Invention Disclosure form for newly filled Patent Applications

What is the name of the individual acting on behalf of the company listed above?

Are you either an independent inventor or a non-profit organization?

Are you named on more than four previously filed applications? * The micro-entity definition states that applicants are not considered to be named on a previously filed application if he or she has assigned, or is obligated to assign, all ownership rights as a result of previous employment. Applications filed in another country, provisional applications, or international applications for which the basic national fee was not paid do not count as previously filed applications.

The "Maximum Qualifying Gross Income" for purposes of paying any eligible fee at the micro entity discount rate is currently $189,537.

Are there more than two inventors?

18 U.S.C. 1001 Statements or entries generally. Whoever, in any matter within the jurisdiction of any department or agency of the United States knowingly and willfully falsifies, conceals, or covers up by any trick, scheme, or device a material fact, or makes any false, fictitious or fraudulent statements or representations, or makes or uses any false writing or document knowing the same to contain any false, fictitious or fraudulent statement or entry, shall be fined not more than $10,000 or imprisoned not more than five years, or both. I declare under penalty of perjury that the foregoing is true and correct.