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PTOVSB/9S (61-08)
`Approvedfor use through 01/91/2008, OMS 0651-0034
`U.S. Patent and Trademark Office; US. DEPARTMENT OF COMMERCE
`OG. no panne are mequinedto espnstn. collections of bifenystioniatess§ BNSRES vateOMB control number,
`
`STATEMENTUNDER 37 CPR 3.73(b}
`
`2203 SSO ee eSRERUN
`Juneberfae Paperwork Reduction Act of 18
`
`| Applicant/Patent Owner: Harold,Mindlin,DavidMatthewLandry
`
`Application No/PatentNo.BSERGD Fled/issue DatesFabrusry418,2014
`
`Entitled:_SystemandMethedofProgressiveHearingDeviceAdjustment
`
`
`
`liiHoldings4,LLGa LimiiedUabilyCompany
`(Name ofAssiignes)
`ityee of Assignee, 8.g., aorporation,‘warinership, uTversily, governnment“agency,“ate.)
`states that it is:
`
`
`
`the assignes of the entire fight, ite, and interest; or
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`
`
`
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`| an assignee of less than the entire right, title and interest.
`(The extent (by percentage) of ts ownership interestisI
`|
`in the patent application/paient identified above by virtue of either:
`A.[| An assignraent from the inventor(s) of the patent application/patent identified above. The assignment was
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`recorded in the United States Patent and Trademark Office at Reel!
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`Frame
`. or for which a copy thereof is attached.
`
`
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`x oR
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`fsIne.
`Audiotonig,
`To:
`inventors
`1. From:
`The document WAS recorded|in the United‘States Patent and Trademark Office at
`Reel
`036686
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`GOO1_. , or for which a copy thereofis attached.
`
`To: jiHoldings 4, LLC
`|.Audistonigine.
`2. From:
`The document was recorded|inthe UnitedStates Patent and Trademark Office ai
`Reel
`036536, Frame
`O249or for which a copythereofis attached.
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`Pett ene
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`3. From
`The document:Wasrecorded iinthe‘United‘States Patent and Trademark Officee“at
`Reel
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`_ or for which a copy thereof is atiached.
`/| Additional documents in the chain oftle are listed on a supplemental sheet.
`
`: As required by 37 CFR 3.73(b) 1K, the documentary evidence of the chain of title frorn the anginal ownerto the
`* assignee was, or concurrently is being, submitted for recordation pursuant to 37 GFR 3.11.
`
`INOTE: A separate copy (/a., a true copy of the original aasignment document{s}} muat be submilted to
`Assignment Division in accordance with 37 CFR Fart 3, to record the assignment in the records of the USPTO.
`See MPEP 302.08]
`
`The undersigned (whose tts s-aueplied below) ia authorized io act on behalf of the assignee.
` aie
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`
`08)359-8000.
`¥alepnone Number
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`
`“Typed Name
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`AttorneyforAssi¢nes
`
`aeveeeenennnnnnennenngnnggenet File2eRNNREEMA
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`32052-5667 US02/1 278708684
`
`
`
`
`

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