Free Report on Filing Patent/Trademark - Florida

O AO 120 (Rev. 3/04)

TO:

Mail Stop 8 Director of the U.S. Patent and Trademark Office P.O. Box 1450 Alexandria, VA 22313-1450

REPORT ON THE FILING OR DETERMINATION OF AN ACTION REGARDING A PATENT OR TRADEMARK

In Compliance with 35 U.S.C. § 290 and/or 15 U.S.C. § 1116 you are hereby advised that a court action has been filed in the U.S. District Court DOCKET NO. PLAINTIFF DATE FILED on the following U.S. DISTRICT COURT DEFENDANT

G Patents or

G Trademarks:

PATENT OR TRADEMARK NO. 1 2 3 4 5

DATE OF PATENT OR TRADEMARK

HOLDER OF PATENT OR TRADEMARK

In the above--entitled case, the following patent(s)/ trademark(s) have been included: DATE INCLUDED PATENT OR TRADEMARK NO. 1 2 3 4 5 INCLUDED BY

G Amendment DATE OF PATENT OR TRADEMARK

G Answer

G Cross Bill

G Other Pleading

HOLDER OF PATENT OR TRADEMARK

In the above--entitled case, the following decision has been rendered or judgement issued: DECISION/JUDGEMENT

CLERK

(BY) DEPUTY CLERK

DATE

Copy 1--Upon initiation of action, mail this copy to Director Copy 3--Upon termination of action, mail this copy to Director Copy 2--Upon filing document adding patent(s), mail this copy to Director Copy 4--Case file copy

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