| PTO- 2300 |
| Approved for use through 11/30/2020. OMB 0651-0051 |
| U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number |
| Input Field | Entered |
|---|---|
| SERIAL NUMBER | 86641293 |
| REGISTRATION NUMBER | 4926024 |
| LAW OFFICE ASSIGNED | LAW OFFICE 115 |
| MARK SECTION | |
| MARK | CREST (standard characters, see http://uspto.report/TM/86641293/mark.png) |
| OWNER SECTION(current) | |
| NAME | The American Society of Colon and Rectal Surgeons |
| MAILING ADDRESS | 85 West Algonquin Road, Suite 550 |
| CITY | Arlington Heights |
| STATE | Illinois |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| ZIP/POSTAL CODE | 60005 |
| PHONE | (847) 290-9184 |
| FAX | (847) 290-9203 |
| 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 | The American Society of Colon and Rectal Surgeons |
| MAILING ADDRESS | 2549 Waukegan Road, #210 |
| CITY | Bannockburn |
| STATE | Illinois |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| ZIP/POSTAL CODE | 60015 |
| PHONE | (847) 607-6410 |
| XXXX | |
| ATTORNEY SECTION(current) | |
| NAME | Susan Feingold Carlson |
| ATTORNEY BAR MEMBERSHIP NUMBER | NOT SPECIFIED |
| YEAR OF ADMISSION | NOT SPECIFIED |
| U.S. STATE/ COMMONWEALTH/ TERRITORY | NOT SPECIFIED |
| FIRM NAME | Chicago Law Partners, LLC |
| STREET | 333 West Wacker Drive, Suite 810 |
| CITY | Chicago |
| STATE | Illinois |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| POSTAL/ZIP CODE | 60606 |
| PHONE | (312) 929-1950 |
| FAX | (312) 929-1955 |
| scarlson@clpchicago.com | |
| DOCKET/REFERENCE NUMBER(S) | 010602.0701 |
| ATTORNEY SECTION (proposed) | |
| STATEMENT TEXT | By submission of this request, the undersigned REVOKES the power of attorney currently of record, as listed above, and hereby APPOINTS the following new attorney: |
| NAME | Scott S. Fintzen |
| ATTORNEY BAR MEMBERSHIP NUMBER | XXX |
| YEAR OF ADMISSION | XXXX |
| U.S. STATE/ COMMONWEALTH/ TERRITORY | XX |
| FIRM NAME | Gaido & Fintzen |
| OTHER APPOINTED ATTORNEY(S) | Justin C. Kanter; Peter A. Gaido |
| STREET | 30 N. LaSalle St., Ste. 3010 |
| CITY | Chicago |
| STATE | Illinois |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| POSTAL/ZIP CODE | 60602 |
| PHONE | (312) 346-7855 |
| sfintzen@gaido-fintzen.com | |
| CORRESPONDENCE SECTION(current) | |
| NAME | Susan Feingold Carlson |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | scarlson@clpchicago.com |
| SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) | NOT PROVIDED |
| DOCKET/REFERENCE NUMBER(S) | 010602.0701 |
| CORRESPONDENCE SECTION (proposed) | |
| NAME | Scott S. Fintzen |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | sfintzen@gaido-fintzen.com |
| SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) | jkanter@gaido-fintzen.com; eapple@gaido-fintzen.com |
| SIGNATURE SECTION | |
| SIGNATURE | /123-4567/ |
| SIGNATORY NAME | David A. Westman |
| SIGNATORY DATE | 05/24/2021 |
| SIGNATORY POSITION | Executive Director |
| SIGNATORY PHONE NUMBER | 847- 607- 6412 |
| ROLE OF AUTHORIZED SIGNATORY | Owner/Holder not represented by an attorney |
| SIGNATURE METHOD | Sent to third party for signature |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Mon May 24 12:59:32 ET 2021 |
| TEAS STAMP | USPTO/CAR-XX.XXX.XXX.XXX- 20210524125932703267-8664 1293-780b20c16067b9ea60b8 b6f7b3112962672bc84f16e5e d8ae2f1f3a859833b4a8-N/A- N/A-20210521130728698237 |
| PTO- 2300 |
| Approved for use through 11/30/2020. OMB 0651-0051 |
| U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number |