Doc Code: MES.GIB
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`Document Description: Certification of Micro Entity Status (Gross Income Basis)
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`PTo/sB/15A (0744)
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`CERTIFICATION OF MICRO ENTITY STATUS
`(GROSS INCOME BASIS)
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`First Named Inventor.
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`Juan CUBILLO
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`The applicant hereby certifies the following—
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`Title of Invention.
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`TOOL BOX USEFUL FOR PAINTERS
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`(1) SMALL ENTITY REQUIREMENT — The applicant qualifies as a small entity as defined in
`37 CFR 1.27.
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`
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`(2) APPLICATION FILING LIMIT — Neither the applicant nor the inventor nor a joint inventor has
`been named as the inventor or a joint inventor on more than four previously filed US. patent
`applications, excluding provisional applications and international applications under the Patent
`Cooperation Treaty (PCT) for which the basic national fee under 37 CFR 1.492(a) was not paid,
`and also excluding patent applications for which the applicant has assigned all ownership rights,
`or is obligated to assign all ownership rights, as a result of the applicant’s previous employment.
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`(3) GROSS INCOME LIMIT ON APPLICANTS AND INVENTORS — Neither the applicant nor the
`inventor nor a joint inventor, in the calendar year preceding the calendar year in which the
`applicable fee is being paid, had a gross income, as defined in section 61(a) of the Internal
`Revenue Code of 1986 (26 U.S.C. 61(a)), exceeding the “Maximum Qualifying Gross Income”
`reported on the USPTO Web site at htt
`:iimmwus to, oviaatants/animicro antit
`.‘s which is
`equal to three times the median household income for that preceding calendar year, as most
`recently reported by the Bureau of the Census.
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`(4) GROSS INCOME LIMIT ON PARTIES WITH AN “OWNERSHIP INTEREST” — Neither the
`applicant nor the inventor nor a joint inventor has assigned, granted, or conveyed, nor is under an
`obligation by contract or law to assign, grant, or convey, a license or other ownership interest in
`the application concerned to an entity that, in the calendar year preceding the calendar year in
`which the applicable fee is being paid, had a gross income, as defined in section 61(a) of the
`Internal Revenue Code of 1986, exceeding the “Maximum Qualifying Gross Income” reported on
`the USPTO Web site at httgziimvw.usptogovipatentsflawfimicro antityisp which is equal to three
`times the median household income for that preceding calendar year, as most recently reported
`by the Bureau of the Census.
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`There is more than one inventor and I am one ofthe inventors who are jointly identified as the applicant. The required
`additional certification form(s) signed by the otherjoint inventor(s) are included with this form.
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`Privacy Act Statement
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`The Privacy Act of 1974 (P.L. 93-579) requires that you be given certain information in connection with your
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`application or expiration ofthe patent.
`
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`
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