Appendix G: Invention Disclosure Form

• Author: Alexander I. Poltorak/Paul J. Lerner
• Profession: Is the founder, Chairman, and CEO of General Patent Corporation (GPC), an intellectual property (IP) firm focusing on intellectual property strategy and valuation, IP licensing, and enforcement/Is the Senior Vice President and General Counsel of General Patent Corporation (GPC)
• Pages: 270-271

BAPP07 12/14/2010 15:24:16 Page 270

APPENDIX G

Invention Disclosure

Form

1. Full name, address, and telephone number of each person who

conceived the invention.

2. General subject matter and purpose of the invention, including an

explanation of the problem(s) to be solved and the deficiencies in

the existing technology.

3. A description of the invention, including, if available.

a. Drawings, photographs, charts, test results, and so forth.

b. Identification of each novel feature.

c. An explanation of how the novel features provide advantages

over the existing technology.

d. A description of any presently contemplated modifications,

alterations, improvements, or extensions of the invention.

4. A description of the closest known prior ar t (attach copies of prior

art documents if available).

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