IIS Confidential Information Disclosure

Elite Inventions LLC P.O. Box 110 Murrysville PA, 15668 Phone (844) 447-2329

CONFIDENTIAL INFORMATION DISCLOSURE FORM

Inventor Legal Name

Daytime Phone

Address

Title of Invention

What is the purpose of the invention?

What problem(s) does the invention solve?

What does the invention look like?

How does the invention work?

What makes the invention unique or better than other products?

Do you have a prototype of your invention?

Yes

If yes, will you send it to our Firm for further analysis?

Do you have drawings or artwork? (If yes, please include a copy)

Yes

Do you have any other information showing your invention?

Yes

(If yes, please explain)

Have you previously had a prior art patent search conducted?

Yes

(If yes, please include the search results if not done through our Firm.)

INFORMED CONSENT TO SHARE PATENT SEARCH RESULTS WITH INVENTIONS IN STOCK LLC

Elite Inventions LLC has referred you to our patent law firm to conduct a patent search for your invention. It is our pleasure to provide this service to you. All fees have been paid to Elite Inventions LLC, and no further money is owed for this service. Our law firm establishes an attorney-client relationship with you when conducting your patent search. All information that you provide to us, and all work product that we provide to you, is kept strictly confidential between you and our law firm. We are required by to law to provide you with the attached disclosure and obtain your informed consent before sharing your patent search results with any third parties.

**By signing below, you indicate that you have read and understand the above disclosure, and you consent to us sharing your patent search results with Elite Inventions LLC.**

Inventor Name / Date

Elite Inventions / Date