Change Address or Representation Form

CHARM

Canary Medical Inc.

Change Address or Representation Form

Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid OMB control number.
PTO Form 2300 (Rev 02/2020)
OMB No. 0651-0051 (Exp 11/30/2020)

Change Address or Representation Form


The table below presents the data as entered.

Input Field Entered
SERIAL NUMBER 88671331
LAW OFFICE ASSIGNED LAW OFFICE 123
MARK SECTION
MARK CHARM (standard characters, see http://tmng-al.uspto.gov /resting2/api/img/8867133 1/large)
OWNER SECTION(current)
NAME Canary Medical Inc.
MAILING ADDRESS 2620 - 1055 West Georgia Street
CITY Vancouver
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY Canada
ZIP/POSTAL CODE V6E3R5
EMAIL XXXX
CORRESPONDENCE SECTION(current)
NAME Kevin S. Costanza
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE USTM.docketing@seedip.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) NOT PROVIDED
DOCKET/REFERENCE NUMBER(S) 191166.210
OWNER SECTION(proposed)
STATEMENT TEXT

By submission of this request, the undersigned requests that the following be made of record for the owner/holder:

NAME Canary Medical Inc.
MAILING ADDRESS 1450 Creekside Dr., Suite 400
CITY Vancouver
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY Canada
ZIP/POSTAL CODE V6J5B3
EMAIL XXXX
CORRESPONDENCE SECTION (proposed)
NAME Kevin S. Costanza
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE USTM.docketing@seedip.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) NOT PROVIDED
DOCKET/REFERENCE NUMBER(S) 191166.210
SIGNATURE SECTION
SIGNATURE /Kevin S. Costanza/
SIGNATORY NAME Kevin S. Costanza
SIGNATORY DATE 11/25/2020
SIGNATORY POSITION Attorney of Record, Washington State Bar Member
SIGNATORY PHONE NUMBER 206.622.4900
AUTHORIZED SIGNATORY YES
FILING INFORMATION SECTION
SUBMIT DATE Wed Nov 25 16:26:55 ET 2020
TEAS STAMP USPTO/CAR-XX.XXX.XXX.XXX-
20201125162655294959-8818
4905-75031d7d4d743c6b68fd
b52b424da23c4a6c311ebd19c
04bf64e6f93dbe836d60-N/A-
N/A-20201125135858947752



Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid OMB control number.
PTO Form 2300 (Rev 02/2020)
OMB No. 0651-0051 (Exp 11/30/2020)


Change Address or Representation Form


To the Commissioner for Trademarks:

MARK: CHARM (standard characters, see http://tmng-al.uspto.gov /resting2/api/img/8867133 1/large)
SERIAL NUMBER: 88671331


Owner Section (Current) :
Canary Medical Inc.
2620 - 1055 West Georgia Street
Vancouver V6E3R5
Canada
XXXX
Correspondence Section (Current):
Kevin S. Costanza
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: USTM.docketing@seedip.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): NOT PROVIDED
Docket Reference Number(s): 191166.210


By submission of this request, the undersigned requests that the following be made of record for the owner/holder:

Owner Section (proposed):
Canary Medical Inc.
1450 Creekside Dr., Suite 400
Vancouver V6J5B3
Canada
XXXXCorrespondence Section (proposed):
Kevin S. Costanza
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: USTM.docketing@seedip.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): NOT PROVIDED
Docket Reference Number(s): 191166.210




Signature: /Kevin S. Costanza/      Date: 11/25/2020
Signatory's Name: Kevin S. Costanza
Signatory's Position: Attorney of Record, Washington State Bar Member
Signatory's Phone Number: 206.622.4900

Serial Number: 88671331
Internet Transmission Date: Wed Nov 25 16:26:55 ET 2020
TEAS Stamp: USPTO/CAR-XX.XXX.XXX.XXX-202011251626552
94959-88184905-75031d7d4d743c6b68fdb52b4
24da23c4a6c311ebd19c04bf64e6f93dbe836d60
-N/A-N/A-20201125135858947752



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