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`PTCVALAIOT (G6-12)
`Approved faruse through O¢/3 1/2044. OMB G684-0032
`US. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
`
`Under the Paperwork Reduction Act of 1665, ne persons are required ta respond te a collection: of information unless it displays a valid OMB control :
`der,
`
`
`DECLARATION (37 CFR 1.63) FOR UTILITY OR DESIGN APPLICATION USING AN
`APPLICATION DATA SHEET (37 CFR 1.76}
`
`
`Titeot|BIOEFFECTIVE KRILL OIL COMPOSITIONS
`Invention
`
`As the below named inventor, | hereby declare that:
`
`This declaration
`is directed to:
`
`rl
`
`The attached application, or
`United States application or PCTinternational application number
`fied on 08-SEP-2013
`
`44/020, 162
`
`The above-identified application was made or authorized to be made by me.
`
`! believe that | am the original inventor or anoriginal joint inventor of a claimed invention in the application.
`
`i hereby acknowledge that any willful false statement made in this declaration is punishable under 18 U.S.C. 1601
`by fine ar imprisonment of not rnore thanfive (5) years, or both,
`
`WARNING:
`
`Petitioner/applicant is cautionedto avoid submitting personal information in documents filed in a patent application that may
`contribute to identity theft. Personal information such as social security numbers, bank account nurnbers, or credit card numbers
`i (other than a check or credit card authorization form PTO-2038 submitied for payrnent purposes) is never required by the USPTO
`ito support a petition or an application. H this type of personal information is included in documents submitted to the USPTO,
`i petitioners/applicants should consider redacting such personal information from the documents before submitting them to the
`USPTO. Petitioner/applicant is advised that the record of a patent application is available to the public after publication of the
`application (unless a non-publication request in compliance with 37 CFR 1.213(a} is made in the application} or issuance of a
`patent. Furthermore, ihe record from an abandoned application may also be available to the public if the application is
`referenced in a published application or an issued patent (see 37 CFR 1.14). Checks and credit card auihorization farms
`PTO-2038 submitted for payment purposes are not retained in the application file and therefore are not publicly availabie.
`
`LEGAL NAME OF INVENTOR
`
`2 of \
`DeEe Date (Optional) = T- J
`Signature: SinBhoottcnsneununnutteensunisstnsensinuissiiiueuceiiuitesseeiunaeitesittostpeiststetesestt
`
`Note: An application data sheet (PTO/SB/14 or equivalent}, including naming the entire inventive entity, must accompany this form or muet have
`been previously filed. Use an additional PTO/AIA/G1 form for each additional inventer.
`
`
`This collection of information is required by 35 U.S.C. 115 and 37 CFR 1.63. The information is required to obiain 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, 422 and 37 CFR 1.11 and 1,14. This collection is estimated to take 1 minute io
`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 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: Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22343-71450.
`if you reed assistance irs completing thre form, call 1-800-PTO-9199 and select aption 2.
`
`
`
`

`

`PTOIAIAN4 (08-42)
`Approved for use through 01/31/2014. OMB 0851-06932
`U.S. Patent and Trademark Offices; U.S. DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Act of 1995; no persons are required to raspond to a collectionof information untess if displays a valid OMB control number.
`
`DECLARATION (37 CFR 1.63) FOR UTILITY OR DESIGN APPLICATION USING AN
`APPLICATION DATA SHEET (37 CFR 1.76}
`| BIOEFFECTIVE KRILL OIL COMPOSITIONS
`
`Title of
`
`; Invention |
`
`| This declaration
`:
`is directed to:
`
`As the below named inventor, | hereby declare that:
`mee
`[7
`bowed
`44/020, 162
`| United States application or PCT international application number [VGNEee
`06-Sep-2013
`fled on
`
`The attached application, or
`
`i The above-identified application was made or authorized io be made by me.
`
`aq believe that | amthe original inventor or an original joint inventor of a claimed invention in the application.
`
`i hereby acknowledge that any willful faise statement made in this déciaration is punishable under 18 U.S.C. 10014
`by fine or imprisonment of net more than five (5) years, or both.
`
`WARNING:
`
`i Petitioner/applicant is oaulioned to avoid subrnitting personal information in documentsfiled in & patent application that ray
`§ contribute to identity theft. Personal information such as social security numbers, bank account numbers, or credit card numbers |
`i (other than a check or credit card authorization form PTO-2038 submitted for payment purposes) is never required by theUSPTO
`fio support a petition or an application.
`if this type of personal information is included in docurnents submitted to the USPTO,
`¢ patitioners/applicants should consider redacting such personal information from the documents before submitting them to the
`fUSPTO. Petitioner/applicant is advised that the record of a patent application is available io the public after publication of the
`f application (unless a non-publicalion request in compliance with 37 CFR 1.213¢a) is made in the application) or issuance of a
`jpatent. Furthermore, the record from an abanconed application may also be availabie to the public ifthe application is
`i referenced in a published application or an issued paient (see 37 CFR 1.14). Checks and credit card authorization forms
`PTO.-2036 submitied for payment purposes are not retained in the application file and therefore are not publicly available.
`
`LEGAL NAME OF INVENTOR
`
`&
`i
`
` eiatcxlnebdanee’-<:vebsnieeibmamner=teneerdamamisteaneearSaksacarteeenisbmeaanmmamenmaaneadeeenasannmmemsamnemaanseommmmeeammmennet
`
`
`_. Date (Optional) i.ef/a0\x
`
`inventor: Daniele Mancinelti
`
`Note: An application data sheei (PTO/SB/14 or squivaient), including naming the entire inventive entity, must accompany thie form or must have
`been previously fifiled. Use an additional PTO/AIA/O1 form for each additional inventor.
`bythe USPTO toprerecess) aes epeeaalon.Can’cnaieis governed by 35 Us.S8.C. 422 and 37 CFR 1.11 and 1.44. This collection |is estimated to take 4 minute to
`compiete, incirding gathering, preparing, and submitting the completed application form to the USPTS. Time will vary depending upon the individual case. Any
`comments on the amount of time you require ia complete this farm and/or suggestions for reducing this burden, should be sent ta 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: Commissioner for Patents, P.O. Box 1460, Alexandria, VA 22313-1480.
`if you need assistance in completing the form, call 1-600-PTO-9199 and salect option 2
`
`

`

`PTOMAIA/ON (06-12)
`Approved for use through 01/34/2014, OMB 661-0082
`U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERC
`_ UnderthePaperwork Reductiion Act of 1995, no persons are required te respond te a collection of information unless it displays a valid OMB control number.
`DECLARATION (37 CFR 1.63) FOR UTILITY OR DESIGN APPLICATION USING AN
`APPLICATION DATA SHEET (37 CFR 1.76}
`
`rite of
`
`} Bvertion
`
`| BIOEFFECTIVEKRILL OIL COMPOSITIONS
`
`As the below named inventor, | hereby declare that:
`| This declaration OF
`The attached application, or
`|
`ig directed to:
`
`14/020, 162
`ra United States application or PCT international application numbereeeepnrnmn
`filed on _
`06-“Sep-“201 3
`
`The above-identified application was made or authorized to be made by me.
`
`-i believe that | am the original inventor or an original joint inventor of a claimed invention in the application,
`
`i hereby acknowledge that any willful faise statement made in this declaration is punishable under 18 U.S.C. 1001
`ny fine or imprisonment of not more than five (5) years, or both.
`
`WARNING:
`
`been previously filled. Use an additional PTC/AIA/Q1 form for each additional inventor. This collection of information is required by 35 U.S.C. 445 and 37
`
`Petitioner/applicantis cautioned to avoid submitting personal information in documentsfiled in a patent application that may
`contribute to identity theft. Personal information such. as social security numbers, bank account numbers, or credit card numbers
`(other than a check or credit card authorization form PTO-2038 submitted for payment purposes) is never required by the USPTO
`to support a petition or an application.
`If this type of personal information is included in documents submitted to the USPTO,
`potitioners/applicanis should consider redacting such personal information from the documents before submitting them to the
`USPTO. Petitioner/applicant is advised that the record of a patent application is available to the public after publication of the
`application (unless a non-publication request in compliance with 37 CFR 1.213¢a) is made in the application) or issuance of a
`patent. Furthermore, the record from an abandoned application may also be available to the public if the application is
`{referenced in a published application or an issued patent (see 37 CFR 1.14). Checks and credit card authorization forms
`} PTO-2038 submitted for payment purposes are not retained in the application file and therefore are not publicly available.
`
`LEGAL NAME OF INVENTOR
`
`
`
`SnoreTiseth Date (Optional) :
`
`inventor:
`SAGARperennnnnccnnnnnannnnnmnnnnnnnne!
`wae
`Signature: = anosont
`
`i Note: An application data sheet (PTO/SB/14 or equivalent), including naming the entire inventive entity, must accompany this form or must have
`
`is required to obtain or retain @ benefit by the public whichis to file tand
`rere
`by the USPTO ta process) an application. Confidentiality is governed by 36 u.s.c. 122 and 37 CFR 4.11 and 1.44. This collection is estimated to take 1 minute to
`compiste, including gathering, preparing, and submitting the completed application formto the USPTO..Time will vary depending uponthe individual case. Any
`comments on ihe amount of time you require to camplete this form and/or suggestionsfor reducing this burden, should be sent ie the Chief Information Officer, U:S,
`Patent and Trademark Office, U.S. Depariment of Commerce, P.. Box 1450, Alexandria, VA 22313-1450, DO NOT SEND FEES OR COMPLETED FORMS TO
`THIS ADDRESS. SEND TO: Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450.
`ifyou need assistance in completing the form, call 1-800-PTO-9199 and select option 2.
`
`
`
`