Change Address or Representation Form

EXABLATE

INSIGHTEC LTD

Change Address or Representation Form

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)

Change Address or Representation Form


The table below presents the data as entered.

Input Field Entered
SERIAL NUMBER 76314620
REGISTRATION NUMBER 2914786
LAW OFFICE ASSIGNED LAW OFFICE 116
MARK SECTION
MARK EXABLATE (standard characters, see http://tmng-al.uspto.gov /resting2/api/img/7631462 0/large)
OWNER SECTION(current)
NAME INSIGHTEC LTD
MAILING ADDRESS 5 NAHUM HETH STREET
CITY TIRAT CARMEL
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY Israel
ZIP/POSTAL CODE 39120
ATTORNEY SECTION(current)
NAME Rachelle A. Dubow, Esq.
ATTORNEY BAR MEMBERSHIP NUMBER NOT SPECIFIED
YEAR OF ADMISSION NOT SPECIFIED
U.S. STATE/ COMMONWEALTH/ TERRITORY NOT SPECIFIED
FIRM NAME Bingham McCutchen LLP
STREET 1 Federal Street
CITY BOSTON
STATE Massachusetts
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
POSTAL/ZIP CODE 02110
PHONE 617-951-8000
FAX 617-951-8736
EMAIL rachelle.dubow@bingham.com
DOCKET/REFERENCE NUMBER(S) INS-601
CORRESPONDENCE SECTION(current)
NAME Rachelle A. Dubow, Esq.
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE rachelle.dubow@bingham.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) NOT PROVIDED
DOCKET/REFERENCE NUMBER(S) INS-601
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 INSIGHTEC LTD
MAILING ADDRESS 5 NAHUM HETH STREET
CITY TIRAT CARMEL
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY Israel
ZIP/POSTAL CODE 39120
EMAIL XXXX
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 Julia Anne Matheson
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
FIRM NAME Potomac Law Group, PLLC
OTHER APPOINTED ATTORNEY(S) Janet F. Satterthwaite, Bonny B. Plosker, Todd S. Bontemps
INTERNAL ADDRESS Suite 700
STREET 1300 Pennsylvania Avenue, NW
CITY Washington
STATE District of Columbia
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
POSTAL/ZIP CODE 20004
PHONE 202-251-6920
FAX 202-318-7707
EMAIL tm@potomaclaw.com
DOCKET/REFERENCE NUMBER(S) 2836-0011US
CORRESPONDENCE SECTION (proposed)
NAME Julia Anne Matheson
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE tm@potomaclaw.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) jmatheson@potomaclaw.com
DOCKET/REFERENCE NUMBER(S) 2836-0011US
SIGNATURE SECTION
SIGNATORY FILE
       ORIGINAL PDF FILE hw_7220560181-095955017_. _INSIGHTEC_LTD_Signatre_P age_U.S._Power_of_Attorne y.pdf
       CONVERTED PDF FILE(S)
       (1 page)
\\TICRS\EXPORT18\IMAGEOUT 18\763\146\76314620\xml1\ CAR0002.JPG
SIGNATORY NAME John W Campo Jr
SIGNATORY POSITION Chief Legal Officer
SIGNATORY PHONE NUMBER 202-251-6920
AUTHORIZED SIGNATORY YES
FILING INFORMATION SECTION
SUBMIT DATE Thu Oct 01 10:04:29 ET 2020
TEAS STAMP USPTO/CAR-XX.XXX.XX.XXX-2
0201001100429747807-76148
396-7506e9dec9fb7dbd5c526
f04de0d8a483c1fba29d1af57
d1b60a9bad3e6ea7b87a6-N/A
-N/A-20201001095955017803



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)


Change Address or Representation Form


To the Commissioner for Trademarks:

MARK: EXABLATE (standard characters, see http://tmng-al.uspto.gov /resting2/api/img/7631462 0/large)
SERIAL NUMBER: 76314620
REGISTRATION NUMBER: 2914786


Owner Section (Current) :
INSIGHTEC LTD
5 NAHUM HETH STREET
TIRAT CARMEL 39120
Israel
Attorney Section (Current):
Rachelle A. Dubow, Esq. of Bingham McCutchen LLP
is located at
1 Federal Street
BOSTON, Massachusetts 02110
United States
617-951-8000
617-951-8736
Email Address: rachelle.dubow@bingham.com
Docket Reference Number(s):INS-601.

Correspondence Section (Current):
Rachelle A. Dubow, Esq.
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: rachelle.dubow@bingham.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): NOT PROVIDED
Docket Reference Number(s): INS-601


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

Owner Section (proposed):
INSIGHTEC LTD
5 NAHUM HETH STREET
TIRAT CARMEL 39120
Israel
XXXX
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:

Attorney Section (proposed):
Julia Anne Matheson of Potomac Law Group, PLLC
XX bar, admitted in XXXX, bar membership no. XXX, is located at
Suite 700
1300 Pennsylvania Avenue, NW
Washington, District of Columbia 20004
United States
202-251-6920
202-318-7707
tm@potomaclaw.com
Other Appointed Attorney(s): Janet F. Satterthwaite, Bonny B. Plosker, Todd S. Bontemps
Docket Reference Number(s): 2836-0011USJulia Anne Matheson submitted the following statement: The attorney of record is an active member in good standing of the bar of the highest court of a U.S. state, the District of Columbia, or any U.S. Commonwealth or territory.
Correspondence Section (proposed):
Julia Anne Matheson
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: tm@potomaclaw.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): jmatheson@potomaclaw.com
Docket Reference Number(s): 2836-0011US




Original PDF file:
hw_7220560181-095955017_. _INSIGHTEC_LTD_Signatre_P age_U.S._Power_of_Attorne y.pdf
Converted PDF file(s) (1 page)
Signature File1
Signatory's Name: John W Campo Jr
Signatory's Position: Chief Legal Officer
Signatory's Phone Number: 202-251-6920

Serial Number: 76314620
Internet Transmission Date: Thu Oct 01 10:04:29 ET 2020
TEAS Stamp: USPTO/CAR-XX.XXX.XX.XXX-2020100110042974
7807-76148396-7506e9dec9fb7dbd5c526f04de
0d8a483c1fba29d1af57d1b60a9bad3e6ea7b87a
6-N/A-N/A-20201001095955017803


Change Address or Representation Form [image/jpeg]


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