| PTO- 2300 |
| Approved for use through 11/30/2020. 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 |
| Input Field | Entered |
|---|---|
| SERIAL NUMBER | 76567541 |
| REGISTRATION NUMBER | 3025204 |
| LAW OFFICE ASSIGNED | LAW OFFICE 105 |
| MARK SECTION | |
| MARK | 1.800.KIDS DOC (standard characters, see http://uspto.report/TM/76567541/mark.png) |
| OWNER SECTION(current) | |
| NAME | CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER |
| MAILING ADDRESS | 225 E. CHICAGO AVENUE |
| CITY | CHICAGO |
| STATE | Illinois |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| ZIP/POSTAL CODE | 60611 |
| 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 | CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER |
| MAILING ADDRESS | 225 East Chicago Avenue |
| CITY | Chicago |
| STATE | Illinois |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| ZIP/POSTAL CODE | 60611 |
| PHONE | 312-984-3100 |
| FAX | 312-984-3150 |
| XXXX | |
| ATTORNEY SECTION(current) | |
| NAME | Scott J. Slavick |
| ATTORNEY BAR MEMBERSHIP NUMBER | XXX |
| YEAR OF ADMISSION | XXXX |
| U.S. STATE/ COMMONWEALTH/ TERRITORY | XX |
| FIRM NAME | Barack Ferrazzano Kirschbaum & Nagelberg LLP |
| STREET | 200 West Madison Street, Suite 3900 |
| CITY | CHICAGO |
| STATE | Illinois |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| POSTAL/ZIP CODE | 60606 |
| PHONE | 312-984-3100 |
| FAX | 312-984-3150 |
| trademarks@bfkn.com | |
| DOCKET/REFERENCE NUMBER(S) | CHOC-0010 |
| 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 | Scott J. Slavick |
| ATTORNEY BAR MEMBERSHIP NUMBER | XXX |
| YEAR OF ADMISSION | XXXX |
| U.S. STATE/ COMMONWEALTH/ TERRITORY | XX |
| FIRM NAME | Barack Ferrazzano Kirschbaum & Nagelberg LLP |
| OTHER APPOINTED ATTORNEY(S) | Wendi E. Sloane, Thomas M. Gniot, Karyn L. Doerfler, Sharon Calhoun, and David Bluestone |
| STREET | 200 West Madison Street, Suite 3900 |
| CITY | CHICAGO |
| STATE | Illinois |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| POSTAL/ZIP CODE | 60606 |
| PHONE | 312-984-3100 |
| FAX | 312-984-3150 |
| trademarks@bfkn.com | |
| DOCKET/REFERENCE NUMBER(S) | CHOC-0010 |
| CORRESPONDENCE SECTION(current) | |
| NAME | Scott J. Slavick |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | trademarks@bfkn.com |
| SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) | NOT PROVIDED |
| DOCKET/REFERENCE NUMBER(S) | CHOC-0010 |
| CORRESPONDENCE SECTION (proposed) | |
| NAME | Scott J. Slavick |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | trademarks@bfkn.com |
| SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) | NOT PROVIDED |
| DOCKET/REFERENCE NUMBER(S) | CHOC-0010 |
| SIGNATURE SECTION | |
| SIGNATURE | /Scott J. Slavick/ |
| SIGNATORY NAME | Scott J. Slavick |
| SIGNATORY DATE | 06/17/2021 |
| SIGNATORY POSITION | Attorney of Record, Illinois Bar Member |
| SIGNATORY PHONE NUMBER | 312-984-3100 |
| ROLE OF AUTHORIZED SIGNATORY | Authorized U.S.-Licensed Attorney |
| SIGNATURE METHOD | Signed directly within the form |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Thu Jun 17 15:07:47 ET 2021 |
| TEAS STAMP | USPTO/CAR-XX.XX.XXX.XXX-2 0210617150747470607-86831 813-780c8c69bc829c687c5a5 fc1b8a4a5622de4d351152faa cd2b22e64329dd407b-N/A-N/ A-20210617150706425510 |
| PTO- 2300 |
| Approved for use through 11/30/2020. 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 |