Attorney Docket Nil: 189624 0030M iCiient Ref: P35244U$1
`
`PTOIAiAIQ‘i (06-12)
`Approved for use through 0113112014. OMB 0651-0032
`
`T'ti
`t
`gévégm AUGMENTED REALSTY SELF-PORTRAETS
`
`As the beiow named inventor, i hereby deciars that:
`
`This declaration
`is directed to:
`
`{X}
`
`The attached appiicaiion, or
`
`i
`
`{
`
`i
`
`United States aoplioation or PCT internationsi application
`number
`
`flied on
`
`i The above—identified application was made or authorized to be made by me.
`
`i bsiisve that i am the original inventor or an originai joint inventor of a claimed invention in the appiicaiish.
`
`i hereby acknowisdge that any wiiliul tsiss statement made in ihis decimation is punishable under ’28 USS. 10m
`by fine or imprisonment at not more than five (5) years, or boils.
`
`WARNENG:
`
`-
`f Petitionsriapplioant is cautioned to avoid submitting personai information in decumsnts flied in a pateni appiicaiion that may
`1
`i contribute to identity theft. Persona; information such as socisi security numbers, bank account numbers, or credit card numbers
`; (other than a check or credit card authorization form PTOQGSS submitted for payment purposes) is never required by the USPTO
`_ to support a petition or an appiication. if this type of oersonsi information is inciudsd in documents submitted to the USPTQ,
`'
`f petitioners/applicants should consider molesting such personai information from the decuments before: submitting them to the
`g USPTQ. Psfiiionsriappiicsnt is advised that this record of a patent aopiicaiion is avaiisbie is the public after pubiicaiioo of ihe
`; appiication (unisss a iisnvoublisaiion rsques‘i in compiiarrcs with 37 CFR 1.213(3) is made in the application) or issuance of a
`g patent. Furthermore, ihe record from so abandoned sppiicstion may arise be availahie to the pubiic if the apolicstisn is
`referenced in a pubiished application or an issued ostsni (see 3‘? CH? 1.14). Checks and credit carol authorization forms
`PTOQGSB submitted for payment purposes are not retained in the aopiicaiion tiis and therefore are mi pubiiciy avaiisbie.
`
`LEGAL NAME OF iNVENTOR
`
`«”2“
`x W
`’9‘
`
`Date (Optionai) :
`
`{Jr
`
`
`
`inventor:
`mg
`Signaim'e: ”—42"ny \WW“.
`
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`
`Note: Ari appiication data sheet {PTO/SW14 or squivsient), inciuding naming the entire inventive eniiiy‘ must accompany this form
`or must have been previousiy flied. Use an additional WO/AiA/Oi form for each additions: inventor,
`
`This reflection of information is required by 35 Ursic. 115 and 37 CFR 1.63. The information is required to obiaih arroiain a benefit by the pubiic which is to fiie (and
`by the USPTO to process) an application. Confidentiaiity is governed by 35 USC. 192 and 37 CFR 1.11 and 1:24. This ooiiection is estimated to take 1 minute to
`complete. inducing gathering, preparing, and submitting the completed aoplicstion form to the USPTO. Time wiii vary depending upon the individual case. Any
`comments on the amount of time you require to compieie this form and/or suggestions for reducing this burden, shows he sent to the Chief information Grficsr. us.
`Paiehi and Traosmark Office, US. Department of Commerce, PO. Box 1450, Alemndria, VA 223134451 {)0 NOT SEND FEES OR COMPLETED FORMS TO
`THis ADDRESS SEND TO: Commissioner for Patents, 33.0. Box 1450, Alexandria, VA 223134456.
`If you need assistance in compisfing the form, cal] 1-800PTO—9799 and select option 2‘
`5107955idoc
`
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`

`Attorney Docket No; 189624003001 [Client Ref: P35244U51
`
`PTO/'AiA/‘O‘l (06-12)
`Approved for use through 01/15:,1'2014. OMB 0651-0032
`US. Patent and trademark Office; LLS. DEPARTMENT OF COMMERCE
`Underthe Paperwork Reduction Act of 1995, no persons are required to respond to a ooileotion of information unless it dispiays a valid OMB control number.
`
`DECLARATEGN (37’ CFR 1.63) FQR UTELETY OR BESEGN APPLECATEGN USENG AN
`APPLECATEQN QATA SHEET {37 CFR 1.76)
`
`Tit
`f
`igvgntm AUGMENTED REALETY SELF—PORTRAETS
`
`As the below named inventor. l hereby deoiare that:
`
`This deeiaration
`is directed to:
`
`{X}
`
`The attached application, or
`
`i
`
`i
`
`United States application or PCT international aopiication
`number
`
`tiied on
`
`The above~identitied aooiication was made or authorized to be made by me.
`
`i believe that i am the or‘iginai inventor or an originaijoint inventor of a ciaimed invention in the application.
`
`i hereby acknowiedge that any wiiifui false statement made in this declaration is punishabie under 18 USS. 1001
`by fine or imprisonment of not more than five (5) years, or both.
`
`WARNENQ:
`
`Petitionerlapplieant is cautioned to avoid submitting personal information in documents tiied in a patent application that may
`contribute to identity theft. Personal information such as sociai security numbers, bank account numbers, or credit card numbers
`(other than a eheoit or credit card authorization form PTO-2038 submitted for payment purposes) is never required by the USPTO
`to support a petition or an apoiication. ifthis type of personal information is included in documents submitted to the USPTO,
`petitioners/applicants should consider redacting such ,bersonai information from the documents before submitting them to the
`USPTO. Petitioner/appiicaht is advised that the record of a patent application is available to the pubiic after pubiication ofthe
`application (unless a non—publication request in compliance with 37 CPR 1.213(a) is made in the abpiication) or issuance of a
`patent. Furthermore, the record from an abandoned aopiication may also be avaiiable to the public it the aooiioation is
`reterenoed 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 appiication tiie and therefore are not oubiicly avaiiabie.
`
`3
`
`I
`
`
`
`LEGAL NAME OF- ENVENTOR
`
`inventor:
`
`Signature:
`
`Note' An apotioation data sheet (PTCJISB/M or equivaient), including naming the entire inventive entity, must accompany this form
`or must have been previously fiied. Use an additional PTO/AlA/t‘it term for each additional inventor.
`
`motion is red red by 35 U.S.C. 115 and 37 CPR 1.63. The information is required to obtain or retain a benefit by the pubiio which is to tile (and
`This coiiection oti
`by the USPTO to process) an application. Confidentiaiity is governed by 35 U 3.0 122 and 37 CFR Hi and 1 14 This colieetion is estimated to take 1 mini
`2 to
`compiete, inoiuding gathering, preparing, and submitting the oompieted appiioation term to the USPTG. Time wiil vary depending upon the individual case. Any
`comments on the amount of time you require to complete this form and/or suggestions tor reducing this burden, should be sent to the Chief information Officer, US,
`Patent and Trademark Office, US. Department of Corrirrieroe, PO. Box 14-5-3, Aiexandria, VA 22313-1450. DO NOT SEND FEES OR COMPLETED FCERMS TO
`THESE ADDRESS. EENQ TO: Commissioner for Patents, PI). Box 1450, Alexandria, VA 223134450.
`if you need assistance in corny/sting the form, oar! 1-80043 rot-9199 and seieot option 2.
`
`5107955‘idoc
`
`

`

`Attorney {Jacket Net: 18%2-1 {30312301 i Client Fiat: PSSZ-‘MUSi
`
`
`
`"
`t‘TifiiNAs" ‘
`approve-:3 {ET use Kfitfiuzyt‘: 51331333 W43 (EMS 1.651 4363?
`Li 8. Patent and Yradentaik Ottic-S; L5 S DEPARTMENT (3F COMMERCE
`Under the Paperww‘k Reductim Rut: of 1538-6 itu permits an; icsquit‘ett m Sfifipcnd it: a catteetian a! intermatinn Lintass it dim-Say; a waits} OMB centre; numbef.
`
`DECLARATIUN {3? CFR 1‘33) FDR UTILITY 0R mm Apeticmcw USING AN
`APPLICATEQN DATA SHEET (3? we may
`
`7"?!
`Hiya?“ AueMENTED REALITY SELRPORTRAITS
`
`As the beta-w named inventor, i hereby deciare that;
`
`This decimation:
`is (themed ta:
`
`{ X 1i
`
`The attasi‘ied appiicatim'i. (it
`
`{
`
`1
`
`United States .eppii‘cation m PCT internationai appiicaiien
`number
`
`flied on
`
`
`
`The above-identified appiication was made er authorized to be made by me.
`
`i
`
`i believe the! i am the etiginai inventor Cit” an m-iginai jaim‘ inventm of a ciaimed inventien in the appiication.
`
`l hereby acknowied’ge that any wiiifut taise statement made in this decimation is puniehabte under 18" US {3. 198}
`E by fine or imprisonment: of met more than {we (5} treats, or both.
`
`WARNING:
`
`Peiitienerfappiicani is cautioned ts amid. submitting perseitai intarmatjen in documenie flied tn a patent appiicaition that may
`mntribute ta identity theft. Pei'smai infarmatien such as scciai seearity numbere, bank account numbers, er m‘edét cam numinexe
`{ether than a check er credit card euthmizeiimn fem} PTCJQUSS submitted for payment pmpases} is never required by the USPTL‘}
`ta euppm a petiiien or an appticeticri. if this; type of premarital intermatioti is included in dosemenis submitted t0 the USPTQ.
`petitieneisiappiicants s-hnuict eonsider reflecting“ such germinal infei‘mtitien from the dUCUfi‘EemS befure submitting them ta the
`USPTQ Petitiurterieppiicam is advised that the record of a pater“ appiicatien is avaiiabie is) the pubtic aitrer pubiication of the
`appiiizaiimn {Linkage a nampubiication request in cempiiame with 3? CFR 1.21:3{33 is mede in the eppiieetjmt) or issuance cf 22
`patent. Fmthermet‘e, the tecmd from an abandoned applicat‘icm may aim be availabie to the pubiic if the applicatiun is
`referenced in a pubtisiteci appitcatmst or an issued? patent {see 3? CFR Hui). Checks and credit card authorization forms
`PTQQOSB submitted far payment purpases are not retained in the appiicatim *tiie and theret‘me ate net pubiiciy avaitabie,
`
`LEGAL NAME OF INVENTOR
`
`twenter:
`
`V...
`Dmird'..i§t3§flgw ¢
`.1"5"
`
`Signature:
`
`Date {Qpiienai}: W5} »f{§£:f:_
`A
`
`Note: A!) applicatian data sheet {PTQiSBi‘i-tt tar emit-emit. inciuriing: nemiag the entire inventive entity must accampa-ny‘ this form
`er must have been previously iiieii Use an. addiiierial PTDt'AiAfm {mm for each additionai inuentat.
`
`
`
`it end LN ”Em coilentie-m is m" men“ in tat-x3 1 mi.
`q.- 556 weenie-Li has . 0.36. 1221-? ans :3? C-FR‘
`by me USi-‘TG a memes} en appiécatien. Cm ta!
`
`- flt‘firitttflg the tameteted aggiicatism farm to the USPTU. Time «iii vary depending um: \
`tindivittuai me: Any
`wmsistet iacfudiitg gatheiing preparing. at":
`
`
`
`comments an the ammmvgi t
`' yeti "aims in cempiate this: fem: smite: suggeb
`' ES! reducing this Widest. anemia he see: ta me time? Entermation GETEOE!‘ US,
`9:316:11 and Tz‘eeerneti: affine, Uta. Betterment et‘tzammema 9,0. Em mesa Atemncrfia; VA 223131453, at) NOT SENS FEES QR (IMPLEYE‘B Rim-is TO
`‘E‘Hi:§ ADDRESS, SEND TO: Cotxmtiesionerfer Patents. PD. Box 1459, Aiexandria! Wt zzsia-Msa.
`ii mu need essiatesce in ccmefieiirig fins: farm; cats tvewafiffwwa and sates: optic-n ~
`
`
`
`{and
`ts
`
`5 5571:5955 ‘5 .ttut
`
`

`

`Attorney Docket No; 189624003001 [Client Ref: P35244U51
`
`PTO/'AiA/‘O‘l (06-12)
`Approved for use through Ot/iSiIZQt-t. OMB 0651-0032
`US. Patent and Trademark Office; LLS. DEPARTMENT OF COMMERCE
`Underthe Paperwork Reduction Act of 1995, no persons are required to respond to a ooileotion of information unless ii dispiays a valid OMB coniroi number.
`
`DECLARATEGN (37’ CFR 1.63) FQR UTELETY OR BESEGN APPLECATEGN USENG AN
`APPLECATEQN QATA SHEET {37 CFR 1.76)
`
`Tit
`f
`igvgntm AUGMENTED REALETY SELF—PORTRAETS
`
`As the below named inventor. l hereby deoiare that:
`
`This deeiaration
`is directed to:
`
`{X}
`
`The attached application, or
`
`i
`
`i
`
`United States application or PCT international aopiication
`number
`
`tiied on
`
`
`
`The above~identitied aooiication was made or authorized to be made by me.
`
`i believe that i am the originai inventor or an originaijoint inventor of a ciaimed invention in the application.
`
`i hereby acki’iowiedge that any wiiifui false statement made in this declaration is punishabie under 18 USS. 1001
`by fine or imprisonment of not more than five (5) years, or both.
`
`WARNENQ:
`
`Petitionerlapplieant is cautioned to avoid submitting personal information in documents tiied in a patent application that may
`contribute to identity theft. Personal information such as sociai 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 apoiication. ifthis type of personal information is included in documents submitted to the USPTO,
`petitioners/applicants should consider redacting such ,bersonai information from the documents before submitting them to the
`USPTO. Petitioner/appiicaht is advised that the record of a patent application is available to the pubiic after pubiication ofthe
`application (unless a non—publication request in compliance with 37 CPR 1.213(a) is made in the abpiication) or issuance of a
`patent. Furthermore, the record from an abandoned aopiication may also be avaiiable to the public it the aooiioation is
`reterenoed 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 appiication tiie and therefore are not oubiicly avaiiabie.
`
`3
`
`I
`
`LEGAL NAME OF- ENVENTOR
`
`inventor:
`
`Stuart Mark
`
`.,
`
`.
`
`Date (Oo‘tionai) : 2 9 May 2018
`
`Signature:
`
`earning the entire inventive entity, must accompany this term
`Note' An apoiioation data sheet (PTCJISB/M or equivaient), inch
`or must have been previously fiied. Use an additional PTO/AlA/t‘it term for each additional inventor.
`
`motion is red red by 35 U.S.C. 115 and 37 CPR 1.63. The information is required to obtain or retain a benefit by the pubiio which is to tile (and
`This coiiection oti
`by the USPTO to process) an application. Confidentiaiity is governed by 35 U 3.0 122 and 37 CFR Mt and 1 14 This coliection is estimated to take 1 mini
`2 to
`compiete, inoiuding gathering, preparing, and submitting the oompieted appiioation term to the USPTG. Time wiil vary depending upon the individual case. Any
`comments on the amount of time you require to complete this form and/or suggestions tor reducing this burden, should be sent to the Chief information Officer, US,
`Patent and Trademark Office, US. Department of Corrirneroe, PO. Box 14-5-3, Aiexandria, VA 22313-1450. DO NOT SEND FEES OR COMPLETED Ftii-RMS TO
`THESE ADDRESS. EENQ TO: Commissioner for Patents, PI). Box 1450, Alexandria, VA 223134450.
`if you need assistance in comb/sting the form, oail ‘i-SOO-P rot-9199 and seieot option 2.
`
`5107955‘idoc
`
`

`

`Attorney Docket No; 189624003001 [Client Ref: P35244U51
`
`PTO/'AiA/‘O‘l (06-12)
`Approved for use through OlliiliZQi-‘l. Oil/18 0651-0032
`US. Patent and trademark Office; LLS. DEPARTMENT OF COMMERCE
`Underthe Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number.
`
`DECLARATEGN (37’ CFR 1.63) FQR UTELETY OR BESEGN APPLECATEGN USENG AN
`APPLECATEQN QATA SHEET {37 CFR 1.76)
`
`Tti
`f
`igvgntm AUGMENTED REALlTY SELF—PORTRAlTS
`
`As the below named inventor. l hereby declare that:
`
`This declaration
`is directed to:
`
`{X}
`
`The attached application, or
`
`l
`
`i
`
`United States application or PCT international application
`number
`
`filed on
`
`
`
`The above~identitied application was made or authorized to be made by me.
`
`i believe that i am the original inventor or an originaljoint inventor of a claimed invention in the application.
`
`i hereby acknowledge that any willful false statement made in this declaration is punishable under 18 USS. 1001
`by fine or imprisonment of not more than five (5) years, or both.
`
`WARNENQ:
`
`Petitionerlapplioant is cautioned to 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 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. lfthls type of personal information is included in documents submitted to the USPTO,
`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 ofthe
`application (unless a non—publication request in compliance with 37 CPR 1.213(a) is made in the application) or issuance ofa
`patent. Furthermore, the record from an abandoned application may also be available to the public ltihe application is
`reterenced 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.
`
`3
`
`I
`
`LEGAL NAME OF- lN‘t/ENTOR
`
`inventor:
`
`p
`Mari; Robins
`'7
`,/
`
`Signature:
`
`Date (Optional) :
`
`Note' An application data sheet (PTO/SW14 or equivalent), including naming the entire inventive entity, must accompany this form
`or must have been previously filed. Use an additional PTO/AlA/t‘il term for each additional inventor.
`
`motion is red red by 35 U.S.C. 115 and 37 CPR 1.63. The information is required to obtain or retain a benefit by the public which is to file (and
`This collection oil
`by the USPTO to process) an application. Confidentiality is governed by 35 USO 122 and 37 CFR 1.11 and t 14 This collection is estimated to take 1 mini
`2 to
`complete, including gathering, preparing, and submitting the completed application term to the USPTG. Time will vary depending upon the individual case. Any
`comments on the amount of time you require to complete this form and/or suggestions tor reducing this burden, should be sent to the Chief information Officer, US,
`Patent and Trademark Office, US. Department of Corrirnerce, PO. Box 14-5-3, Alexandria, VA 22313-1450. DO NOT SEND FEES OR COMPLETED FORMS TO
`THESE ADDRESS. EENO TO: Commissioner for Patents, PI). Box 1450, Alexandria, VA 223134450.
`if you need assistance in completing the form, cail ‘l-SOO-P Tor-9799 and select option 2.
`
`5107955ldoc
`
`

`

`Atfiomey {Jacket NO; 189-6240633393 1 Giant Raf. 93.524AUS1
`
`PTW'AEAll? (88'?
`
`
`Apsxoved {'3' use 3mm:932 01».33 ‘2
`.
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`U. S Paten: and?radian“ k.
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`UMar .3395 Pagerwmk keduci:an Act of 19% m personi- are reqn3reu to 39390:”:d to a c-:E«¥ec*-an of i:":xfemat-on l'mess1'. dixp:age a :43:is {33.338beam}: 9::mm
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`QECLARAWQN {3? CFR ‘E 83} FGR 3.5T? ME"? 333% QEfiiffiN APPUQKFEQN 33333333153 AN
`APPLSCATWN SARA fifiEET {3? C??? 1.135}
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`“3.x...“ AUGMENTEB 335,3.st sawmmmsm
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`As the heiow named invemw. 3 hereby deciare {3333:
`
`Ms deciaraiisn
`is; dimmed 3e:
`
`3X 3
`
`The efieched 3993302233023, a:
`
`united States 3953333311399 02‘ PCT internaMna: appiécation
`number
`
`flied an
`
`he: ahuve- ideniafied :aprziixxai‘son «23353323138 0r authm-zed0 be mesa by me.
`
`3 beiéeve 33333 i am the: Wiggins; énvenéor or an originai jaint inventor of a c3a€med inveniim m the appiicatim,
`
`i hereby ackrmwieége 3333: any wiififui feise statement made in this (federation 3s punishabie under ’38 US .33. mm
`3 by fine m imprésmmem 9*? not mesa {hen five {5} years. or bath.
`
`WNRNENG:
`
`vefifimeriappiicam38 can-3203*ed 30 avoid submitting parsena; énfoxmaiisr:m damsmsmts fliedm a patent appiécetioa that may
`cansibute to idem:“flyh‘eft. Pes’eonai informafien such as SBCiEfl securifiy numbersm.ank smears: numbeis <3: cred-i card numbers
`(Usher than a check or 3352633 card 2313333051233zen form PTQAZGZaS submitted 3133 payment puxmses} is nave; equiv»d by {he {.333}?3’0
`33; support 3 9553333031 :3: an appéiezzéicm, £3 éhés type of persexxat infarmatim1s imciudedin documents submitted in the USP”? 0,
`peflficners/apmicems shame consider resenting 33.53:?! persona; information from the armaments befcre subméiténg them 3013153
`USPTO. Petitionerfeppiicam is advised that the resort: ()3 a eaten? apphmtém is. aveflabée to {he pubfic after pubéicaiicsn 03231.3
`eppficeiéen {uniess a mmpubiicatim request $3“: campiiance with 37’ 0??? 3.233(3) is made in the 23539331385933} or issuance of a
`eaten; Furihermwe. the. 385636 from an ebenéoned 2399333335032 may aiso be evaiiabie 3a the pubiic 31333;: appiésaiicm is
`{eferes‘cecé in a pubfished appiicmien m an Mead 33835933: {5are 3? CFR 3. 3 ‘}. Checks and credit cam‘ autherizafien farms
`P702038 sub3- 333803 fer eaymem pumoses we mt setainedm the appiiezaiicss‘ Yak-3 and 3333:33me are {:03 Sub-CE)! avaiieb:e
`
`
`
`LEGAL. NAME 3;}?- {NVE-IN?3.x‘
`
`§nvemerz
`
`YQshihié’O H0338
`
`8%we:are:
`
`Mme. An appiécafion jaia sheet {PTO'S 3134 or aquivaiem; in-Aud‘mg naming the entire inventive entity. must accompany {ms {03m
`mmmay have been previuusiy flied. Use an additionai PTO/A3 A333 form fox each additiosaszi weaker.
`
`‘ .30 11567285 '3‘? CFR 353. The snf'orm.
`fawn-2233031 =sr
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`Hectic»; 3::
`73133
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`
`
`on. ConfidenL333
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`:w the 3-3930 to padcess; an ap
`:37 CFR 3. 33 ans: 1.16 Tas coiac.ear. is estimated toiake minute to
`I?
`
`
`
`cmwptete, incmriirsg gathering. pie-pam3, and sunmi
`3.!e m feted a“;330333333 5mm {0 the USP}0 2me Wéii «333' depending upon in
`cdividuai case Any
`commens on the emowi 03‘ time you require to compieie fins form ears-«9933130333 fcr :efim‘ing 3.31:s hinder 3mm(3 be sent 30 the C. ..e information L333
`3.3; L38
`
`
`inc."
`am Xrademark 033.03. 33.3. Gemnmem choz-nmeme, P 0 Sex 1:358. Nexandrka. VA 22315 1450 {L-.3940? S:N53 FEES GRQQMHETEQ FQRMS T0
`”(st AOERESS. SEND 3’83: Sammiesionar fer 33mm, $3.33. 802: 3458, Nexandria. VA 22333-14fi6.
`if yes: need assistance in compfeimg the fem. $3.3; 3-80GFTO-e199 and sales! option 2.
`
`S iii-7955.: .duc
`
`

`

`Attorney Docket No; 189624003001 [Client Ref: P35244U51
`
`PTO/'AiA/‘O‘l (06-12)
`Approved for use through OlliiliZQi-‘l. OMB 0651-0032
`US. Patent and trademark Office; LLS. DEPARTMENT OF COMMERCE
`Underthe Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number.
`
`DECLARATEGN (37’ CFR 1.63) FQR UTELETY OR BESEGN APPLECATEGN USENG AN
`APPLECATEQN QATA SHEET {37 CFR 1.76)
`
`Ttl
`f
`igvgntm AUGMENTED REALlTY SELF—PORTRAlTS
`
`As the below named inventor. l hereby declare that:
`
`This declaration
`is directed to:
`
`{X}
`
`The attached application, or
`
`l
`
`i
`
`United States application or PCT international application
`number
`
`filed on
`
`
`
`The above~identitied application was made or authorized to be made by me.
`
`i believe that i am the original inventor or an originaljoint inventor of a claimed invention in the application.
`
`i hereby acknowledge that any willful false statement made in this declaration is punishable under 18 USS. 1001
`by fine or imprisonment of not more than five (5) years, or both.
`
`WARNENQ:
`
`Petitionerlapplioant is cautioned to 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 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. lfthls type of personal information is included in documents submitted to the USPTO,
`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 ofthe
`application (unless a non—publication request in compliance with 37 CPR 1.213(a) is made in the application) or issuance ofa
`patent. Furthermore, the record from an abandoned application may also be available to the public it the application is
`reterenced 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.
`
`3
`
`I
`
`LEGAL NAME OF- lN‘t/ENTOR
`
`inventor:
`
`Eric B ale
`
`Signature:
`
`Date (Optional);
`
`{4:
`1
`
`I
`
`J
`r; g
`
`W.
`{I K!
`
`Note' An application data sheet (PTO/SW14 or equivalent), including naming the entire inventive entity, must accompany this form
`or must have been previously filed. Use an additional PTO/AlA/t‘il term for each additional inventor.
`
`motion is red red by 35 U.S.C. 115 and 37 CPR 1.63. The information is required to obtain or retain a benefit by the public which is to file (and
`This collection oil
`by the USPTO to process) an application. Confidentiality is governed by 35 USO 122 and 37 CFR 1.11 and t 14 This collection is estimated to take 1 mini
`2 to
`complete, including gathering, preparing, and submitting the completed application term 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 tor reducing this burden, should be sent to the Chief information Officer, US,
`Patent and Trademark Office, US. Department of Corrirnerce, PO. Box 14-5-3, Alexandria, VA 22313-1450. DO NOT SEND FEES OR COMPLETED FORMS TO
`THESE ADDRESS. EENO TO: Commissioner for Patents, PI). Box 1450, Alexandria, VA 223134450.
`if you need assistance in completing the form, cail ‘l-SOO-P Tor-9799 and select option 2.
`
`5107955ldoc
`
`

`

`Amway DmImI NI) 'I 1895241603301 4‘ CIEr-Im Ref: PSSEMU’SI
`
`
`
`
`I} SoPam: Hrs-.1» Tradezmam IZIIII‘CII. I,
`.
`.
`NT (3F 4:41:11»
`'
`eclmn 41H IItIrmsIIIen 1m. 5:5 SI II‘IIIIIIIII'S 41 VESIE‘CI (MB 1:411"4a: mmfiw:
`Uaa‘ez the PBP'EIXIICIR Redudion R3: of 133:“: m3 WISE-'15 .14"- Imired K1 reapand IQas:
`
`DECLARATICIN (3? CFR “I 63} FOR UTILITY QR QESIGN APPLICATION LISING AN
`APPLICATIGN SATIN EHEET (3"? CFR 1 76}
`
`T'II I
`; Igvfinim AUGMENTED REALITY SELF—FICIRTRAITS
`
`; As IIIII bemw Gamer} Inventor. I hereby decIare that
`
`TII'Is decIaraIInn
`is diI’ecIecI to:
`
`{X}
`
`The aII'acIIed 'appiicaIIaII, (If
`
`I
`
`I?
`
`UI‘IIIECI SIaIas appiicaiiion III PEI EHIEEI’IIZIIIDIIEII EIppIIm:IIICIII
`number
`
`flied on»
`
`
`
`3 The aIIove-Idezniified appII’caI-Iinn was: made (If athaIized 1:1 be maria by me.
`
`j
`
`I beiiezua thaI I am Ihe criginIaI Invantor (If an IIII‘gIIIaI onIII inventos of a maimed irwentien in me appiicafion.
`
`I hereby acknowiadge II‘IEI‘I' any wiII’IuI faise sIaI-IemenI made In IIIisI degIaIaIion Is punishabI‘e umfler I8 U30. 3091
`by fine er Imprisanmem of met. more {ham five {5} guitars. III bath.
`
`WARNING:
`
`Petiiiangrfappficafit Is caLIIicIIIe-d IQ amid suhmEtIIrIg personaI Infmmaiion in due-umems filed in a paIerIt appIIcaIIcII that may
`IxIIIIIIIIuIEI III idennity theft. Personal IIIIDIIIIaIiCn such as SGCIEII semIrin numbers, bank asmunt numbers. or cradii card numbers
`f {aiher than a check ur credit card alIII'IDI'IZBIIOII farm MIR—2038 subwfiited far paymeni pummses} Ea never requIIerI by Ihe USPTO
`Io suppori a peIiIien or an appIIc-afion. If this type (If personaI iIIIIII‘Im-IIIIIIII is; Incmdad In documems submitIéd II) the USPTO.
`, peiIIinnersfappIIcanIs shouid consider redacting such perscnaIIinformaIian I‘rnm the dgcumems before submitIing them III IIIe
`' LISPIO. PeIIIIanI~tl1ngIIcanIIs advisgd Ihat Iha 43card {II a paiant applicaIIonIs avaiflabIe In III-e public: after pubiioafion (If We
`appIICEIIiCIII (unless2! non pLIIIIEcaIIOII requestIn mmpiianCe with 3? CFR I21 3(3)43 madeIn the appIiCaIioII} CI iasuance (If a
`paIent. Fudharmm‘a the reward from an abandoneé angIiIgsIIicm may edge be QUSIIEIIJIEE' I0 I34: publis; iI'IIIe appficesti’on 55
`referenced in a puinshed appIIcaIIon er an issued paIeIII (5:28 3? CFR 1.14). Checks and credII‘ Card amhorizatinn forms
`PTQQDBB submittgd I'm payment purpases aw mt rammed in We appIIcaIian IIIE, and Iherefore are riot pumidy avaiEaItIIe.
`
`LEGAL NAME {IF INVENTGR
`
`Inventor:
`
`Nathaléa CasIeI
`
`Date {Optionafl '1
`
`SignaIure:
`
`New: An appIicaII‘erI dgta sIIeeI (PTCII’SBI‘M III aquivaIant} Inducing: naming Ihe: entire Inventive: IIIIIIIII musi 2m.mmpa-ny IIIIs {mm
`{II musI have new: pram-Quay IIIIIII. Use an addIIIIII'IaI PTDIAIAIIZII farm far each addiiiwai imantar
`
`FILE irI'IassmIsars Is requirsv: iu :35:am at Imam :3'91311513: III» are punk: which IS Ia {453 {and
`Ian CI? mfsmwm IS- requsres Cy 35 IE “I 13.? 15 3.1413 .:I"II,
`,.
`
`
`
`
`by“IIIII USPIOI-n moses:Isn appIICaIIon Gamma:
`.4 .I}; :5 gswsrned by 341 “I S C 12;? and3,? cm I 11 am: I M “III=5IxIEI41459:: Is Iinaiesimtake ‘5 4214144141141.
`
`CSIPI‘I‘III: I’?’R“‘M 41335141?
`“sparing. 3.:sz SIILIIIIIIIIIIQ Ina mmpiesed 44;.- catmafe4m Io the USI‘IIII ‘I‘Eme 4153!wa depending; wen “Ia indivsssuaI case KIM
`
`or: III»: BIIIIJIJI‘II of {me I‘m sequire Io ccnIpIeIe IIIIE Item andI-‘or suggeswas for reams g1:.is Imden. shcuid he saw Is II'Ie 43mm Inmrmssfism Smear II S.
`Paic—IIII ana‘ Trademmk, {14114141. II 8. Dapafimem affitammgm-e. P 0. 841.1155; 4134444441441. VA 2.1313 I 1:39. DU NOT SEMI} FEES CIR COMPLETED FORM‘I 1‘0
`T4115 AKIDRESS. SENS ‘I‘Q;Con1nIlssimIerIar Patents. RD. Bax 1450, Mexandria. WI 2231341450.
`.
`II‘ 5434: Rem! ess-isfantie in mmIII-‘CIIN the farm. csII' I‘I‘SSRSFIICIIISII‘S“? ems: swarm-ms 2‘.
`511373159 I ,I‘IIX‘.
`
`

`

`Attorney Dodge: Nix: $3952-WD3GM .9 Ciéent R2313 P35244US1
`
`
`,
`£3TQSAEM
`
`«(1032
`{swan-ed far was Waugh U?.~"31.-’1-‘fiw 0MB £32".
`ant: and; Tmuamam (mica: U 8. SEPARTMENT OF CGMMER‘CE
`L15. $3
`f. 21a.u. i?:2 'Um T){Di?2":m22' 7)a:5."'3 Z?:i 3:l3, 9, n w
`. 35. no persensx an? requir'rd m rasmnd m a mii‘.,.iian r)! inimmafien mass 5: d’i’splaya a um OMB imxroi number
`
`fiECLARATiON mm 1.53) FOR £3711.ij GR nEss'GN Appucmow USING AN
`APPLICATmN DATA SHEET {3? CFR 1:35}
`
`w r
`-
`,
`.
`Qvifiim AUGMENTED REAUTY SELF—PORTRAiTS
`
`$5 the beiow named invemnr. E hemby d’eni‘are that:
`
`Th