| 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 | 86548003 |
| REGISTRATION NUMBER | 4782097 |
| LAW OFFICE ASSIGNED | LAW OFFICE 101 |
| MARK SECTION | |
| MARK | BLACK CALICO (standard characters, see http://tmng-al.uspto.gov /resting2/api/img/8654800 3/large) |
| OWNER SECTION(current) | |
| NAME | Nicopure Labs, LLC |
| MAILING ADDRESS | 5909 NW 18th Drive |
| CITY | Gainesville |
| STATE | Florida |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| ZIP/POSTAL CODE | 32653 |
| CORRESPONDENCE SECTION(current) | |
| NAME | James Caci |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | jcaci@nicopure.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 | Nicopure Labs, LLC |
| MAILING ADDRESS | 5909 NW 18TH DR. |
| CITY | GAINESVILLE |
| STATE | Florida |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| ZIP/POSTAL CODE | 32653 |
| 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 | Corrie Dutton |
| ATTORNEY BAR MEMBERSHIP NUMBER | XXX |
| YEAR OF ADMISSION | XXXX |
| U.S. STATE/ COMMONWEALTH/ TERRITORY | XX |
| STREET | 12914 Commodity Place |
| CITY | Tampa |
| STATE | Florida |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| POSTAL/ZIP CODE | 33626 |
| cdutton@nicopure.com | |
| CORRESPONDENCE SECTION (proposed) | |
| NAME | Corrie Dutton |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | cdutton@nicopure.com |
| SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) | tmorabia@nicopure.com |
| SIGNATURE SECTION | |
| SIGNATURE | /Corrie Dutton/ |
| SIGNATORY NAME | Corrie Dutton |
| SIGNATORY DATE | 02/28/2020 |
| SIGNATORY POSITION | Attorney of record, Louisiana Bar Member |
| SIGNATORY PHONE NUMBER | 8882702449104 |
| AUTHORIZED SIGNATORY | YES |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Fri Feb 28 15:13:27 ET 2020 |
| TEAS STAMP | USPTO/CAR-XX.XXX.XXX.XXX- 20200228151327979848-8578 8057-71025801463bbe1cd212 03c30507049f579ccb2f822d1 42af7d07e1222c43a014-N/A- N/A-20200228150030988165 |
| 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) |