| 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 | 76028213 |
| REGISTRATION NUMBER | 2592520 |
| LAW OFFICE ASSIGNED | LAW OFFICE 106 |
| MARK SECTION | |
| MARK | SELECT CUSTOM PACKAGE (standard characters, see http://tmng-al.uspto.gov /resting2/api/img/7602821 3/large) |
| OWNER SECTION(current) | |
| NAME | LIBERTY MUTUAL AGENCY CORPORATION |
| MAILING ADDRESS | 175 Berkeley Street |
| CITY | Boston |
| STATE | Massachusetts |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| ZIP/POSTAL CODE | 02116 |
| CORRESPONDENCE SECTION(current) | |
| NAME | Lisa Parker Gates |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | chiusptomail@bakermckenzie.com |
| SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) | louann.murray@bakermckenzie.com |
| DOCKET/REFERENCE NUMBER(S) | 090935 |
| 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 | LIBERTY MUTUAL AGENCY CORPORATION |
| MAILING ADDRESS | 175 Berkeley Street |
| CITY | Boston |
| STATE | Massachusetts |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| ZIP/POSTAL CODE | 02116 |
| 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 | Nadya M. Sand |
| ATTORNEY BAR MEMBERSHIP NUMBER | XXX |
| YEAR OF ADMISSION | XXXX |
| U.S. STATE/ COMMONWEALTH/ TERRITORY | XX |
| FIRM NAME | Alston & Bird |
| OTHER APPOINTED ATTORNEY(S) | Lauren Timmons, Mary Grace Gallagher, Michelle Wilco, Kristin Adams, Sara Miller |
| STREET | 1201 West Peachtree Street |
| CITY | Atlanta |
| STATE | Georgia |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| POSTAL/ZIP CODE | 30309 |
| PHONE | 404-881-7000 |
| FAX | 404-881-7777 |
| ipatl@alston.com | |
| CORRESPONDENCE SECTION (proposed) | |
| NAME | Nadya M. Sand |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | ipatl@alston.com |
| SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) | kelly.branch@alston.com |
| SIGNATURE SECTION | |
| SIGNATURE | /Scott E. Schrum/ |
| SIGNATORY NAME | Scott E. Schrum |
| SIGNATORY DATE | 11/11/2020 |
| SIGNATORY POSITION | AVP & Senior Corporate Counsel |
| AUTHORIZED SIGNATORY | YES |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Wed Nov 11 15:48:21 ET 2020 |
| TEAS STAMP | USPTO/CAR-XX.XXX.XX.XXX-2 0201111154821290816-85135 890-75012d1a6d9c63f14d51e 52995774fa1a35d476b7a88f3 d5221ff95ada28f34-N/A-N/A -20201111141441358434 |
| 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) |