| 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 | 76714800 |
| REGISTRATION NUMBER | 4527343 |
| LAW OFFICE ASSIGNED | LAW OFFICE 115 |
| MARK SECTION | |
| MARK | AGE DEFYING FUSION (standard characters, see http://tmng-al.uspto.gov /resting2/api/img/7671480 0/large) |
| OWNER SECTION(current) | |
| NAME | FALLIEN COSMECEUTICALS, LTD. |
| INTERNAL ADDRESS | 2495 Boulevard of the Generals |
| MAILING ADDRESS | Building B, Unit 1 |
| CITY | Norristown |
| STATE | Pennsylvania |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| ZIP/POSTAL CODE | 19403 |
| PHONE | (603) 630-6800 |
| XXXX | |
| ATTORNEY SECTION(current) | |
| NAME | David M. Perry |
| ATTORNEY BAR MEMBERSHIP NUMBER | XXX |
| YEAR OF ADMISSION | XXXX |
| U.S. STATE/ COMMONWEALTH/ TERRITORY | XX |
| FIRM NAME | Blank Rome LLP |
| INTERNAL ADDRESS | 8th Floor |
| STREET | One Logan Square |
| CITY | Philadelphia |
| STATE | Pennsylvania |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| POSTAL/ZIP CODE | 19103 |
| PHONE | 215-567-5767 |
| FAX | 215-832-5767 |
| perry@blankrome.com | |
| DOCKET/REFERENCE NUMBER(S) | 103223-00101 |
| CORRESPONDENCE SECTION(current) | |
| NAME | David M. Perry |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | perry@blankrome.com |
| SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) | ndekovich@blankrome.com |
| DOCKET/REFERENCE NUMBER(S) | 103223-00101 |
| 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 | FALLIEN COSMECEUTICALS, LTD. |
| MAILING ADDRESS | 2541 General Armistead Avenue |
| CITY | Norristown |
| STATE | Pennsylvania |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| ZIP/POSTAL CODE | 19403 |
| PHONE | (603) 630-6800 |
| 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 | David M. Perry |
| ATTORNEY BAR MEMBERSHIP NUMBER | XXX |
| YEAR OF ADMISSION | XXXX |
| U.S. STATE/ COMMONWEALTH/ TERRITORY | XX |
| FIRM NAME | Blank Rome LLP |
| OTHER APPOINTED ATTORNEY(S) | Timothy D. Pecsenye, Bruce D. George, Lisa Casey Spaniel, Megan E. Spitz, Zachary A. Aria, Matthew A. Homyk, Bradford C. Craig, Shaun J. Bockert, Samar Aryani-Sabet, Blake D. Fink and Jillian M. Taylor |
| INTERNAL ADDRESS | 8th Floor |
| STREET | One Logan Square |
| CITY | Philadelphia |
| STATE | Pennsylvania |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| POSTAL/ZIP CODE | 19103 |
| PHONE | 215-569-5767 |
| FAX | 215-832-5767 |
| perry@blankrome.com | |
| DOCKET/REFERENCE NUMBER(S) | 103223-00101 |
| CORRESPONDENCE SECTION (proposed) | |
| NAME | David M. Perry |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | perry@blankrome.com |
| SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) | ndekovich@blankrome.com |
| DOCKET/REFERENCE NUMBER(S) | 103223-00101 |
| SIGNATURE SECTION | |
| SIGNATURE | /David M. Perry/ |
| SIGNATORY NAME | David M. Perry |
| SIGNATORY DATE | 11/18/2020 |
| SIGNATORY POSITION | Attorney of Record, Pennsylvania Bar Member |
| SIGNATORY PHONE NUMBER | 2155695767 |
| AUTHORIZED SIGNATORY | YES |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Wed Nov 18 15:32:36 ET 2020 |
| TEAS STAMP | USPTO/CAR-XX.XX.XXX.X-202 01118153236950424-7670932 2-750387363f76076f1b378e9 55b7cf72e2e94c61415c2cbc3 fa9d3402ee0a13ca7d2-N/A-N /A-20201118152632353323 |
| 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) |