P1000952USO1
`Panasonic Ref:
`PIPM Direct
`1st Partner Name:
`Route: EIPCT/ EIParis/ EIUS First
`
`Page 1 of 2
`1st Partner Ref (if needed)
`
`DCA/ EIDIV/ EICIP/ IBypass
`
`PTO/AlA/Ot (06-12)
`Approved for use through 01/31/2014. OMB 0651—0032
`U. S. Patent and Trademark Office; U. 8. DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number.
`
`DECLARATION (37 CFR 1.63) FOR UTILITY OR DESIGN APPLICATION USING AN
`APPLICATION DATA SHEET (37 CFR 1.76)
`
`Title Of
`Invention
`
`ILLUMINATION SWITCH DEVICE
`
`As the below named inventor, I hereby declare that:
`
`This declaration I The attached application, or
`is directed to:
`
`III United States application or PCT international application number
`
`filed on
`
`
`
`The above-identified application was made or authorized to be made by me.
`
`I believe that I am the original inventor or an original joint inventor of a claimed invention in the application.
`
`I hereby acknowledge that any willful false statement made in this declaration is punishable under 18 U.S.C. 1001
`by fine or imprisonment of not more than five (5) years, or both.
`
`WARNING:
`
`Petitioner/applicant is cautioned to avoid submitting personal information in documents filed 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 support a 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 abandoned application 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 purposes are not retained in the application file and therefore are not publicly available.
`
`LEGAL NAME OF INVENTOR
`
`Inventor:
`
`Takeshi MIYAOKA
`
`Signature: TM — W
`
`Note: An application data sheet (PTO/SB/14 or equivalent), including naming the entire inventive entity, must accompany this form.
`Use an additional PTO/AIA/01 form for each additional inventor.
`
`This collection of information is required by 35 U.S.C. 115 and 37 CFR 1.63. 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 1 minute 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 amount of time you require to complete this form and/or suggestions for reducing this burden, should be sent to the Chief Information Officer, US,
`Patent and Trademark Office, US. Department of Commerce, P.O. Box 1450, Alexandria, VA 22313-1450. DO NOT SEND FEES OR COMPLETED FORMS TO
`THIS ADDRESS. SEND TO: Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450.
`Ifyou need assistance in completing the form, call 1—800-PTo-9199 and select option 2.
`
`

`

`P1000952USO1
`Panasonic Ref:
`PlPM Direct
`1st Partner Name:
`Route: EIPCT/ EIParis/ EIUS First
`
`Page 2 of 2
`1st Partner Ref (if needed)
`
`EICA/ EIDIV/ EICIP/ IBypass
`
`PTO/AlA/01 (06-12)
`Approved for use through 01/31/2014. OMB 0651 -0032
`U. 8. Patent and Trademark Office; U. 8. DEPARTMENT OF COMMERCE
`.
`Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless itdisplays a valid OMB control number.
`
`DECLARATION (37 CFR 1.63) FOR UTILITY OR DESIGN APPLICATION USING AN
`APPLICATION DATA SHEET (37 CFR 1.76)
`
`Title 0?
`invention
`
`ILLUMINATION SWITCH DEVICE
`
`As the below named inventor, I hereby declare that:
`
`This declaration I The attached application. or
`is directed to:
`
`El United States application or PCT international application number
`
`filed on
`
`The above-identified application was made or authorized to be made by me.
`
`
`
`I believe that I am the original inventor or an original joint inventor of a claimed invention in the application.
`
`I hereby acknowledge that any willful false statement made in this declaration is punishable under 18 U.S.C. 1001
`by fine or imprisonment of not more than five (5) years, or both.
`
`WARNING:
`
`Petitioner/applicant is cautioned to avoid submitting personal information in documents filed 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 support a 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 abandoned application 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 purposes are not retained in the application file and therefore are not publicly available.
`
`LEGAL NAME OF INVENTOR
`
`Inventor:
`
`Takuya SASAKI
`
`Date (Optional) : JW1 ' 23 , A” Z Z
`
`Note: An application data sheet (PTO/SBI14 or equivalent), including naming the entire inventive entity, must accompany this form.
`Use an additional PTO/AlA/01 form for each additional inventor.
`
`This collection of information is required by 35 U.S.C. 115 and 37 CFR 1.63. 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 1 minute 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 amount of 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 Trademark Office, US. Department of Commerce, P.O. Box 1450, Alexandria, VA 22313-1450. DO NOT SEND FEES OR COMPLETED FORMS TO
`THIS ADDRESS. SEND TO: Commissioner for Patents, PO. Box 1450, Alexandria, VA 22313-1450.
`Ifyou need assistance in completing the form, call 1-800—PTO-9199 and select option 2.
`
`