`
`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 Technologies CZ as.
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`QTATEMENT UNDER 327’ CFR 3.?35Ci
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`Filed/issue Date: April “1 2015
`Application Flo/Patent No: 9337’358
`Titif-‘d‘ AESTHETiC METHODS CF: BiOLOGiCAL STRUCTURE TREATMENT BY MAGNETEC HELD
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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 application/patent identified abov ,
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`is (choose one of options l, 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 applicable box):
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`L] The extent (by percentage) of its ownership interest is ________________________________‘3lo. Additional Statementts) 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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`
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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, including inventors, who together own the entire right, title, 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 like leg, bankruptcy. probate), of an undivided interest in the en irety (a
`complete 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 application/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 Holdings Limited
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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 $070
`Fteel 041527
`2. From: BTL Holdings Limited To: Medical Technologies (32 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}
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