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US.54418987.

02
UNITED STATES DISTRICT COURT
SOUTHERN DISTRICT OF INDIANA
INDIANAPOLIS DIVISION


KIMBALL INTERNATIONAL, INC., )
)
Plaintiff, )
)
v. ) Civil Action No. 14-cv-1374
)
NWN, INC., )
)
Defendant. )

COMPLAINT
Plaintiff, Kimball International, Inc. (Kimball), complains and alleges as follows:
The Parties
1. Kimball is a corporation organized and existing under the laws of the State of
Indiana and has its principal place of business in Jasper, Indiana.
2. Kimball is the assignee of record of United States Design Patent Nos. D654,718
and D665,188.
3. Kimball is an award-winning furniture design and manufacturing company that
has operated for over four decades.
4. Defendant, NWN, Inc. (NWN) (doing business as Westin-Nielsen) is a
corporation with its principal place of business in White Bear Lake, Minnesota.
Jurisdiction and Venue
5. This Court has original jurisdiction over the subject matter of this action pursuant
to the provisions of Title 28, United States Code (U.S.C.) 1331 and 1338(a), because the
action arises under the Patent Laws of the United States, Title 35 U.S.C. 100 et seq.
Case 1:14-cv-01374-SEB-TAB Document 1 Filed 08/20/14 Page 1 of 6 PageID #: 1

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US.54418987.02
6. NWN is subject to personal jurisdiction in this district because, among other
reasons, upon information and belief, it directly and through its agents does business in the
Southern District of Indiana.
7. Venue is proper in this district pursuant to 28 U.S.C. 1391(b) and (c) and
1400(b).
COUNT I
Infringement of United States Design Patent No. D654,718
8. Kimball hereby incorporates for reference the allegations set forth in
paragraphs 17 as if fully set forth herein.
9. On February 28, 2012, United States Design Patent No. D654,718 (718
Patent), entitled Side Chair, was duly and legally issued to Kimball, as assignee. A copy of
the 718 Patent is attached to this Complaint as Exhibit A.
10. Possessing all substantial rights to the 718 Patent and the 718 Patent being in
full force and effect, Kimball has the right to sue for any infringement thereof.
11. Upon information and belief, NWN has infringed the patented design claimed in
the 718 Patent, either directly or contributorily, by making, using, selling, offering for sale, or
supplying products such as the Westin-Nielsen Cascade, among others, all in violation of
35 U.S.C. 271 et seq., and will continue to do so unless enjoined by this Court.
12. Indeed, this infringement is evident from a side-by-side comparison of an
exemplary figure of the 718 Patent with the Westin-Nielson Cascade:




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US.54418987


This side
that addit
1
damages
determin
14
continue
1
willful an
exception
1
paragraph
7.02
Per
e-by-side com
tional produ
3. By rea
, including i
ned.
4. NWN
to cause irre
5. Upon
nd justifies a
nal case supp
Inf
6. Kimb
hs 115 as if
rspective Vi
Nielsen C
mparison is p
uct configura
ason of NWN
mpairment o
Ns acts of inf
eparable harm
information
a trebling of
porting an aw
fringement o
all hereby in
f fully set fo
ew of Westi
Cascade
provided me
ations of the
Ns acts of i
of the value
fringement a
m unless enj
n and belief,
damages pu
ward of reas
C
of United St
ncorporates f
orth herein.
- 3 -
in- Fron
the

erely for exa
Cascade infr
infringement
of the 718 P
are causing i
joined by thi
NWNs con
ursuant to 35
sonable attor
COUNT II
tates Design
for reference
nt Perspectiv
718 Patent
ample. Kimb
fringe the 71
t, Kimball ha
Patent, in an
irreparable h
is Court.
ntinued infrin
U.S.C. 28
rneys fees p
n Patent No
e the allegati
ve View of
t (Fig. 1)

ball complain
18 Patent.
as suffered a
n amount yet
harm to Kim
ngement of t
84. Further,
pursuant to 3
o. D665,188
ions set forth
ns and allege
and is suffer
t to be
mball and wil
the 718 Pate
this is an
35 U.S.C. 2
h in
es
ring
l
ent is
285.
Case 1:14-cv-01374-SEB-TAB Document 1 Filed 08/20/14 Page 3 of 6 PageID #: 3


US.54418987
1
entitled
Patent is
1
full force
1
the 188
supplying
35 U.S.C
2
figures o
Perspect
Ni

This side
that addit
2
damages
determin
7.02
7. On Au
Side Chair,
attached to t
8. Posse
e and effect,
9. Upon
Patent, eithe
g products su
C. 271 et se
0. Indeed
f the 188 Pa
tive View of
ielsen Casca
e-by-side com
tional produ
1. By rea
, including i
ned.
ugust 14, 20
was duly a
this Compla
ssing all sub
Kimball has
information
er directly or
uch as the W
eq., and will
d, this infrin
atent with th
f Westin-
ade

mparison is p
uct configura
ason of NWN
mpairment o
12, United S
and legally is
aint as Exhib
bstantial righ
s the right to
n and belief,
r contributor
Westin-Niels
continue to
ngement is ev
he Westin-Ni
Front Per
the 188

provided me
ations of the
Ns acts of i
of the value
- 4 -
States Design
ssued to Kim
bit B.
hts to the 18
o sue for any
NWN has in
rily, by maki
en Cascade,
do so unless
vident from
ielson Casca
rspective Vie
Patent (Fig
erely for exa
Cascade infr
infringement
of the 188 P
n Patent No.
mball, as assi
88 Patent and
y infringemen
nfringed the
ing, using, se
among othe
s enjoined by
a side-by-sid
ade:
ew of
g. 1)
Fr

ample. Kimb
fringe the 18
t, Kimball ha
Patent, in an
. D665,188 (
ignee. A cop
d the 188 Pa
nt thereof.
patented de
elling, offeri
ers, all in vio
y this Court
de comparis
ront Perspec
188 Pate
ball complai
88 Patent.
as suffered a
n amount yet
(188 Paten
py of the 18
atent being i
sign claimed
ing for sale,
olation of
.
son of exemp
ctive View o
ent (Fig. 15)
ins and alleg
and is suffer
t to be
nt),
88
in
d in
or
plary
of the
)
ges
ring
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US.54418987.02
22. NWNs acts of infringement are causing irreparable harm to Kimball and will
continue to cause irreparable harm unless enjoined by this Court.
23. Upon information and belief, NWNs continued infringement of the 188 Patent is
willful and justifies a trebling of damages pursuant to 35 U.S.C. 284. Further, this is an
exceptional case supporting an award of reasonable attorneys fees pursuant to 35 U.S.C. 285.

RELIEF REQUESTED
WHEREFORE, Kimball requests that the Court enter a judgment in Kimballs favor
against NWN, and provide Kimball the following relief:
A. Order, adjudge, and decree that NWN has infringed the 718 and 188 Patents in
violation of 35 U.S.C. 271;
B. Issue preliminary and permanent injunctive relief prohibiting NWN and its
respective parents, subsidiaries, principals, officers, directors, agents, attorneys, employees, and
all others in privity with it from infringing the 718 and 188 Patents pursuant to 35 U.S.C.
283;
C. Award Kimball its damages for patent infringement, and prejudgment interest and
costs against NWN pursuant to 35 U.S.C. 284;
D. Order, adjudge, and decree that NWNs infringement of the 718 and 188 Patents
has been deliberate, willful, and wanton;
E. Order, adjudge, and decree that NWNs infringement of the 718 and 188 Patents
has been exceptional under 35 U.S.C. 285;
F. Treble said damage award under 35 U.S.C. 284;
G. Award Kimball its reasonable attorneys fees under 35 U.S.C. 285;
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US.54418987.02
H. Award Kimball the total profits received or derived by NWN from the
manufacture, marketing, sale, offering for sale, and/or distribution of products bearing or using
any copy or colorable imitation of the 718 and 188 Patents pursuant to 35 U.S.C. 289; and
I. Award such other and further relief as the Court may deem just and proper.

JURY DEMAND
Pursuant to Federal Rules of Civil Procedure 38(b), Kimball hereby demands a trial by
jury for each and every issue so permitted by law and statute.
Respectfully submitted,


By: /s/ David P. Irmscher

David P. Irmscher (#15026-02)
FAEGRE BAKER DANIELS LLP
111 East Wayne Street, Suite 800
Fort Wayne, Indiana 46802
Tel: 260-424-8000
Fax: 260-460-1700
David.Irmscher@FaegreBD.com

Trenton B. Morton (#30777-49)
FAEGRE BAKER DANIELS LLP
300 North Meridian Street, Suite 2700
Indianapolis, Indiana 46204
Tel: 317-237-0300
Fax: 317-237-1000
Trenton.Morton@FaegreBD.com

Attorneys for Plaintiff, Kimball International, Inc.



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Kimball International, Inc. Complaint


EXHIBIT A

U.S. Patent No. D654,718


Case 1:14-cv-01374-SEB-TAB Document 1-1 Filed 08/20/14 Page 1 of 15 PageID #: 7
( 1 2 ) United States Design Patent ( 1 0 ) Patent N 0 . :
Schweikarth
USO0 D65471 8S
US D654, 71 8 S
( 45) Date o f Patent: * 1 , Feb. 2 8, 2 0 1 2
( 54) SIDE CHAIR
( 75) Inv ento r: Derek SchW eikarth, Cel estine, IN ( US)
( 73 ) Assignee: K im bal l Internatio nal , Inc. , J asp er, IN
( Us)
( * * ) T erm : 1 4 Years
( 2 1 ) Ap p l . N o . : 2 9 / 3 62 , 645
( 2 2 ) Fil ed: May 2 8, 2 0 1 0
( 51 )
( 52 )
( 58) Fiel d o f Cl assi?catio n Search . . . . . . . . . . . D6/ 3 3 4i3 3 6,
D6/ 3 60 i3 69 , 3 70 43 80 , 49 8, 50 0 450 2 , 60 1 ;
2 9 7/ 2 84. 4* 2 84. 5, 2 9 1 , 2 9 742 9 9 , 3 0 0 443 0 0 5,
2 9 7/ 3 0 1 . 3 , 3 54. 1 , 41 1 . 2 , 41 1 . 2 7* 41 1 . 2 9 ,
2 9 7/ 452 . 1 3 , 452 . 1 9 , 452 . 2 1 , 452 . 2 9 , 452 . 3 ,
2 9 7/ 452 . 56, 452 . 64
See ap p l icatio n ?l e f o r co m p l ete search histo ry.
( 56) Ref erences Cited
U. S. PAT EN T DOCUMEN T S
D3 1 1 , 0 9 8 S 1 0 / 1 9 9 0 Lee et a1 .
D3 3 3 , 9 2 5 S 3 / 1 9 9 3 Ricchio , J r. et a1 .
D3 3 8, 783 S 8/ 1 9 9 3 de Arm as
D3 41 , 49 4 S 1 1 / 1 9 9 3 Ohashi et al .
D3 50 , 445 S 9 / 1 9 9 4 Cho ro ro s et a1 .
D3 53 , 71 9 S 1 2 / 1 9 9 4 W ard
D3 58, 0 41 S 5/ 1 9 9 5 W atts
D3 58, 2 67 S 5/ 1 9 9 5 G inat
D3 66, 774 S 2 / 1 9 9 6 Frinier
D3 80 , 1 0 1 S 6/ 1 9 9 7 Fel dberg
D3 85, 71 2 S * 1 1 / 1 9 9 7 Ro ttet . . . . . . . . . . . . . . . . . . . . . . . . . . . . D6/ 3 79
D3 9 6, 3 65 S 7/ 1 9 9 8 LiZ el l
D40 9 , 40 8 S 5/ 1 9 9 9 J am es et al .
D42 5, 71 8 S 5/ 2 0 0 0 v an Val deren
D43 2 , 3 2 6 S 1 0 / 2 0 0 0 Du f f y et a1 .
D43 3 , 579 S 1 1 / 2 0 0 0 K ane
D43 7, 1 40 S 2 / 2 0 0 1 Hu tto n
D446, 40 1 S 8/ 2 0 0 1 Ol so n
( Co ntinu ed)
OT HER PUBLICAT ION S
HON Pro du ct Inf o rm atio n, Cam bia , at l east as earl y as May 2 8,
2 0 1 0 .
G l o bal Of ?ce Fu rnitu re Pro du ct Inf o rm atio n, Sav io r and
Atl antis , at l east as earl y as May 2 8, 2 0 1 0 .
Pao l i Pro du ct Inf o rm atio n, Adair and Mil ano , at l east as earl y as
May 2 8, 2 0 1 0 .
( Co ntinu ed)
Prim ary Exam iner * Ricky Pham
( 74) Atto rney, Agent, o r Firm * Faegre Baker Daniel s LLP
( 57) CLAIM
T he o rnam ental design f o r a side chair, as sho W n and
described.
DESCRIPT ION
FIG . 1 is a f ro nt p ersp ectiv e v ieW o f a side chair acco rding to
a ?rst em bo dim ent o f m y design;
FIG . 2 is a rear p ersp ectiv e v ieW thereo f ;
FIG . 3 is a f ro nt v ieW thereo f ;
FIG . 4 is a rear v ieW thereo f ;
FIG . 5 is a l ef t side v ieW thereo f ;
FIG . 6 is a right side v ieW thereo f ; and
FIG . 7 is a to p v ieW thereo f .
FIG . 8 is a f ro nt p ersp ectiv e v ieW o f a side chair acco rding to
a seco nd em bo dim ent o f m y design;
FIG . 9 is a rear p ersp ectiv e v ieW thereo f ;
FIG . 1 0 is a f ro nt v ieW thereo f ;
FIG . 1 1 is a rear v ieW thereo f ;
FIG . 1 2 is a l ef t side v ieW thereo f ;
FIG . 1 3 is a right side v ieW thereo f ; and
FIG . 1 4 is a to p v ieW thereo f .
FIG . 1 5 is a f ro nt p ersp ectiv e v ieW o f a side chair acco rding to
a third em bo dim ent o f m y design;
FIG . 1 6 is a rear p ersp ectiv e v ieW thereo f ;
FIG . 1 7 is a f ro nt v ieW thereo f ;
FIG . 1 8 is a rear v ieW thereo f ;
FIG . 1 9 is a l ef t side v ieW thereo f ;
FIG . 2 0 is a right side v ieW thereo f ; and,
FIG . 2 1 is a to p v ieW thereo f .
In each o f the em bo dim ents, the bo tto m s o f the side chairs are
p l ain and u no rnam ented.
Featu res sho W n in dashed l ines f o rm no p art o f the cl aim ed
design.
1 Cl aim , 1 2 Drawing Sheets
Case 1:14-cv-01374-SEB-TAB Document 1-1 Filed 08/20/14 Page 2 of 15 PageID #: 8
US D654, 71 8 S
Page 2
US. PAT EN T DOCUMEN T S
D446, 9 58 S 8/ 2 0 0 1 Ol so n
D446, 9 59 S 8/ 2 0 0 1 Cram er
D454, 71 5 S 3 / 2 0 0 2 Ol so n
D457, 3 42 S 5/ 2 0 0 2 Mu l l er
D468, 9 2 2 S 1 / 2 0 0 3 de Bl o is
D50 3 , 2 88 S 3 / 2 0 0 5 Do m ack
D51 3 , 454 S * 1 / 2 0 0 6 Berry et al . . . . . . . . . . . . . . . . . . . . . D6/ 3 70
D52 0 , 2 55 S 5/ 2 0 0 6 K ing
D52 0 , 2 56 S * 5/ 2 0 0 6 K ing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D6/ 3 74
D52 4, 0 72 S 7/ 2 0 0 6 K ing
D542 , 0 46 S * 5/ 2 0 0 7 Pesso . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D6/ 3 79
D551 , 459 S * 9 / 2 0 0 7 Z agl er . . . . . . . . . . . . . . D6/ 3 79
D561 , 484 S * 2 / 2 0 0 8 Andreu cciet al . . . . . . . . . . . . . . D6/ 3 79
D571 , 1 1 9 S 6/ 2 0 0 8 Leo nettiet a1 .
D578, 789 S * 1 0 / 2 0 0 8 Cianiet al . . . . . . . . . . . . . . . . . . . . . . D6/ 3 80
D578, 79 0 S * 1 0 / 2 0 0 8 Cianiet al . . . . . D6/ 3 80
D579 , 0 52 S * 1 0 / 2 0 0 8 Cianiet al . . . . . . . . . . . . . . . . . . . . . . D6/ 3 79
D580 , 676 S 1 1 / 2 0 0 8 Cram er et al .
D588, 82 6 S * 3 / 2 0 0 9 Ricchio . . . . . . . . . . . . . . . . . . . . . . . . . . D6/ 3 80
D59 3 , 3 3 8 S 6/ 2 0 0 9 Schweikarth et al .
D60 7, 660 S * 1 / 2 0 1 0 K u bryk . . . . . . . . . . . . . . . . . . . . . . . . . . D6/ 3 80
D61 6, 658 S * 6/ 2 0 1 0 N ierm eyer . . . . . . . . . . . . . . . . . . . . . D6/ 3 68
D62 0 , 2 75 S * 7/ 2 0 1 0 So ?el d . . . . . . . . . . . . . . . . . . . . . . . . . . . D6/ 3 80
OT HER PUBLICAT ION S
Pao l i Pro du ct Inf o rm atio n, Caraway , at l east as earl y as May 2 8,
2 0 1 0 .
Pao l i Pro du ct Inf o rm atio n, Do v er , at l east as earl y as May 2 8, 2 0 1 0 .
Pao l i Pro du ct Inf o rm atio n, Mo drian and Rip l ey , at l east as earl y
as May 2 8, 2 0 1 0 .
Pao l i Pro du ct Inf o rm atio n, So no ra , at l east as earl y as May 2 8,
2 0 1 0 .
J SI Pro du ct Inf o rm atio n, K endal l , at l east as earl y as May 2 8, 2 0 1 0 .
J SI Pro du ct Inf o rm atio n, Pro ?l e and Rev u e , at l east as earl y as
May 2 8, 2 0 1 0 .
First Of ?ce Pro du ct Inf o rm atio n, Bal ance , at l east as earl y as May
2 8, 2 0 1 0 .
First Of ?ce Pro du ct Inf o rm atio n, Fl air , at l east as earl y as May 2 8,
2 0 1 0 .
First Of ?ce Pro du ct Inf o rm atio n, Co m o , at l east as earl y as May 2 8,
2 0 1 0 .
OFS Pro du ct Inf o rm atio n, Carino , at l east as earl y as May 2 8,
2 0 1 0 .
OFS Pro du ct Inf o rm atio n, Rhym e & Reaso n , at l east as earl y as
May 2 8, 2 0 1 0 .
OFS Pro du ct Inf o rm atio n, Verco and Parago n , at l east as earl y as
May 2 8, 2 0 1 0 .
OFS Pro du ct Inf o rm atio n, Aria , at l east as earl y as May 2 8, 2 0 1 0 .
G u nl o cke Pro du ct Inf o rm atio n, Val o r , at l east as earl y as May 2 8,
2 0 1 0 .
* cited by exam iner
Case 1:14-cv-01374-SEB-TAB Document 1-1 Filed 08/20/14 Page 3 of 15 PageID #: 9
US. Patent Feb. 2 8, 2 0 1 2 Sheet 1 0 f 1 2 US D654, 71 8 S
Case 1:14-cv-01374-SEB-TAB Document 1-1 Filed 08/20/14 Page 4 of 15 PageID #: 10
US. Patent Feb. 2 8, 2 0 1 2 Sheet 2 0 f 1 2 US D654, 71 8 S
Case 1:14-cv-01374-SEB-TAB Document 1-1 Filed 08/20/14 Page 5 of 15 PageID #: 11
US. Patent Feb. 2 8, 2 0 1 2 Sheet 3 0 f 1 2 US D654, 71 8 S
Case 1:14-cv-01374-SEB-TAB Document 1-1 Filed 08/20/14 Page 6 of 15 PageID #: 12
US. Patent Feb. 2 8, 2 0 1 2 Sheet 4 0 f 1 2 US D654, 71 8 S
FIG -7
Case 1:14-cv-01374-SEB-TAB Document 1-1 Filed 08/20/14 Page 7 of 15 PageID #: 13
Sheet 5 0 f 1 2 US D654, 71 8 S US. Patent Feb. 2 8, 2 0 1 2
Case 1:14-cv-01374-SEB-TAB Document 1-1 Filed 08/20/14 Page 8 of 15 PageID #: 14
US. Patent Feb. 2 8, 2 0 1 2 Sheet 6 0 f 1 2 US D654, 71 8 S
Fl Cl l l
Case 1:14-cv-01374-SEB-TAB Document 1-1 Filed 08/20/14 Page 9 of 15 PageID #: 15
Sheet 7 0 f 1 2 US D654, 71 8 S US. Patent Feb. 2 8, 2 0 1 2
Case 1:14-cv-01374-SEB-TAB Document 1-1 Filed 08/20/14 Page 10 of 15 PageID #: 16
US. Patent Feb. 2 8, 2 0 1 2 Sheet 8 0 f 1 2 US D654, 71 8 S
Case 1:14-cv-01374-SEB-TAB Document 1-1 Filed 08/20/14 Page 11 of 15 PageID #: 17
US. Patent Feb. 2 8, 2 0 1 2 Sheet 9 0 f 1 2 US D654, 71 8 S
Case 1:14-cv-01374-SEB-TAB Document 1-1 Filed 08/20/14 Page 12 of 15 PageID #: 18
US. Patent Feb. 2 8, 2 0 1 2 Sheet 1 0 0 f 1 2 US D654, 71 8 S
F|G -l 7
I
' W at 1 Fl 6. 1 8
Case 1:14-cv-01374-SEB-TAB Document 1-1 Filed 08/20/14 Page 13 of 15 PageID #: 19
US. Patent Feb. 2 8, 2 0 1 2 Sheet 1 1 0 1 1 2 US D654, 71 8 S
Case 1:14-cv-01374-SEB-TAB Document 1-1 Filed 08/20/14 Page 14 of 15 PageID #: 20
US. Patent Feb. 2 8, 2 0 1 2 Sheet 1 2 0 f 1 2 US D654, 71 8 S
F1 62 ]
Case 1:14-cv-01374-SEB-TAB Document 1-1 Filed 08/20/14 Page 15 of 15 PageID #: 21


Kimball International, Inc. Complaint


EXHIBIT B

U.S. Patent No. D665,188
Case 1:14-cv-01374-SEB-TAB Document 1-2 Filed 08/20/14 Page 1 of 15 PageID #: 22
( 1 2 ) United States Design Patent ( 1 0 ) Patent N 0 . :
USO0 D6651 88S
US D665, 1 88 S
Schweikarth ( 45) Date o f Patent: 1 1 * Au g. 1 4, 2 0 1 2
( 54) SIDE CHAIR OT HER PUBLICAT ION S
( 75) InVem o r, D erek schweikarth Cel estine IN ( Us) HON Pro du ct Inf o rm atio n, Cam bia , at l east as earl y as May 2 8,
' 2 0 1 0 .
( 73 ) Assignee: gl irsrgbal l Internatio nal , Inc. , J asp er, IN ( Co ntinu ed)
Prim ar Exam ineriRick Pham
( * * ) T 1 4 Y y y erm : ears
( 2 1 ) Ap p 1 . N o . : 2 9 / 41 1 , 0 9 0 ( 57) _ CLAIM _
T he o rnam ental desl gn f o r a s1 de cha1 r, as sho wn and
( 2 2 ) Fil ed: J an. 1 7, 2 0 1 2 described
Rel ated U. S. Ap p l icatim l Data ( 62 ) Div isio n o f ap p l icatio n N o . 2 9 / 3 62 , 645, ?l ed o n May
2 8, 2 0 1 0 , no w Pat' N o _ Des_ 654, 71 8_ FIG . 1 is a f ro nt p ersp ectiv e v ieW o f a side chair acco rding to
_ a ?rst em bo dim ent o f m y design;
IJ J ( ; CC( I9 ) Cl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D2 63 F1 G . 2 is a rear p ersp ectiv e View thereo f ;
I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FIG 3 is a f ro m View thereo f ;
( 58) Fiel d o f Cl assi?catio n Search . ~ . . . . . . . . . . D6/ 3 3 4i3 3 6, FIG 4 is a rear View thereo f ;
D6/ 3 64i3 80 , 49 8450 2 , 2 9 7/ 3 0 0 . 5, 440 . 2 2 , FIG ' 5 is a l ef t Side View thereo f ;
2 9 7/ 41 1 . 2 , 41 1 . 2 7, 41 1 . 3 6, 452 . 1 3 , 452 . 2 1 , FIG ~ 61 S a right Side View thereo f ; and
' ' 2 9 7/ 452 . 2 9 , 452 . 3 , 452 . 3 5, 452 . 48 FIG ~ 71 S a to p View thereo f
See ap p hcano n ?l e f o r Co m p l ete Search hl sto ry' FIG . 8 is a f ro nt p ersp ectiv e v ieW o f a side chair acco rding to
_ a seco nd em bo dim ent o f m desi ;
( 56) Ref erences Cited y gn
U. S. PAT EN T DOCUMEN T S
D3 l l , 0 9 8 S 1 0 / 1 9 9 0 Lee et a1 .
D3 3 3 , 9 2 5 S 3 / 1 9 9 3 Ricchio , J r. et a1 .
D3 3 8, 783 S 8/ 1 9 9 3 deArm as
D3 41 , 49 4 S 1 1 / 1 9 9 3 Ohashiet a1 .
D3 50 , 445 S 9 / 1 9 9 4 Cho ro ro s et a1 .
D3 53 , 71 9 S 1 2 / 1 9 9 4 W ard
D3 58, 0 41 S 5/ 1 9 9 5 W atts
D3 58, 2 67 S 5/ 1 9 9 5 G inat
D3 66, 774 S 2 / 1 9 9 6 Frinier
D3 80 , 1 0 1 S 6/ 1 9 9 7 Fel dberg
D3 85, 71 2 S 1 1 / 1 9 9 7 Ro ttet
D3 9 6, 3 65 S 7/ 1 9 9 8 LiZ el l
D40 9 , 40 8 S 5/ 1 9 9 9 J am es et a1 .
D42 5, 71 8 S 5/ 2 0 0 0 v anVal deren
D43 2 , 3 2 6 S 1 0 / 2 0 0 0 Du f f y et a1 .
D43 3 , 579 S 1 1 / 2 0 0 0 K ane
D43 7, 1 3 8 S * 2 / 2 0 0 1 Ricchio , J r. . . . . . . . . . . . . . . . . . . . . D6/ 3 79
D43 7, 1 40 S 2 / 2 0 0 1 Hu tto n
( Co ntinu ed)
FIG . 9 is a rear p ersp ectiv e v ieW thereo f ;
FIG . 1 0 is a f ro nt v ieW thereo f ;
FIG . 1 1 is a rear v ieW thereo f ;
FIG . 1 2 is a l ef t side v ieW thereo f ;
FIG . 1 3 is a right side v ieW thereo f ; and
FIG . 1 4 is a to p v ieW thereo f .
FIG . 1 5 is a f ro nt p ersp ectiv e v ieW o f a side chair acco rding to
a third em bo dim ent o f m y design;
FIG . 1 6 is a rear p ersp ectiv e v ieW thereo f ;
FIG . 1 7 is a f ro nt v ieW thereo f ;
FIG . 1 8 is a rear v ieW thereo f ;
FIG . 1 9 is a l ef t side v ieW thereo f ;
FIG . 2 0 is a right side v ieW thereo f ; and,
FIG . 2 1 is a to p v ieW thereo f .
In each o f the em bo dim ents, the bo tto m s o f the side chairs are
p l ain and u no rnam ented. Featu res sho W n in dashed l ines f o rm
no p art o f the cl aim ed design.
1 Cl aim , 1 2 Drawing Sheets
Case 1:14-cv-01374-SEB-TAB Document 1-2 Filed 08/20/14 Page 2 of 15 PageID #: 23
US D665, 1 88 S
Page 2
D446, 40 1
D446, 9 58
D446, 9 59
D454, 71 5
D457, 3 42
D468, 9 2 2
D50 3 , 2 88
D51 3 , 454
D52 0 , 2 55
D52 0 , 2 56
D52 4, 0 72
D542 , 0 46
D543 , 3 73
D551 , 459
D561 , 484
D571 , 1 1 9
D578, 789
D578, 79 0
D579 , 0 52
D580 , 673
D580 , 676
D588, 82 6
D59 3 , 3 3 6
D59 3 , 3 3 8
D59 7, 3 3 2
D60 0 , 0 49
D60 7, 2 2 6
D60 7, 658
D60 7, 659
D60 7, 660
D61 6, 658
D62 0 , 2 75
D648, 555
D648, 556
D651 , 0 1 4
D654, 71 8
U. S. PAT EN T DOCUMEN T S
8/ 2 0 0 1 Ol so n
8/ 2 0 0 1 Ol so n
8/ 2 0 0 1 Cram er
3 / 2 0 0 2 Ol so n
5/ 2 0 0 2 Mu l l er
1 / 2 0 0 3 de Bl o is
3 / 2 0 0 5 Do m ack
1 / 2 0 0 6 Berryetal .
5/ 2 0 0 6 K ing
5/ 2 0 0 6 K ing
7/ 2 0 0 6 K ing
5/ 2 0 0 7 Pesso
* 5/ 2 0 0 7
9 / 2 0 0 7
2 / 2 0 0 8
6/ 2 0 0 8
1 0 / 2 0 0 8
1 0 / 2 0 0 8
1 0 / 2 0 0 8
* 1 1 / 2 0 0 8
1 1 / 2 0 0 8
3 / 2 0 0 9
* 6/ 2 0 0 9
6/ 2 0 0 9
* 8/ 2 0 0 9
* 9 / 2 0 0 9
* 1 / 2 0 1 0
*
*
Z agl er
Andreu cci et al .
Leo netti et a1 .
Ciani et al .
Ciani et al .
Ciani et al .
Cram er et al .
Ricchio
Hel tem es et al .
K u bryk . . . . . . .
1 / 2 0 1 0 K u bryk 1 / 2 0 1 0
1 / 2 0 1 0
6/ 2 0 1 0
7/ 2 0 1 0
* 1 1 / 2 0 1 1
* 1 1 / 2 0 1 1
*
*
K u bryk
N ierm eyer
So ?el d
Frinier 1 2 / 2 0 1 1 J o rdan et al .
2 / 2 0 1 2 U) UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
Schweikarth et al .
W right et al . . . . . . . . .
Ciani et al . . . . . . . . . . . .
Schweikarth et al .
Carm o n . . . . . . . . . . . . . . .
K u bryk . . . . . . . . . . . . . . . .
Starck . . . . . . . . . . . . . . . . . .
Schweikarth . . . . . . . .
. . . . . . . . . D6/ 3 79
. . . . . . . . . . D6/ 3 74
. . . . . . . . . . D6/ 3 74
. . . . . . . . . . D6/ 3 69
. . D6/ 50 1
. . D6/ 3 80
. . D6/ 3 80
D6/ 3 80
D6/ 3 69
. . D6/ 3 69
. . D6/ 3 74
. . . . . . . . . . D6/ 3 79
OT HER PUBLICAT ION S
G l o bal Of f ice Fu rnitu re Pro du ct Inf o rm atio n,
Atl antis , at l east as earl y as May 2 8, 2 0 1 0 .
Pao l i Pro du ct Inf o rm atio n, Adair and Mil ano , at l east as earl y as
May 2 8, 2 0 1 0 .
Pao l i Pro du ct Inf o rm atio n, Caraway , at l east as earl y as May 2 8,
2 0 1 0 .
Pao l i Pro du ct Inf o rm atio n, Do v er , at l east as earl y as May 2 8, 2 0 1 0 .
Pao l i Pro du ct Inf o rm atio n, Mo drian and Rip l ey , at l east as earl y
as May 2 8, 2 0 1 0 .
Pao l i Pro du ct Inf o rm atio n, So no ra , at l east as earl y as May 2 8,
2 0 1 0 .
J SI Pro du ct Inf o rm atio n, K endal l , at l east as earl y as May 2 8, 2 0 1 0 .
J SI Pro du ct Inf o rm atio n, Pro ?l e and Rev u e , at l east as earl y as
May 2 8, 2 0 1 0 .
First Of ?ce Pro du ct Inf o rm atio n, Bal ance , at l east as earl y as May
2 8, 2 0 1 0 .
First Of ?ce Pro du ct Inf o rm atio n, Fl air , at l east as earl y as May 2 8,
2 0 1 0 .
First Of ?ce Pro du ct Inf o rm atio n, Co m o , at l east as earl y as May 2 8,
2 0 1 0 .
OFS Pro du ct Inf o rm atio n, Carino , at l east as earl y as May 2 8,
2 0 1 0 .
OFS Pro du ct Inf o rm atio n, Rhym e & Reaso n , at l east as earl y as
May 2 8, 2 0 1 0 .
OFS Pro du ct Inf o rm atio n, Verco and Parago n , at l east as earl y as
May 2 8, 2 0 1 0 .
OFS Pro du ct Inf o rm atio n, Aria , at l east as earl y as May 2 8, 2 0 1 0 .
G u nl o cke Pro du ct Inf o rm atio n, Val o r , at l east as earl y as May 2 8,
2 0 1 0 .
Sav io r and
* cited by exam iner
Case 1:14-cv-01374-SEB-TAB Document 1-2 Filed 08/20/14 Page 3 of 15 PageID #: 24
US. Patent Au g. 1 4, 2 0 1 2 Sheet 1 0 f 1 2 US D665, 1 88 S
Case 1:14-cv-01374-SEB-TAB Document 1-2 Filed 08/20/14 Page 4 of 15 PageID #: 25
US. Patent Au g. 1 4, 2 0 1 2 Sheet 2 0 f 1 2 US D665, 1 88 S
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US. Patent Au g. 1 4, 2 0 1 2 Sheet 3 0 f 1 2 US D665, 1 88 S
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US. Patent Au g. 1 4, 2 0 1 2 Sheet 4 0 f 1 2 US D665, 1 88 S
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US. Patent Au g. 1 4, 2 0 1 2 Sheet 5 0 f 1 2 US D665, 1 88 S
Case 1:14-cv-01374-SEB-TAB Document 1-2 Filed 08/20/14 Page 8 of 15 PageID #: 29
US. Patent Au g. 1 4, 2 0 1 2 Sheet 6 0 f 1 2 US D665, 1 88 S
FIG . . 1 O
F1 61 1
Case 1:14-cv-01374-SEB-TAB Document 1-2 Filed 08/20/14 Page 9 of 15 PageID #: 30
US. Patent Au g. 1 4, 2 0 1 2 Sheet 7 0 f 1 2 US D665, 1 88 S
F1 61 2
Case 1:14-cv-01374-SEB-TAB Document 1-2 Filed 08/20/14 Page 10 of 15 PageID #: 31
US. Patent Au g. 1 4, 2 0 1 2 Sheet 8 0 f 1 2 US D665, 1 88 S
ICLIJ ;
Case 1:14-cv-01374-SEB-TAB Document 1-2 Filed 08/20/14 Page 11 of 15 PageID #: 32
US. Patent Au g. 1 4, 2 0 1 2 Sheet 9 0 f 1 2 US D665, 1 88 S
w m F
% Q F
Case 1:14-cv-01374-SEB-TAB Document 1-2 Filed 08/20/14 Page 12 of 15 PageID #: 33
US. Patent Au g. 1 4, 2 0 1 2 Sheet 1 0 0 f 1 2 US D665, 1 88 S
F 6. 1 8
Case 1:14-cv-01374-SEB-TAB Document 1-2 Filed 08/20/14 Page 13 of 15 PageID #: 34
US. Patent Au g. 1 4, 2 0 1 2 Sheet 1 1 0 1 1 2 US D665, 1 88 S
FIG J Q
P1 62 1 2 0
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US. Patent Au g. 1 4, 2 0 1 2 Sheet 1 2 0 f 1 2 US D665, 1 88 S
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JS 44 (Rev. 12/12)
CIVIL COVER SHEET
The JS 44 civil cover sheet and the inIormation contained herein neither replace nor supplement the Iiling and service oI pleadings or other papers as required by law, except as
provided by local rules oI court. This Iorm, approved by the Judicial ConIerence oI the United States in September 1974, is required Ior the use oI the Clerk oI Court Ior the
purpose oI initiating the civil docket sheet. (SEE INSTRUCTIONS ON NEXT PAGE OF THIS FORM.)
I. (a) PLAINTIFFS DEFENDANTS
(b) County oI Residence oI First Listed PlaintiII County oI Residence oI First Listed DeIendant
(EXCEPT IN U.S. PLAINTIFF CASES) (IN U.S. PLAINTIFF CASES ONLY)
NOTE: IN LAND CONDEMNATION CASES, USE THE LOCATION OF
THE TRACT OF LAND INVOLVED.

(c) Attorneys (Firm Name, Address, and Telephone Number) Attorneys (If Known)
II. BASIS OF JURISDICTION (Place an X in One Box Only) III. CITIZENSHIP OF PRINCIPAL PARTIES (Place an X in One Box for Plaintiff
(For Diversity Cases Only) and One Box for Defendant)
1 U.S. Government 3 Federal Question PTF DEF PTF DEF
PlaintiII (U.S. Government Not a Party) Citizen oI This State 1 1 Incorporated or Principal Place 4 4
oI Business In This State
2 U.S. Government 4 Diversity Citizen oI Another State 2 2 Incorporated and Principal Place 5 5
DeIendant (Indicate Citizenship of Parties in Item III) oI Business In Another State
Citizen or Subject oI a 3 3 Foreign Nation 6 6
Foreign Country
IV. NATURE OF SUIT (Place an X in One Box Only)
CONTRACT TORTS FORFEITURE/PENALTY BANKRUPTCY OTHER STATUTES
110 Insurance PERSONAL INJURY PERSONAL INJURY 625 Drug Related Seizure 422 Appeal 28 USC 158 375 False Claims Act
120 Marine 310 Airplane 365 Personal Injury - oI Property 21 USC 881 423 Withdrawal 400 State Reapportionment
130 Miller Act 315 Airplane Product Product Liability 690 Other 28 USC 157 410 Antitrust
140 Negotiable Instrument Liability 367 Health Care/ 430 Banks and Banking
150 Recovery oI Overpayment 320 Assault, Libel & Pharmaceutical PROPERTY RIGHTS 450 Commerce
& EnIorcement oI Judgment Slander Personal Injury 820 Copyrights 460 Deportation
151 Medicare Act 330 Federal Employers` Product Liability 830 Patent 470 Racketeer InIluenced and
152 Recovery oI DeIaulted Liability 368 Asbestos Personal 840 Trademark Corrupt Organizations
Student Loans 340 Marine Injury Product 480 Consumer Credit
(Excludes Veterans) 345 Marine Product Liability LABOR SOCIAL SECURITY 490 Cable/Sat TV
153 Recovery oI Overpayment Liability PERSONAL PROPERTY 710 Fair Labor Standards 861 HIA (1395II) 850 Securities/Commodities/
oI Veteran`s BeneIits 350 Motor Vehicle 370 Other Fraud Act 862 Black Lung (923) Exchange
160 Stockholders` Suits 355 Motor Vehicle 371 Truth in Lending 720 Labor/Management 863 DIWC/DIWW (405(g)) 890 Other Statutory Actions
190 Other Contract Product Liability 380 Other Personal Relations 864 SSID Title XVI 891 Agricultural Acts
195 Contract Product Liability 360 Other Personal Property Damage 740 Railway Labor Act 865 RSI (405(g)) 893 Environmental Matters
196 Franchise Injury 385 Property Damage 751 Family and Medical 895 Freedom oI InIormation
362 Personal Injury - Product Liability Leave Act Act
Medical Malpractice 790 Other Labor Litigation 896 Arbitration
REAL PROPERTY CIVIL RIGHTS PRISONER PETITIONS 791 Employee Retirement FEDERAL TAX SUITS 899 Administrative Procedure
210 Land Condemnation 440 Other Civil Rights Habeas Corpus: Income Security Act 870 Taxes (U.S. PlaintiII Act/Review or Appeal oI
220 Foreclosure 441 Voting 463 Alien Detainee or DeIendant) Agency Decision
230 Rent Lease & Ejectment 442 Employment 510 Motions to Vacate 871 IRSThird Party 950 Constitutionality oI
240 Torts to Land 443 Housing/ Sentence 26 USC 7609 State Statutes
245 Tort Product Liability Accommodations 530 General
290 All Other Real Property 445 Amer. w/Disabilities - 535 Death Penalty IMMIGRATION
Employment Other: 462 Naturalization Application
446 Amer. w/Disabilities - 540 Mandamus & Other 465 Other Immigration
Other 550 Civil Rights Actions
448 Education 555 Prison Condition
560 Civil Detainee -
Conditions oI
ConIinement
V. ORIGIN (Place an X in One Box Only)
1 Original
Proceeding
2 Removed Irom
State Court
3 Remanded Irom
Appellate Court
4 Reinstated or
Reopened
5 TransIerred Irom
Another District
(specify)
6 Multidistrict
Litigation
VI. CAUSE OF ACTION
Cite the U.S. Civil Statute under which you are Iiling (Do not cite jurisdictional statutes unless diversity):

BrieI description oI cause:
VII. REQUESTED IN
COMPLAINT:
CHECK IF THIS IS A CLASS ACTION
UNDER RULE 23, F.R.Cv.P.
DEMAND $ CHECK YES only iI demanded in complaint:
JURY DEMAND: Yes No
VIII. RELATED CASE(S)
IF ANY
(See instructions):
JUDGE DOCKET NUMBER
DATE SIGNATURE OF ATTORNEY OF RECORD
FOR OFFICE USE ONLY
RECEIPT # AMOUNT APPLYING IFP JUDGE MAG. JUDGE
Kimball International, Inc.
Dubois County, Indiana
David P. Irmscher, Faegre Baker Daniels LLP
111 E. Wayne St., Suite 800, Ft. Wayne, IN 46802; (260) 424-8000
NWN, Inc.
35 U.S.C. 271 et seq.
Patent Infringement
08/20/2014 /s/ David P. Irmscher
Case 1:14-cv-01374-SEB-TAB Document 1-3 Filed 08/20/14 Page 1 of 2 PageID #: 37
JS 44 Reverse (Rev. 12/12)
INSTRUCTIONS FOR ATTORNEYS COMPLETING CIVIL COVER SHEET FORM JS 44
Authority For Civil Cover Sheet
The JS 44 civil cover sheet and the inIormation contained herein neither replaces nor supplements the Iilings and service oI pleading or other papers as
required by law, except as provided by local rules oI court. This Iorm, approved by the Judicial ConIerence oI the United States in September 1974, is
required Ior the use oI the Clerk oI Court Ior the purpose oI initiating the civil docket sheet. Consequently, a civil cover sheet is submitted to the Clerk oI
Court Ior each civil complaint Iiled. The attorney Iiling a case should complete the Iorm as Iollows:
I.(a) Plaintiffs-Defendants. Enter names (last, Iirst, middle initial) oI plaintiII and deIendant. II the plaintiII or deIendant is a government agency, use
only the Iull name or standard abbreviations. II the plaintiII or deIendant is an oIIicial within a government agency, identiIy Iirst the agency and
then the oIIicial, giving both name and title.
(b) County of Residence. For each civil case Iiled, except U.S. plaintiII cases, enter the name oI the county where the Iirst listed plaintiII resides at the
time oI Iiling. In U.S. plaintiII cases, enter the name oI the county in which the Iirst listed deIendant resides at the time oI Iiling. (NOTE: In land
condemnation cases, the county oI residence oI the "deIendant" is the location oI the tract oI land involved.)
(c) Attorneys. Enter the Iirm name, address, telephone number, and attorney oI record. II there are several attorneys, list them on an attachment, noting
in this section "(see attachment)".
II. Jurisdiction. The basis oI jurisdiction is set Iorth under Rule 8(a), F.R.Cv.P., which requires that jurisdictions be shown in pleadings. Place an "X"
in one oI the boxes. II there is more than one basis oI jurisdiction, precedence is given in the order shown below.
United States plaintiII. (1) Jurisdiction based on 28 U.S.C. 1345 and 1348. Suits by agencies and oIIicers oI the United States are included here.
United States deIendant. (2) When the plaintiII is suing the United States, its oIIicers or agencies, place an "X" in this box.
Federal question. (3) This reIers to suits under 28 U.S.C. 1331, where jurisdiction arises under the Constitution oI the United States, an amendment
to the Constitution, an act oI Congress or a treaty oI the United States. In cases where the U.S. is a party, the U.S. plaintiII or deIendant code takes
precedence, and box 1 or 2 should be marked.
Diversity oI citizenship. (4) This reIers to suits under 28 U.S.C. 1332, where parties are citizens oI diIIerent states. When Box 4 is checked, the
citizenship oI the diIIerent parties must be checked. (See Section III below; NOTE: federal question actions take precedence over diversity
cases.)
III. Residence (citizenship) of Principal Parties. This section oI the JS 44 is to be completed iI diversity oI citizenship was indicated above. Mark this
section Ior each principal party.
IV. Nature of Suit. Place an "X" in the appropriate box. II the nature oI suit cannot be determined, be sure the cause oI action, in Section VI below, is
suIIicient to enable the deputy clerk or the statistical clerk(s) in the Administrative OIIice to determine the nature oI suit. II the cause Iits more than
one nature oI suit, select the most deIinitive.
V. Origin. Place an "X" in one oI the six boxes.
Original Proceedings. (1) Cases which originate in the United States district courts.
Removed Irom State Court. (2) Proceedings initiated in state courts may be removed to the district courts under Title 28 U.S.C., Section 1441.
When the petition Ior removal is granted, check this box.
Remanded Irom Appellate Court. (3) Check this box Ior cases remanded to the district court Ior Iurther action. Use the date oI remand as the Iiling
date.
Reinstated or Reopened. (4) Check this box Ior cases reinstated or reopened in the district court. Use the reopening date as the Iiling date.
TransIerred Irom Another District. (5) For cases transIerred under Title 28 U.S.C. Section 1404(a). Do not use this Ior within district transIers or
multidistrict litigation transIers.
Multidistrict Litigation. (6) Check this box when a multidistrict case is transIerred into the district under authority oI Title 28 U.S.C. Section 1407.
When this box is checked, do not check (5) above.
VI. Cause of Action. Report the civil statute directly related to the cause oI action and give a brieI description oI the cause. Do not cite jurisdictional
statutes unless diversity. Example: U.S. Civil Statute: 47 USC 553 BrieI Description: Unauthorized reception oI cable service
VII. Requested in Complaint. Class Action. Place an "X" in this box iI you are Iiling a class action under Rule 23, F.R.Cv.P.
Demand. In this space enter the actual dollar amount being demanded or indicate other demand, such as a preliminary injunction.
Jury Demand. Check the appropriate box to indicate whether or not a jury is being demanded.
VIII. Related Cases. This section oI the JS 44 is used to reIerence related pending cases, iI any. II there are related pending cases, insert the docket
numbers and the corresponding judge names Ior such cases.
Date and Attorney Signature. Date and sign the civil cover sheet.
Case 1:14-cv-01374-SEB-TAB Document 1-3 Filed 08/20/14 Page 2 of 2 PageID #: 38
AO 440 (Rev. 06/12) Summons in a Civil Action
UNITEDSTATESDISTRICT COURT
for the
__________ District of __________
)
)
)
)
)
)
)
)
)
)
)
)
Plaintiff(s)
v. Civil Action No.
Defendant(s)
SUMMONS IN A CIVIL ACTION
To: (Defendants name and address)
A lawsuit has been filed against you.
Within 21 days after service of this summons on you (not counting the day you received it) or 60 days if you
are the United States or a United States agency, or an officer or employee of the United States described in Fed. R. Civ.
P. 12 (a)(2) or (3) you must serve on the plaintiff an answer to the attached complaint or a motion under Rule 12 of
the Federal Rules of Civil Procedure. The answer or motion must be served on the plaintiff or plaintiffs attorney,
whose name and address are:
If you fail to respond, judgment by default will be entered against you for the relief demanded in the complaint.
You also must file your answer or motion with the court.
CLERK OF COURT
Date:
Signature of Clerk or Deputy Clerk
SouthernDistrict of Indiana
KIMBALL INTERNATIONAL, INC.
14-cv-1374
NWN, INC.
NWN, Inc. c/o Kurt Norman or Highest Officer Found
5350 Hwy 61 N
White Bear Lake, MN 55110
David P. Irmscher
Faegre Baker Daniels LLP
111 E. Wayne St., Suite 800
Ft. Wayne, IN 46802
Case 1:14-cv-01374-SEB-TAB Document 1-4 Filed 08/20/14 Page 1 of 2 PageID #: 39
AO 440 (Rev. 06/12) Summons in a Civil Action (Page 2)
Civil Action No.
PROOF OF SERVICE
(This section should not be filed with the court unless required by Fed. R. Civ. P. 4 (l))
This summons for (name of individual and title, if any)
was received by me on(date) .
I personally served the summons on the individual at(place)
on(date) ; or
I left the summons at the individuals residence or usual place of abode with (name)
, a person of suitable age and discretion who resides there,
on(date) , and mailed a copy to the individuals last known address; or
I served the summons on (name of individual) , who is
designated by law to accept service of process on behalf of (name of organization)
on(date) ; or
I returned the summons unexecuted because ; or
Other (specify):
.
My fees are $ for travel and $ for services, for a total of $ .
I declare under penalty of perjury that this information is true.
Date:
Servers signature
Printed name and title
Servers address
Additional information regarding attempted service, etc:
14-cv-1374
NWN, Inc.
0.00
Case 1:14-cv-01374-SEB-TAB Document 1-4 Filed 08/20/14 Page 2 of 2 PageID #: 40

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