Express Mail Label No.
`
`.
`
`.
`
`.
`
`.
`
`INVENTOR(S)
`
`.
`
`Residence
`
`William
`
`Bill James
`
`Banyai
`
`Peck
`
`San Francisco, CA
`
`Santa Clara, CA
`
`Additional inventors are being named on the
`
`separately numbered sheets attached hereto
`
`TITLE OF THE INVENTION (500 characters max):
`De Novo Synthesized Gene Libraries
`
`Direct all correspondenceto:
`Xx The address corresponding to Customer Number:
`OR
`
`CORRESPONDENCE ADDRESS
`
`021971
`
`Firm or
`Individual Name
`
`PTO/SB/16 (03-13)
`Approved for use through 01/31/2014. 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 respondto a collection of information unlessit displays a valid OMB control number.
`PROVISIONAL APPLICATION FOR PATENT COVER SHEET — Page 1 of 2
`This is a request for filing a PROVISIONAL APPLICATION FOR PATENT under 37 CFR 1.53(c).
`
`Account Number: 23-24 15.
`
`ENCLOSED APPLICATION PARTS(check all that apply)
`Application Data Sheet. See 37 CFR 1.76[] CD(s), Number of CDs
`Xx Drawing(s) NumberofSheets 30[] Other(specify)
`
`Xx Specification (e.g. description of the invention) Number of Pages
`161
`Fees Due: Filing Fee of $260 ($130 for small entity) ($65 for micro entity). If the specification and drawings exceed 100 sheets of paper, an
`application size fee is also due, which is $400 ($200 for small entity) ($100 for micro entity) for each additional 50 sheets or fraction thereof.
`See 35 U.S.C. 41(a)(1)(G) and 37 CFR 1.16(s).
`METHOD OF PAYMENT OF THE FILING FEE AND APPLICATION SIZE FEE FOR THIS PROVISIONAL APPLICATION FOR PATENT
`
`Zip
`Email
`
`[| Applicant claims small entity status. See 37 CFR 1.27.
`[| Applicant certifies micro entity status. See 37 CFR 1.29.
`Applicant must attach form PTO/SB/15A or B or equivalent.
`
`A check or money order made payable to the Director of the United States Patent
`and Trademark Office is enclosed to coverthe filing fee and application size fee (if applicable).
`[| Paymentby credit card. Form PTO-2038is attached
`Xx The Director is hereby authorized to chargethe filing fee and application size fee (if applicable) or credit any overpaymentto Deposit
`
`TOTAL FEE AMOUNT(S$)
`
`USE ONLY FORFILING A PROVISIONAL APPLICATION FOR PATENT
`This collection of information is required by 37 CFR 1.51. 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 1.11 and 1.14. This collection is estimated to take 10 hours to complete, including
`gathering, preparing, and submitting the completed application form to the USPTO. Time will vary depending upon the 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.
`if you need assistance in completing the form, call 1-800-PTO-9199 and select option 2.
`
`5730617.DOC
`
`

`

`PTO/SB/16 (03-13)
`Approved for use through 01/31/2014. OMB 0651-0032
`U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Act of 1 995, no persons are required to respond to a collection of information unlessit displays a valid OMB control number.
`
`PROVISIONAL APPLICATION FOR PATENT COVER SHEET -— Page2 of 2
`
`The invention was made by an agencyof the United States Government or under a contract with an agency of the United States Government.
`XX]
`No
`[] Yes, the invention was madeby an agencyof the U.S. Government. The U.S. Government agency nameis:
`
`[] Yes, the invention was made undera contract with an agency of the U.S. Government. The nameof the U.S. Government agency and
`
`Governmentcontract numberare:
`
`WARNING:
`
`Petitioner/applicant is cautioned to avoid submitting personal information in documentsfiled in a patent application that may
`contribute to identity theft. Personal 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 supporta petition or an application. If this type of personal information is included in documents submitted to
`the USPTO,petitioners/applicants should consider redacting such personal information from the documents before submitting
`them to the USPTO. Petitioner/applicant is advised that the record of a patent application is available to the public after
`publication of the application (unless a non-publication request in compliance with 37 CFR 1.213(a) is made in the application)
`or issuance of a patent. Furthermore, the record from an abandonedapplication may also be available to the public if the
`application is referenced in a published application or an issued patent (see 37 CFR 1.14). Checks and credit card authorization
`forms PTO-2038 submitted for payment purposesare not retained in the application file and therefore are not publicly
`available.
`
`SIGNATURE
`
`/PINAR BAILEY/
`
`TYPED or PRINTED NAME
`
`«CF. Pinar Bailey
`
`Date August 5, 2013
`
`REGISTRATIONNO.
`(if appropriate)
`
`71605
`
`TELEPHONE 650.493.9300
`
`Docket Number: 44854-701.101
`
`5730617_1.DOC
`
`

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