Preliminary Amendment

MINT

ESTABLISHMENT LABS S.A.

Preliminary Amendment

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 1966 (Rev 10/2011)
OMB No. 0651-0050 (Exp 07/31/2017)

Voluntary Amendment


The table below presents the data as entered.

Input Field
Entered
SERIAL NUMBER 87243307
LAW OFFICE ASSIGNED LAW OFFICE 110
MARK SECTION
MARK http://uspto.report/TM/87243307/mark.png
LITERAL ELEMENT MINT
STANDARD CHARACTERS YES
USPTO-GENERATED IMAGE YES
MARK STATEMENT The mark consists of standard characters, without claim to any particular font style, size or color.
OWNER SECTION (current)
NAME ESTABLISHMENT LABS
INTERNAL ADDRESS Oficina de Establishment Labs
STREET Zona Franca El Coyol, Edificio B Quince
CITY Alajuela
COUNTRY Costa Rica
OWNER SECTION (proposed)
NAME Establishment Labs S.A.
INTERNAL ADDRESS Oficina de Establishment Labs
STREET Zona Franca El Coyol, Edificio B Quince
CITY Alajuela
COUNTRY Costa Rica
PHONE 216-348-5400
EMAIL XXXX
AUTHORIZED TO COMMUNICATE VIA E-MAIL Yes
SIGNATURE SECTION
RESPONSE SIGNATURE /Richard Guerra/
SIGNATORY'S NAME Richard Guerra
SIGNATORY'S POSITION Attorney of recor, Florida bar member
SIGNATORY'S PHONE NUMBER 216-348-5400
DATE SIGNED 07/31/2017
AUTHORIZED SIGNATORY YES
FILING INFORMATION SECTION
SUBMIT DATE Mon Jul 31 21:33:17 EDT 2017
TEAS STAMP USPTO/PRA-XXX.XX.XX.XXX-2
0170731213317673919-87243
307-5108b19613336d2c654ea
aa4f1217e064357ee41f6d13f
1b0d7efdc92636b71c7-N/A-N
/A-20170731212415474153



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 1966 (Rev 10/2011)
OMB No. 0651-0050 (Exp 07/31/2017)

Voluntary Amendment


To the Commissioner for Trademarks:

Application serial no. 87243307 MINT(Standard Characters, see http://uspto.report/TM/87243307/mark.png) has been amended as follows:

APPLICANT AND/OR ENTITY INFORMATION
Applicant proposes to amend the following:
Current: ESTABLISHMENT LABS a(n) sociedad anonima (sa), legally organized under the laws of Costa Rica, having an address of
      
      Oficina de Establishment LabsZona Franca El Coyol, Edificio B Quince
      Alajuela,
      Costa Rica

Proposed: Establishment Labs S.A., sociedad anonima (sa) legally organized under the laws of Costa Rica, having an address of
      Oficina de Establishment Labs
      Zona Franca El Coyol, Edificio B Quince
      Alajuela,
      Costa Rica
      XXXX (authorized)
      216-348-5400

SIGNATURE(S)
Voluntary Amendment Signature
Signature: /Richard Guerra/     Date: 07/31/2017
Signatory's Name: Richard Guerra
Signatory's Position: Attorney of recor, Florida bar member

Signatory's Phone Number: 216-348-5400

The signatory has confirmed that he/she is an attorney who is a member in good standing of the bar of the highest court of a U.S. state, which includes the District of Columbia, Puerto Rico, and other federal territories and possessions; and he/she is currently the owner's/holder's attorney or an associate thereof; and to the best of his/her knowledge, if prior to his/her appointment another U.S. attorney or a Canadian attorney/agent not currently associated with his/her company/firm previously represented the owner/holder in this matter: (1) the owner/holder has filed or is concurrently filing a signed revocation of or substitute power of attorney with the USPTO; (2) the USPTO has granted the request of the prior representative to withdraw; (3) the owner/holder has filed a power of attorney appointing him/her in this matter; or (4) the owner's/holder's appointed U.S. attorney or Canadian attorney/agent has filed a power of attorney appointing him/her as an associate attorney in this matter.

        
Serial Number: 87243307
Internet Transmission Date: Mon Jul 31 21:33:17 EDT 2017
TEAS Stamp: USPTO/PRA-XXX.XX.XX.XXX-2017073121331767
3919-87243307-5108b19613336d2c654eaaa4f1
217e064357ee41f6d13f1b0d7efdc92636b71c7-
N/A-N/A-20170731212415474153



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