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`Pfivany A6”: Statement
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`The 'énzformafimn previded by yen in this formws‘ii’ be Subgec't tin-thee faimwing famine uses:
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`aghhsyTar humhsaa of TTSTTUha‘T SECU:it}: («Thaw T35 SC (T313 and fix Teview punsuant m
`The ATQmTc Energy Act (4.2 U SC. 2181(3)}.
`it A. (Scam (mm this sysihm (TT ((39an3 (my be ((1chch :33 3 (Trauma Use To TheAdmahists‘am
`(«Art (5? ThaT Agency5 mapmaihmw Teréwmmehh Thhrzme‘mechium ((snmas (nhnagmmhi
`phaatims (and pragramsundersump?»Try a? 44‘ U5L. 29TH am: 2928 Such dThciasum shah
`bemade in ascerdanca WT‘TT‘T The GSA (eguiiahehs gamma hginspachah (3T Mamas (a; This
`purpose: arid any (325her (eimam {.T(a. SSA Dr Commereze) (Time-The S‘Ucn disaiesure shaéT MT
`he uses} TU maké. (Tateéhnihafidns aims: TthVTdU‘aTs,
`8. A mean} Tmm this sysTem (TT mama‘s mayhe UTSCTGS’SU. asa (whine use, ((3 the (Tu-TA((2 after
`BTThsr pubiiaation of the aphh‘catihh (Tine-sham 35 USC TEETH} Gr.issuance (if (3 ((23th
`human: is 35 U$8 (51 (“when a mmm ((123; (A (Bahama. subject‘ Tc: The Tihh‘atidh's (TT ‘3?
`CST-“R T “£4. as a (amineuse To the (mt:half (he: (heard was ("Thad in ((3 appiicatihn which
`”(sesame abandaheé (z-r Th (which his hroceedihgs mire Teamihaieci (Thar: whish appiicatmhas
`aefamhcjed by either a pubfishefi aphiicatiahg(3n..¢3p(.-TTCaTTuh (men Ta humTC Thapaahgn (Tr gm
`issuer; paTem.
`('3 A (smash Tram (hi(3 aystam QT rewards may he disaicsed as;(a (amineash ((3 a Peder-a! State,
`()r laces: Taw enforhementagamy, if The USPTC} UBCUmeES (have (:T a (Taiwan (Tr pctehha!
`Woiafion 11f Tawar reguiafion.
`
`

`

`PTO/AlA/ot (Ga—‘12)
`Approved for use through 118312329. OMS 0851-0032
`LLEi. Patent, and Trademark Office: US. DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Act of 1995. no persons are required to resgond to a cc-iiectian of information unless it displays a valid OMB control number.
`
`nEcLARAmN {3? CFR 1.63) FOR urrmv OR DESEGN APPLlCATtON UfithlG Art
`
`AFPLlCATtON DATA SHEET {3? {SFR my
`
`Tithe of
`invention
`
`HETEROARYL COMPOUNDS AND THEER USE
`
`f As the below named inventor. t hereby deciare that:
`
`This declaration
`is directed to:
`
`.
`~.
`3
`Tht,attachcd aphhbattonfir
`
`United Stakes application or PCT international application number
`
`PCTIEBZO 'l "Ii/058477
`
`filed on Elfcember 28, 2317
`
`The aboveaidentified application was made or authorized to he made: by me.
`
`i believe that i am the original inventor or an original ioiht inventor of a claimed invention in the application.
`
`
`
`l hereby acknowiedge that any willful false statement made in this declaration is punishabte under 18 U56. 1001
`by fine or imprisc-nmenl of not more than live (5) years. or both.
`
`WARNENG:
`
`Petitioneriappttcant is cautioned to avoid submitting personal information in documents filed in a patent application that may
`i contribute its identity theft. Persmal information suoh as social security numbers, bank account numbers, 0r credit card numbers
`(other than a check or credit card authorization form PTOQOSS submitted for payment purposes) is never required by the USPTO
`to support a petition or an appiicatien.
`lf this type of personal information is included in documents submitted to the USSF‘TD,
`g petitionersiapplicants should SOP-Side!” redacting such personal information from the documents. before submitting them to the
`USPTO. Petitlansrlaphlicant is advised that the. record of a patent application is available to the mitotic after publication of the
`application (unless a non-publication request in compliance with 37 CFR 1.213(3) is made in the application) or issuance of a
`g patent. Furiherrriore, the record from an abandoned application may aiso be avaiiahle to the public it tilt? application is
`rei.renceci in a pubilshed appiication or an issued patent (see 37 CFR 1.14). Checks and credit card authorization .orms
`PTO~203ti sobmitteo‘ fer payment purposes are not retained in the application file and therefore are not publicly available.
`
`;
`
`1
`
`wn
`5 Note: An applicatlan data sheet (P l ulSB/M or equivalent), including naming the entire inventive entity, must accompany this form or must have
`been previously flied. Use an additional PTO/NM)”: form for eat-h additional inventor.
`
`
`
`This collectiun at lntmmatiun is required by 35 (3.5.0. l i5 am: 37’ CFR 1.33. The information is recruited to obtain orretain a ham-mt by the pubiic which ‘
`to hits (and
`
`by the USPTO to process) an appl' atiun. Corrfidentl
`'ty 1:- govemed by 35 U,S,C. 122 and 37 CFR ifl‘: and H4. This coiiecticn is estimated to tam 1 minute to
`complete, including gathartng, preparing, and submitting the completed applicaiitm tam: to tho USPTO. ‘iima will vary depsndlng upon the individual case. Any
`comments on the amount of time you require in compiele this farm and/"or suggestions tor reducing this banish. should be sent to the Chief lnionnation Otticer US.
`
`
`Patent and Trademark Office, LLS. Department of Gommema. PO, Box l450, Alexandria. VA 22313-3453, DO NOT SEND FEES OR COMPLETED FORM-'3 .0
`Tllts ADDRESS. SEND To: Commlfisloner for Patents, PD. Box 1450, Alexandria, VA 22313-1456.
`if yau need assrslanca in compielmg the form, call t~tlon~PTC~9193 and select option 2‘.
`
`

`

`Privacy Act Statement
`
`The Privacy Act of rare (Fain soars) requires that you be given certain information in connection
`with your submission of the attached form rotated to a patent appiioation or patent. Aoooro’ingiy,
`pursuant to the requirements of the Act, piease be advised that: (1) the generai authority for the
`coiieotion of this information is 35 USS. 2(b)(2); (2) furnishing of the information sciioited is voiuntary;
`and (3') the principai purpose for which the information is used by the us, Patent and Trademark
`Gffice is to process and/or examine your submission rotated to a patent apoiioation or patent. if you do
`not furnish the requested information, the US. Patent and Trademark Office may not be ahie to
`process andior examine your submission, which may resutt in termination of proceedings or
`abandonment of the apciication or expiration of the patent
`
`.
`i .
`.I
`The information orovioed by you in this form wiii be subieet to the foiiowin routine uses:
`
`3h
`
`it The information on this form wiii be treated oonfidentiaiiy to the extent aiiowed under the
`Freedom ct information Act (5 USS. 552) and the Privacy Act (5 U.E~3.C 552a). Records trot .
`this system of records may be disclosed to the Department of Josh :e 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 disciosed, as a routine use, in the course of
`presenting evidence to a court, magi‘trate, or adrnirtstrative tribunai, inoiudin~ disoiosures to
`opposing oounsei in the course of settiarncnt negotiations
`3, A record in tins system oi records may be disclosed, as a routine use, to a Member of
`Congress submitting a request invoiving an individuai, to whom the record pertains, when the
`individuai has requested assistance from the Member with respect to the subject matter of the
`records
`A record in this system or' records may be disclosed; as a routine use, to a contractor of the
`Agency having need for the information in order to perform a contract. Recipients of
`information shat! be required to oomph; with the requirements of the Privacy Act or'1974, as
`amended, pursuant to 5 U51). 552ar’m).
`5. A record related to an internationai Apciication fried under the Patent Cooperation Treaty in
`this system of records may be disciosed, as a routine use, to the internationai Bureau of the
`Wortd inteiieotuat Property Organization, pursuant to the Patent Cooperation Treaty.
`6. A record in this system of records may be discioseo‘, as a routine use, to another federai
`agency for purposes of Nationai Security review (35 USO 181) and tor review pursuant to
`the Atomic Energy Act (42 USS. 218M).
`7. A record from this system of records may be disoiosed, as a routine use, to the Administrator,
`
`Generai Services, or his/her designee, during an inspection of records mnduoted by GSA as
`
`part of that agency‘s responsi'r:’ ‘ty to recommend improvements in records management
`practices and programs, under authority of 44 [18.0. 296:4 and 2905. Such disciosure shaii
`he made in accordance with the GSA reguiations governing inspection oi records for this
`purpose, and any other reie‘vant (11.,9 GSA or Crammer 2e) directive. Such disciosure shalt not
`he used to make determinations about individuais.
`A record from this system of records may be disciosed, as a routine use, to the putatio after
`either pubiication ofthe appiioetion pursuant to 35 {3.8.3. 122(b) or issuance of a patent
`pursuant t 1 3.5 U St). 151. Further, a record may be discioseo‘, subject to the iimitations of 37
`CFR 13:4, as a routine use, to the oubiio it the record was fiied in an aopiication which
`became abandoned or in which the proceedings were terminated and which apotioation is
`referenced by either a oubiishoo‘ aopiioation, an apoiioation open to ouhiio inspection or an
`issued patent,
`A record from this system of records may be disoiosed, as a routine use, to a Federai, State
`or iooai Saw enforcement agency, if the USPTO becomes aware of a vioiation or potential
`viotaiion of iaw or reguiaiion
`
`a":
`
`C!)
`
`

`

`PT‘CJIAiNm (9&12)
`Apprmad far use iiircugh iiiZéG/Ziizfii
`(Dir-i3 ass-i-cssz
`as Patent am? Trademark (fifties; {3.3 DEPARTMENT {3F COMMERQE
`Under the Pepi-mark Redutiifln Act a? 1995, no persons are required ti) respand ii) a wiiwiian a? iiifaimaticn uniess :i diapiays a vaiici (3MB minim! number‘
`
`‘
`
`if
`QEQLARATEQN {3? £33??? £83} FQR fiTiLiW QR BESEQN AgPLiGATEQi‘é QQENG AM NE
`APPLECAWGN BATE fii'iEE“? (3'? QFR ’E.?$}
`3
`«««\~ -~
`kkkkkxxx'-xxxxxw<<«««««««»
`inventim \u‘u‘unxnnnfi
`
`HETEROARYL CGMPOUNBS ANS THEE? USE
`
`As the hainw named inversion i hereby 68:23am that:
`
`This daciaratisn
`is directed is:
`
`
`The attached appiicatmn‘ £3?
`i
`ifi United Siaies appiicaiisn or PC"? iniernaiianai agpiicaiian number; P81738231 ?;{3584??
`flied an
`flecsmber 28, 2:31 '1"
`
`i The abovesideniified appiisatiori was made i)!” authnrized to be made by me.
`
`i beiieve ihai i am the ariginai invsntor cr an uriginai 39in: invenicr cf :2 maimed inversiinn in the aygiicaiioni
`
`i hereby aaknowisdge thai any wiiifui faise statement made in ihis decisreaiicn is punishabie under 18 1.5.353. 1601
`by fins er impriseiiment of not more ihan five {5) yiaars‘ fir bath
`
`.1441:Itrp‘ppp;;
`
`WARMEN'QS:
`
`Peiiiiaiiarlappiicani is cautioned t0 amid submiiiing persanai iniarmatiori in descuments iiieci in a paieni appiisaiiar: iimi may
`contribute; to identity theft. Panama! infon'naiinn such as scciai security numbers: bank assauni numbsrsi or credit card numbers
`{either iiian a check Gr credit card auiharizaiion farm PTQ~2333 submiiieci far payment surpasses) is never required by the U39?0
`is supper: as psiiiicn tar an apgsiication.
`if this type of psrsonai infarmatimn is inciudecfi ii'i dccumenis submii‘ied 1‘9th USF-‘TO,
`i
`‘peiiiienersiappiicanis shsuici consifier redaciing such personai infzii'rnaiicn from the: dcwments bra-aims: submifiing them ”:0 the
`‘ USi-‘TG. Petitiaanerr’apgiicceant is advised that the regard 0‘? a pa‘isni appiicatian is avaiiabie in the pubiic after pubiicaiirsn a? ths
`appiinatim (unis-:53 a nonnpubiication request in campiiance wiih 3?‘ (Sf-R 121343} is made in the appiicaiinn) 0r issuance of a
`patent. Fuithermars. the rem-rd from an ahantioneri appiicaiien may aisn bs avaiiabie ’50 the pubiic ii the appiicaiion is
`referenced in ea pubiished apgiicaiisn a! an issued patsni (sea 37 CFR 15M) Checks and credit card autimrizeatim farms
`PTO~2£338 submiiied far payment pumnsss are not retained in the application flies and therefsre are mi: pubiieiy availabie.
`
`
`LEGAL NAME OF ENVENTQR
`
` Data (Cptionsi) :___ ,\'»
`
`\“\m\\\\‘-““
`
`mm
`
`Signsiura;
`
`3x
`}i\Y\\
`§\ Piste: An appiicaiien daia sheet (PTQlSBi 14 or muivaieni}, inciuding naming ins aniirs inventive entiiy. must amompany this ‘f’Ji‘iRi m must have
`been pi'aviousiy flied. Lisa- ari additional P'i'DiAiAifli farm Ear each afifiiaic-nai inventor.
`
` This .-. , . 1 of ir-farm-zfiion is required by 35 use. 115 am: :37 (EFF? 1&3. The hfnrmaxicn if: mquiz'sd if: obtain {2‘ retain a benefit by the pubiii: which is to fiie {2nd
`
`
`
`by the: USPTD :0 precass) an appimiiani Confide ‘31in is gavem-zd by 35 UWELC, 1222 and 3? CFR 1.11 and 114. This mliccém is estiziiatad :0 take 1 minuit-z— in
`complete. induding gathering: prepamg, isms suhmifiing the compistefi appiicaiisr: farm is 9:3 USF‘TG. ‘i'ime will vary dspanding upon the individual case, Any
`minimum: an the amount of time yuu require in campieie iiiis farm andlcr suggaaii-rzns far reducing this burdan; sham-id as sen! in the Chief infamaiiafi Gfiica—r, LLS.
`Pam: and Tracemark (Dffim, U S Deparirneni cf Commerca, PI). BOX 1450. Aiezandria. VA 22131 $1459, C30 NOT SEND FEES OR CGMF‘LETEE FORMS TC:
`Tins AEEEERESS. saw “its: flommissione? is? Pafienm, Pi)“ Em: 1-359. Aiexandria, VA 223134659.
`if we: riser? 8531233614193 ifi scrapie-ting the flaw, sail i—eoaspi'mfsis and 59,559: option 2‘
`
`
`
`
`
`
`
`
`

`

`Privacy Act hintemeni
`
`The Privacy not of tern: Wt... 936??) requires that you he given certain infonneiion in sonneetion
`with your submission of the attaches form reisteci in a patent notification or patient. Accordingiy,
`oursuent to the requirements of the first. pisses he advised that: {i} the generai authority for the
`coiiection ot’this information is 35 LL30 2ih){2); {2} furnishing of the information soiirsitect is voiuntery;
`anti (3) the princinni purpose for which the infonneiion is used by the us. Patent and Trademark
`Office is to process shatter examine your submission reisteri to e oeteni spoiisetion or patent. it you {to
`not furnish the reqnesieri information, the 1.1.8. Patent and Trademark Critics may not he ehie to
`orooess entiier examine your submission, which may resoit in termination of proceedings or
`abandonment of the sneiimtinn or expiration of the patent.
`
`The into-“martian provided by you in this term wiii he subject to the foiiowing routine uses:
`
`1.
`
`The information on this icon witi he treated confidentieiiy to the extent eiioweti ureter the
`Freedom of information Act {5 USE, 552} and the Privacy Act (5 USE.) 552a}. Records from
`this system of records may he tiisoiosect to the Densrtrnent of Justice to determine whether
`disoiosure at these records is required by the Freedom of information Act.
`A remro‘ from this system of records may he tiisoinsed. as a routine use, in the course of
`presenting evidence to a court, magistrate, or administrative tribune!“ inoiuding disciesures to
`opposing counsel in the course of seitiernent negotiations.
`A record in this system of resume may he disoioseo, as e routine use, in s Member of
`Congress submitting a request inuniiring en intiiuiduei, to whom the recurs pertains, when the
`initiations! has requested assistance from the Member with respect to the subject matter of the
`recent.
`
`A tenors in this system or records may he oiseioseti, as a routine use. to s sentreetor of the
`Agsnoy having need for the information in ureter to perform a contract. Recipients of
`interrnetion shall he required to oomph-r with the requirements of the Privacy Ant oi i974, es
`amended. nursnent to 5 USES. 552eirn}.
`A record minted in an internationei Anniioetiort tired under the Patent Connerttiien Treaty in
`this system of records may he disoiosed; as a routine use, to the internationai Bureau of the
`Wortti inteiieotuei Property Qrgenizetinn, pursuant to the Patent Cooperation Treaty.
`A record in this system of records may he riiscioseci, as a routine use. to another tederei
`agency for ourseses of National Seouriiy review (35 1.5.3.8. 1'81} and for review pursuant to
`the Atomic Energy Act (42. USS. 218M}.
`A resent from this system of records may he discieseci, as a routine use, in the Administrator.
`Gertersi Services, or hisrher designee. during an inspection of records conducted by GSA as
`part of that agency’s responsihiiihr to recommend improvements in rscorcis management
`practices and programs, under authority or M LL39. 2396s anti zoos. Such disotosure strait
`he made in accordance with the GSA regulations governing irispeetinn of records for this
`purpose, and any other reievent ( tie, GSA or Sernrneree) directive. Such disotosure sheti not
`he uses to maize determinations about indiviouais.
`A record from this system of records rnegr he oisciosed, es a routine use. to the puhiir: sitter
`either nuhiiontien of the anniioetion pursuant to 35 use 122(h} or issuance of a patent
`pursuant to 35 U31“; i551. Further. a record rney he oiseioseo, suhiect to the iiniitetihns of 3?
`CFR 1.14, as a routine use, to the nuhiio if the record was iiied in an enpiieatien which
`became abandoned or in which the proceedings were terminated and which angiioetion is
`referenced by either a puhiishsti eopiicetien, en eppiioetion open to white inspection or an
`issued patient.
`A record from this system or records may be disclosed, as a routine use, to a Federal, State
`or ioeei isw entereerneni seen-:31, it the USPTO heroines aware of a uioietion or potentini
`violation or isw or reguisiiurt.
`
`

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