PTO.’S 3143 ((1109)
`Approved for USe through 07131162012. 13MB Dfifi‘iflfifi‘i
`U.3. Patent and Trademark Qffice; U.8. DEPARTMENT OF COMMERCE
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`Under mo Faezwo'rk Redumim Act of 1995.110 oersons are (en:red to was 0nd io a collection of information Uniess 11 diS ta : a valid OMS controi number
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`5: Name of Patonte’e
`iii HOLBiNGS 4, LLC
`PateniNumber
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`9.191356
`This: of lnvéniion
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`BBSCLMWEER EN PATENT” UNDER 3.? CFR 1.321131)
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`Docket Number {013117911211}
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`:
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`Date Pateniissued
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`November 17' 2015
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`SYSTEM AND METHOD FOR LOCATiNG A HEARiNG AID
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`i hereby dis‘ciaim the following compiate ciaims in the above identified patent:
`; 1-20
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`The exit-311101 my interest in said patent is {if assignee of record state liter and page, or {931 and frame. where
`assignmentis recorded): Assi use of Record ReeifFrame: 03653610249
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`The fee. for this disciaimer is set forth in 3? CFR 1.20M).
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`a Paienieeciaims small entity status. See 37 CFR 1.27.
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`m Smaii entity status has already been ea'tabiishad in this case, 811613 51111 proper.
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`[j A shock in fine amount of‘the fee is encioaed.
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`[3 Payment by credit card- Form PTOxZOSS is attached.
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`E ihe Director is hereby authorized to charge any fees which may be required or credit any
`ovarpayment to DeposiiAccnunt No 50-1662
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`WARNING: information on this form may become pubii‘c. Credit card information should not
`be inciuded on this form. Frovide credit card informafion and authorization on PTOu2038.
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`,
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`7
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`Signature
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`v«.««
`Henry A. Peiri Jr.
`Typed or printed name of patentee/ aflomey or agent of record
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`1000 Louisiana Street. FifiWhird Fiw
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`5
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`Houston. TX 77002
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`33,063
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`Registration Number, if
`.appiioabie
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`_
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`3133744600
`Telephone Number
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`City, State, Zip Codoiorxigoreign Gouniry as applies-ibis
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`This caiiecfian Oi information is reqiiired by 37 CFR 1321 The information is required to- obtain or retain a benefit by the pubiir which is to fiie (and by the
`USPTO to process) an appiication Confidentiality'rs governed by 35 U.5 6.122 and 3,?" CFR 1 11 and 1.14 This cniiection is estima’red to take 12 minutés in
`compie’re inc.uding‘ gaiheiing Dreparing and submitting:the. compieted appiication form to (he USPTO Time wiii vary depending upon me individuai case.
`Any commenis on the amount ofiime you require to compieie this form andfor 5119935115515 for reducing 11113 burden, shoold be 55111 to. the Chief infurmaxion
`Officari U3 Patent and Trademark. Office US Departmem of Commerce: P.O. Box 1451) Aiex‘andria VA 22313-1451) DO NOT SEND FEES DR
`UOMPL ETEB FQRMS TO THIS ADDRESS. SEND T0: Commissioner for Patents 13.0.8011 1450, Alexandria, VA 22313.-1450.-
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`If you need assistance in completing the form, 0311 1-BGU~PTO~9199 and sates: option 2.
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`Privacy Act Statement
`
`The Privacy Act of 1974 (Rt... 93-579} requires that you be given certain information in connection
`with 3mm submission of the attached form rotated to a patent application or patent. Accordingiy,
`pursuant to the requirements of the Act. please be advised that: (’l) the generai authority for‘the
`collection of this information is 35 U.S.C. 2(b)(2); (2) furnishing of the information solicited is voiuntary;
`and {3) the principai purpose for which the information is used by the US. Patent and Trademark
`Office is to process andlor 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 andfor 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 wiil be subject to the following routine uses:
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`1. The information on this form wiil be treated confidentially to the extent allowed under the
`Freedom of information Act (5 USE. 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 tribunai, inctuding disciosures to
`opposing counsei 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 individuai, 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 shaii be required to comply with the requirements of the Privacy Act of 1974, as
`amended, pursuant to 5 U.S.C. 552airn).
`5. A record reiated to an Internationai Appiication filed under the Patent Cooperation Treaty in
`this system of records may be disclosed, as a routine use, to the internationai Bureau of the
`Worid intellectuai Property Organization, pursuant to the Patent Cooperation Treaty.
`6. A record in this system of records may be disciosed, 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. 218m».
`7'. A record from this system of records may be disciosed, as a routine use. to the Administrator,
`General Services, or his/her designate, 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 USS. 2904 and 2906. Such disclosure shail
`be made in accordance with the GSA reputations governing inspection of records for this
`purpose, and any other reievant (11:3,, GSA or Commerce) directive. Such disclosure shall not
`be used to make determinations about individuais.
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`8. A record from this system of records may be disciosed, as a routine use, to the public after
`either pubiication of the application pursuant to 35 U.S.C. 122(13} or issuance of a patent
`pursuant to 35 U.S.G. 151. Further. a record may be disclosed, subject to the iimitations of 3?
`CFR 1.14, as a routine use, to the public it the record was filed in an application which
`became abandoned or in which the proceedings were terminated and which appiication is
`referenced by either a published application, an appiication open to pubiic 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 Iocei law enforcement agency, if the USPTO becomes aware of a vioiation or potential
`violation of tow or reguiation.
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