| PTO Form 2201 (Rev 5/2006) |
| OMB No. 0651-0056 (Exp 09/30/2011) |
| Input Field |
Entered |
|---|---|
| SERIAL NUMBER | 78418465 |
| MARK SECTION | |
| MARK | ACTIVA |
| WITHDRAWAL OF ATTORNEY SECTION | |
| REASON TEXT | No longer represent company. |
| WITHDRAWAL STATEMENT | I have given due notice to the applicant/registrant of withdrawal from employment and the filing of this request for withdrawal with the USPTO. |
| WITHDRAWAL STATEMENT | I have delivered to the applicant/registrant all papers and property in any file concerning the prosecution of the mark. |
| WITHDRAWAL STATEMENT | I have notified the applicant/registrant of any responses that may be due and the timeframe within which the applicant/registrant must file the response. |
| WITHDRAWAL STATEMENT | I have given the applicant/registrant notice of withdrawal from employment at least two (2) months prior to the expiration of the response period. |
| CORRESPONDENCE SECTION | |
| ORIGINAL CORRESPONDENCE ADDRESS | Karen L. Liepmann, Esq. Gallagher & Kennedy, P.A. 2575 East Camelback Road Phoenix, AZ 85016 |
| NEW CORRESPONDENCE ADDRESS | |
| NAME | Activa Rx, Inc. |
| STREET | 4040 East Camelback Road, Suite 158 |
| CITY | Phoenix |
| STATE | Arizona |
| POSTAL/ZIP CODE | 85018 |
| COUNTRY | United States |
| PHONE | 602-468-9500 |
| FAX | 602-468-1991 |
| SIGNATURE SECTION | |
| SIGNATURE | /Karen L. Liepmann/ |
| SIGNATORY NAME | Karen L. Liepmann |
| SIGNATORY DATE | 08/07/2009 |
| SIGNATORY POSITION | Attorney of Record |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Fri Aug 07 17:36:54 EDT 2009 |
| TEAS STAMP | USPTO/WOA-XX.XXX.XX.X-200 90807173654032365-7841846 5-420d6ed13dc1646b359b417 927b78f44c-N/A-N/A-200908 07173500793635 |