| 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 | 74196365 |
| REGISTRATION NUMBER | 1732455 |
| LAW OFFICE ASSIGNED | 01ALAW OFFICE |
| MARK SECTION | |
| MARK | SYMBIOTE (standard characters, see http://teas.gov.uspto.report/cc r/view/common/No-Image-Fi le.jpg) |
| OWNER SECTION(current) | |
| NAME | Symbiote, Inc. |
| MAILING ADDRESS | 1000 Foreman St. SE |
| CITY | Lowell |
| STATE | Michigan |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| ZIP/POSTAL CODE | 49331 |
| XXXX | |
| ATTORNEY SECTION(current) | |
| NAME | David L. Oppenhuizen |
| ATTORNEY BAR MEMBERSHIP NUMBER | XXX |
| YEAR OF ADMISSION | XXXX |
| U.S. STATE/ COMMONWEALTH/ TERRITORY | XX |
| FIRM NAME | Oppenhuizen Law PLC |
| INTERNAL ADDRESS | Ste. 105 |
| STREET | 5960 Tahoe Dr. SE |
| CITY | Grand Rapids |
| STATE | Michigan |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| POSTAL/ZIP CODE | 49546 |
| PHONE | 616-242-9550 |
| docket@oppenhuizen.com | |
| DOCKET/REFERENCE NUMBER(S) | SYM-102-T |
| CORRESPONDENCE SECTION(current) | |
| NAME | David L. Oppenhuizen |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | docket@oppenhuizen.com |
| SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) | NOT PROVIDED |
| DOCKET/REFERENCE NUMBER(S) | SYM-102-T |
| 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 | Symbiote, Inc. |
| INTERNAL ADDRESS | Ste. 105 |
| MAILING ADDRESS | 5960 Tahoe Dr. SE |
| CITY | Grand Rapids |
| STATE | Michigan |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| ZIP/POSTAL CODE | 49546 |
| 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 | David L. Oppenhuizen |
| ATTORNEY BAR MEMBERSHIP NUMBER | XXX |
| YEAR OF ADMISSION | XXXX |
| U.S. STATE/ COMMONWEALTH/ TERRITORY | XX |
| FIRM NAME | OPPENHUIZEN LAW PLC |
| INTERNAL ADDRESS | Ste. 105 |
| STREET | 5960 Tahoe Dr. SE |
| CITY | Grand Rapids |
| STATE | Michigan |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| POSTAL/ZIP CODE | 49546 |
| PHONE | 616-242-9550 |
| docket@oppenhuizen.com | |
| DOCKET/REFERENCE NUMBER(S) | SYM-102-T |
| CORRESPONDENCE SECTION (proposed) | |
| NAME | David L. Oppenhuizen |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | docket@oppenhuizen.com |
| SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) | NOT PROVIDED |
| DOCKET/REFERENCE NUMBER(S) | SYM-102-T |
| SIGNATURE SECTION | |
| SIGNATURE | /David L. Oppenhuizen/ |
| SIGNATORY NAME | David L. Oppenhuizen |
| SIGNATORY DATE | 10/20/2020 |
| SIGNATORY POSITION | Attorney of Record |
| SIGNATORY PHONE NUMBER | 616-242-9550 |
| AUTHORIZED SIGNATORY | YES |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Tue Oct 20 19:47:35 ET 2020 |
| TEAS STAMP | USPTO/CAR-XXXX:XXX:XXXX:X XXX:XXX:XXXX:XXXX:XXXX-20 201020194735489155-878856 48-750ea8cc19b482a4f8f552 411877fa56284e134458fe7df 0787cb7465eb49fa9-N/A-N/A -20201020194517446673 |
| 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) |