Doc Code: TR.PROV
`
`Document Description: Provisional Cover Sheet (SE16)
`
`PTOVSB/15 (11-08)
`Approved for use through 05/31/2015. OMB 0651-0032
`US, Patent and Trademark Office: U.S. DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Act of 1995, no persons are required ic respond io 3 collection of information unless it displays a valid OMB control number
`
`Provisional Application for Patent Cover Sheet
`This is a request for filing a PROVISIONAL APPLICATION FOR PATENT under 37 CFR 1.53(c)
`
`
`
`| inventor(s}
`
`
`
`i
`
`inventor 1
`
`i Tomas
`
`
`State
`i Country j
`
`
`All inventors Must Be Listed — Additional Inventor Information blocks may be
`| generated within this form by selecting the Add button.
`
`
`
`Title of invention
`
`i
`
`AESTHETIC METHOD OF BIOLOGICAL STRUCTURE TREATMENT BY
`MAGNETIC FIELD
`
`Attorney Docket Number (if applicabis)
`
`206265-0005-P1-US 608442
`
`Correspondence Address
`
`| Direct all correspondence io (select one):
`
` |
`
`(@) The address corresponding to Customer Number
`
`| C) Firm or individual Name
`
`fnnnn‘
`| Customer Nurnber
`
`
`
`
`The invenlion was made by an agency ofthe United States Government or under a contract with an agencyof the United
`i States Government.
`Loanennennncennnnetnenneeennnnetneneestnecnnttnennesttennettntentetttenntetnentesttennettutentetttennettnantetttenntttntentettnennettttentettnennetteentetttennettntenteentenneennent
`
`4
`i @) No.Por
`| ©) Yes, the invention was made by an agency of the United States Government. The U.S. Government agency nameis:
`| O Yes, the invention was under a contract with an agency of the United States Government. The name of the U.S.
`|
`Government agency and Government contract number are:
`
`EFS - Web 1.0.1
`
`

`

`Doc Code: TR.PROV
`
`Document Description: Provisional Cover Sheet (SE16)
`
`PTOVSB/15 (11-08)
`Approved for use through 05/31/2015. OMB 0651-0032
`US, Patent and Trademark Office: U.S. DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Act of 1995, no persons are required ic respond io 3 collection of information unless it displays a valid OMB control number
`
`Entity Status
`| Applicant asserts smail entity status under 37 CFR 1.27 or applicant certifies micro entity status under 37 CFR 1.29
`
`O Applicant asseris small entity status under 37 CFR 1.27
`C) Applicant certifies micro entity status under 37 CFR 1.29. Applicant must attach form PTO/SB/15A or B or equivalent.
`
`| @) No
`
`| Warning
`
`Petilioner/applicant is cautioned io avoid submitiing personal information in documents filed in a patent application that may |
`| contribule to identity thefl. Personal information such as social securily 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 io support a petition or an application.
`{f this type of personal information is inclucled in documents submitted|
`|
`io the USPTO, patitioners/applicanis should consider redacting such personal information from the documents before
`| submitting them to USPTO. Petitioner/applicant is advised that the record of a patent application ts available to the public
`| after publication of the application (unless a non-publication request in compliance with 37 CFR 71.213(4) is made in the
`| application} or issuance of a patent. Furihermore, the record from an abandoned application may also be available to the
`| public ifthe application is referenced in a published application or an issued patent (see 37 CFR1.14}. Checks and credit
`| card authorization forms PTO-2038 submitied for payment purposes are not retained in the application file and therefore are |
`
`| not publicly available. |a
`
`
`
`
`| Signature
`
`| Please see 37 CFR 1.4(d) for the form of the signature.
`
`Ryan D. Artis/
`| Date (YYYY-MM-DD)
`| Signature
`2018-12-34
`
`
`
`Last Name
`
`First Name
`Registration Number
`[Artis
`67798
`i
`(if appropriate)
`
`| 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 1.17 and 1.14. This callectio
`|
`|
`is estimated to take 8 hours to complete, including gathering, preparing, and submitting the completed application form to ihe USPTO.
`| Time will vary depending upon the individual case. Any comments on ihe amount of time you require to complete this formand/or
`| suggestions for reducing this burden, should be sent to the Chief Information Officer, U.S. Patent and Trademark Office, U.S. Departmen
`| of Commerce, P.O. Box 1450, Alexandria, VA 22313-1450. DO NOT SEND FEES OR COMPLETED FORMS TO THIS ADDRESS. This
`|
`form can only be used when in conjunction with EFS-Web. if this form is mailed te the USPTO, i may cause delays in handling
`|
`the provisional application.
`
`
`
`
`
`
`
`EFS - Web 1.0.1
`
`

`

`Privacy Act Statement
`
`The Privacy Act of 1974 (P.L. $3-879} requires that you be given certain information in connection with your submission of
`the attached form relaied io a patent application or paten. Accordingly, pursuant ic the requirements of ine Act, please be
`advised that:
`(1) the general authority for the collection of this information is 35 U.S.C. 2(b)(2); (2) furnishing of the
`information solicited is voluntary; and (3) the principal purpose for which the information is used by the U.S. Patent and
`Trademark Office is to process and/or examine your submission related to a patent application or patent.
`If you do not
`furnish the requested information, the U.S. Patent and Trademark Office may not be able to process and/or examine your
`submission, which may resull in termination of proceedings or abandonment of the application or expiration of the patent.
`
`The information provided by you in this form wil be subject to the following routine uses:
`
`1.
`
`oN
`
`The information on this form will be treated confidentially to the exieni allowed under the Freedomof Information
`Act © U.S.C. 552) and the Privacy Act (5 U.S.C 5524). Records from this sysiem of records may be disclosed ic the
`Department of Justice to determine whether disclosure of these records is required by the Freedomof Information
`Act.
`
`A record from this system of records may be disclosed, as a routine use, in the course of presenting evidence to
`a courl, magistrate, or administrative tribunal, including disclosures to opposing counsel in the course of settlement
`negotiations.
`A record in this sysiem of records may be disclosed, as a routine use, io a Member of Congress submitting a
`request involving an individual, io whomthe record pertains, when the individuai has requested assisiance from the
`Member with respeci to the subject matter of ihe record.
`A record in this system of 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 shall be required io cornply with the
`requirements of the Privacy Act of 1974, as amended, pursuant io 5 U.S.C. 552a(m).
`A record related to an International Application filed under the Patent Cooperation Treaty in this sysiem of
`records may be disclosed, as a routine use, to the International Bureau of the World Intellectual Property
`Organization, pursuant to the Patent Cooperation Treaty.
`A record in this system of records may be disclosed, as a rouline use, io an other federal agency for purposes
`of National Security review (35 U.S.C. 184) and for review pursuant to the Alomic Energy Act (42 U.S.C. 218(c)).
`A record from this sysiem of records may be disclosed, as a routine use, to the Administrator, General Services,
`or his/her designee, during an inspection of records conducted by GSA as pari of that agency's responsibility to
`recommend improvements in records management practices and programs, under authority of 44 U.S.C. 2904 and
`2906. Such disclosure shall be made in accordance with the GSA regulations governing inspection of records for this
`purpose, and any other relevant (.e., GSA or Commerce) directive. Such disclosure shail noi be used to make
`determinations about individuals.
`
`A record from this systemof records may be disclosed, as a routine use, to the public after either publication of
`ihe application pursuant to 35 U.S.C. 122(b) or issuance of a patent pursuant to 35 U.S.C. 151. Further, a record
`may be disclosed, subject to the limitations of 37 CFR 1.14, as a routine use, to the public if the record wasfiled in an
`application which became abandoned or in which the proceedings were terminated and which application is
`referenced by either a published application, an application open to public inspection or an
`issued patent.
`A record from this system of records may be disclosed, as a routine use, to a Federal, State, or local law
`enforcement agency, ifthe USPTO becomes aware of a violation or potential violation of law or regulation.
`
`