`Approved for use through 0781/2012. OMB 0051-0031
`U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
`Underthe Pa-erwork Reduction Act of 1995, no ersons are reuired to res-0nd to a collection of information unless itdis-Ia s a valid OMB control number.
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`DISCLAIMER IN PATENT UNDER 37 CFR1.321(a)
`
`Name of Patentee
`
`Docket Number (Optional)__
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`Patent Number
`
`Date Patent Issued
`
`Title of Invention
`
`SYSTEM AND METHOD FOR LOCATING A HEARING AID
`
`I hereby disclaim the following complete claims in the above identified patent:
`1-20
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`The extent of my interest in said patent is (if assignee of record, state liber and page, or reel and frame, where
`assignment is recorded): Assignee of Record lReeJiFrame: 03653610249!
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`The fee for this disclaimer is set forth in 37 CFR 1.20(d).
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`I: Patentee claims small entity status. See 37 CFR 1.27.
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`CI Small entity status has already been established in this case, and is still proper.
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`I: A check in the amount of the fee is enclosed.
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`l:| Payment by credit card. Form PTO-2038 is attached.
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`Signed at IUQ‘J Iligajlgfl
`, State of D C
`,
`this_Iq_'I/Ll day ofjfinb’ab’7
`
`61
`
`201.
`
`33,063
`
`Registration Number, if
`applicable
`
`Signature
`
`Henry A. Petri, Jr.
`Typed or printed name of patentee/ attorney or agent of record
`
`713—374-1600
`Telephone Number
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`1000 Louisiana Street, Fifty—Third Floor
`
`Address
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`Houston, TX 77002
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`City, State, Zip Code or Foreign Country as applicable
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`This collection of information is required by 37 CFR 1.321. The information is required to obtain or retain a benefit by the public which is to file (and by the
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`Officer, U.S. Patent and Trademark Office, U.S. Department of Commerce, P.0. Box 1450, Alexandria, VA 22313—1450. DO NOT SEND FEES OR
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`if you need assistance in completing the form, call 1-800—PTO-9199 and select option 2.
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`Page 1 of 2
`
`III HOLDINGS 4, LLC
`Exhibit 2001
`
`Page 1 of 2
`
`III HOLDINGS 4, LLC
`Exhibit 2001
`
`
`
`Privacy Act Statement
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`The Privacy Act of 1974 (PL. 93-579) requires that you be given certain information in connection
`with your submission of the attached form related to a patent application 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 US Patent and Trademark
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`The information provided by you in this form will be subject to the following routine uses:
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`1 .
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`The information on this form will be treated confidentially to the extent allowed under the
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`A record in this system of records may be disclosed, as a routine use, to a Member of
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`A record in this system of records may be disclosed, as a routine use, to a contractor of the
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`A record from this system of records may be disclosed, as a routine use, to the public after
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`Page 2 of 2
`
`III HOLDINGS 4, LLC
`Exhibit 2001
`
`Page 2 of 2
`
`III HOLDINGS 4, LLC
`Exhibit 2001
`
`