Change Address or Representation Form

TRUFORM

Surgical Appliance Industries, Inc.

Change Address or Representation Form

PTO- 2300
Approved for use through 07/31/2024. OMB 0651-0051
U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number

Change Address or Representation Form


The table below presents the data as entered.

Input Field Entered
SERIAL NUMBER 74510419
REGISTRATION NUMBER 1959633
LAW OFFICE ASSIGNED LAW OFFICE 105
MARK SECTION
MARK TRUFORM (standard characters, see http://teas.gov.uspto.report/ccr/view/common/No-Image-File.jpg)
OWNER SECTION(current)
NAME Surgical Appliance Industries, Inc.
MAILING ADDRESS 3960 Rosslyn Drive
CITY Cincinnati
STATE Ohio
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
ZIP/POSTAL CODE 45209
PHONE 5132714594
EMAIL XXXX
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 Surgical Appliance Industries, Inc.
MAILING ADDRESS 3960 Rosslyn Drive
CITY Cincinnati
STATE Ohio
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
ZIP/POSTAL CODE 45209
PHONE wapplegate@saibrands.com
FAX wapplegate@saibrands.com
EMAIL XXXX
CORRESPONDENCE SECTION(current)
NAME Surgical Appliance Industries, Inc.
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE wapplegate@saibrands.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) rstautberg@saibrands.com
CORRESPONDENCE SECTION (proposed)
NAME Surgical Appliance Industries, Inc.
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE wapplegate@saibrands.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) rstautberg@saibrands.com
SIGNATURE SECTION
SIGNATURE /richard stautberg/
SIGNATORY NAME Richard Stautberg
SIGNATORY DATE 08/23/2021
SIGNATORY POSITION Manager
SIGNATORY PHONE NUMBER 513-271-4594
ROLE OF AUTHORIZED SIGNATORY Owner/Holder not represented by an attorney
SIGNATURE METHOD Signed directly within the form
FILING INFORMATION SECTION
SUBMIT DATE Mon Aug 23 12:59:34 ET 2021
TEAS STAMP USPTO/CAR-XX.XX.XXX.XXX-2
0210823125934774745-74510
419-7813663be1c9f2465c35e
3bb2c19387cf5c2217829ceea
2b302dcc5bc39f31b-N/A-N/A
-20210823125756516736



PTO- 2300
Approved for use through 07/31/2024. OMB 0651-0051
U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number


Change Address or Representation Form


To the Commissioner for Trademarks:

MARK: TRUFORM (standard characters, see http://teas.gov.uspto.report/ccr/view/common/No-Image-File.jpg)
SERIAL NUMBER: 74510419
REGISTRATION NUMBER: 1959633


Owner Section (Current) :
Surgical Appliance Industries, Inc.
3960 Rosslyn Drive
Cincinnati, Ohio 45209
United States
5132714594
XXXX

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

Owner Section (proposed):
Surgical Appliance Industries, Inc.
3960 Rosslyn Drive
Cincinnati, Ohio 45209
United States
wapplegate@saibrands.com
wapplegate@saibrands.com
XXXXCorrespondence Section (Current):
Surgical Appliance Industries, Inc.
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: wapplegate@saibrands.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): rstautberg@saibrands.com

Correspondence Section (proposed):
Surgical Appliance Industries, Inc.
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: wapplegate@saibrands.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): rstautberg@saibrands.com


Requirement for Email and Electronic Filing: I understand that a valid email address must be maintained by the owner/holder and the owner's/holder's attorney, if appointed, and that all official trademark correspondence must be submitted via the Trademark Electronic Application System (TEAS).


Signature: /richard stautberg/      Date: 08/23/2021
Signatory's Name: Richard Stautberg
Signatory's Position: Manager
Signatory's Phone Number: 513-271-4594
Signature method: Signed directly within the form

The signatory has confirmed that he/she is either: (1) the owner/holder; or (2) a person or persons with legal authority to bind the owner/holder.


Serial Number: 74510419
Internet Transmission Date: Mon Aug 23 12:59:34 ET 2021
TEAS Stamp: USPTO/CAR-XX.XX.XXX.XXX-2021082312593477
4745-74510419-7813663be1c9f2465c35e3bb2c
19387cf5c2217829ceea2b302dcc5bc39f31b-N/
A-N/A-20210823125756516736



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