Panasonic Ref: P1016519USO1
`
`ist Partner Name:
`_HOKUTO PATENTATTORNEYS OFFICE
`Route: BRPCT/ CiParis/ CIUS First
`MICA/ (IDIV/ CICIP / CiBypass
`
`Page 1 of 2
`ist Partner Ref (ifmeeded); F15318
`
`PTOMAIA/O4 (05-123
`Approved for use through 01/31/2014. OMB 0651-0032
`U_S. Patent and Trademark Office: us. s. DEPARTMENT OF COMMERCE
`Under the Paperk Reduction Act of1938, no persons are required to raspond to a collection of information un
`ginvs @ valid OMB contrat number,
`DECLARATION (37 CFR 1.63) FOR UTILITY OR DESIGN APPLICATION USING AN
`APPLICATION DATASHEET (37 CFR 1.76)
`
`
`:
`
` | MOTOR UNIT AND ELECTRIC BICYCLE
`
`Fetitioner/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 farm 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 docurnents 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.
`
`invention
`
`As the below named inventor, | hereby declare that:
`
`This declaration
`is directed to:
`
`[_] The attached application, or
`
`United States application or PCT international application number__PCT/JP2019/018347
`
`filed on|May 8.2019.
`
`} The above-identified application was made or authorized to be made by me.
`
`}
`
`| believe that | am the original inventor or an original joint inventor of a claimed invention in the application.
`
`thereby acknowledgethat any willful false statement made in this declaration is punishable under 18 U.S.C. 1004
`| by fine or imprisonment of not more than five (5) years, or both.
`
`WARNING:
`
`LEGAL NAME OF INVENTOR
`
`Inventor:
`
`Masato NISHIMORI |
`
`Signature:
`
`Note: An application data sheet (PTO/SB/14 or equivalent), including naming the entire inventive entity, must accompanythis form.
`| Use an additional PTO/AIA/04 form for each additional inventor.
`
`This collection of information is required by 35 U.9.G. 115 and 37 GFR 1.63. The information is required ta obtain or retain a benefit by the public which is fo file (and
`by the USPTOto 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 ta
`complete, including gathering, preparing, and submitting ihe 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, U.S. Department of Commerce, P.O. Box 1450, Alexandria, VA 22313-1456. DO NOT SEND FEES OR COMPLETED FORMS TG
`THIS ADDRESS. SEND TO: Commiasioner for Patents, P.O. Box 1450, Alexandria, VA 22343-47450.
`if you need assistance in completing the form, call 1-800-P1T0-9199 and select option 2.
`
`

`

`
`Panasonic Ref: P1016519US0O1_
`ist Pariner Name: HGKUTO PATENT ATTORNEYS OFFICE
`Route: &PCT/ OParis/ OUS First
`MiCA/ CIDIV/ OICIP/ CiBypass
`
`Page 2 of 2
`ist Partner Ref (if needed): _F15318
`
`PTO/AIA/O1 (06-12)
`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 1895, no personsare required to respond toa collection of information unlessit displays a valid OMB contro! number.
`
`DECLARATION (37 CFR 1.63) FOR UTILITY OR DESIGN APPLICATION USING AN Y
`APPLICATION DATA SHEET (37 CFR 1.76}
`Jf
`
`f
`N
`
`Use an additional PTO/AIA/01 form for each additional inventor.
`
`Title of
`invention
`
`MOTOR UNIT AND ELECTRIC BICYCLE
`
`AS the below named inventor, i hereby dectare that:
`
`This declaration
`ts directed to:
`
`[_] The attached application, or
`
`United States application or PCT international application number |
`
`filed on .Mav.6.2019__.
`
`| The above-identified application was made or authorized to be made by me.
`
`i believe that | arn the original inventor or an original joint inventor of a claimed invention in the application.
`
`| hereby acknowledge that any willful faise 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 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 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 fram 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
`
`R
`.
`i
`aA}
`wm, Date (Optional: “ug.18,2020
`egwBPG OM erteecneeneeeneenecueetueeeseteesiunettieeseee
`
`A
`
`Note: An application data sheet (PTO/SB/14 or equivatent), including naming the entire inventive entity, must accompanythis form.
`
`This coifection 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 USPTOto 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 te the USPTO. Time will vary depending upon the individual case. Any
`comments on the ammount of time you require to cornplete this form and/or suggestions for reducing this burden, should be serit to the Chief infonmation Officer, U.S.
`Patent and Trademark Office, U.S. Department of Commerce, P.O, Box 1450, Alexandria, VA 22313-1450. DO NOT SEND FEES OR COMPLETED FORMS TO
`THIS ADDRESS: SEND TO: Commissionerfor Patents, P.O. Box 1450, Alexandria, VA 22313-1456,
`if you need assistance in completing the form, call 1-800-F'TO-9199 and select option 2
`
`