PTO/AIA/15 (10-17)
`Approved for use through 11/30/2020. 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 unlessit displays a valid OMB control number.
`
`UTILITY[someooctetne |4370,2030001
`PATENT APPLICATION
`David 0. MEYERS
`
`Label No.
`
`ADDRESS TO:
`
`
`
`TRANSMITTAL
`ue|(Only for new nonprovisional applications under 37 CFR 1.53(b})
`APPLICATION ELEMENTS
`Commissioner for Patents
`See MPEP chapter 600 concerningutility patent application contents.
`P.O. Box 1450
`Alexandria, VA 22313-1450
`ACCOMPANYING APPLICATION PAPERS
`[_] Fee Transmittal Form
`(PTO/SB/17 or equivalent)
`2. 10.L| Assignment PapersApplicant asserts small entity status.
`
`See 37 CFR 1.27
`(cover sheet & document(s))
`3. [| Applicant certifies micro entity status. See 37 CFR 1.29.
`Nameof Assignee
`
`Applicant must attach form PTO/SB/15Aor B or equivalent.
`11. [| 37 CFR 3.73(c) Statement
`4. [v] Specification
`[Total Pages 27
`(whenthereis an assignee)
`Both the claims and abstract must start on a new page.
`2. [| English Translation Document
`(See MPEP § 608.01(a}for information on the preferred arrangement}
`
`5.1”]Drawing(s) (35 U.S.C.113) [Total Sheets 13 ] (if applicable)
`
`
`6. Inventor’s Oath or Declaration
`[Total Pages
`]
`13. [| Information Disclosure Statement
`(including substitute statements under 37 CFR 1.64 and assignments
`(PTO/SB/08 or PTO-1449)
`serving as an oath or declaration under 37 CFR 1.63(e)}}[] Copiesofcitations attached
`a. [| Newly executed (original or copy)
`14. Cl Preliminary Amendment
`
`b. [| A copy fromaprior application (37 CFR 1.63(d)) 15. [| Return Receipt Postcard
`Application Data Sheet
`* See note below.
`(MPEP § 503) (Should be specifically itemized)
`See 37 CFR 1.76 (PTO/AIA/14or equivalent)
`16. [| Certified Copy of Priority Document(s)
`CD-ROM or CD-R
`(ifforeign priority is claimed)
`7 C]
`in duplicate, large table, or Computer Program (Appendix)
`Nonpublication Request
`
`[] Landscape Table on CD Under35 U.S.C. 122(b)(2)(B)(i). Applicant must attach form PTO/SB/35
`9. Nucleotide and/or Amino Acid Sequence Submission
`or equivalent.
`(if applicable, items a. —c. are required)
`Other; Authorization Under 37 C.F.R. § 1.136(a)(3);
`
`a [| Computer Readable Form (CRF)
`Online Credit Card Authorization for $1128.00 to cover:
`
`$64 - Filing fee; $280 - Search fee; $320 - Examination fees;
`b.[ | Specification Sequence Listing on:
`a vimsleon S62 Suchargo ln tng
`ofeoren
`
`i.[] CD-ROM or CD-R (2 copies); or - Excess Claims Tees; - surcharge torlate tiling of aeclaration
`
`
`
`
`ii.[ | Paper
`Cc. [| Statements verifying identity of above copies
`*Note:
`(1) Benefit claims under 37 CFR 1.78 and foreign priority claims under 1.55 must be included in an Application Data Sheet (ADS).
`(2) For applications filed under 35 U.S.C. 111, the application must contain an ADS specifying the applicantif the applicant is an
`assignee, person to whom the inventor is under an obligation to assign, or person who otherwise showssufficient proprietary
`interest in the matter. See 37 CFR 1.46(b).
`19. CORRESPONDENCE ADDRESS
`
`
`
`]
`
`Powerof Attorney
`
`18.
`
`The address associated with Customer Number; 25111
`Name
`
`OR [| Correspondence address below
`
`Address
`ay |state| Zin coe
`country|i elephione|email|
`signature
`_|/Rebekah Holtz, #71,185/
`3023-03-30
`Name
`(Print/Type) Rebekah K. Holtz
`71 1 85
`This collection of information is required by 37 CFR 1.53(b). The information is required to obtain or retain a benefit by the public whichis to file (and by the USPTO
`to process) an application. Confidentiality is governed by 35 U.S.C. 122 and 37 CFR 1.11 and 1.14.This collection is estimated to take 12 minutes to complete,
`including gathering, preparing, and submitting the completed application form to the USPTO.Timewill vary depending uponthe individual case. Any comments on
`the amountof time you require to complete this form and/or suggestions for reducing this burden, should be sent to the Chief Information Officer, U.S. Patent and
`TrademarkOffice, U.S. Department of Commerce, P.O. Box 1450, Alexandria, VA 22313-1450. DO NOT SEND FEES OR COMPLETED FORMSTO THIS ADDRESS. SEND
`TO: Commissionerfor Patents, P.O. Box 1450, Alexandria, VA 22313-1450.
`ffyou need assistance in completing the form, call 1-800-PTO-9199 and select option 2.
`
`Registration No.
`
`