| 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 | 78043207 |
| REGISTRATION NUMBER | 2666518 |
| LAW OFFICE ASSIGNED | LAW OFFICE 102 |
| MARK SECTION | |
| MARK | LICOX (standard characters, see http://teas.gov.uspto.report/cc r/view/common/No-Image-Fi le.jpg) |
| OWNER SECTION(current) | |
| NAME | INTEGRA NEUROSCIENCES IMPLANTS (FRANCE) SAS |
| MAILING ADDRESS | 2905 ROUTE DES DOLINES-SOPHIA ANTIPOLIS |
| CITY | BIOT |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | France |
| DOMESTIC REPRESENTATIVE SECTION(current) | |
| NAME | Thomas A. Runk |
| PHONE | 310-824-5555 |
| FAX | 310-824-9696 |
| CORRESPONDENCE SECTION(current) | |
| NAME | Integra LifeSciences Corporation |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | eva.tan@integralife.com |
| SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) | NOT PROVIDED |
| 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 | INTEGRA NEUROSCIENCES IMPLANTS (FRANCE) SAS |
| MAILING ADDRESS | 2905 ROUTE DES DOLINES-SOPHIA ANTIPOLIS |
| CITY | BIOT |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | France |
| ZIP/POSTAL CODE | 06410 |
| PHONE | 609-275-0500 |
| 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 | Eva Tan |
| ATTORNEY BAR MEMBERSHIP NUMBER | XXX |
| YEAR OF ADMISSION | XXXX |
| U.S. STATE/ COMMONWEALTH/ TERRITORY | XX |
| FIRM NAME | Integra LifeSciences Corporation |
| INTERNAL ADDRESS | Attn: Law Dept./IP Group |
| STREET | 1100 Campus Road |
| CITY | Princeton |
| STATE | New Jersey |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| POSTAL/ZIP CODE | 08540 |
| PHONE | 609-936-6847 |
| eva.tan@integralife.com | |
| DOMESTIC REPRESENTATIVE SECTION (proposed) | |
| STATEMENT TEXT | By submission of this request, the undersigned REVOKES the power of domestic representative currently of record, as listed above, and hereby APPOINTS the following new domestic representative: |
| NAME | Eva Tan |
| FIRM NAME | Integra LifeSciences Corporation |
| INTERNAL ADDRESS | Attn: Law Dept./IP Group |
| STREET | 1100 Campus Road |
| CITY | Princeton |
| STATE | New Jersey |
| POSTAL/ZIP CODE | 08540 |
| PHONE | 609-936-6847 |
| eva.tan@integralife.com | |
| CORRESPONDENCE SECTION (proposed) | |
| NAME | Eva Tan |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | eva.tan@integralife.com |
| SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) | trademark@integralife.com |
| SIGNATURE SECTION | |
| SIGNATURE | /Jeff Mosebrook/ |
| SIGNATORY NAME | Jeff Mosebrook |
| SIGNATORY DATE | 06/10/2020 |
| SIGNATORY POSITION | Chairman |
| SIGNATORY PHONE NUMBER | 609-275-0500 |
| AUTHORIZED SIGNATORY | YES |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Wed Jun 10 11:01:45 ET 2020 |
| TEAS STAMP | USPTO/CAR-XX.XXX.XX.XXX-2 0200610110145939772-78043 207-7101677a0511bcfaadc22 9c58dee119e3d04fb9f16abb2 04ff29ff370fa92eb06c-N/A- N/A-20200609155051961681 |
| 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) |