| Input Field | Entered |
|---|---|
| SERIAL NUMBER | 74025988 |
| REGISTRATION NUMBER | 1692740 |
| LAW OFFICE ASSIGNED | 01ALAW OFFICE |
| MARK SECTION | |
| MARK | WHO (standard characters, see http://teas.gov.uspto.report/ccr/view/common/No-Image-File.jpg) |
| OWNER SECTION(current) | |
| NAME | GAMBRO RENAL PRODUCTS, INC. |
| INTERNAL ADDRESS | 14143 Denver West Parkway, 4th Floor |
| MAILING ADDRESS | Attn: Legal & IP Dept. |
| CITY | Lakewood |
| STATE | Colorado |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| ZIP/POSTAL CODE | 80401 |
| PHONE | 303-231-4091 |
| FAX | 303-876-9182 |
| 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 | GAMBRO RENAL PRODUCTS, INC. |
| INTERNAL ADDRESS | www.baxter.com |
| MAILING ADDRESS | Magistratsvägen 16 |
| CITY | Lund |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | Sweden |
| ZIP/POSTAL CODE | SE-22643 |
| PHONE | 224-948-4922 |
| FAX | 224-948-3827 |
| XXXX | |
| ATTORNEY SECTION(current) | |
| NAME | Jeremiah J. McIntyre |
| ATTORNEY BAR MEMBERSHIP NUMBER | NOT SPECIFIED |
| YEAR OF ADMISSION | NOT SPECIFIED |
| U.S. STATE/ COMMONWEALTH/ TERRITORY | NOT SPECIFIED |
| FIRM NAME | GAMBRO CORPORATE LEGAL DEPARTMENT |
| INTERNAL ADDRESS | 4TH FLOOR |
| STREET | 14143 DENVER WEST PARKWAY |
| CITY | LAKEWOOD |
| STATE | Colorado |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| POSTAL/ZIP CODE | 80401 |
| PHONE | 303-231-4091 |
| FAX | 303-205-2519 |
| jameswray@jcwray.com | |
| ATTORNEY SECTION (proposed) | |
| STATEMENT TEXT | By submission of this request, the undersigned REVOKES the power of attorney currently of record, as listed above, and hereby APPOINTS the following new attorney: |
| NAME | Jeffrey C. Nichols |
| ATTORNEY BAR MEMBERSHIP NUMBER | XXX |
| YEAR OF ADMISSION | XXXX |
| U.S. STATE/ COMMONWEALTH/ TERRITORY | XX |
| STREET | One Baxter Parkway |
| CITY | Deerfield |
| STATE | Illinois |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| POSTAL/ZIP CODE | 60015 |
| PHONE | 224-948-4922 |
| FAX | 224-948-3827 |
| jay_nichols@baxter.com | |
| DOCKET/REFERENCE NUMBER(S) | 201911257 |
| DOMESTIC REPRESENTATIVE SECTION (proposed) | |
| STATEMENT TEXT | By submission of this request, the undersigned REVOKES the power of domestic representative currently of record, as listed above, and hereby APPOINTS the following new domestic representative: |
| NAME | Jeffrey C. Nichols |
| STREET | One Baxter Parkway |
| CITY | Deerfield |
| STATE | Illinois |
| POSTAL/ZIP CODE | 60015 |
| PHONE | 224-948-4922 |
| FAX | 224-948-3827 |
| jay_nichols@baxter.com | |
| CORRESPONDENCE SECTION(current) | |
| NAME | Jeremiah J. McIntyre |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | jameswray@jcwray.com |
| SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) | NOT PROVIDED |
| DOCKET/REFERENCE NUMBER(S) | 201911257 |
| CORRESPONDENCE SECTION (proposed) | |
| NAME | Jeffrey C. Nichols |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | jay_nichols@baxter.com |
| SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) | sherri_washington@baxter.com; annie_prat@baxter.com; francoise_dumas@baxter.com |
| DOCKET/REFERENCE NUMBER(S) | 201911257 |
| SIGNATURE SECTION | |
| SIGNATURE | /JEFFREY C NICHOLS/ |
| SIGNATORY NAME | Jeffrey C. Nichols |
| SIGNATORY DATE | 02/10/2021 |
| SIGNATORY POSITION | Attorney of record, Illinois Bar member |
| SIGNATORY PHONE NUMBER | 224-948-4922 |
| ROLE OF AUTHORIZED SIGNATORY | Authorized U.S.-Licensed Attorney |
| SIGNATURE METHOD | Signed directly within the form |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Wed Feb 10 15:53:01 ET 2021 |
| TEAS STAMP | USPTO/CAR-XXXX:XXXX:XXXX: XXXX:XXXX:XXXX:XXXX:XXXX- 20210210155301464830-8542 1665-7606916c66cee949721e e140ce258e6193e2742929b81 f83434a744c9a27a5024-N/A- N/A-20210210142721804329 |