Change Address or Representation Form

ERGOPRIZE

INSTITUTE OF INDUSTRIAL AND SYSTEMS ENGINEERS, 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 76694467
REGISTRATION NUMBER 3733052
LAW OFFICE ASSIGNED LAW OFFICE 101
MARK SECTION
MARK ERGOPRIZE (standard characters, see http://uspto.report/TM/76694467/mark.png)
OWNER SECTION(current)
NAME INSTITUTE OF INDUSTRIAL AND SYSTEMS ENGINEERS, INC.
MAILING ADDRESS 3577 PARKWAY LANE, SUITE 200
CITY NORCROSS
STATE Georgia
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
ZIP/POSTAL CODE 30092
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 INSTITUTE OF INDUSTRIAL AND SYSTEMS ENGINEERS, INC.
INTERNAL ADDRESS Suite 200
MAILING ADDRESS 3577 Parkway Lane
CITY Norcross
STATE Georgia
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
ZIP/POSTAL CODE 30092-2988
PHONE 202-408-5955
FAX 912-236-3003
EMAIL XXXX
ATTORNEY SECTION(current)
NAME Barth X. deRosa
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
FIRM NAME Belzer PC
INTERNAL ADDRESS 2905 Bull Street
STREET 2905 Bull Street
CITY Savannah
STATE Georgia
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
POSTAL/ZIP CODE 31405
PHONE (202) 408-5955
FAX 912-236-3003
EMAIL bderosa@belzerlaw.com
DOCKET/REFERENCE NUMBER(S) 355-128
STATEMENT OF THE REASON FOR REPLACEMENT
Attorney changed law firms from Dickinson Wright PLLC to Belzer PC
ATTORNEY SECTION (proposed)
STATEMENT TEXT By submission of this request, the undersigned confirms that (1) representation is ongoing and (2) that the individual listed below should now be identified as the attorney of record:
NAME Barth X. deRosa
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
FIRM NAME Belzer PC
OTHER APPOINTED ATTORNEY(S) Nathan Belzer and Michael Ceratti
INTERNAL ADDRESS 2905 Bull Street
STREET 2905 Bull Street
CITY Savannah
STATE Georgia
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
POSTAL/ZIP CODE 31405
PHONE 9122363001
FAX 912-236-3003
EMAIL bderosa@belzerlaw.com
DOCKET/REFERENCE NUMBER(S) 355-128
CORRESPONDENCE SECTION(current)
NAME Barth X. deRosa
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE bderosa@belzerlaw.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) rwomack@belzerlaw.com; paralegal@belzerlaw.com
DOCKET/REFERENCE NUMBER(S) 355-128
CORRESPONDENCE SECTION (proposed)
NAME Barth X. deRosa
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE bderosa@belzerlaw.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) rwomack@belzerlaw.com; paralegal@belzerlaw.com
DOCKET/REFERENCE NUMBER(S) 355-128
SIGNATURE SECTION
SIGNATURE /barth x.derosa/
SIGNATORY NAME Barth X deRosa
SIGNATORY DATE 08/31/2021
SIGNATORY POSITION Attorney of Record
SIGNATORY PHONE NUMBER 2024085955
ROLE OF AUTHORIZED SIGNATORY Authorized U.S.-Licensed Attorney
SIGNATURE METHOD Signed directly within the form
FILING INFORMATION SECTION
SUBMIT DATE Tue Aug 31 15:03:32 ET 2021
TEAS STAMP USPTO/CAR-XXX.X.X.XXX-202
10831150332893615-8787098
7-781b7ae25bc9055c6677fd8
8829bb885284f595d24ab1f09
9362c68778065ac84b3-N/A-N
/A-20210831143805575033



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: ERGOPRIZE (standard characters, see http://uspto.report/TM/76694467/mark.png)
SERIAL NUMBER: 76694467
REGISTRATION NUMBER: 3733052


Owner Section (Current) :
INSTITUTE OF INDUSTRIAL AND SYSTEMS ENGINEERS, INC.
3577 PARKWAY LANE, SUITE 200
NORCROSS, Georgia 30092
United States
XXXX

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

Owner Section (proposed):
INSTITUTE OF INDUSTRIAL AND SYSTEMS ENGINEERS, INC.
Suite 200
3577 Parkway Lane
Norcross, Georgia 30092-2988
United States
202-408-5955
912-236-3003
XXXXAttorney Section (Current):
Barth X. deRosa of Belzer PC
XX bar, admitted in XXXX, bar membership no. XXX, is located at
2905 Bull Street
2905 Bull Street
Savannah, Georgia 31405
United States
(202) 408-5955
912-236-3003
Email Address: bderosa@belzerlaw.com
Docket Reference Number(s):355-128.

STATEMENT OF THE REASON FOR REPLACEMENT
Attorney changed law firms from Dickinson Wright PLLC to Belzer PC

By submission of this request, the undersigned confirms that (1) representation is ongoing and (2) that the individual listed below should now be identified as the attorney of record:

Attorney Section (proposed):
Barth X. deRosa of Belzer PC
XX bar, admitted in XXXX, bar membership no. XXX, is located at
2905 Bull Street
2905 Bull Street
Savannah, Georgia 31405
United States
9122363001
912-236-3003
bderosa@belzerlaw.com
Other Appointed Attorney(s): Nathan Belzer and Michael Ceratti
Docket Reference Number(s): 355-128Barth X. deRosa 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 (Current):
Barth X. deRosa
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: bderosa@belzerlaw.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): rwomack@belzerlaw.com; paralegal@belzerlaw.com
Docket Reference Number(s): 355-128

Correspondence Section (proposed):
Barth X. deRosa
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: bderosa@belzerlaw.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): rwomack@belzerlaw.com; paralegal@belzerlaw.com
Docket Reference Number(s): 355-128


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: /barth x.derosa/      Date: 08/31/2021
Signatory's Name: Barth X deRosa
Signatory's Position: Attorney of Record
Signatory's Phone Number: 2024085955
Signature method: Signed directly within the form

The signatory has confirmed that he/she is a U.S.-licensed attorney who is an active member in good standing of the bar of the highest court of a U.S. state (including the District of Columbia and any U.S. Commonwealth or territory); and he/she is currently the owner's/holder's attorney or an associate thereof; and to the best of his/her knowledge, if prior to his/her appointment another U.S.-licensed attorney not currently associated with his/her company/firm previously represented the owner/holder in this matter: the owner/holder has revoked their power of attorney by a signed revocation or substitute power of attorney with the USPTO; the USPTO has granted that attorney's withdrawal request; the owner/holder has filed a power of attorney appointing him/her in this matter; or the owner's/holder's appointed U.S.-licensed attorney has filed a power of attorney appointing him/her as an associate attorney in this matter.


Serial Number: 76694467
Internet Transmission Date: Tue Aug 31 15:03:32 ET 2021
TEAS Stamp: USPTO/CAR-XXX.X.X.XXX-202108311503328936
15-87870987-781b7ae25bc9055c6677fd88829b
b885284f595d24ab1f099362c68778065ac84b3-
N/A-N/A-20210831143805575033



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