Under the Paperwork R
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`PTO/AlA/Eiti (08—12)
`Approved for use through 01/31/2013. OMB 0551,0031.
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`US. Patent and Trademark Office. U 8. DEPARTMENT OF COMMERCE
`‘l’t Act of 1995, no persons are required to respond to a c .le
`on oi information unless it display
`to OMB
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`er.
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`Applicant/Patent Owner: Medical Technoiogies CZ as.
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`QTATEMENT UNDER 327’ CFR 3.?35Ci
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`Filed/issue Date: 1143—2018
`Application tie/Patent No: 10,124,187
`med. COMBlNATlON OF RADiOFREQUENCY AND MAGNETiC TREATMENT METHODS
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`(Name of Assignee‘;
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`{Type of Assigrtee, eg corporation, partnership, university, government agency, etc.)
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`states that, for the patent appiication/patent identified abov ,
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`is (choose one of options 1, 2, 3 or 4 below):
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`i.
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`The assignee of the entire right, title, and interest.
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`E] An assignee of less than the entire right, title, and interest (check applicabie box):
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`L] The extent (by percentage) of its ownership interest is ________________________________‘3lo. Additional Staternentts) by the owners
`holding the 'oalance of the interest must be submitted to account for 100% of the ownership interest.
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`D There are unspecified percentages of ownership. The other parties, including inventors, who together own the entire
`right, 'itle and interest are:
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`Additional Statemends) by the owner(s) holding the balance of the interest must be submitted to account for the entire
`right, title, and interest.
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`3. U The assignee of an undivided interest in the entirety (a complete assignment trorn one of the joint inventors was made).
`The other parties, inciuding inventors, who together own the entire right, titie, and interest are:
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`right, title, and interest.
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`4-. E] The recipient, via a court proceeding or the iike leg, bankruptcy. probate), of an undivided interest in the en irety (a
`cornpiete transfer of ownership interest was made). The certified documentts) showing the transfer is attached.
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`The interest identified in option 1, 2 or 3 above (not option 4) is evidenced by either (choose one of options A or 8 below):
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`A. E] An assignment from the inventorts) of the patent appiication/patent identified above. The assignment was recorded in
`the United States Patent and Trademark Office at Reel ________________________________, Frame ________________________________, or for which a copy
`thereof is attached.
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`l3. [2 A chain of title from the inventorie), of the patent application/patent identified above, to the current assignee as foiiows:
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`t. From:
`SCHWARZ at at.
`To: BTL HOLDlNGS LilijliTED
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`The document was recorded in the United States Patent and Trademark Office at
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`
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`, or for which a copy therth is attached.
`, Frame 0174
`Fteei 038539
`3 From: BTL HOLDENGS LiiViiTED To: MEDECAL TECHNOLQGiES CZ AS.
`The document was recorded in the United States Patent and Trademark Office at
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`Reel 048155
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`, Frame 0023
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`, or tor which a copy thereof is attached.
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`[Page i of 2}
`This coilection f information is required by 37 CPR 3.73(b). The information is required to obtain or retain a ban fit by the public which is to tile (and by the USPTC) to
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`process) an application. Confidentiality is governed by 3'” USC, 122 and 37 CFR 1.11 and 1,14. This collection is e
`.
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`.Lttes to complete, including
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`gathering, preparing, and submitting the completed application form to the USPTO. Time wiii vary depending upon the individual case, Any cernrnenis on the amount
`of time you require to compiete this form and/or suggestions for reducrng this burden, shouid be sent to the Chief information Giiicer, US. Patent and Trademark
`Office, US. Department of Commerce, PO, Box 1450, Alexandria, VA 223134450, DO NOT SEND FEES OR COMPLETED FORM-S TO THlS ADDRESS. SEND
`TO: Commissioner for Patents, 9.0. lot: 1456, Alexandria, VA 2.231344%.
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`Ifyozr need assistance in con/rpiering the form, call 1—800-PTO—9199 and select option 2.
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`

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`Under the Paperwork Reduction Act of 19 ‘
`
`PTO/AiA/QS {08—12)
`Approved for use through O‘l 1'31 J'ZC‘tS. OMB OBET-OOS‘l
`US Patent and Trademark Office; LLS DEPARTMENT OF COMMERCE
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`unless it displays a valid OMB control number.
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`The document was recorded in the United States Patent and Trademark Office at
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`Ree! ________________________________, Frame ________________________________. or for which a copy thereof is attached.
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`The document was recorded in the United States Patent and Trademark Office at
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`Ree!
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`, Frame
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`, or for which a copy thereof is attached.
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`To:
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`The document was recorded in the United States Patent and Trademark Office at
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`Ree!
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`, Frame
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`, or for which a copy thereof is attached.
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`To:
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`The document was recorded in the United States Patent and Trademark Office at
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`Ree!
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`, Frame
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`, or for which a copy thereof is attache .
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`m Additionai documents in the chain of titie are listed on a suppiernentai sheet-(s).
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`m As required by 37 CFR 3.73(c)(1)(i), the documentary evidence of the chain of title from the original owner to the
`assignee was. or concurrentiy is being. submitted for recordation pursuant to 37 CFR 3.11.
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`‘
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`{NOTE A separate copy tie. a true copy of the originai assignment documentis» must be submitted to Assignment
`Division in accordance with 37 CFR Part :3 to record the assignment in the records of the USPTO. See MPEP 302.08]
`
`Richard O. Cotter iii
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`The undersigned (Whose titie is suooiied below) is authorized to act on behalf of the assignee.
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`’ [Richard D. Coiier tii/
`Signature
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`Aprii 22, 2019
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`Printed or Typed Name
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`[Page 2 of 2}
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