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`Doc code: Oath
`Document Description: Oath or decieretien iiied
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`PTOiAiA/GZ {OT-13)
`Approved for use ‘t' ugh 111362021: OMB 6651{3032
`UN<~. Patent and Trademark Offi-ze; U. S uEPARTMENT OF COMMERCEE
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`Ur.rjer the Panerwerk Reduction Act of 1995 no persons are required to respcnd to a cc-iiaction of intornmiiun unless1-. diseieye a vaiid OMB contra! :1urrihe1.
`SUBSTETUTE STATEMENT EN LEEU 9F AN QATH GR fiEfiLARATEGN FGR UTiLiTY
`
`GR flESiGN PATENT APPLiCATEGN (35 €5.56.
`\AKAAAs-A‘Aw‘
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`11 5M) AN3 37 CFR "1.64)
`_
`‘
`‘
`.
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`xvi—v.2 .
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`BLADE DREVE DEVECE
`
`Titie 91“
`
`invention
`
`This statement is directed to:
`
`”ZEThe attached appiimtion,
`
`
`EUnited States appiieation or PCT internetienai eppiicaiion number
`
`May 26 2917
`PCT/Jezei7zoiee4e
`.fiie-ri on
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`LEGAL NAME ef inventer in where this substitute etetement eppiiee:
`
`(E.g.. Given Name (first and middle (if any); and Family Name er Surname)
`
`\xxxxxxxx
`
`Kazue SHEKAMA
`we“
`Residence (except fer a deceased er iegaiiy incapacitated inventor):
`Tekye
`.......................................................................................... _-.
`-
`Ma:mg Address (except for a deceased er iegaiiy incapaeitaired inventor):
`: 13/0 NEDEC CQPAL CQRPORATEQN, 1840, Shimura Zacheme, itabaehiuku
`
`
`CW TQkyfi
`
`47......m"i
`
`JE
`meant
`31748559:
`
`i beiieve the above-named inventor or joint inventor to be the eriginai inventor or an engine! jeini inventer of e Cieimed invention
`in the appiieetien.
`
`The above-identified application was made or authorized to be made by me.
`
`i hereby acknewiedge that any wiiiiui taiee statement made in this statement is punishabie under 18 USC. 1901 by fine er
`imprisonment of not mere than five (5) years. or both.
`
`Reietiunship t1) the inventor to whom this; substitute statement eppiies:'
`
`Legai Representative (for deceased er iegaiiy incapacitated inventczr (may).
`
`Aseignee,
`
`Person to whom the inventor is under an obiigeiien to assign,
`
`Joint inventor.
`
`Persen whe otherwise shews a sufficient preprietan/ interest in the matter (petition under 37 CFR 1.416 is required), or
`
`{Page 1 01‘2}
`This coiieciian of information[8 required by 35 U.S C 115 and 37 CFR1 .63.. The intermaiirm is required to obtain or 13123:n a benefit by the public which i810 faie (an-IS
`by the USPTO to precess) an appiicatiun. Cunfidentialiiyis governed by 351.16(3 122 and ’3? CFR 1 11 and 1 14.1’hi5 col!ectien is estimated to take. minute to
`complete, inciuding gathering, preparing, and 55-ibmitting the mmpieted appiicatérm term to the US:P“TO. Time wit! vary depending 1.153011 the ineividuai case Any
`comments an the amount of time ynu require to cempiete this form and/or suggestions for reduc:ng this burden shouldbe sent to the Chief informatinn Officer US.
`F’eieni and Trademark Office. US Ciepenment 01‘ Cemmerce. FRO. Bax 1450, Alexandria, VA 22313-1450. DO NOT SEND FEES OR COMPLETED FORMS TO
`THiS ADDRESS. SEND TG: Cemmissioner for Patents, 33.0. Iax 1450. Aiexandrie, VA 22313-1450.
`lfyeu need assistance in camp/61mg the form. call 1-800uPTO-97‘99 and safest option 2,
`
`3
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`Je
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`1.3.“.
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`\xx
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`£3":3[ii h; 1.4
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`PTOISBINAOZ (-374 3)
`Approved tar use Ehreugh HISOI'QOEC.
`iii-ME! 0651-0032
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`$UE$TETUTE STAtfiMENT
` ‘:
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`Circumstances permitting execution of this substitute statement:
`inventor is deceased,
`
`inventor is under iegai incapacity,
`
`inventnr cannot be found or reached after diiigent effort, er
`
`inventor has refused tn execute the oath er declaration under 37 CFR 1.63.
`
`if there are jeint inventers, pieese check the aspnrepriate he): beiew:
`
`
`An eppiication data sheet under 3? CFR 1.76 (PTO/AINM er equivaient) naming the entire inventive entity has been
`or is currently submitted.
`
`OR
`
`
`
`An application data sheet under 3? CFR 1.76 (PTOlAiAfl-fi- or equivaient) has net been submitted. Thus, 3 Substitute
`Statement Supplemental Sheet (PTO/NA!“ 0r equivalent) naming the entire inventive entity and pravidirig inventer
`infermetion is attached. See 37 CFR 1.64m).
`\\\\\xx'~x
`
`WARNENG:
`
`fPetitioner/appiicant is cautioned to avoid submitting personai informaiien in decuments filed in a patent apniicetinn that may
`contribute to identity theft. Personsi infermatien such as sociei security numbers, bank account numbers, or credit card numbers ‘
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`to support a petitien or an aopiisetion.
`if this type of persensi information is inducted in decumenis submitted to the USPTO,
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`PTO—2038 submitted for payment purposes are not retained in the appiination fiie and therefnre are not pubiiciy nvaiiebie.
`-
`\\\\\\\\\\w~\\\\\
`ensnn exenurrne THSS suesrnure s'rA'rEriisur:
`
`:
`
`
`
`Name:
`
`itiynshi miter
`
`' Sinnetme:
`
`are.2.:n
`
`if the appii centis a juristic entity, iiet the eppiieent name and the titie ofthe signer:
`
`NSQEC CORAL CORPORATEON
`
`5V
`{Rnpiissnt Name:
`. Titie net Person Executing
`m3 Simflmsmmw Generei Menager inteiiectuei Pre erty {Department
`a The sic ner whose titie is; su,d'iied shove. is; authorise._ r) set an )eh
`‘
`Residents sf the sinner uniss's revised in an as .
`'
`
`
`
`Kewegeemshi, Ssiterne
`Meiiing Address out the signer (uniess previded in an appiicetien date Sheet PTOIAEN14 er equivalent)
`
`V
`
`Count
`WEZirt
`Note: Use an additions! PTOiAiA/OE ferrn for escn-:nventor whn is deceased iegeiiy incenacitated, cannot be found or reached
`after diiiqent effort, er has refused to execute the eeth or deeiaration under 37 CFR 1. 63.
`[Page 2 of 2}
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`’i?4-—8559
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`_
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`Privacy Act Statement
`
`The Privacy Act of 197-15. (Pt. 93-573) requires that you be given certain information in connection
`with your submission of the attached form related to a patent application or patent. Accordingly,
`pursuant to the requirements of the Act, please be advised that: (“1) the general authority for the
`collection of this information is 35 U.S.C. 2(b)(2); (2) furnishing of the information solicited is voluntary;
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`A record from this system of records may be disclosed, as a routine use, to the public after
`either publication or” the application pursuant to 35 U.S.C. 122(k)) or issuance of a patent
`pursuant to 35 U.S.C. 151. Further, a record may be disclosed, subject to the limitations of 37
`CFR 1.14, as a routine use, to the public it the record was filed in an application which
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`PTO/MAIN (OS-12)
`Approved for use through 1180/2020. OMB 0851 $032
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`8 DEPARTMENT OF COMMERCE
`US. Patent and Trademark Office:
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`Under the Paperwurk Reduciiun Act of 1995, no persons are required it; resgmnd In a at :lectirjn or infarmalinn unless it caigpays a \Iatid OMS central number.
`
`BEQLARATEQN {3? QFR 1.63) FER UTiLlTY QR QESEGN APPLlCATiQN ESENG AN
`APPLECATEQN BATA SHEET {3? CFR 1.?6)
`......................................................
`
`,
`
`\\\\\\\"""‘"” ~
`
`Tine at
`
`invention
`
`BLADE DREVE DEVECE
`
`'\ \
`
`7 A5 the: bestow named inventor, i hereby declare that:
`
`
`
`
`
`This declaration
`is directed to;
`
`The attached application, or
`
`[El
`
`United States; application or PCT internationai application number E’CTMPZQ’E 7761 @645"
`filed an
`May 2a, 201 r
`
`: The aboveuidentified appiication was made or authorized to be made by me,
`
`;
`
`i believe that i am the originai inventor or an original joint inventor of a ciaimed invention in the appiicatiani
`
`I hereby acknowledge that any wilifut false statement made in this declaration is punishable under 18 USE. mm
`by fine or imprisonment at nut mere than five (5) years, Gt" bflthi
`
`WARNENG:
`
`Petitioner/apnticant is cautioned tcs avoid submitting persnnal infnrmation in documents fried in a patent applicatinn that may
`; cantribuie to identity theft. Personai inforrnatiean such as; anciai security numbers, bank account numbers. or credit card numbers ;
`(ether than a check or credit card authorizatinn form PTO-2038 submitted for payment purposes) is never required by that USPTO E
`to SUpDQfi a petition ar an applicaiinri.
`lithis type of perssnnai information is included in document& submitted '[0 the USPTO,
`petitioners/applicants should consider redacting; such parsonai infurmatinn from the documents befere submitting them tn the
`USPTO. Petitinneriappiicani is advised that the recnrd of a patent applicatinn is avaiiebie t0 the public: after publication iii the
`appiicaiion (unless a non-pubiicaticn i'aquast ii compiiance with 3? CFR 1.213(a) is made in ina application) (3r isissuance of a
`patent. Furthermnre, the recent frnrn an abandoned appiicatiqn may also be availabie it) the public: if the appiication is
`i referenced in a puhiisiied applicatinn Cit" an issued patent (see 37 CPR 1.14). Checks and credit card autnnrizaticn forms
`PTO—2038 submitted for nayment purpcsess are not retained in the appiication fiie and therefore are not publiciy avaliable.
`
`LEGAL, NAME OF iNVENTOR
`
`inventor:
`
`Shnzo EWATO
`
`LL;
`
`1
`
`“'
`
`been previgusly filed. Lise an additional PTGiAiA/fl‘i form for each additionat inventor.
`
`Note: An appiicatinn data sheet (PTO/38114 or equivalent)‘ including naming the entire inventive entity, rnugt accompany this form CI? must have
`
`
`This coliection ofinformaticn is required by 35 U51.) 115 and 37 CFR 163 The infer alien is required in obtain Gr retain a benafii by the pubiic which lfi to file {and
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`compiete, inducing gathering, simmering and submitting the completed anplicatien farm to the USPTO. Time wiil Vary dens-riding upon the individual case. Any
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`Patent and Trademark Office, its Department of Commerce. P122. 80): 145i), Aiexandria. VA 22313-1450» DO NOT SEND FEES OR COMPLETED FORMS TO
`THIS ADDRESS. SEND To: Cammlssinner far Patents, RC. Boa: 1455, Alexandria, VA 22313-1459.
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`Privacy Act Statement
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`The Privacy Act of 197% (RE... 93-57%) requires that you be given certain information in connection
`with your submission of the attached form reiated to a patent appiication or patent. Aocordingiy,
`pursuant to the requirements of the Act, piease be advised that: (‘1) the generai authority for the
`coiiection of this information is 35 USS. 2(b)(2); (2) furnishing of the information soiicited is voluntary;
`and (3) the principai purpose for which the information is used by the US. Patent and Trademark
`Office is to process and/or examine your submission rotated to a patent appiication or patent. if you do
`not furnish the requested information, the US. Patent and Trademark Office may not be ahie to
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`abandonment of the appiicetion or expiration of the patent.
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`The information provided by you in this form wiii be subject to the foiiowing routine uses:
`
`1. The information on this form wiii be treated confidentiaiiy to the extent aiiowed under the
`Freedom of information Act (5 use. 552) and the Privacy Act (5 U.S.C 552a). Records from
`this system of records may be disciosed to the Department of Justice to determine whether
`disciosure of these records is required by the Freedom of information Act.
`2. A record from this system of records may be discicsed. as a routine use, in the course of
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`3. A record in this system of records may be disciosed, as a routine use, to a Member of
`Congress submitting a request invoiving an individuai, to whom the record pertains, when the
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`record.
`4. A record in this system of records may he disciosed, as a routine use, to a contractor of the
`Agency having need for the information in order to perform a contract. Recipients of
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`a. A record from this system of records may be disciosed, as a routine use, to the puhiic after
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`9. A record from this system of records may be disciosed, as a routine use, to a Federai, State.
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`
`
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`
`
`
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`
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`PTOiAiAIG‘l (06-12)
`Approved for use through 11/30/9030. OMB 065170032
`
`i T OF COMMERCE
`US Patent and Trad mark Office; US. DEPART
`Under the Paperwork Reduction Act of 1985, no persons are required to respond to a causation of information uniess it displays a weird QMES controi number‘
`
`EECLARATEGN (3'? CFR 1.53} FQR UTELE‘TY QR BESEGN APPLECATEQN USENG AN
`APFLESATEGN EATA SHEET {3? CFR 1.?5}
`
`iBLADE DRiVE DEViCE
`
`True 9?
`invention
`
`
`
`As the heiow named inventor, i hereby doctors that:
`
`r
`.
`.
`<
`g This declaration
`is directed to: j The attached aoplication. or
`
`
`imm
`United States appiication or PCT internationai application number
`
`PCTiJP2917i919546
`“WWW“.
`
`filed on
`
`May 26, 2G1?
`
`The above—identified application was made or authorized to be made by me.
`
`i beiieve that i am the origins! inventor or an originei joint inventor of a claimed invention in the eppiioationt
`
`i hereby acknowiedge that any wiiiful faise statement made in this declaration is punishable under 18- U.S.C. 100’!
`I by fine or imprisonment of not more than five (5) years, or both.
`
`WARNENG:
`
`i Petitioner/applicant is cautioned to avoid submitting personal information in documents flied in a patent appiication that may
`‘ contribute to identity theft. Personai 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 personai information is inoiuded in documents submitted to the USPTQ,
`'
`petitioners/aopiioants shouid consider redacting such personal information from the documents before submitting them to the
`USPTO. Petitioner/appiioant is advised that the record of a patent application is availabie to the pu'oiio after pubiication of the
`apoiioation (uniess a non—publication request in compiianoe with 37 CFR 1.213(3) is made in the application) or issuance of a
`patent. Furthermore, the record from an abandoned appiicaiion may also he avaiiable to the pubiic if the application is
`referenced in a puhiished application or an issued patent (see 37 CPR 1.14). Checks and credit card authorization forms
`PTO—2038 submitted for payment purposes are not retained in the appiioetion fits and therefore are not pub-tidy avaiia'oiet
`
`LEGAL NAME OF lNVENTOR
`
`been previousiy filed. Use an additional PTO/AiA/O’i form for each additionai inventor.
`
`inventor:
`
`Kenzo iiviAt
`
`Signature:
`
`Date (Options!)
`
`Note: An application data sheet (PTO/SBIM or equiyaient). including naming the entire inventive entity. must accompany this form or must have
`
`. which is to file (and
`'
`y is governed by 35 LL83” 122 and ’37 CFR 1.11 and 1.1:5. This as .ction is estimated to take 1 minute to
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`..pleto, including gathering. preparing: and submi.. no the completed applicst
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`.iments on the amount of time 5/
`3 require to compiete this to
`‘ dlor sugg
`ms For reducir
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`ation Oflicer, US‘
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`Patent and Trademark Office, Li_S,. Department of Commerce. Rt. Box 1456. Aiexandria, VA 22313-1450. DO NOT SEND FE.
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`Privacy Act Statement
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`The Privacy Act of 1974 (Pt... 93:5?S) requires that you be given certain information in connection
`with your submission of the attached form related to a patent appiication or patent. Accordingiy,
`pursuant to the requirements of the Act, piease be advised that: (1) the genera! authority for the
`collection of this information is 35 USS. 2(b)(2); (2) furnishing of the information solicited is voiuntary;
`and (3) the principai purpose for which the information is used by the US. Patent and Trademark
`Office is to process and/or examine your submission related to a patent application or patent. if you do
`not furnish the requested information. the US. Patent and Trademark Cittice may not be abie to
`process and/or examine your submission, which may resuit in termination of proceedings or
`abandonment of the appiication or expiration of the patent.
`
`The information provided by you in this form wiii be subject to the toiiowing routine uses:
`
`1. The information on this form wiii be treated confidentiaiiy to the extent aiiowed under the
`Freedom of information Act (5 USE. 552) and the Privacy Act (5 1.5.8.0 552a). Records from
`this system of records may be disclosed to the Department of Justice to determine whether
`disciosure of these records is required by the Freedom of information Act.
`A record from this system of records may be disclosed, as a routine use. in the course of
`presenting evidence to a court, magistrate, or administrative tribunai, including disciosures to
`opposing counsel in the course of settiement negotiations.
`A record in this system of records may be disciosed, as a routine use, to a Member of
`Congress submitting a request involving an individual. to whom the record pertains. when the
`individual has requested assistance from the Member with respect to the subject matter of the
`record.
`A record in this system of records may he disciosed, as a routine use, to a contractor of the
`Agency having need for the information in order to perform a contract. Recipients of
`information shaii be required to comply with the requirements of the Privacy Act of 197%, as
`amended, pursuant to 5 USE. 552aim).
`A record related to an international Appiication filed under the Patent Cooperation Treaty in
`this system of records may be disciosed, as a routine use, to the international Bureau of the
`World inteiiectuai Property Organization, pursuant to the Patent Cooperation Treaty.
`A record in this system of records may be disciosed, as a routine use, to another federai
`agency for purposes of National Security review (35 USS. 181) and for review pursuant to
`the Atomic Energy Act {42 1.5.8.0. 21803)).
`A record from this system of records may he disciosed, as a routine use, to the Administrator,
`General Services, or his/her designee, during an inspection of records conducted by GSA as
`part of that agency‘s responsibiiity to recommend improvements in records management
`practices and programs, under authority of 44 USS. 29:34 and 2936. Such disclosure shaii
`be made in accordance with the GSA regulations governing inspection of records for this
`purpose, and any other reievant ( to, GSA or Commerce) directive. Such disciosure shaii not
`be used to make determinations about individuais.
`A record from this system of records may be disciosed, as a routine use, to the pubiio after
`either publication of the application pursuant to 35 U.$.C. 122(b) or issuance of a patent
`pursuant to 35 U.S.C. 151. Further, a record may be disclosed, subject to the iirnitations of 37
`CFR 1.14, as a routine use, to the public it the record was tiied in an appiication which
`became abandoned or in which the proceedings were terminated and which appiication is
`referenced by either a published appiication, an application open to pubiic inspection or an
`issued patent.
`A record from this system of records may be disclosed, as a routine use, to a Federal, State,
`or iocai law enforcement agency, if the USPTQ becomes aware of a vioiation or potential
`vioiation of iaw or reguiation.
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`Doc code: Oath
`Sacrament Description: Oath or decimation flied
`
`PTCfAiAiO‘Z (5-74 3)
`Approved for use through “0012020. OMB {3651—0032
`
`15.2; Patent and Trademark Qiiice; us. DEPAR
`NT OF COMMERCE
`
`
`
`GR DESiGN PATEN? APPLiCATiQN {35 Ufifi. 115M) AME 3'? CFR 1&1}
`we.
`xxx
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`
`BLADE DREVE DEViCE
`
`Titte cf
`
`Invention \W\\\
`
`v v
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`.............
`
`This statement is directed to:
`
`May 26, 2017
`:1
`PCT/JP2017IO‘19646
`3 .E United States appiicaiion or PCT internationai appiicaiion numberN““““““““““““ fiied on
`
`\kxxxxxxxxrxxxxkm\w\W\\m\w\\\\W\m\\x '-x\W’xwx'x'xxix\K’x’x’x’x’x’x“‘\‘\‘\‘\‘\‘\i\\\\\\\\\\
`
`\\\\
`xxxxxxxmx
`........
`\\\\\\\\W\\\
`LEGAL NAME (Bf inventar tie Wham this subetitute statement appiies:
`(5g, Given Name (first and middle (if any); and Famiiy Marne er Surname)
`Lengji BAE
`_
`.
`.........
`
`xxx
`
` Ceuntr‘v
`Maiiing Addrese (except for a deceased or iegaliy incapacitated inventor):
`
`JP
`
`mes-«xxx
`
`Cit) NiDEC CGPAL CORPORATiGN, 18-10, Shimure 2uchome, itabaehi-ku
`
`Tekye
`
`1743559; . JP “
`
`:rir:
`
`i believe the shave-named inventor or joint inventer in be the originai inventor or an eriginai jeint inventor of a ciaimed invention
`in the eppiicetien.
`
`i The abeve—icientified application was made or autherized to be made by me.
`
`i hereby ackraowiedge that any wiiifui faise statement made in this statement is punishabie under 18 USC. 1091 by fine gr
`irnprisanmeni of not, mere than five (5) years, or both.
`
`Reiationship to the inventor to when: this; substitute statement appiies:
`
`Legei Representative (for deceased or iegeiiy incapacitated inventor oniy).
`
`Assignee,
`
`Joint inventrar.
`
`Person in whom the inventor is under an ebiigation to assign,
`
`Perssn who otherwise shows a sufficient proprietary inierest in the matter (petition under 3? CFR 1.46 is required), er
`
`[Page ‘i of 2}
`This coiiectinn at inferrnation is required by 35 U.S.C. 115 and 37 CFR 1.63. The informaticm is required in ubiain er retain a benefit by the public which is in tile (and
`my the USPTO to process) an application. Cnnfidentiaiity is gavernee’ by 35 USO. 122 and 37 CFR 11 1 am 1.14. This coileciioh is estimated to take 1 minute. to
`compieie. inciuding gathering, preparing, and eubrnifling iiie compieted application form to the USPTQ. Time wiii vary depending upon the individuai case, Any
`comment-3 on the amount oftime you require to campiete this form and/m suggestions for reducing this burden, sheuid be sent’io the Chief information Qfficer. US.
`Patent and Trademark Offiee, USS Deparirneni cf Cammerce, PIE. Box 1450, Aiexandria, VA 22313-1450. DC- NOT SEND FEES OR COMPLETEO FQRMS TO
`THIS ADDRESS. SEND TO: Commissicner for Patents, 9.0. It»: 1450. Alexandria. VA 223134450.
`if ycu need assisiamre in currrpieiing the form. call 'I-800«PTO-9199 and safest option 2‘
`
`
`
`
`
`
`
`P‘i'O/SBIAEAEEZ (07-13)
`Approved for use through iiiiiO/EGZU. OMB 3551-8033
`us. Patent and Trademark Office: US. DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Ant of 1995, no persons are required to resound to a Coiieotion of information uniess it dispiays a vaiid OMB control number.
`
`SUBSTETUTE STATEh‘iENT
`
`Circumstances permitting execution of this substitute statement:
`inventor is deceased,
`
`M.
`
`inventor is under iegai incapacity,
`
`inventor cannot be found or reached otter diiigent effort, or
`
`i Inventor has refused to execute the oath or declaration under 37 CFR 1.63.
`
`if there are joint inventors, piease check the appropriate box below:
`
`An appiioation data sheet under 37 CFR 1.76 (PTO/AlA/M or equivalent) naming the entire inventive entity has been
`or is currentiy submitted.
`
`
`
`An aopiication data sheet under 37 CFR 1.?6 (PTOiAiA/‘M or equivalent) has not been submitted. Thus, a Substitute
`Statement Supplemental Sheet (PTO/AiA/‘it or equivalent) naming the entire inventive entity and providing inventor
`information is attached. See 37 CPR ‘i.64(b).
`
`WARNiNG:
`
`Petitionerfappiicant is cautioned to avoid submitting personai information in documents flied in a patent application that may
`contribute to identity theft. Personal information such as sooiai 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.
`if this type of personai information is inciuded in documents submitted to the USPTO.
`petitioners/applicants should consider redacting such personai information from the documents before submitting them to the
`USPTO. Petitioner/applicant is advised that the record of a patent appiication is availabie to the public after pubiication of the
`application (uniess a non—pubiicaticn request in compiiance with 37 CFR 1.213(22) is made in the aopiication) or issuance of a
`patent. Furthermore, the record from an abandoned appiioation may also be avaiiabie to the pubiic if the application is
`referenced in a pubiished application or an issued patent (see 3? CFR 1.14). Checks and credit card authorization forms
`PTO-2038 submitted for- payment purposes are not retained in the eppiication fiie and therefore are not puhiiciy avaiiahie.
`
`Name:
`
`Ki yfig hi ?AKgi
`
`iDate (Optional;
`
`,
`~~
`..-
`~
`..
`Signature:
`AFDUQANT NAME AND TiTLE (3F FERSGN EXECUTWG TRIS suesn'rure STATEMENT:
`if the appiieant is a juristic entity list the applicant name and the titie of the signer:
`5
`NiDEC CQPAL CQRPQRATEQN
`Appticant Name:
`" Titie or” Parser; Executing
`T55 Mummsmmm Generai Manager inteiieotuai Property Department
`
`5,, ta diner. w wetsuit Bis 3'
`oiis 232338is amnotred to act on hens?o the sediment
`
`174855d Meagan
`Note: Use an additional PTO/AiAIOZ form for each inventor who'is deceased legaiiy incapacitated, cannot tiefound or reached
`after diiieni effort, or hasrefused to execute the oath or deciaration under 37 CFR 1.63.
`[Page 2 of 2]
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`Privacy Act Statement
`
`The Privacy Act of 1974 (Rt... ss—srs; requires that you be given certain information in connection
`with your submission of the attached form related to a patent application or patent. Accordingty,
`pursuant to the requirements of the Act, please be advised that: (1) the general authority for the
`collection of this information is 35 U.S.C. 2(bii2): (2) furnishing of the information solicited is voluntary;
`and (3) the principal purpose for which the information is used by the US. Patent and Trademark
`Office is to process andior examine your submission related to a patent application or patent. it you do
`not furnish the requested information, the US. Patent and Trademark Office may not be able to
`process and/or examine your submission, which may result in termination of proceedings or
`abandonment of the application or expiration of the patent.
`
`The information provided by you in this form will be subject to the following routine uses:
`
`1. The information on this form will be treated confidentially to the extent allowed

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