| 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) |
| Input Field | Entered |
|---|---|
| SERIAL NUMBER | 88843582 |
| LAW OFFICE ASSIGNED | LAW OFFICE 130 |
| MARK SECTION | |
| MARK | AYTUVIR (standard characters, see http://tmng-al.uspto.gov /resting2/api/img/8884358 2/large) |
| OWNER SECTION(current) | |
| 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 |
| XXXX | |
| ATTORNEY SECTION(current) | |
| NAME | Jake D. Siciliano |
| ATTORNEY BAR MEMBERSHIP NUMBER | XXX |
| YEAR OF ADMISSION | XXXX |
| U.S. STATE/ COMMONWEALTH/ TERRITORY | XX |
| INTERNAL ADDRESS | LEGAL |
| STREET | 8845 REHCO ROAD |
| CITY | SAN DIEGO |
| STATE | California |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| POSTAL/ZIP CODE | 92121 |
| PHONE | 2029095524 |
| jsiciliano@aytubio.com | |
| 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 |
| XXXX | |
| ATTORNEY SECTION (proposed) | |
| STATEMENT TEXT | By submission of this request, the undersigned appoints the following new attorney, is newly appearing as the attorney, or updates the information of an existing attorney of record: |
| NAME | Jake D. Siciliano |
| ATTORNEY BAR MEMBERSHIP NUMBER | XXX |
| YEAR OF ADMISSION | XXXX |
| U.S. STATE/ COMMONWEALTH/ TERRITORY | XX |
| INTERNAL ADDRESS | Legal |
| STREET | 373 Inverness Parkway, Suite 206 |
| CITY | Englewood |
| STATE | Colorado |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| POSTAL/ZIP CODE | 80112 |
| PHONE | 3039962198 |
| jsiciliano@aytubio.com | |
| 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 D. Siciliano |
| SIGNATORY DATE | 10/06/2020 |
| SIGNATORY POSITION | Attorney of record |
| SIGNATORY PHONE NUMBER | 3039962198 |
| AUTHORIZED SIGNATORY | YES |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Tue Oct 06 12:11:14 ET 2020 |
| TEAS STAMP | USPTO/CAR-XX.XXX.XXX.XXX- 20201006121114735517-8884 3583-750f5b1c37dabe6b7a8b 03563b99453a534e58c705668 434dfa67614f34bd3e1be3-N/ A-N/A-2020100611551500509 4 |
| 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) |