
`effect as a regular national patent application in each PCT-member country. The PCT process simplifies thefiling
`of patent applications on the same invention in member countries, but does notresult in a grant of "an international
`patent" and doesnoteliminate the need of applicants to file additional documents and fees in countries where patent
`protection is desired.
`
`Almost every country has its own patent law, and a person desiring a patent in a particular country must make an
`application for patent in that country in accordancewithits particular laws. Since the laws of many countries differ
`in various respects from the patent law of the United States, applicants are advised to seek guidance from specific
`foreign countries to ensure that patent rights are not lost prematurely.
`
`Applicants also are advised that in the case of inventions made in the United States, the Director of the USPTO must
`issue a license before applicants can apply for a patent in a foreign country. Thefiling of a U.S. patent application
`serves as a request for a foreign filing license. The application's filing receipt contains further information and
`guidanceasto the status of applicant's license for foreign filing.
`
`Applicants may wish to consult the USPTO booklet, "General Information Concerning Patents” (specifically, the
`section entitled "Treaties and Foreign Patents") for more information on timeframes and deadlinesfor filing foreign
`patent applications. The guide is available either by contacting the USPTO Contact Center at 800-786-9199, or it
`can be viewed on the USPTO website at http://www.uspto.gov/web/offices/pac/doc/general/index.html.
`
`For information on preventing theft of your intellectual property (patents, trademarks and copyrights), you may wish
`to consult the U.S. Government website, http:/Avww.stopfakes.gov. Part of a Department of Commerceinitiative,
`this website includes self-help “toolkits” giving innovators guidance on howto protectintellectual property in specific
`countries such as China, Korea and Mexico. For questions regarding patent enforcement issues, applicants may
`call the U.S. Governmenthotline at 1-866-999-HALT (1-866-999-4258).
`
`LICENSE FOR FOREIGN FILING UNDER
`
`Title 35, United States Code, Section 184
`
`Title 37, Code of Federal Regulations, 5.11 & 5.15
`
`GRANTED
`
`The applicant has been granted a license under 35 U.S.C. 184, if the phrase "IF REQUIRED, FOREIGN FILING
`LICENSE GRANTED"followed by a date appears on this form. Such licenses are issuedin all applications where
`the conditions for issuance of a license have been met, regardless of whether or not a license may be required as
`set forth in 37 CFR 5.15. The scope andlimitations of this license are set forth in 37 CFR 5.15(a) unless an earlier
`
`page 2 of 3
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`2
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`license has been issued under 37 CFR 5.15(b). The license is subject to revocation upon written notification. The
`date indicated is the effective date of the license, unless an earlier license of similar scope has been granted under
`37 CFR 5.13 or 5.14.
`
`This license is to be retained by the licensee and may be usedat any time on or after the effective date thereof unless
`itis revoked. This license is automatically transferred to any related applications(s)filed under 37 CFR 1.53(d). This
`license is not retroactive.
`
`The grantof a license does not in any way lessen the responsibility of a licensee for the security of the subject matter
`as imposed by any Government contract or the provisions of existing laws relating to espionage and the national
`security or the export of technical data. Licensees should apprise themselves of current regulations especially with
`respect to certain countries, of other agencies, particularly the Office of Defense Trade Controls, Department of
`State (with respect to Arms, Munitions and Implements of War (22 CFR 121-128)); the Bureau of Industry and
`Security, Department of Commerce (15 CFR parts 730-774); the Office of Foreign AssetsControl, Department of
`Treasury (31 CFR Parts 500+) and the Departmentof Energy.
`
`NOT GRANTED
`
`No license under 35 U.S.C. 184 has been granted atthis time, if the phrase "IF REQUIRED, FOREIGN FILING
`LIGENSE GRANTED" DOES NOTappear on this form. Applicant maystill petition for a license under 37 CFR 5.12,
`if a license is desired before the expiration of 6 months from thefiling date of the application. If 6 months has lapsed
`from thefiling date of this application and the licensee has not received any indication of a secrecy order under 35
`U.S.C. 181, the licensee may foreign file the application pursuant to 37 CFR 5.15(b).
`
`
`SelectUSA
`
`The United States represents the largest, most dynamic marketplace in the world and is an unparalleled location for
`business investment, innovation, and commercialization of new technologies. The U.S. offers tremendous resources
`and advantages for those who invest and manufacture goods here. Through SelectUSA, our nation works to
`promote and facilitate business investment. SelectUSA provides information assistance to the international investor
`community; serves as an ombudsmanfor existing and potential investors; advocates on behalf of U.S. cities, states,
`and regions competing for global investment; and counsels U.S. economic developmentorganizations on investment
`attraction best practices. To learn more about why the United States is the best country in the world to develop
`technology, manufacture products, deliver services, and grow your business, visit http:/Awww.SelectUSA.govor call
`+1-202-482-6800.
`
`page 3 of 3
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`3
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`

`TRANSMITTAL FOR POWER OF ATTORNEY TO ONE OR MORE
`REGISTERED PRACTITIONERS
`
`NOTE: This form is to be submitted with the Powerof Attorney by Applicant form (PTO/AIA/82B or equivalent) to identify the
`application to which the Power of Attorney is directed, in accordance with 37 CFR 1.5. If the Powerof Attorney by Applicant form
`is not accompanied by this transmittal form or an equivalent, the Power of Attorney will not be recognized in the application.
`
`Filing Date
`
`February 26, 2016
`
`First Named Inventor
`
`Anil AGIWAL
`
`Title
`
`Art Unit
`
`SYSTEM AND METHOD OF PERFORMING RANDOM ACCESS IN BEAM-FORMED SYSTEM
`
`PTO/AIA/82A (07-12)
`Approved for use through 11/30/2014. OMB 0651-0035
`U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
`Underthe Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unlessit displays a valid OMB control number.
`
`NOTE: This form must be signed in accordance with 37 CFR 1.33. See 37 CFR 1.4(d) for signature requirements and certifications. [| *Total of
`
`|Q?03-1828
`Attorney Docket Number
`SIGNATURE of Applicant or Patent Practitioner
`
`/Raymond B. PERSINO/
`
`February 26, 2016
`
`Raymond B. Persino|vctphone[202-293-2489
`58,082
`
`forms are submitted.
`This collection of information is required by 37 CFR 1.31, 1.32 and 1.33. The information is required to obtain or retain a benefit by the public whichis 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 3 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 amountoftime 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: Commissionerfor Patents, P.O. Box 1450, Alexandria, VA 22313-1450.
`
`[fyou need assistance in completing the form, call 1-800-PTO-9199 and select option 2.
`
`4
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`

`

`OR
`
`| thereby appoint Praciitioner{s) named below as my/our atlormey{s} or agent(s), and to trangact all business in the
`United States Patent and Tradernark Office connected therewith for the application referanced in the attached
`transmittal letier (form PTO/AIA/82A of equivalent):
`
`Please recognizeorchange the correspondence Sidiese for the application identied in the attached
`transmittal letter to:
`
`[aa] The address associated with the sbove-mentioned Customer Number.
`oo
`OR
`i
`The address associated with Custamer Number: i
`
`individual Name
`
`
`
`PTOMIAIE2B(07-12)
`Approved for use through 11/30/2014. OMB 6691-0035
`ULS. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
`
`Under the Paperwork Reduction Act of 1995, na persons are required ta respond tog cadisction of information uniess it
`lays & vatid OMS conirol number
`ROWEROFATTORNEY.BYAPPLICANT
`i hereby revoke ati previous powers of attorney givercinie application identified in theattached transmittalfetter.
`(a {hereby appoint Practitioners) associatedwith the following Customer Nu
`ras mylour attorney{s) or agent(s), and to’
`transact all business in the United States Patent and Tradernark Office cannectedtherewithfortheapplication referanced
`in the attached transmittal etter (form PTO/AIA/S2A or equivalent):
`
`certifications. Subrait multiple forms for more than one signature, see below *. f] "Total of _
`
`[Lega Representative of a Deceased or Legally incapacitated Inventor
`[@| Assignee or Parson to Whom the Inventor is Under an Obligation to Assign
`[]Person Who Otherwise Shaws Sufficient Proprietary Interest te.Gg. @ paiition under 37 CFR 1.46(bM2) was
`granted in the a
`
`
`| Signature
`Telephone|+82-34-279-4764
`toes Presider, Samsung Electronics Co., Ltd,
`E NOTE: Signature. This form must be signed by the applicant in accordance with 37 CFR 1.33. See 3
`4 for signature requirements and
`
`forma are eubmitted.
`This collection of information is required by 37 CFR 1.31, 1.32 and 1.23. Theinformation is required to obtain or retain a benefit by the public which is to fils (and by the
`USPTO te process) an application. Confidentiality is govemed by 38 U5.C. 123 and 37 CFR 1.41 and 4.74. TNs collection i estimated to iske 3 minutes to completa,
`ncliding Yaiheriig, eparing, aid submitting the completed application torr to ihe USPTO. Time wil vary depending upon ihe individual case Any comments on
`the amount of time you require to cornplete this form and/or suggestions for reducing this burden, should be sent to the Chief information Officer, US. Patent and
`‘Trademark Office, U.S. Bepariment of Commerce, P.O. Box 1450, Alexandria, VA 22313-1450. 00 NOT SEND FEES OR COMPLETED FORMS TO THIS
`ADDRESS. SEND TO: Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22343-1456.
`f you need assistance in completing the form. call 1-800-P 70-9799 and select optian 2.
`
`5
`
`

`

`PTO/AIA/14 (07-14)
`Approved for use through 04/30/2017. 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 unlessit contains a valid OMB control number.
`
`icati
`Application Data Sheet 37 CFR 1.76
`Application Number
`
`
`
`Title of Invention|SYSTEM AND METHOD OF PERFORMING RANDOM ACCESSIN BEAM-FORMED SYSTEM
`
`The application data sheetis part of the provisional or nonprovisional application for which it is being submitted. The following form contains the
`bibliographic data arrangedin 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 maybe printed and included in a paperfiled application.
`
`Secrecy Order 37 CFR 5.2
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`Oo Portionsorall of the application associated with this Application Data Sheet mayfall under a Secrecy Order pursuantto
`
`37 CFR 5.2 (Paper filers only. Applications that fall under Secrecy Order may notbefiled electronically.)
`
`Inventor Information:
`
`
`Inventor
`Legal Name
`
`
`
`
`Mailing Addressof Inventor:
`Address1
`i No. 104-1902, 363,
`Address 2
`|Hyowon-ro, Yeongtong-gu,
`|City| Buwon-si, Gyeonggi-do State/Province
`
`Postal Code i | KR
`
`
`
`Inventor
`b
`
`etSeennaneeineearnsa
`
`Prefix} Given Name
`
`eeeT
`
`Middle Name
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`Family Name
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`ResidenceInformation (Select One)
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`US Residency
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`Active US Military Service
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`pansSdCO
`TLHere
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`Residence Information (Select One)
`Country of Residence | kK]
`City
`
`
`
`
`Mailing Addressof Inventor:
`
`Address 1
`
`Address 2
`
`
`
`|city|Anyang-si,— State/Province | |
`
`
` ona Code Po Gouti
`‘menepT
`
`No. 206-1102, 40,
`
`Dongan-ro, Dongan-gu,
`
`Legal Name
`
`EFS Web 2.2.12
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`

`PTO/AIA/14 (07-14)
`Approved for use through 04/30/2017. 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 unlessit contains a valid OMB control number.
`
`Attorney Docket Number|0203-1828
`
`Application Data Sheet 37 CFR 1.76
`Application Number
`
`Title of Invention|SYSTEM AND METHOD OF PERFORMING RANDOM ACCESSIN BEAM-FORMED SYSTEM
`
`reSeemsaneTamasTa
`
`hom—————+ds*#i?
`ElFesures
`US Residency
`(@) Non US Residency
`Active US Military Service
`Residence Information (Select One)
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`i IN |
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`generated within this form by selecting the Add button.
`
`Correspondence Information:
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`
`Enter either Customer Number or complete the Correspondence Information section below.
`For further information see 37 CFR 1.33(a).
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`Filing By Reference:
`Only complete this section whenfiling an application by reference under 35 U.S.C. 111(c) and 37 CFR 1.57(a). Do not complete this sectionif
`application papers including a specification and any drawings are beingfiled. Any domestic benefit or foreign priority information must be
`provided in the appropriate section(s) below (i.e., “Domestic Benefit/National Stage Information” and “Foreign Priority Information”).
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`For the purposesof a filing date under 37 CFR 1.53(b), the description and any drawings of the present application are replaced by this
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`

`PTO/AIA/14 (07-14)
`Approved for use through 04/30/2017. 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 unlessit contains a valid OMB control number.
`
`Attorney Docket Number|0203-1828
`
`Application Data Sheet 37 CFR 1.76
`Application Number
`
`Title of Invention|SYSTEM AND METHOD OF PERFORMING RANDOM ACCESSIN BEAM-FORMED SYSTEM
`publication at eighteen months afterfiling.
`
`Publication Information:
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`[-] Request Early Publication (Fee required at time of Request 37 CFR 1.219)
`
`Request Not to Publish. | hereby requestthat 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 andwill not be the
`subject of an application filed in another country, or under a multilateral international agreement, that requires
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`Representative Information:
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`Representative information should be provided for all practitioners having a power of attorney in the application. Providing
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`US Patent Practitioner
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`©) Limited Recognition (37 CFR 11.9)
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`This section allows for the applicantto either claim benefit under 35 U.S.C. 119(e), 120, 121, 365{c), or 386{c) or indicate National
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`automatically attempt retrieval pursuant to 37 CFR 1.55(i)(1) and (2). Under the PDX program, applicant bears the ultimate
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`

`PTO/AIA/14 (07-14)
`Approved for use through 04/30/2017. 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 unlessit contains a valid OMB control number.
`
`
`Attorney Docket Number|0203-1828
`Application Data Sheet 37 CFR 1.76
`Application Number
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`Title of Invention|SYSTEM AND METHOD OF PERFORMING RANDOM ACCESSIN BEAM-FORMED SYSTEM
`
`Additional Foreign Priority Data may be generated within this form by selecting the
`Add button.
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`Aad
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`Statement under 37 CFR 1.55 or 1.78 for AIA (First Inventor to File) Transition
`Applications
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`This application (1) claims priority to or the benefit of an application filed before March 16, 2013 and (2) also
`contains, or contained at any time, a claim to a claimed invention that has an effectivefiling date on or after March
`[] 16, 2013.
`NOTE: By providing this statement under 37 CFR 1.55 or 1.78, this application, withafiling date on or after March
`
`16, 2013, will be examined underthefirst inventorto file provisions of the AIA.
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`Xx] 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 otherintellectual 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 checkedif the applicant
`does not wish the EPO, JPO, KIPO, WIPO, or otherintellectual property office in which a foreign application claiming priority
`to the instant patent applicationis filed to have accessto the instant patent application.
`
`In accordancewith 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; 7) 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
`3/ CFR 1.55 has beenfiled in the instant patent application; and 3) any U.S. application-as-filed from which benefit is
`soughtin the instant patent application.
`
`In accordancewith 37 CFR 1.14(c), access may be provided to information concerning the dateof filing this Authorization.
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`Applicant Information:
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`Providing assignmentinformation 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.
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`

`

`PTO/AIA/14 (07-14)
`Approved for use through 04/30/2017. 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 unlessit contains a valid OMB control number.
`
`
`Attorney Docket Number|0203-1828
`Application Data Sheet 37 CFR 1.76
`Application Number
`
`Title of Invention|SYSTEM AND METHOD OF PERFORMING RANDOM ACCESSIN BEAM-FORMED SYSTEM
`
`Applicant
`
`;
`
`If the applicantis the inventor (or the remaining joint inventor or inventors under 37 CFR 1.45), this section should not be completed.
`The information to be providedin this section is the name and addressof the legal representative whois the applicant under 37 CFR
`1.43; or the name and address of the assignee, person to whom the inventoris under an obligation to assign the invention, or person
`who otherwise showssufficient 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 inventoris obligated to assign, or person whootherwise showssufficient
`proprietary interest) together with one or morejoint 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
`
`Joint Inventor
`
`
`
`Person to whom the inventoris obligated to assign. Person who showssufficient proprietary interest
`If applicant is the legal representative, indicate the authority to file the patent application, the inventor is:
`
`
`
`Email Address
`
`Nameof the Deceased or Legally Incapacitated Inventor :
`
`If the Applicant is an Organization check here.
`
`x]
`
`Organization Name
`
`| Bamsung Electronics Co., Ltd.
`
`Mailing Address Information For Applicant:
`
`Address 1
`
`Address 2
`
`29, Samsung-ro, Yeongtong-gu
`
`
`
`State/Province
`Peounny[Petcde
`
`Cn
`
`Add
`Additional Applicant Data may be generated within this form by selecting the Add button.
`
`
`Assignee Information including Non-Applicant Assignee Information:
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`
`Providing assignment information in this section does not subsitute for compliance with any requirementof part 3 of Title 37 of CFR to
`have an assignment recorded by the Office.
`
`
`
`Assignee ,
`
`Complete this section if assignee information, including non-applicant assignee information, is desired to be included on the patent
`application publication . An assignee-applicant identified in the "Applicant Information" section will appear on the patent application
`publication as an applicant. For an assignee-applicant, complete this section only if identification as an assignee is also desired on the
`patent application publication.
`
`If the Assignee or Non-Applicant Assignee is an Organization check here.
`
`EFS Web 2.2.12
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`

`PTO/AIA/14 (07-14)
`Approved for use through 04/30/2017. 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 unlessit contains a valid OMB control number.
`
`Attorney Docket Number|0203-1828 Application Data Sheet 37 CFR 1.76
`
`Application Number
`
`Title of Invention|SYSTEM AND METHOD OF PERFORMING RANDOM ACCESSIN BEAM-FORMED SYSTEM
`
`Prefix
`
`
`
`Address 1
`
`
`Address 2
`
`Middle Name
`
`
`
`
`
`Phone Number
`
`Fax Number
`
`
`
`Email Address
`
`Additional Assignee or Non-Applicant Assignee Data may be generated within this form by
`selecting the Add button.
`
`Add
`
`
`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
`
`|/Raymond B. PERSINC/
`
`Date (YYYY-MM-DD)|
`
`(2016-02-26
`
`
`
`
`
`
`
`First Name|[Raymond B. Registration Number|68082Last Name Persino
`
`
`
`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: Commissionerfor Patents, P.O. Box 1450, Alexandria, VA 22313-1450.
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`EFS Web 2.2.12
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`Privacy Act Statement
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`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
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`result in termination of proceedings or abandonmentof the application or expiration of the patent.
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`The information provided by you in this form will be subject to the following routine uses:
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`1.
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`The information on this form will be treated confidentially to the extent allowed under the Freedom of Information Act (5 U.S.C. 552)
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`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
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`8.
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`9.
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`A recordin this system of records may be disclosed, as a routine use, to a Member of Congress submitting a request involving an
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`A recordin this system of records may be disclosed, as a routine use, to a contractor of the Agency having need for the information in
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`A recordin this system of records may be disclosed, as a routine use, to another federal agency for purposes of National Security
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`A record from this system of records may be disclosed, as a routine use, to the public after either publication of the application pursuan
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`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
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