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`
`
`PTO/SB/16 (10-08)
`Approvedfor use through 06/30/2010. OMB 0651-0032
`U.S. Patent and Trademark Office, US. DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unlessit displays a valid OMB control number.
`PROVISIONAL APPLICATION FOR PATENT COVER SHEET — Page 1 of 2
`This is a requestfor filing a PROVISIONAL APPLICATION FOR PATENT under 37 CFR 1.53(c).
`Express Mail Label No.
`
`Given Name(first and middle [if any])
`
`INVENTOR(S)
`Family Name or Surname
`
`JAMES KLEIN
`
`KENNETH BERRY
`
`KENNETH BOONE
`
`LEONARD
`
`SLOAN
`
`WAGENER
`
`Residence
`City and either State or Foreign Country)
`
`__
`
`GAINESVILLE, FL
`
`GAINESVILLE, FL
`
`GAINESVILLE, FL
`
`separately numbered sheets attached hereto
`Additional inventors are being named on the
`TITLE OF THE INVENTION (500 characters max):
`
`POLY(NON-CONJUGATED DIENE) BASED SUNSCREENS
`
`The address corresponding to Customer Number:
`
`23557
`
`OR
`
`CORRESPONDENCE ADDRESS
`
`
`
`
`
`
`
`
`
`
`
`
` Direct ail correspondence to:
`
`
`
`
` Firm or
`
`Individual Name
`Address
`
`
`
`
`
`
`
`
`_ ENCLOSED APPLICATION PARTS(checkall that apply)
`
`
`
`
`[| Application Data Sheet. See 37 CFR 1.76
`LJ CD(s), Number of CDs
`
`
`[] Other(specify
`Drawing(s) Number of Sheets
`4
`
`
`
`
`METHOD OF PAYMENT OF THE FILING FEE AND APPLICATION SIZE FEE FOR THIS PROVISIONAL APPLICATION FOR PATENT
`
`
`
`Applicant claims small entity status. See 37 CFR 1.27.
`[_ A check or money orderis enclosed to coverthefiling fee and application size fee (if applicable).
` Account Number:
`Paymentby credit card. Form PTO-2038is attached
`
`Country
`
`Telephone
`
`Email
`
`15
`Specification (e.g. description of the invention) Number of Pages
`Fees Due: Filing Fee of $220 ($110 for small entity).
`If the specification and drawings exceed 100 sheets of paper, an applicationsize fee is
`also due, which is $270 ($135 for small entity) for each additional 50 sheets or fraction thereof. See 35 U.S.C. 41(a)(1)(G) and 37 CFR 1.16(s).
`
`The Director is hereby authorized to charge thefiling fee and application size fee (if applicable) or credit any overpayment to Deposit
`19-0065
`
`
`
`USE ONLY FORFILING A PROVISIONAL APPLICATION FOR PATENT
`This collection of information is required by 37 CFR 1.51. The information is required to obtain or retain a benefit by the public whichis 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 8 hours to complete,
`including gathering, preparing, and submitting the completed application form to the USPTO. Timewill vary depending uponthe individual case. Any comments
`on the amountof 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 22313-1450. DO NOT SEND FEES OR COMPLETED FORMS TO THIS
`ADDRESS. SEND TO: Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450.
`if you need assistance in completing the form, call 1-800-PTO-9199 and select option 2.
`
`$110
`
`TOTAL FEE AMOUNT ($)
`
`

`

`PROVISIONAL APPLICATION COVER SHEET
`Page 2 of 2
`
`PTO/SB/16 (10-08)
`Approved for use through 06/30/2010. OMB 0651-0032
`U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Act of 1995, no personsare required to respondto a collection of information unless it displays a valid OMB control number.
`
`
`The invention was made by an agency of the United States Government or under a contract with an agency of the United States Government,
`[_] Ne
`iv] Yes, the name of the U.S. Government agency and the Government contract numberare:
`National Science Foundation Private Investigator Grant, Contract No. DMR-0703261 and 0314110
`
`
`
`
`
`
`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 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.
`SIGNATURE
`
`f] ~<.
`
`
`f Do.
`
`Date April 1, 2009
`
`TYPED or PRINTED NAME MARK A. BUESE, PH.D.
`
`TELEPHONE (352)375-8100
`
`
`REGISTRATION NO. 52,669
`(if appropriate)
`
`Docket Number: UF.827P
`
`

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