INVENTION DISCLOSURE SUMMARY

1. TITLE OF INVENTION:

2. NAME AND ADDRESS OF EACH INVENTOR: (Use additional sheets if necessary)

First Inventor Full Legal Name:

Street Address:

City, State and Zip Code

Telephone Number:

Fax Number:

E-mail Address:

Citizenship:

State Primary Contribution to the Invention:

Second Inventor:

Street Address:

City, State and Zip Code

Telephone Number:

Fax Number:

E-mail Address:

Citizenship:

State Primary Contribution to the Invention:

3. DATE INVENTION WAS CONCEIVED:

4. DATE INVENTION WAS FIRST REDUCED TO PRACTICE:

5. DESCRIPTION OF INVENTION: (Include sketch, block diagrams, flow charts, pictures, etc. (Use additional sheets to make disclosure as complete as possible)

6. LIST THE FOUR MOST IMPORTANT FEATURES OF THE INVENTION:

            A.

            B.

            C.

            D.

7. WHAT IS THE MAJOR ADVANTAGE OF THE INVENTION OVER THE PRIOR ART?

8. LIST ANY PRIOR ART THAT IS RELEVANT TO THE INVENTION AND THAT SHOULD BE DISCLOSED TO THE UNITED STATES PATENT AND TRADEMARK OFFICE.

9. HAS THE INVENTION BEEN DISCLOSED TO ANY THIRD PARTY?

            _____ Yes                                                       _____ No

If yes, provide date and name of third party and a brief description of what was disclosed and the purpose of the disclosure:

10. HAS THE INVENTION BEEN DESCRIBED IN ANY PRINTED PUBLICATION?

            _____ Yes                                                       _____ No

            If yes, provide date and name of each publication:

11. HAS THE INVENTION BEEN IN PUBLIC USE, SOLD OR OFFERED FOR SALE?

            ______ Yes                                                      _____ No

            If yes, provide the date of first use in public, or the date of first sale, or the date the invention was first offered for sale, whichever the case: