PTO/AiA/SO (07-17)
`Approved for use through 01/31/2018, OMB 0651-0035
`US. Patent and Trademark Office; US. DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Act of 1995, no person is required to respond to a collection of information unless it displays a valid OMB control number
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`PQWER OF ATTORNEY TO PROSECUTE APPLiCATlONS BEFORE THE USPTO l
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`i hereby appoint:
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`_________l
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`X 5
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`OR
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`Practitioners associated with Customer Number:
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`l 163056
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`Practitioneds) named below (if more than ten patent practitioners are to be named, then a customer number must be used}:
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`Registration
`Number
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`As attorneyls) or agends) to represent the undersigned before the United States Patent and Trademark Office (USPTO) in connection with
`any and all patent applications assigned any to the undersigned according to the USPTO assignment records or assignment documents
`attached to this form in accordance with 37 CFR 3.73( ).
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`5 Please change the correspondence address for the application identified in the attached statement
`: under 37 CFR 3.73(c) to:
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`X l The address associated with Customer Number: 163056
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`‘ Country
`Telephone
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`Assignee name and addl-ESS: Provisur Teohnoiogies. Inc.
`222 North LaSalie Street, Suite 720
`Chicano “150601
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`A copy of this form, together with a statement under 37 CFR 3.73(c) (Form PTO/AlA/SG or equivalent) is required to be
`filed in each application in which this form is used. The statement under 37 CFR 3.73M may be completed by one of the
`practitioners appointed in this form, and must identify the application in which this Power of Attorney is to be filed.
`SlGNATURE of Assignee of Record
`The indiyipl'ual whose signature and title is supplied below is authorized to act on behalf of the assignee,
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`3 *-
`r‘ s-"Tm-"m»""—"“Tmmrrrrr
`Signature
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`' Name Pat Corcoran
`Title Chief Financial Officer
`This coiiection of information is required by 37 CFR 131, 1.32, and 1.33. The information is required to obtain or retain a benefit by the public, which is to update
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`(and by the USPTO to process) the file of a patent or reexamination proceeding. Confidentiality is governed by 35 US." 122 and 37 CFR 111 and 1.14‘ This
`collection is estimated to take 18 minutes to compiete, inciuding 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, US Patent and Trademark Office, U.Sr Department of Commerce, PO. Box 1450, Aiexandria, VA 22313»11150.DONCT
`SEND FEES OR COMPLETED FORMS TO THIS ADDRESS. SEND TO: Commissioner for Patents, P.O. Box 1450, Alexandria, VA 223134450.
`Ifyou need assistance in completing thefai‘m, call 1—800—P70~9199 andselect option 2.
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`Privacy Act Statement
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`The Privacy Act of 1974 (PA... 93—57?) 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: (l) 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 US. Patent and Trademark Office is to process and/or examine your submission
`related to a patent application or patent.
`It 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.
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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) 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.
`A record from this system of records may be disclosed, as a routine use, in the course of presenting
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`A record in this system of records may be disclosed, as a routine use, to a Member of Congress
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`A record in this system of records may be disclosed, as a routine use, to a contractor of the Agency
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`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.
`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(0)).
`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 (Le, GSA or
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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 pursuant to 35 U.S.C. 122(b) or issuance or'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
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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 USPTO becomes aware of a violation or potential violation of law or
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