Report On The Filing Of Determination Of An Action Regarding A Patent Or Trademark

MIED (Rev. 05/08) Report on the Filing or Determination of an Action Regarding a Patent or Trademark UNITED STATES DISTRICT COURT EASTERN DISTRICT OF MICHIGAN Plaintiff(s), v. Case No. Judge Magistrate Judge Defendant(s). / 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, Eastern District of Michigan, on the following Patents or Trademarks PATENT OR TRADEMARK NO. 1 2 3 4 5 6 7 8 9 10 DATE OF PATENT OR TRADEMARK HOLDER OF PATENT OR TRADEMARK To list additional patent/trademark numbers, please attach another page with the number, date and holder. Date: Signature Bar No. Street Address City, State, Zip Code Telephone Number Primary Email Address American LegalNet, Inc. www.FormsWorkflow.com