| 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 2196 (Rev 09/2005) |
| OMB No. 0651-0056 (Exp 11/30/2020) |
| Input Field | Entered |
|---|---|
| SERIAL NUMBER | 76713758 |
| REGISTRATION NUMBER | 4540969 |
| LAW OFFICE ASSIGNED | LAW OFFICE 118 |
| MARK SECTION | |
| MARK | Design only |
| CURRENT ATTORNEY ADDRESS | |
| NAME | Thomas J. Vande Sande |
| ATTORNEY BAR MEMBERSHIP NUMBER | NOT SPECIFIED |
| YEAR OF ADMISSION | NOT SPECIFIED |
| U.S. STATE/ COMMONWEALTH/ TERRITORY | NOT SPECIFIED |
| STREET | 10220 RIVER RD STE 200 |
| CITY | POTOMAC |
| STATE | Maryland |
| COUNTRY | US |
| POSTAL/ZIP CODE | 20854 |
| CURRENT DOMESTIC REPRESENTATIVE ADDRESS | |
| NAME | Thomas J. Vande Sande |
| CURRENT CORRESPONDENCE ADDRESS | |
| NAME | THOMAS J. VANDE SANDE |
| STREET | 10220 RIVER RD STE 200 |
| CITY | POTOMAC |
| STATE | Maryland |
| COUNTRY | US |
| POSTAL/ZIP CODE | 20854 |
| NEW ATTORNEY INFORMATION | |
| 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 | Stewart J. Bellus |
| ATTORNEY BAR MEMBERSHIP NUMBER | XXX |
| YEAR OF ADMISSION | XXXX |
| U.S. STATE/ COMMONWEALTH/ TERRITORY | XX |
| FIRM NAME | Collard & Roe, P.C. |
| STREET | 1077 Northern Blvd. |
| CITY | Roslyn |
| STATE | New York |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 11576 |
| PHONE | 5163659802 |
| FAX | 5163659805 |
| law@collardroe.com | |
| ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
| INDIVIDUAL ATTORNEY DOCKET/REFERENCE NUMBER |
|
| OTHER APPOINTED ATTORNEY | Stewart J. Bellus |
| NEW DOMESTIC REPRESENTATIVE INFORMATION | |
| STATEMENT TEXT | By submission of this request, the undersigned hereby appoints the following new domestic representative upon whom notices or process affecting the mark may be served or changes the address of an existing domestic representative of record: |
| NAME | Stewart J. Bellus |
| FIRM NAME | Collard & Roe, P.C. |
| STREET | 1077 Northern Blvd. |
| CITY | Roslyn |
| STATE | New York |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 11576 |
| PHONE | 5163659802 |
| FAX | 5163659805 |
| law@collardroe.com | |
| INDIVIDUAL ATTORNEY DOCKET/REFERENCE NUMBER |
|
| NEW CORRESPONDENCE INFORMATION | |
| NAME | Stewart J. Bellus |
| FIRM NAME | Collard & Roe, P.C. |
| STREET | 1077 Northern Blvd. |
| CITY | Roslyn |
| STATE | New York |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 11576 |
| PHONE | 5163659802 |
| FAX | 5163659805 |
| law@collardroe.com | |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
| INDIVIDUAL ATTORNEY DOCKET/REFERENCE NUMBER |
|
| SIGNATURE SECTION | |
| SIGNATURE | /sjb/ |
| SIGNATORY NAME | Stewart J. Bellus |
| SIGNATORY DATE | 01/24/2020 |
| SIGNATORY POSITION | AUTHORIZED ATTORNEY, MEMBER OF NEW YORK BAR |
| SIGNATORY PHONE NUMBER | 5163659802 |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Fri Jan 24 14:45:16 EST 2020 |
| TEAS STAMP | USPTO/RAA-XX.XXX.XXX.XX-2 0200124144516842462-86875 323-7002b6350645029ccc569 9ce2a68df386ec5e5e4330491 e76af3128f4f773c215-N/A-N /A-20200124141007443050 |
| 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 2196 (Rev 09/2005) |
| OMB No. 0651-0056 (Exp 11/30/2020) |