PTO/AIA/14 (01-22)
Approved for use through 05/31/2024. 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 unless it contains a valid OMB control number.

Application Data Sheet 37 CFR 1.76

Attorney Docket Number
Application Number

Title of Invention
The application data sheet is part of the provisional or nonprovisional application for which it is being submitted. The following form contains thebibliographic data arranged in a format specified by the United States Patent and Trademark 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 (EFS) or the
document may be printed and included in a paper filed application.

Secrecy Order 37 CFR 5.2:
Portions or all of the application associated with this Application Data Sheet may fall under a Secrecy Order pursuant to

37 CFR 5.2 (Paper filers only. Applications that fall under Secrecy Order may not be filed electronically.)

Inventor Information:
RemoveInventor 1
Legal Name
Prefix Given Name

Middle Name

Residence Information (Select One)US Residency

City

State/Province

Family Name
Non US Residency

SuffixActive US Military Service

Country of Residencei

Mailing Address of Inventor:
Address 1
Address 2
City
Postal CodeState/ProvinceCountry i

All Inventors Must Be Listed - Additional Inventor Information blocks may begenerated within this form by selecting the Add button.

Add

Correspondence Information:
Enter either Customer Number or complete the Correspondence Information section below.
For further information see 37 CFR 1.33(a).
An Address is being provided for the correspondence Information of this application.
Customer Number
Email Address

Add EmailRemove Email

Application Information:
Title of the Invention
Attorney Docket Number

Small Entity Status Claimed

Application Type
Subject Matter
Total Number of Drawing Sheets (if any)

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Suggested Figure for Publication (if any)

PTO/AIA/14 (01-22)
Approved for use through 05/31/2024. 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 unless it contains a valid OMB control number.

Application Data Sheet 37 CFR 1.76

Attorney Docket Number
Application Number

Title of Invention

Filing By Reference:
Only complete this section when filing an application by reference under 35 U.S.C. 111(c) and 37 CFR 1.57(a). Do not complete this section if
application papers including a specification and any drawings are being filed. Any domestic benefit or foreign priority information must be
provided in the appropriate section(s) below (i.e., “Domestic Benefit/National Stage Information” and “Foreign Priority Information”).
For the purposes of a filing date under 37 CFR 1.53(b), the description and any drawings of the present application are replaced by thisreference to the previously filed application, subject to conditions and requirements of 37 CFR 1.57(a).
Filing date (YYYY-MM-DD)

Application number of the previously
filed application

Intellectual Property Authority or CountryiPublication Information:
Request Early Publication (Fee required at time of Request 37 CFR 1.219)

Request Not to Publish. I hereby request that the attached application not be published under
35 U.S.C. 122(b) and certify that the invention disclosed in the attached application has not and will not be thesubject of an application filed in another country, or under a multilateral international agreement, that requires
publication at eighteen months after filing.

Representative Information:
Representative information should be 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).
Either enter Customer Number or complete the Representative Name section below. If both sections are completed the customer
Number will be used for the Representative Information during processing.

Please Select One:

Customer Number

US Patent Practitioner

Limited Recognition (37 CFR 11.9)

Customer Number

Domestic Benefit/National Stage Information:
This section allows for the applicant to either claim benefit under 35 U.S.C. 119(e), 120, 121, 365(c), or 386(c) or indicate
National Stage entry from a PCT application. Providing benefit claim information in the Application Data Sheet constitutes
the specific reference required by 35 U.S.C. 119(e) or 120, and 37 CFR 1.78.
When referring to the current application, please leave the “Application Number” field blank.
Prior Application Status
Application Number

RemoveContinuity TypePrior Application Number

Additional Domestic Benefit/National Stage Data may be generated within this formby selecting the Add button.
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Filing or 371(c) Date(YYYY-MM-DD)

PTO/AIA/14 (01-22)
Approved for use through 05/31/2024. 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 unless it contains a valid OMB control number.

Application Data Sheet 37 CFR 1.76

Attorney Docket Number
Application Number

Title of Invention

Foreign Priority Information:
This section allows for the applicant to claim priority to a foreign application. Providing this information in the application data sheet
constitutes the claim for priority as required by 35 U.S.C. 119(b) and 37 CFR 1.55. When priority is claimed to a foreign applicationithat is eligible for retrieval under the priority document exchange program (PDX) the information will be used by the Office toautomatically attempt retrieval pursuant to 37 CFR 1.55(i)(1) and (2). Under the PDX program, applicant bears the ultimate
responsibility for ensuring that a copy of the foreign application is received by the Office 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 1.55(g)(1).
RemoveApplication Number

Country iFiling Date (YYYY-MM-DD)

Access Codei (if applicable)

Additional Foreign Priority Data may be generated within this form by selecting the
Add button.

Statement under 37 CFR 1.55 or 1.78 for AIA (First Inventor to File) Transition
Applications
This application (1) claims priority to or the benefit of an application filed before March 16, 2013 and (2) also
contains, or contained at any time, a claim to a claimed invention that has an effective filing date on or after March
16, 2013.
NOTE: By providing this statement under 37 CFR 1.55 or 1.78, this application, with a filing date on or after March
16, 2013, will be examined under the first inventor to file provisions of the AIA.

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PTO/AIA/14 (01-22)
Approved for use through 05/31/2024. 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 unless it contains a valid OMB control number.

Application Data Sheet 37 CFR 1.76

Attorney Docket Number
Application Number

Title of Invention

Authorization or Opt-Out 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 (IP) office access to the instant application-as-filed (seeparagraph A in subsection 1 below) and the European Patent Office (EPO) 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 opt-out of theauthorization by checking the corresponding box A or B or both in subsection 2 below.
NOTE: This section of the Application Data Sheet is ONLY reviewed and processed with the INITIAL filing of an
application. After the initial filing of an application, an Application Data Sheet cannot be used to provide or rescind
authorization for access by a foreign IP office(s). Instead, Form PTO/SB/39 or PTO/SB/69 must be used as appropriate.
1. Authorization to Permit Access by a Foreign Intellectual Property Office(s)A. Priority Document Exchange (PDX) - Unless box A in subsection 2 (opt-out of authorization) is checked, theundersigned hereby grants the USPTO authority to provide the European Patent Office (EPO), the Japan Patent Office(JPO), the Korean Intellectual Property Office (KIPO), the State Intellectual Property Office of the People’s Republic ofChina (SIPO), the World Intellectual Property Organization (WIPO), and any other foreign intellectual property officeparticipating with the USPTO 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 application-as-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 of this Authorization. See 37 CFR 1.14(h)(1).
B. Search Results from U.S. Application to EPO - Unless box B in subsection 2 (opt-out of authorization) is checked,
the undersigned hereby grants the USPTO authority to provide the EPO access to the bibliographic data and search
results from the instant patent application when a European patent application claiming priority to the instant patentapplication is filed. See 37 CFR 1.14(h)(2).
The applicant is reminded that the EPO’s 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. Opt-Out of Authorizations to Permit Access by a Foreign Intellectual Property Office(s)A. Applicant DOES NOT authorize the USPTO to permit a participating foreign IP office access to the instant
application-as-filed. If this box is checked, the USPTO will not be providing a participating foreign IP office withany documents and information identified in subsection 1A above.
B. Applicant DOES NOT authorize the USPTO to transmit to the EPO any search results from the instant patentapplication. If this box is checked, the USPTO will not be providing the EPO with search results from the instant
application.
NOTE: Once the application has published or is otherwise publicly available, the USPTO may provide access to theapplication in accordance with 37 CFR 1.14.

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PTO/AIA/14 (01-22)
Approved for use through 05/31/2024. 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 unless it contains a valid OMB control number.

Application Data Sheet 37 CFR 1.76

Attorney Docket Number
Application Number

Title of Invention

Applicant 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 Office.

Applicant1

If the applicant is the inventor (or the remaining joint inventor or inventors under 37 CFR 1.45), this section should not be completed.
The information to be provided in this section is the name and address of the legal representative who is the applicant under 37 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 37 CFR 1.46. If the applicant is anapplicant under 37 CFR 1.46 (assignee, person to whom the inventor is obligated to assign, or person who otherwise shows sufficient
proprietary interest) together with one or more joint inventors, then the joint inventor or inventors who are also the applicant should be
identified in this section.
Clear

Assignee

Legal Representative under 35 U.S.C. 117

Person to whom the inventor is obligated to assign.

Joint Inventor

Person who shows sufficient proprietary interest

If applicant is the legal representative, indicate the authority to file the patent application, the inventor is:

Name of the Deceased or Legally Incapacitated Inventor:
If the Applicant is an Organization check here.
PrefixGiven Name

Middle Name

Family Name

Suffix

Mailing Address Information For Applicant:Address 1
Address 2
City

State/ProvinceCountryi

Postal CodePhone Number

Fax Number

Email Address
Additional Applicant Data may be generated within this form by selecting the Add button.

Assignee Information including Non-Applicant 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 Office.

EFS Web 2.2.13

PTO/AIA/14 (01-22)
Approved for use through 05/31/2024. 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 unless it contains a valid OMB control number.

Application Data Sheet 37 CFR 1.76

Attorney Docket Number
Application Number

Title of Invention

Assignee1Complete this section if assignee information, including non-applicant assignee information, is desired to be included on the patentapplication publication. An assignee-applicant identified in the "Applicant Information" section will appear on the patent application
publication as an applicant. For an assignee-applicant, complete this section only if identification as an assignee is also desired on thepatent application publication.

If the Assignee or Non-Applicant Assignee is an Organization check here.
PrefixGiven Name

Middle Name

Family Name

Suffix

Mailing Address Information For Assignee including Non-Applicant Assignee:
Address 1
Address 2
City

State/ProvinceCountry i

Postal CodePhone Number

Fax Number

Email Address
Additional Assignee or Non-Applicant Assignee Data may be generated within this form byselecting the Add button.

Signature:
NOTE: This Application Data Sheet must be signed in accordance with 37 CFR 1.33(b). However, if this Application
Data Sheet is submitted with the INITIAL filing of the application and either box A or B is not checked insubsection 2 of the “Authorization or Opt-Out of Authorization to Permit Access” section, then this form mustalso be signed in accordance with 37 CFR 1.14(c).
This Application Data Sheet must be signed by a patent practitioner if one or more of the applicants is a juristic
entity (e.g., corporation or association). If the applicant is two or more joint inventors, this form must be signed by apatent practitioner, all joint inventors who are the applicant, or one or more joint inventor-applicants who have been given
power of attorney (e.g., see USPTO Form PTO/AIA/81) on behalf of all joint inventor-applicants.
See 37 CFR 1.4(d) for the manner of making signatures and certifications.

Signature
First Name

Date (YYYY-MM-DD)
Last Name

Registration Number

Additional Signature may be generated within this form by selecting the Add button.

EFS Web 2.2.13

PTO/AIA/14 (01-22)
Approved for use through 05/31/2024. 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 unless it contains a valid OMB control number.

Application Data Sheet 37 CFR 1.76

Attorney Docket Number
Application Number

Title of Invention

This collection of information is required by 37 CFR 1.76. 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 1.14. This
collection is estimated to take 23 minutes to complete, including gathering, preparing, and submitting the completed application data
sheet form to the USPTO. Time will vary depending upon the individual case. Any comments on the amount of time you require tocomplete this form and/or suggestions for reducing this burden, should be sent to the Chief Information Officer, U.S. Patent andTrademark Office, U.S. Department of Commerce, P.O. Box 1450, Alexandria, VA 22313-1450. DO NOT SEND FEES ORCOMPLETED FORMS TO THIS ADDRESS. SEND TO: Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450.

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Privacy Act Statement

The Privacy Act of 1974 (P.L. 93-579) requires that you be given certain information in connection with your submission of the attached form related to a patentapplication or patent. Accordingly, pursuant to the requirements of the 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 andTrademark 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 result in termination of proceedings or abandonment of
the application or expiration of the patent.
The information provided by you in this form will be subject to the following routine uses:
1

The information on this form will be treated confidentially to the extent allowed under the Freedom of Information Act (5 U.S.C. 552) and the Privacy
Act (5 U.S.C. 552a). Records from this system of records may be disclosed to the Department of Justice to determine whether the Freedom ofInformation Act requires disclosure of these records.

2.

A record from this system of records may be disclosed, as a routine use, in the course of presenting evidence to a court, magistrate, or administrative
tribunal, including disclosures to opposing counsel in the course of settlement negotiations.

3

A record in this system of records may be disclosed, as a routine use, to a Member of Congress submitting a request involving an individual, to whom
the record pertains, when the individual has requested assistance from the Member with respect to the subject matter of the record.

4.

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 to comply with the requirements of the Privacy Act of 1974, as amended, pursuant to 5 U.S.C.
552a(m).

5.

A record related to an International Application filed under the Patent Cooperation Treaty in this system of records may be disclosed, as a routine use,to the International Bureau of the World Intellectual Property Organization, pursuant to the Patent CooperationTreaty.

6.

A record in this system of records may be disclosed, as a routine use, to another federal agency for purposes of National Security review (35 U.S.C. 181)
and for review pursuant to the Atomic Energy Act (42 U.S.C. 218(c)).

7.

A record from this system of records may be disclosed, as a routine use, to the Administrator, General Services, or his/her designee, during aninspection of records conducted by GSA as part of that agency's responsibility to recommend improvements in records management practices andprograms, under authority of 44 U.S.C. 2904 and 2906. Such disclosure shall be made in accordance with the GSA regulations governing inspection ofrecords for this purpose, and any other relevant (i.e., GSA or Commerce) directive. Such disclosure shall not be used to make determinations about
individuals.

8.

A record from this system of records may be disclosed, as a routine use, to the public after either publication of the 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 was filed in an application which became abandoned or in which the proceedings were terminated and which application isreferenced by either a published application, an application open to public inspections or an issued patent.

9.

A record from this system of records may be disclosed, as a routine use, to a Federal, State, or local law enforcement agency, if the USPTO becomesaware of a violation or potential violation of law or regulation.

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