| 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 | 76717271 |
| REGISTRATION NUMBER | 4829293 |
| LAW OFFICE ASSIGNED | LAW OFFICE 117 |
| MARK SECTION | |
| MARK | GRIP ZONE (standard characters, see http://tmng-al.uspto.gov /resting2/api/img/7671727 1/large) |
| OWNER SECTION(current) | |
| NAME | Sassak, Mark S |
| MAILING ADDRESS | 1340 Linden |
| CITY | Plymouth |
| STATE | Michigan |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| ZIP/POSTAL CODE | 48170 |
| ATTORNEY SECTION(current) | |
| NAME | Gerald R. Black |
| ATTORNEY BAR MEMBERSHIP NUMBER | NOT SPECIFIED |
| YEAR OF ADMISSION | NOT SPECIFIED |
| U.S. STATE/ COMMONWEALTH/ TERRITORY | NOT SPECIFIED |
| FIRM NAME | Gerald R. Black, Esq. |
| STREET | 26234 Summerdale Drive |
| CITY | SOUTHFIELD |
| STATE | Michigan |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| POSTAL/ZIP CODE | 48033 |
| PHONE | (248) 644-1014 |
| FAX | 413.521.4703 |
| grblack@usipattorney.net | |
| DOCKET/REFERENCE NUMBER(S) | MSS-USTA-003 |
| CORRESPONDENCE SECTION(current) | |
| NAME | GERALD R. BLACK |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | grblack@usipattorney.net |
| SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) | NOT PROVIDED |
| DOCKET/REFERENCE NUMBER(S) | MSS-USTA-003 |
| 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 | Sassak, Mark S |
| MAILING ADDRESS | 1340 Linden |
| CITY | Plymouth |
| STATE | Michigan |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| ZIP/POSTAL CODE | 48170 |
| 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 | Gerald R. Black |
| ATTORNEY BAR MEMBERSHIP NUMBER | XXX |
| YEAR OF ADMISSION | XXXX |
| U.S. STATE/ COMMONWEALTH/ TERRITORY | XX |
| FIRM NAME | Gerald R. Black, Esq. |
| STREET | 6690 W. Maple Rd. #2221 |
| CITY | West Bloomfield |
| STATE | Michigan |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| POSTAL/ZIP CODE | 48322 |
| PHONE | 248.862.6956 |
| grblack@usipattorney.net | |
| DOCKET/REFERENCE NUMBER(S) | MSS-USTA-003 |
| CORRESPONDENCE SECTION (proposed) | |
| NAME | Gerald R. Black |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | grblack@usipattorney.net |
| SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) | NOT PROVIDED |
| DOCKET/REFERENCE NUMBER(S) | MSS-USTA-003 |
| SIGNATURE SECTION | |
| SIGNATURE | /Gerald R. Black, Esq./ |
| SIGNATORY NAME | Gerald R. Black, Esq. |
| SIGNATORY DATE | 03/21/2020 |
| SIGNATORY POSITION | Counsel |
| SIGNATORY PHONE NUMBER | 248.862.6956 |
| AUTHORIZED SIGNATORY | YES |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Sat Mar 21 19:12:40 ET 2020 |
| TEAS STAMP | USPTO/CAR-XX.XX.XX.XXX-20 200321191240700983-767172 71-71066c9a62bcec84bdaa02 19ca2b6513d230d89b42828e9 2ea28c494e0acbcd1d5-N/A-N /A-20200321190747742763 |
| 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) |