| PTO Form 2196 (Rev 9/2005) |
| OMB No. 0651-0056 (Exp 9/30/2017) |
| Input Field | Entered |
|---|---|
| SERIAL NUMBER | 79124603 |
| LAW OFFICE ASSIGNED | LAW OFFICE 104 |
| MARK SECTION | |
| MARK | VCP VEUVE CLICQUOT VCP VEUVE CLICQUOT VEUVE CLICQUOT (stylized and/or with design) |
| DOMESTIC REPRESENTATIVE SECTION | |
| ORIGINAL ADDRESS | |
| CORRESPONDENCE SECTION | |
| ORIGINAL ADDRESS | CHAMPAGNE VEUVE CLICQUOT / MHCS - 65, 67 AVENUE DE LA GRANDE ARMÉE F-75116 PARIS FR |
| NEW DOMESTIC REPRESENTATIVE ADDRESS | |
| 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: |
| NAME | Fross Zelnick Lehrman & Zissu, P.C. |
| FIRM NAME | Fross Zelnick Lehrman & Zissu, P.C. |
| STREET | 866 United Nations Plaza |
| CITY | New York |
| STATE | New York |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 10017 |
| NEW CORRESPONDENCE ADDRESS | |
| NAME | Nancy DiConza |
| FIRM NAME | Fross Zelnick Lehrman & Zissu, P.C. |
| STREET | 866 United Nations Plaza |
| CITY | New York |
| STATE | New York |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 10017 |
| PHONE | 212-813-5900 |
| FAX | 212-813-5901 |
| diconza-docket@fzlz.com | |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
| SIGNATURE SECTION | |
| SIGNATORY FILE | |
| ORIGINAL PDF FILE | hw_6547140130-175918694_._ve_Clicquot_Label_Design_Set_-_Signed_ADR_and_CAC__F1192675_.PDF |
| CONVERTED PDF FILE(S) (1 page) |
\\TICRS\EXPORT16\IMAGEOUT16\791\246\79124603\xml8\RAA0002.JPG |
| SIGNATORY NAME | Charles Louvrier |
| SIGNATORY POSITION | IP In-House Counsel |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Wed Mar 20 18:17:29 EDT 2013 |
| TEAS STAMP | USPTO/RAA-XX.XX.XXX.XXX-2 0130320181729229536-79124 603-500ed98b585dab1e562bf b7c896ce7ac337cae39d5ff7c a3cb2aba4e10b6aab2d7-N/A- N/A-20130320175918694209 |
| PTO Form 2196 (Rev 9/2005) |
| OMB No. 0651-0056 (Exp 9/30/2017) |
