Modified PTO/AlA/14 (12-13)
`Approved for use through 04/30/2017. OMB 0651-0032
`U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
`
`Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number.
`
`_
`_
`Application Data Sheet 37 CFR 1.76
`
`Attorney Docket Number
`
`2450.014USl
`
`Application Number
`
`Unknown
`
`
`
`
`
`
`Title of Invention
`
`OPTICAL DEVICE
`
`The application data sheet is part ofthe provisional or nonprovisional application for which it is being submitted. The following form contains the
`bibliographic data arranged in a format specified bythe United States Patent and Trademark Office as outlined in 37 CFR 1.76.
`This document may be completed electronically and submitted to the Office in electronic format using the Electronic Filing System (EFS)or the
`documentmay be printed and included in a paper filed application.
`
`
`Secrecy Order 37 CFR 5.2:
`
`El Portions or all of the application associated with this Application Data Sheet may fall under a Secrecy Order
`
`pursuant to 37 CFR 5.2 (Pa per filers only. Applications that fall under Secrecy Order may not be filed electronically.)
`
`Inventor Information:
`
`Inventor 1: Julian Berlow
`
`Legal Name
`
`Prefix
`Given Name
`Middle Name
`Family Name
`Suffix
`Julian
`Berlow
`
`
`
`
`
`
`
`
`
`
`
`
`
`Residence Information (Select One)
`
` :| US Residency
`Non US Residency
`:| Active US Military Service
`
`
`
`City Augsburg
`State/Province
`(liliggmf Germany
`
`Mailing Address of Inventor:
`
`Address 1
`Willi-Willadt-Weg 16
`
`Address 2
`
`
`
`
`
`
`
`
`City
`Augsburg
`State/Province
`
`Postal Code
`86169
`Country
`Germany
`
`Correspondence Information:
`Enter either Customer Number or complete the Correspondence Information section below.
`
`For further information see 37 CFR 1.33(a).
`
`El An Address is being provided for the correspondence Information of this application.
`
`Customer Number 21186
`
`
`
`
`Email Address
`request@slwip.com
`
`
`Application Information:
`
`Title of the Invention
`OPTICAL DEVICE
`
`
`Attorney Docket Number 2450.014USl
`Small Entity Status Claimed
`
`Application Type
`Non-Provisional
`
`
`
`
`Subject Matter
`Utility
`
`Suggested Class (if any)
`Sub Class (if any)
`
`Suggested Technology Center (if any)
`
`Total Number of Drawing Sheets (if any) 3
`Suggested Figure for Publication (if any) 1
`
`Page | 1
`
`

`

`Modified PTO/AlA/14 (12-13)
`Approved for use through 04/30/2017. OMB 0651-0032
`U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number.
`
`_
`_
`Application Data Sheet 37 CFR 1.76
`
`Attorney Docket Number
`
`2450.014USl
`
`Application Number
`
`Unknown
`
`
`
`
`
`Title of Invention
`
`OPTICAL DEVICE
`
`The application data sheet is part ofthe provisional or nonprovisional application for which it is being submitted. The following form contains the
`bibliographic data arranged in a format specified bythe United States Patent and Trademark Office as outlined in 37 CFR 1.76.
`This document may be completed electronically and submitted to the Office in electronic format using the Electronic Filing System (EFS)or the
`
`documentmay be printed and included in a paper filed application.
`
`
`Filing By Reference:
`
`Only complete this section when filing an application by reference under 35 U.S.C. 111(c) and 37 CFR 1.57(a). Do not
`complete this section if application papers including a specification and any drawings are being filed. Any domestic benefit or foreign
`priority information must be provided in the appropriate section(s) below (i.e., ”Domestic Benefit/National Stage Information” and
`"Foreign Priority Information").
`
`For the purposes of a filing date under 37 CFR l.53(b), the description and any drawings of the present application are replaced by
`this reference to the previously filed application, subject to conditions and requirements of 37 CFR 1.57(a).
`
`Application number of the previously Filing date (YYYY-MM-DD)
`
`Intellectual Property Authority or
`
`
`
`
`
`Country Publication
`
`
`filed application
`
`Publication Information:
`
`El Request Early Publication (Fee required at time of Request 37 CFR 1.219)
`
`El Request Not to Publish. I hereby request that the attached application not be published under 35 U.S.
`C. 122(b) and certify that the invention disclosed in the attached application has not and will not be the subject of an
`application filed in another country, or under a multilateral international agreement, that requires publication at eighteen
`
`months after filing.
`
`
`Representative Information:
`
`
`
`Representative information should be provided for all practitioners having a power of attorney in the application. Providing
`this information in the Application Data Sheet does not constitute a power of attorney in the application (see 37 CFR 1.32).
`Entereither Customer Number or complete the Representative Name section below. If bothsections are completed the
`Customer Number will be used for the Representative Information during processing.
`
`
`
`Please Select One:
`Customer
`|:| US Patent Practitioner
`|:| Limited Recognition (37 CFR 11.9)
`Customer Number
`21186
`
`
`
`Page | 2
`
`

`

`Modified PTO/AlA/14 (12-13)
`Approved for use through 04/30/2017. OMB 0651-0032
`U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number.
`
`_
`_
`Application Data Sheet 37 CFR 1.76
`
`Attorney Docket Number
`
`2450.014USl
`
`Application Number
`
`Unknown
`
`Title of Invention
`
`OPTICAL DEVICE
`
`
`
`
`
`The application data sheet is part ofthe provisional or nonprovisional application for which it is being submitted. The following form contains the
`bibliographic data arranged in a format specified bythe United States Patent and Trademark Office as outlined in 37 CFR 1.76.
`This document may be completed electronically and submitted to the Office in electronic format using the Electronic Filing System (EFS)or the
`documentmay be printed and included in a paper filed application.
`
`
`
`Domestic Benefit/National Stage Information:
`This section allows for the applicant to either claim benefit under 35 U.S.C. 119(e), 120, 121, or 365(c) or indicate
`National Stage entry from a PCT application. Providing this information in the application data sheet constitutes the
`specific reference required by 35 U.S.C. 119(e) or 120, and 37 CFR 1.78(a)(2) or CFR 1.78(a)(4), and need not otherwise be
`made part of the specification.
`
`
`
`Prior Application Status Pending
`
`Prior Application Number
`
`Application Number
`
`Continuity Type
`
`This application
`
`371 of International
`
`PCT/EP2017/O70173
`
`Filing or 371(c) Date
`(YYYY—MM—DD)
`2017-08-09
`
`
`Foreign Priority Information:
`This section allows for the applicant to claim priority to a foreign application. Providing this information in the application data
`sheet constitutes the claim for priority as required by 35 U.S.C. 119(b) and 37 CFR 1.55(d). When priority is claimed to a foreign
`application that is eligible for retrieval under the priority document exchange program (PDX)i the information will be used by the
`Office to automatically attempt retrieval pursuant to 37 CFR 1.55(h)(1) and (2). Under the FOX program, applicant bears the
`ultimate responsibility for ensuring that a copy of the foreign application is received by the Office from the participating foreign
`intellectual property office, or a certified copy ofthe foreign priority application is filed, within the time period specified in 37 CFR
`1.55(g)(1).
`
`
`
`
`
`
`
`Application Number
`
`10 2016 115 277.3
`
`Country
`
`Germany
`
`
`
`
`
`
`
`Parent Filing Date (YYYY-MM-DD) Access Code (if applicable)
`
`2016-08-17
`
`Page | 3
`
`

`

`Modified PTO/AlA/14 (12-13)
`Approved for use through 04/30/2017. OMB 0651-0032
`U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number.
`
`_
`_
`Application Data Sheet 37 CFR 1.76
`
`Attorney Docket Number
`
`2450.014USl
`
`Application Number
`
`Unknown
`
`Title of Invention
`
`OPTICAL DEVICE
`
`The application data sheet is part ofthe provisional or nonprovisional application for which it is being submitted. The following form contains the
`bibliographic data arranged in a format specified bythe United States Patent and Trademark Office as outlined in 37 CFR 1.76.
`This document may be completed electronically and submitted to the Office in electronic format using the Electronic Filing System (EFS)or the
`documentmay be printed and included in a paper filed application.
`
`
`
`
`
`foreign IP office(s). Instead, Form PTO/SB/39 or PTO/SB/69 must be used as appropriate.
`
`Authorization or Opt-Out of Authorization to Permit Access:
`
`When this Application Data Sheet is properly signed and filed with the application, applicant has provided written authority to
`permit a participating foreign intellectual property (IP) office access to the instant application-as-filed (see paragraph A in
`subsection 1 below) and the European Patent Office (EPO) access to any search results from the instant application (see
`paragraph B in subsection 1 below).
`
`Should applicant choose not to provide an authorization identified in subsection 1 below, applicant must opt-out of the
`authorization by checking the corresponding box A or B or both in subsection 2 below.
`
`NOTE: This section of the Application Data Sheet is ONLY reviewed and processed with the INITIAL filing of an application. After
`the initial filing of an application, an Application Data Sheet cannot be used to provide or rescind authorization for access by a
`
`1. Authorization to Permit Access by a Foreign Intellectual Property office(s)
`
`A. Priority Document Exchange (PDX) - Unless box A in subsection 2 (opt-out of authorization) is checked, the
`undersigned hereby grants the USPTO authority to provide the European Patent Office (EPO), the Japan Patent Office
`(J P0), the Korean Intellectual Property Office (KIPO), the State Intellectual Property Office of the People's Republic of
`China (SIPO), the World Intellectual Property Organization (WIPO), and any other foreign intellectual property office
`participating with the USPTO in a bilateral or multilateral priority document exchange agreement in which a foreign
`application claiming priority to the instant patent application is filed, access to: (1) the instant patent application-as-filed
`and its related bibliographic data, (2) any foreign or domestic application to which priority or benefit is claimed by the
`instant application and its related bibliographic data, and (3) the date of filing of this Authorization. See 37 CFR 1.14(h)
`(1).
`
`B. Search Results from U.S. Application to EPO - Unless box B in subsection 2 (opt-out of authorization) is checked,
`the undersigned hereby grants the USPTO authority to provide the EPO access to the bibliographic data and search
`results from the instant patent application when a European patent application claiming priority to the instant patent
`application is filed. See 37 CFR 1.14(h)(2).
`
`The applicant is reminded that the EPO's Rule 141(1) EPC (European Patent Convention) requires applicants to submit a
`copy of search results from the instant application without delay in a European patent application that claims priority to
`the instant application.
`
`
`2. Opt-Out of Authorizations to Permit Access by a Foreign Intellectual Property office(s)
`
`A. Applicant DOES NOT authorize the USPTO to permit a participating foreign IP office access to the instant
`
`El application-as-filed. If this box is checked, the USPTO will not be providing a participating foreign IP office with
`any documents and information identified in subsection 1A above.
`
`El B. Applicant DOES NOT authorize the USPTO to transmit to the EPO any search results from the instant patent
`application. If this box is checked, the USPTO will not be providing the EPO with search results from the instant
`application.
`
`NOTE: Once the application has published or is otherwise publicly available, the USPTO may provide access to the
`application in accordance with 37 CFR 1.14.
`
`Page | 4
`
`

`

`Modified PTO/AlA/14 (12-13)
`Approved for use through 04/30/2017. OMB 0651-0032
`U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number.
`
`_
`_
`Application Data Sheet 37 CFR 1.76
`
`Attorney Docket Number
`
`2450.014USl
`
`Application Number
`
`Unknown
`
`Title of Invention
`
`OPTICAL DEVICE
`
`
`
`
`
`
`The application data sheet is part ofthe provisional or nonprovisional application for which it is being submitted. The following form contains the
`bibliographic data arranged in a format specified bythe United States Patent and Trademark Office as outlined in 37 CFR 1.76.
`This document may be completed electronically and submitted to the Office in electronic format using the Electronic Filing System (EFS)or the
`documentmay be printed and included in a paper filed application.
`
`Applicant Information:
`
`Providing assignment information in this section does not substitute for compliance with any requirement of part 3 of Title 37
`of CFR to have an assignment recorded by the Office.
`
`licant is the inventor or the remainin 'oint inventor or inventors under 37 CFR 1.45 this section should not be
`
`completed. The information to be provided in this section is the name and address ofthe legal representative who is the
`applicant under 37 CFR 1.43; or the name and address of the assignee, person to whom the inventor is under an obligation to
`assign the invention, or person who otherwise shows sufficient proprietary interest in the matter who is the applicant under 37
`CFR 1.46. If the applicant is an applicant under 37 CFR 1.46 (assignee, person to whom the inventor is obligated to assign, or
`person who otherwise shows sufficient proprietary interest) together with one or more joint inventors, then the joint inventor
`or inventors who are also the applicant should be identified in this section.
`
`El Joint Inventor
`El Legal Representative under 35 U.S.C. 117
`El Assignee
`
`
`El Person who shows sufficient proprietary interest
`El Person to whom the inventor is obligated to assign
`
`
`If applicant is the legal representative, indicate the authority to file the patent application, the inventor is:
`
`
`El Legally incapacitated
`El Deceased
`
`
`Name of the Deceased or Legally Incapacitated Inventor:
`
`
`
`If the Applicant is an Organization check here: :I
`
`Organization Name:
`
`Prefix
`
`Given Name
`
`Middle Name
`
`
`
`Mailing Address Information:
`Address 1
`
`Address 2
`
`
`City State/ Province
`Country Postal Code
`Phone Number
`
`
`
`Email Address
`
`
`Page | 5
`
`

`

`Modified PTO/AlA/14 (12-13)
`Approved for use through 04/30/2017. OMB 0651-0032
`U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number.
`
`_
`_
`Application Data Sheet 37 CFR 1.76
`
`Attorney Docket Number
`
`2450.014U51
`
`Application Number
`
`Unknown
`
`Title of Invention
`
`OPTICAL DEVICE
`
`
`
`
`
`The application data sheet is part ofthe provisional or nonprovisional application for which it is being submitted. The following form contains the
`bibliographic data arranged in a format specified bythe United States Patent and Trademark Office as outlined in 37 CFR 1.76.
`This document may be completed electronically and submitted to the Office in electronic format using the Electronic Filing System (EFS)or the
`documentmay be printed and included in a paper filed application.
`
`
`Assignee Information including Non-Applicant Assignee Information:
`Providing assignment information in this section does not substitute for compliance with any requirement of part 3 of Title 37
`
`of CFR to have an assignment recorded by the Office.
`
`
`
`Complete this section if assignee information, including non-applicant assignee information, is desired to be included on the
`patent application publication. An assignee-applicant identified in the "Applicant Information" section will appear on the
`patent application publication as an applicant. For an assignee-applicant, complete this section only if identification as an
`assignee is also desired on the patent application publication.
`
`
`
`If the Assignee or Non-Applicant Assignee is an Organization check here. |:|
`
`Prefix
`
`Given Name
`
`Middle Name
`
`Family Name
`
`Suffix
`
`
`
`
`
`
`Mailing Address Information For Assignee including Non-Applicant Assignee:
`
`Address 1
`
`
`
`
`
`42,331
`
`Address 2
`
`
`
`City
`State/Province
`
`
`
`
`
`
`Country
`Postal Code
`Phone Number
`Fax Number
`
`Email Address
`
`Signature:
`
`NOTE: This Application Data Sheet must be signed in accordance with 37 CFR 1.33(b). However, if this Application Data Sheet is
`submitted with the INITIAL filing of the application and either box A or B is n_ot checked in subsection 2 of the "Authorization or
`Opt-Out of Authorization to Permit Access" section, then this form must also be signed in accordance with 37 CFR 1.14(c).
`This Application Data Sheet must be signed by a patent practitioner if one or more ofthe applicants is a juristic entity (e.g.,
`corporation or association). If the applicant is two or more joint inventors, this form must be signed by a patent practitioner, a_Hjoint
`inventors who are the applicant, or one or more joint inventor-applicants who have been given power of attorney (e.g., see USPTO
`Form PTO/AlA/81) on behalf ofa_Hjoint inventor-applicants.
`See 37 CFR 1.4(d) f‘e manner of making signatures and certifications.
`
`
`
`Date (YYYY-
`Signature 2019-02-15
`MM-DD)
`Registration
`Number
`
`First Name
`
`This collection of information is required by 37 CFR 1.76. The information is required to obtain 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. 122 and 37 CFR 1.14. This collection is
`estimated to take 23 minutes to complete, including gathering, preparing, and submitting the completed application data sheet 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, US. Patent and Trademark Office,
`U.S. Department of Commerce, PO. 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 22313-14
`
`Page | 6
`
`