Change Address or Representation Form

AYTUVIR

AYTU BIOPHARMA, 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 88843582
MARK SECTION
MARK AYTUVIR (standard characters, see http://uspto.report/TM/88843582/mark.png)
OWNER SECTION(current)
NAME Aytu Bioscience, Inc.
MAILING ADDRESS 373 Iverness Parkway, Suite 206
CITY Englewood
STATE California
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
ZIP/POSTAL CODE 80112
EMAIL XXXX
CORRESPONDENCE SECTION(current)
NAME Jake D. Siciliano
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE jsiciliano@aytubio.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) docketing@sheridanross.com
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 Aytu Bioscience, Inc.
INTERNAL ADDRESS Legal
MAILING ADDRESS 373 Inverness Parkway, Suite 206
CITY Englewood
STATE Colorado
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
ZIP/POSTAL CODE 80112
EMAIL XXXX
CORRESPONDENCE SECTION (proposed)
NAME Jake D. Siciliano
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE jsiciliano@aytubio.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) docketing@sheridanross.com
SIGNATURE SECTION
SIGNATURE /jake siciliano/
SIGNATORY NAME Jake Siciliano
SIGNATORY DATE 05/20/2020
SIGNATORY POSITION Attorney of record
SIGNATORY PHONE NUMBER 2029095524
AUTHORIZED SIGNATORY YES
FILING INFORMATION SECTION
SUBMIT DATE Wed May 20 15:14:02 ET 2020
TEAS STAMP USPTO/CAR-XXXX:1700:42c4:
8010:6863:cf95:d1ed:66a3-
20200520151402181189-8888
5353-710a65b8190a13172bd3
33a06eeef5788dcabb3bf2577
14b02ab7b9a0476a8ab7-N/A-
N/A-20200520151157092096



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: AYTUVIR (standard characters, see http://uspto.report/TM/88843582/mark.png)
SERIAL NUMBER: 88843582


Owner Section (Current) :
Aytu Bioscience, Inc.
373 Iverness Parkway, Suite 206
Englewood, California 80112
United States
XXXX
Correspondence Section (Current):
Jake D. Siciliano
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: jsiciliano@aytubio.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): docketing@sheridanross.com

Correspondence Section (proposed):
Jake D. Siciliano
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: jsiciliano@aytubio.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): docketing@sheridanross.com




Signature: /jake siciliano/      Date: 05/20/2020
Signatory's Name: Jake Siciliano
Signatory's Position: Attorney of record
Signatory's Phone Number: 2029095524

Serial Number: 88843582
Internet Transmission Date: Wed May 20 15:14:02 ET 2020
TEAS Stamp: USPTO/CAR-XXXX:1700:42c4:8010:6863:cf95:
d1ed:66a3-20200520151402181189-88885353-
710a65b8190a13172bd333a06eeef5788dcabb3b
f257714b02ab7b9a0476a8ab7-N/A-N/A-202005
20151157092096



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