Change Address or Representation Form

COSTCO

Costco Wholesale Membership, Inc.

Change Address or Representation Form

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)

Change Address or Representation Form


The table below presents the data as entered.

Input Field Entered
SERIAL NUMBER 87195626
REGISTRATION NUMBER 5199807
LAW OFFICE ASSIGNED LAW OFFICE 118
MARK SECTION
MARK COSTCO (stylized and/or with design, see http://tmng-al.uspto.gov /resting2/api/img/8719562 6/large)
OWNER SECTION(current)
NAME Costco Wholesale Membership, Inc.
MAILING ADDRESS 999 Lake Drive
CITY Issaquah
STATE Washington
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
ZIP/POSTAL CODE 98027
ATTORNEY SECTION(current)
NAME Mark J. Nielsen
ATTORNEY BAR MEMBERSHIP NUMBER NOT SPECIFIED
YEAR OF ADMISSION NOT SPECIFIED
U.S. STATE/ COMMONWEALTH/ TERRITORY NOT SPECIFIED
FIRM NAME LAW OFFICE OF MARK J. NIELSEN
STREET 155 NE 100TH STREET, SUITE 304
CITY SEATTLE
STATE Washington
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
POSTAL/ZIP CODE 98125
PHONE 206 365 9500
FAX 206 368 9521
EMAIL theresa@mjnlaw.com
CORRESPONDENCE SECTION(current)
NAME MARK J. NIELSEN
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE theresa@mjnlaw.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 Costco Wholesale Membership, Inc.
MAILING ADDRESS 999 Lake Drive
CITY Issaquah
STATE Washington
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
ZIP/POSTAL CODE 98027
EMAIL XXXX
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 Lindsay Kaplan
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
FIRM NAME Kilpatrick Townsend & Stockton LLP
OTHER APPOINTED ATTORNEY(S) Jenny Goak, Margaret McHugh
INTERNAL ADDRESS Suite 900
STREET 607 14th Street, NW
CITY Washington
STATE District of Columbia
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
POSTAL/ZIP CODE 20005
PHONE 2025085800
FAX 2025085858
EMAIL lkaplan@kilpatricktownsend.com
DOCKET/REFERENCE NUMBER(S) 1222370
CORRESPONDENCE SECTION (proposed)
NAME Lindsay Kaplan
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE lkaplan@kilpatricktownsend.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) tmadmin@kilpatricktownsend.com; jgoak@kilpatricktownsend.com; mmchugh@kilpatricktownsend.com; awells@kilpatricktownsend.com
DOCKET/REFERENCE NUMBER(S) 1222370
SIGNATURE SECTION
SIGNATURE /Gail E. Tsuboi/
SIGNATORY NAME Gail E. Tsuboi
SIGNATORY DATE 12/18/2020
SIGNATORY POSITION Assistant Secretary
SIGNATORY PHONE NUMBER Contact Attorney of Record
AUTHORIZED SIGNATORY YES
FILING INFORMATION SECTION
SUBMIT DATE Fri Dec 18 15:07:37 ET 2020
TEAS STAMP USPTO/CAR-XXX.X.XX.XX-202
01218150737527859-7783699
4-75044ca50c26937f94eda51
6c5d525ea7d39716f15b675af
69a4ecfce21f19cf-N/A-N/A-
20201217172751712097



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)


Change Address or Representation Form


To the Commissioner for Trademarks:

MARK: COSTCO (stylized and/or with design, see http://tmng-al.uspto.gov /resting2/api/img/8719562 6/large)
SERIAL NUMBER: 87195626
REGISTRATION NUMBER: 5199807


Owner Section (Current) :
Costco Wholesale Membership, Inc.
999 Lake Drive
Issaquah, Washington 98027
United States
Attorney Section (Current):
Mark J. Nielsen of LAW OFFICE OF MARK J. NIELSEN
is located at
155 NE 100TH STREET, SUITE 304
SEATTLE, Washington 98125
United States
206 365 9500
206 368 9521
Email Address: theresa@mjnlaw.com

Correspondence Section (Current):
MARK J. NIELSEN
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: theresa@mjnlaw.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): NOT PROVIDED


By submission of this request, the undersigned requests that the following be made of record for the owner/holder:

Owner Section (proposed):
Costco Wholesale Membership, Inc.
999 Lake Drive
Issaquah, Washington 98027
United States
XXXX
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:

Attorney Section (proposed):
Lindsay Kaplan of Kilpatrick Townsend & Stockton LLP
XX bar, admitted in XXXX, bar membership no. XXX, is located at
Suite 900
607 14th Street, NW
Washington, District of Columbia 20005
United States
2025085800
2025085858
lkaplan@kilpatricktownsend.com
Other Appointed Attorney(s): Jenny Goak, Margaret McHugh
Docket Reference Number(s): 1222370Lindsay Kaplan submitted the following statement: The attorney of record is an active member in good standing of the bar of the highest court of a U.S. state, the District of Columbia, or any U.S. Commonwealth or territory.
Correspondence Section (proposed):
Lindsay Kaplan
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: lkaplan@kilpatricktownsend.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): tmadmin@kilpatricktownsend.com; jgoak@kilpatricktownsend.com; mmchugh@kilpatricktownsend.com; awells@kilpatricktownsend.com
Docket Reference Number(s): 1222370




Signature: /Gail E. Tsuboi/      Date: 12/18/2020
Signatory's Name: Gail E. Tsuboi
Signatory's Position: Assistant Secretary
Signatory's Phone Number: Contact Attorney of Record

Serial Number: 87195626
Internet Transmission Date: Fri Dec 18 15:07:37 ET 2020
TEAS Stamp: USPTO/CAR-XXX.X.XX.XX-202012181507375278
59-77836994-75044ca50c26937f94eda516c5d5
25ea7d39716f15b675af69a4ecfce21f19cf-N/A
-N/A-20201217172751712097



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