(12—13)
`Modified F’TO/AlA/l I:
`Approved for use through 04/30/2017. OMB 065143032
`US. Patent and Trademark Office; US. DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Act of1995, n-zn pets-ans are requiredte respond to a collection of information unless it contains a valid OMB control number.
`
` .
`
`4967.107U51
`Atterney Becket Number
`“““““““““““““““““““““““““““““““““““““““““““““““““““““““““l“““““““““““““““““““““““““““““““““““
`Applieatien Number
`Unknown
`
`3
`Apeireatren Beta Street 3'? CFR 1.76
`
`
`
`
`
`COSMETiC COMPOSlTlON
`Title e‘i‘ inventlen
`
`
`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 by the United States; Patent aridTrademark 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 (EFslor the
`document may be printed and included in a paper filed application.
`
`Secrecy Urder 37 CPR 5.2:
`
`fl Pertiens air all at the applicatien associated with this Applicatien nata Sheet may fall under a Secrecy Order
`
`pursuant te 3? CFR 5.2 {Paper filers only. Applieatiens that fall under Secrecy Order may net lee filed electrenlcaily.)
`
`inventer lnfermatian:
`
`
`
`
`Legal Name
`Family Name
`Prefix
`lGiyen Name
`E
`Nguyen
`;l<.en
`:
`l--------------------------J-----------------------------------------------------------------------------A-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------1
`
`
`
`
`
`Middle Name
`
`Suffix
`
`Residence lnfermatien (Select Uriel
`US Residency [:3 Men US Residency: flActiye US Military Service
`
`
`
`
`
`
`
`City Randolph
`
`Stateiprevince
`
`til
`
`
`
`Ceuntry 9f lUnlted States at America
`Resident:
`
`
`il
`
`i
`Matthew Court
`Address 1
`Addressz"""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""l
`
`
`
`City
`Randolph
`State/Preyinee
`NJ
`Pastel Cede
`l07369
`Cedntry
`lUnited States of America
`
`
`
`Legal Name
`
`Prefix
`lGiyen Name
`Middle Name
`Family Name
`Suffix
`E
`lloltanne
`:
`Richard
`l--------------------------J-----------------------------------------------------------------------------A-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------1
`
`
`
`
`
`Residence lnfermatien (Select Uriel
`US Residency [:3 Men US Residency: flActiye US Military Service
`
`
`
`
`
`
`
`City Hamburg
`
`
`
`
`Stateiprevince l‘ll
`
`Mailing Address at inventer:
`
`:::?;;:€:f
`
`lUnlted States at America
`
`Addressllllflaklimntljrryc"""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""
`Addressz"""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""l
`
`
`
`City
`Hamburg
`State/Preyinee
`NJ
`Pestal Cede
`l07419
`Cedntry
`lUnited States of America
`J
`
`Pagel 1
`
`

`

`(12—13)
`Modified F’TO/AlA/i I:
`Approved for use through 04/30/2017. OMB 065143032
`US. Patent and Trademark Office; US. DEPARTMENT OF COMMERCE
`
`Under the Paperwork Reduction Act of1995, no persons are reouii‘edto respond to a collection of information unless it contains a valid OMB control number.
`
` .
`
`4967.107U51
`Attorney Docket Number
`“““““““““““““““““““““““““““““““““““““““““““““““““““““““““l“““““““““““““““““““““““““““““““““““
`Application Number
`Unknown
`
`3
`Application Beta Sheet 3'? CFR 1.76
`
`
`
`Customer Number Email Address
`
`COSMETlC COMPOSlTlON
`Title of invention
`
`
`The application data sheet is part otthe provisional or nonprovisional application for which it is being submitted. The following form contains the
`bibliographic data arranged in a format specified by the United States; Patent aridTrademark 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 (EFslor the
`document may be printed and included in a paper filed application.
`
`
`Correspondence information:
`
`:
`Enter either Customer Number or complete the Correspondence information section below.
`Eli}:fistiii}its;i1.l:tilt):iiiii?!lit?i3__Fit;it__§’£Z_§§l3___l_a3;§l§lg________________________________________________________________________________________________________________________________________________________________________________l
`
`
`E An Address is hein provided for the correspondence information of this applicatio .
`
`__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
`
`Title Of the invention
`
`CQSlVlETlC COM PCSlTlON
`
`
`
`
`
`
`Application Type
`Non—Provisional
`
`Suhiect Matter
`
`Utility
`
`.
`
`:__§E§§_§§E§§E§Eligglfigf£5395_l_l_l__§ll__l_’_l_________l_____________________________________________________________________________________________________________________________________________________,_______________________________l
`
`Total Number of Drawing Sheets (if any)
`:Suggested Figure in? Publication iii any)
`
`
`Filing 3y Reference:
`
`lOniy complete this section when filing an application lay reference under 35 U.S.C. llllcl and 37 CFR 1.57ial. Be not
`lcompieie this section if application papers including a specification and any drawings are being filed. Any domestic benefit or foreign
`lpriority information must he provided in the appropriate sectionisl below lie, "Domestic Benefit/National Stage information” and
`‘Irr
`‘
`.
`.- -+
`i
`.
`,,
`l roreign Priority information i.
`
`_
`
`'
`
`lF-‘or the purposes of a filing date under 37 CPR 153(k)), the description and any drawings of the present application are replaced by
`lthis reference to the previously filed application, subject to conditions and requirements of 37 CFR 1.57la}.
`
`lintellectual Property Authority or
`lAppiication number of the previously Filing date iYYYY~MM~flQ§
`ltiled application
`lCountry Publication
`...........................................................................................................................................................................................................................................................................................
`
`Publication information:
`
`3 Request Early Publication {Fee required at time of Request 37 CFR 1,219)
`
`months after filing.
`
`El Request Not to Publish“ l herehy request that the attached application not he published under 35 UDS.
`E. 122th) and certify that the invention disclosed in the attached application has not and will not he the subject of an
`application filed in another country, or under a multilateral international agreement, that requires publication at eighteen
`
`Pagel 2
`
`

`

`Mooil‘iedF‘TO/AIA/i 1: (1::—1’5)
`Approved for use through 04/301/017 OMB 0651»{3032
`US. Patent and Trademark Office; US. DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Act of1995, no persons are reouirec’lo respond to a collection of information unless it contains a valid OMB control number.
`3
`Attorney Docket Number
`4967.107U51
`Application Beta Sheet 3'? CFR 1.76
`“““““““““““““““““““““““““““““““““““““““““““““““““““““““““1“““““““““““““““““““““““““““““““““““
`Application Number
`Unknown
`
` .
`
`Title of invention
`
`COSMETlC COMPOSlTlON
`
`
`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 by the United States; Patent aridTrademark 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 (EFslor the
`document may be printed and included in a paper filed application.
`
`
`
`
`
`
`Representative information should he 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 hotnsections are completed the
`I
`Customer Number will he used for the Representative information during processing
`______________________________________________________________________________________________________________________________________________________________________________________________________________________
`Please Select Grid:
`Customer
`lid US Patent Practitionerl
`iii Limited Recognition (37 CFR 11.9)
`
`
`
`_
`
`_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
`
`This section allows for the applicant to either claim benefit under 35 U.S.C. 119m), 129, 121, or 365M or indicate
`
`National Stage entry from a PCT application. Providing this information in the application data sheet constitutes the
`
`specific reference required by 35 USA: little) or 120, and 37 CPR lJSlailZl or CFR 1.?8lafi4), and need not otherwise he
`
`made part of the specification.
`
` Frior Application Status
`
`
`Pending
`1----------------------------------------------------------------------+-------------------------------------------------------------------------------------------------------------------------------------
`_
`.
`i
`.
`u
`.
`F‘i'
`an o t
`
`Prior Application Number
`Continuity Type
`Application Number
`_________________fermentationa3710tmtermti0mlPCT/U52017/033617
`
`l l?fY:;-Mhlll:~ltit; e
`
`Prior Application Status
`
`Application Number
`
`Expired
`
`Continuity "i'ype
`
`i
`
`Prior Application Number
`
`in“
`
`371
`
`o t
`
`l lgfyglyuwinlfianj e
`
`PCT/USZOI.7/055617
`
`Claims benefit of provisional
`
`62/405,197
`
`2016—10-06
`
`
`This section allows for the applicant to claim priority to a foreign application. Providing this informationin the application data
`
`information:
`
`sheet constitutes the claim for priority as required by 35 U,S.,C., little) and 37 CFR 1.55M). When priority is claimed to a foreign
`
`application that is eligible for retrieval under the priority document exchange program (PDXEi the information will he used by the
`
`fiftice to automatically atternpt retrieval pursuant to 3? CFR liSSlnlfli and (2). Under the Mix program, applicant hears the
`
`ultimate responsibility for ensuring that a copy of the foreign application is received by the Qt’fice from the participating foreign
`
`intellectual property office, or a certified copy of the foreign priority application is filed, within the time period specified in 37 CFR
`'
`1.55fglllln
`
`
`
`Application Number
`
`Country
`
`Parent Filing iiiate (YYYVMi‘v’iDill}; Access Code (if applicahieljl
`
`
`Pagel 3
`
`

`

`(12—13)
`Modified F’TO/AlA/i I:
`Approved for use through 04/30/2017. OMB 065143032
`US. Patent and Trademark Office; US. DEPARTMENT OF COMMERCE
`
`Under the Paperwork Reduction Act of1995, no persons are requiredto respond to a collection of information unless it contains a valid OMB control number.
`
` .
`
`4967.107U51
`Attorney Docket Number
`“““““““““““““““““““““““““““““““““““““““““““““““““““““““““l“““““““““““““““““““““““““““““““““““
`Application Number
`Unknown
`
`3
`Application Beta Sheet 3'? CFR 1.76
`
`
`
`
`
`COSMETlC COMPOSlTlON
`Title of invention
`
`
`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 by the United States; Patent aridTrademark 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 (EFsior the
`document may be printed and included in a paper filed application.
`
`Authorization or Gptwflut 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 it?) office access to the instant applicationuas-filed {see paragraph A in
`subsection it below) and the European Patent foice lt-ZPQ) 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 optuout 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 GNU! reviewed and processed with the iNlTlAl. filing of an application. After
`the initial filing of an application, an Application Gate Sheet cannot be used to provide or rescind authorization for access by a
`foreign lP officels}. instead, Form f’TOiSBIBQ or f’TOiSBISQ must he used as appropriate.
`
`1. Authorization to Permit Access by a Foreign intellectual Property afficelsl
`
`A._if:i_o_r_i__ty__l_:_tp_pp_rpp_p_t__§2§p_hp_pgp__l_EQ3§l - Unless box A in subsection 2 loptuout of authorization;i is checked, the
`undersigned hereby grants the USMC) authority to provide the European Patent Office {ENE}, the .iapan Patent foice
`(that, the Korean intellectual Property Qffice (KlPCil, the State intellectual Property lattice ofthe People’s Republic of
`China (SiPGi, the World intellectual Property Grganizatlon {WiP0i, and any other foreign intellectual property office
`participating with the USPTG 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 applicationwas~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 ofthis Authorization, See 37 CFR 1.1zilh)
`u).
`
`3. Search Results from Ltd. Application to EPO » Unless box 3 in subsection 2 loptuout of authorization) is checked,
`the undersigned hereby grants the USPTQ authority to provide the EPIC} 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 1.14pm}.
`
`The applicant is reminded that the was 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. apt—Out of Authorizations to Permit Access by a Foreign intellectual Property Glficels}
`
`A. Applicant DOES NGT authorize the USMC) to permit a participating foreign i? office access to the instant
`
`El application~asvfiied. lfthis box is checked, the U$PTQ will not be providing a participating foreign lP office with
`any documents and information identified in subsection 1A above.
`
`E B. Applicant QOES NOT authorize the USPTO to transmit to the EPQ any search results from the instant patent
`application. if this box is checked, the USFTQ will not be providing the EPO with search results from the instant
`application.
`
`NGTE: flnca the application has published or is otherwise publicly available, the U$PTG may provide access to the
`application in accordance with 37 CFR 1.14.
`
`
`
`Page I 4
`
`

`

`(12—13)
`Modified F’TO/AlA/t I:
`Approved for use through 04/30/2017. OMB 065143032
`US. Patent and Trademark Office; US. DEPARTMENT OF COMMERCE
`
`Under the Paperwork Reduction Act of1995, no persons are reauii‘edto respond to a collection of information unless it contains a valid OMB control number.
`
` .
`
`4967.107U51
`Attorney Docket Number
`“““““““““““““““““““““““““““““““““““““““““““““““““““““““““l“““““““““““““““““““““““““““““““““““
`Application Number
`Unknown
`
`3
`Application Beta Sheet 3'? CFR 1.76
`
`
`
`
`
`
`
`Title of invention COSMETlC COMPOSiTlON
`
`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 by the United States; Patent aridTrademark 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 (EFsior the
`document may 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 3?
`of CFR to have an assignment recorded by the thiee.
`
`Applicant: Noxeli Corporation
`
`lithe a
`
`
`completed. The information to he provided in this section is the name and address otthe legal representative who is the
`
`lioant is the inventor or the remainin 'oint inventor or inventors under 37 CFR 1.45 this section should not he
`
`
`applicant under 3'} 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 3?
`CFR 1.46. lithe 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 interesti together with one or more joint inventors, then the joint inventor
`or inventors who are also the applicant should he identified in this section.
`
`_
`
`l
`
`Assignee
`
`Ci Legal Representative under 35 U.S.C. 117
`
`if] Joint inventor
`
`[1 Person to whom the inventor is obligated to assign [ Cl Person who shows sufficient proprietary interest
`"i'i'E;5Eli'55iiiiififii;'iEgi;i'iépiéiéiiiéiiii'é:'i'iliiiEéiii'iiiééiiiil iii?iiii'it?iiiiii'iii;'iiéiéiiiE55iiiiiii?iS'ni'i'né'ifivé'iii'é'i'iié"""""""""""""""
`.........................................................................................................................................................................................................................................................................................
`
`.........................................................................................................................................................................................................................................................................................
`
`
`
`..........................................................................................................................................................................................................................................................................................
`
`it the Applicant is an Grganization check here:
`
`
`
`’2‘
`
`Qrganization Name: Noxell Corporation
`
`Prefix
`
`Given Name
`
`Middle Name
`
`Family Name
`
`Suffix
`
`Mailing Address information:
`
`Address it
`
`Address 2
`
`City
`
`11050 YORK ROAD
`
`I
`
`Hunt Valley
`
`State/”Province
`
`Maryland
`
` Country
`
`United States of America
`
`Postal Code
`
`21030-2098
`
`Phone Number
`
`Email Address
`
`Pagel 5
`
`

`

`(12—13)
`Modified F’TOIAlA/i I:
`Approved for use through 04/30/2017. OMB 065143032
`US. Patent and Trademark Office; US. DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Act of1995, no persons are i‘EOiLiii‘eCi-Z' respond to a collection of information unless it contains a valid OMB control number.
`
` .
`
`4967.107U51
`Attorney Docket Number
`“““““““““““““““““““““““““““““““““““““““““““““““““““““““““l“““““““““““““““““““““““““““““““““““
`Application Number
`Unknown
`
`3
`Application Beta Sheet 3'? CFR 1.76
`
`
`
`
`
`COSMETlC COMPOSlTlON
`Title of invention
`
`
`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 by the United States; Patent andTrademark 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 (EFslor the
`document may be printed and included in a paper filed application.
`
`Assignee information including NonwAppiicant 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 Difice.
`
`____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
`
`Complete this section if assighee information; including nonuapplicant assignee information, is desired to be included on the
`patent application publication. An assignee—appllcant identified in the "Applicant
`information" section will appear on the
`patent application publication as an applicant. For an assigneenappllcant, complete this section only if identification as an
`assignee is also desired on the patent application publication.
`
`if the Assignee or NonuAppiicant Assignee is an Organization check here. E]
`
`Prefix
`
`Given Name
`
`Middle Name
`
`Family Name
`
`Suffix
`
`
`
`
`Mailing Address information For Assignee including Non~Appiicant Assignee:
`
`Address 1
`
`
`Address 2
`
`
`
`
`
`Stateil’rovince
`City
`------------------------------------------------------------------------------------------------------------------------------------------------i--------------------------------------------------l-------------------------------------------------------------------------------------i
`...................................................................................................................................................................................................
`Country
`Postal Code
`
`
`
`
`
`
`
`NGTE: This Application Data Sheet must be signed in accordance with 3'? CFR 1.33lb). However, ifthis Application Beta Sheet is
`
`
`submitted with the iNlTlAt filing otthe application and either box A or B is not checked in subsection 2 of the “Authorization or
`Gptufiut of Authorization to Permit Access" section, then this form must also be signed in accordance with 33’ CPR Little).
`This Application Data Sheet: must be signed by a patent practitioner if one or more of the applicants is a juristic entity leg,
`
`corporation or association). if the applicant is two or more joint inventors, this form must be signed by a patent practitioner, a_llioint
`
`inventors who are the applicant, or one or more joint inventor-applicants who have been given power of attorney tag, see USPTO
`
`Form PTO/AiA/Sll on behalf ofgflioint inventor-applicants.
`
`See 37 (IF-R 1.4(d) for the manner of making signatures and certifications.
`
`
`
`mate {YYYYu
`Signature
`2019—03—08
`
`
`MMwQDi
`
`
`
`Registration
`Number
`
`
`First Name
`
`
`Monique
`
`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 USPTC) 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 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 for reducing this burden, should be sent to the Chief information Officer, US. Patent and
`Trademark Office, US. Department: of Commerce, RC). Box 145-3, Alexandria, VA 22313—1450. DC) NQT SEND FEES QR CGMPLETED
`FGRMS TO THlS ADDRESS. SENB TD: Commissioner for l’atents, $3.0. Box M50, Alexandria, VA 2231344
`
`Page I 6
`
`