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 2201 (Rev 05/2006) |
OMB No. 0651-0056 (Exp 11/30/2020) |
Input Field |
Entered |
---|---|
SERIAL NUMBER | 87497290 |
MARK SECTION | |
MARK | POP (see, http://uspto.report/TM/87497290/mark.png) |
WITHDRAWAL OF ATTORNEY SECTION | |
REASON TEXT | Due to my health and worsening disabilities I am withdrawing. A practitioner shall not represent a client, or where representation has commenced, shall withdraw from the representation of a client if: (2) The practitioner's physical or mental condition materially impairs the practitioner's ability to represent the client |
WITHDRAWAL STATEMENT | (1) I have notified the owner/holder of my withdrawal from employment and the filing of this request for withdrawal with the USPTO. |
WITHDRAWAL STATEMENT | (2) I have delivered to the owner/holder all documents and property in any file concerning the application, registration, or proceeding to which the owner/holder is entitled. |
WITHDRAWAL STATEMENT | (3) I have notified the owner/holder of any response that may be due and the deadline for his/her response. |
WITHDRAWAL STATEMENT | (4) I have notified the owner/holder, whose application currently has TEAS Plus or TEAS RF status, that any prior e-mail authorization will not continue and that, to retain TEAS Plus or TEAS RF status, the owner/holder must provide the USPTO an e-mail address and authorize the USPTO to communicate via e-mail, or I affirm that this notification is not necessary because the application does not currently have TEAS Plus or TEAS RF status. |
WITHDRAWAL STATEMENT | (5) I have given the owner/holder notice of my withdrawal from employment at least two (2) months prior to the expiration of the response period, if applicable; OR, notice of my withdrawal from employment was not required because the owner/holder terminated representation when less than two (2) months remained in the response period. |
CORRESPONDENCE SECTION | |
ORIGINAL CORRESPONDENCE ADDRESS | Richard Blank RICHARD MARK BLANK, ESQ. 19 LEDGEWOOD COMMONS MILLWOOD New York 10546 US |
NEW CORRESPONDENCE ADDRESS | |
NAME | Fisher, Justin |
INTERNAL ADDRESS | Suite B14-2099 |
STREET | 335 E. Linton Blvd |
CITY | Delray Beach |
STATE | Florida |
POSTAL/ZIP CODE | 33483 |
COUNTRY | United States |
info@brevo.com | |
SIGNATURE SECTION | |
SIGNATURE | /rb/ |
SIGNATORY NAME | Richard Blank |
SIGNATORY DATE | 12/07/2017 |
SIGNATORY POSITION | Attorney of record |
SIGNATORY PHONE | 9178304702 |
FILING INFORMATION SECTION | |
SUBMIT DATE | Thu Dec 07 05:36:53 EST 2017 |
TEAS STAMP | USPTO/WOA-XX.XXX.XXX.XXX- 20171207053653303834-8749 7350-51038cb1a822673ac6e3 cb7e6d06f84b1561c5c268589 59af266aa6639c13c4b82-N/A -N/A-20171207052406812572 |
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 2201 (Rev 05/2006) |
OMB No. 0651-0056 (Exp 11/30/2020) |
MARK: POP (see, http://uspto.report/TM/87497290/mark.png) SERIAL NUMBER: 87497290 I request to withdraw as the Attorney of Record or update the USPTO's database after a power of attorney has ended for the serial number(s) identified above, for the following reason(s): Due to my health and worsening disabilities I am withdrawing. A practitioner shall not represent a client, or where representation has commenced, shall withdraw from the representation of a client if: (2) The practitioner's physical or mental condition materially impairs the practitioner's ability to represent the client (1) I have notified the owner/holder of my withdrawal from employment and the filing of this request for withdrawal with the USPTO. (2) I have delivered to the owner/holder all documents and property in any file concerning the application, registration, or proceeding to which the owner/holder is entitled. (3) I have notified the owner/holder of any response that may be due and the deadline for his/her response. (4) I have notified the owner/holder, whose application currently has TEAS Plus or TEAS RF status, that any prior e-mail authorization will not continue and that, to retain TEAS Plus or TEAS RF status, the owner/holder must provide the USPTO an e-mail address and authorize the USPTO to communicate via e-mail, or I affirm that this notification is not necessary because the application does not currently have TEAS Plus or TEAS RF status. (5) I have given the owner/holder notice of my withdrawal from employment at least two (2) months prior to the expiration of the response period, if applicable; OR, notice of my withdrawal from employment was not required because the owner/holder terminated representation when less than two (2) months remained in the response period. Original Address: Richard Blank RICHARD MARK BLANK, ESQ. 19 LEDGEWOOD COMMONS MILLWOOD New York 10546 US Proposed Address: Fisher, Justin 335 E. Linton Blvd Suite B14-2099 Delray Beach, Florida 33483 United States info@brevo.com Declaration The signatory being warned that willful false statements and the like are punishable by fine or imprisonment, or both, under 18 U.S.C. § 1001, and that such willful false statements and the like may jeopardize the validity of this submission, declares that all statements made of his/her own knowledge are true and that all statements made on information and belief are believed to be true. Signature: /rb/ Date: 12/07/2017 Signatory's Name: Richard Blank Signatory's Position: Attorney of record Signatory's Phone: 9178304702 |