PTOIAWH (03-13)
`Approved for use through 0113112014. OMB 065147032
`US Patent and Trademark Office; US. DEPARTMENT OF COMMERCE
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`Application Data Sheet 37 CFR 1.76
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`A METHOD FOR IMMOBILIZING ALBUMIN ON A SELF~ASSEMBLED MONOLAYER
`Title of Invention
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`The application data sheet is part of the provisional or nonprovisional application for which it is being submitted The following form contains the
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`bibliographic 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 paperfiled applicailon.
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`Secrecy Order 37 CFR 5.2
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`Portions or all of the application associated with this Application Data Sheet may fall under a Secrecy Order pursuant to
`D 37 CFR 52 (Paper filers onlyt Applications that fall under Secrecy Order may not be filed electronically.)
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`Inventor Information:
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`invronor
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`1
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`Legal Name
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`Prefix Given Name
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`Middle Name
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`Family Name .
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`Will—ailing Address of inventor:
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`Address 1
`0/0 PanasonicoHealthcare-Goorudo— Panasonic Healthcarc Holdings CQ 1 1d
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`Address 2
`~2+34vt,-Minamigate,-T-eon-shi-
`2—38—5 Nishishimbashi, Minato-ku
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` Total Number of Drawing Sheets (if any)
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`r.
`Residence lnformation (Select One) 0 US Residency (0) Non US Residency 0 Active US Military Service
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`HATAOKA
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`For further information see 37 CFR 1.33(a).
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`[:I An Address is being provided for the correspondence Information of this application.
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`“5mm” Number
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`Email Address
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`mweipdocket@mwe.com
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`Application Information:
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`Title of the Invention
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`Attorney Docket Number
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`A METHOD FOR lMMOBILlZING ALBUMIN ON A SELF—ASSEMBLED MONOLAYER
`069804—0375 [j Small Entity Status Claimed
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`Application Type
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`Nonprovisionai
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`Subject Matter
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`Utility
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`r.——
`Suggested Figure for Publication (if any)
`3
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`EFS Web 2 2‘8
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`PTO/AWN (03-13)
`Approved for use through 01/31/2014. OMB 06510032
`US. Patent and Trademark Office; US. DEPARTMENT OF COMMERCE
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`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.
`069804-0375
` Attorney Docket Number
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`Application Data Sheet 37 CFR 1.76 Application Number
`14/095,928
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`A METHOD FOR IMMOBILIZING ALBUMIN ON A SELF~ASSEMBLED MONOLAYER
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` Title of invention
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`Publication Information:
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`1:] Request Early Publication (Fee required at time of Request 37 CFR 1219)
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`E]
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`Request Not to Publish. l 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 the
`subject of an application filed in another country, or under a multilateral international agreement, that requires
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`Please Select One:
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`(9 Customer Number
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`0 US Patent Practitioner 0 Limited Recognition (37 CFR 11.9)
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`This section allows for the applicant to either claim benefit under 35 USC. 119(e), 120, 121, or 365(c) or indicate
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`Prior Application Status
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`2011-12-22
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`EFS Web 2.2.6
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`PTO/AWN (03-13)
`Approved for use through 01/31/2014, OMB 06510032
`US. Patent and Trademark Office; US. 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.
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`14/095928 Application Data Sheet 37 CFR 1.76
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`Application Number
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` A METHOD FOR IMMOBILIZING ALBUMIN ON A SELF-ASSEMBLED MONOLAYER
`}
` Title of Invention
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`Attorney Docket Number
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`0698040375
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`Statement under 37 CFR 1.55 or 1.78 for AIA (First Inventor to File) Transition
`Applications
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`This application (1) claims priority to or the benefit of an application filed before March 16. 2013 and (2) also
`[1 contains, or contained at any time. a claim to a claimed invention that has an effective filing date on or after March
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`16, 2013.
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`is filed access to the instant patent application. See 37 CFR 1.14(c) and (h). This box should not be checked if the applicant
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`In accordance with 37 CFR 1.14(h)(3), access will be provided to a copy of the instant patent application with respect
`to: 1) the instant patent application-as-filed; 2) any foreign application to which the instant patent application
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`EFS Web 2.2.6
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`PTO/MN 14 (03-13)
`Approved for use through 01/31/2014, OMB 0651—0032
`US. Patent and Trademark Office; US. DEPARTMENT OF COMMERCE
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`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.
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` Attorney Docket Number
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`.
`069804—0375
`‘ Application Data Sheet 37 CFR 1.76 Application Number
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`14/095, 928
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`Title of Invention
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`A METHOD FOR lMMOBILlZlNG ALBUMlN ON A SELF—ASSEMBLED MONOLAYER
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`(9 Assignee
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`O Legal Representative under 35 U.S.C. 117
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`0 Joint lnventor
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`0 Person to whom the inventor is obligated to assign. '0 Person who shows sufficient proprietary interest
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`If applicant is the legal representative, indicate the authority to file the patent application, the inventor is:
`1
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`Name of the Deceased or Legally incapacitated inventor :
`if the Applicant is an Organization check here.
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`Organization Name
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`Mailing Address Information:
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`PANASONTC HEALTHCARE HOLDINGS co.
`LTD.
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`Phone Number
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`Email Address
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`Additional Applicant Data may be generated within this form by selecting the Add button.
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`1
`Applicant
`if the applicant is the inventor (or the remaining joint inventor or inventors under 37 CF R 1.45), this section should not be completed.
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`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
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`EFS Web 22.6
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`PTO/AW 14 (0343)
`Approved for use through 01/31/2014, OMB 065143032
`US. Patent and Trademark Office; US. 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
`069804—0375
`”’__‘fi
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`Application Number
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`14/095,928
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`Title of invention
`A METHOD FOR IMMOBiLIZING ALBUMIN ON A SELF-ASSEMBLED MONOLAYER
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`r.___.______
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`Prefix
`Given Name
`Middle Name
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`Family Name
`Suffix
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`Mailing Address Information:
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`Address 1
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`Address 2
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`State/Province
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`Email Address
`Additional AssigneeData may be generated within this form by selecting the Add button. —Add
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`Signature:
`”NOTE: This form must be signed in accoro-ncfzwith 37 CFR 1.33. See 37 CFR 1.4 for signature requirements and
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`certifications
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`e”
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` 2015—06~O8
` Signature Michael E. Fogarty/
`Date (YYYY-MM-DD)
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`Registration Number
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`First Name
`sme f” Fogarty
`Additional Signature may be generated {vitnfin this form by selecting the Add button.
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