| 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 | 87553616 |
| REGISTRATION NUMBER | 5377296 |
| LAW OFFICE ASSIGNED | LAW OFFICE 112 |
| MARK SECTION | |
| MARK | PATIENT AID (standard characters, see http://tmng-al.uspto.gov /resting2/api/img/8755361 6/large) |
| OWNER SECTION(current) | |
| NAME | Patient Aid |
| MAILING ADDRESS | 4886 Old Irwin Simpson Rd |
| CITY | Mason |
| STATE | Ohio |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| ZIP/POSTAL CODE | 45040 |
| PHONE | 513-703-6450 |
| XXXX | |
| CORRESPONDENCE SECTION(current) | |
| NAME | PATIENT AID |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | j.heap@patientaid.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 | Patient Aid |
| INTERNAL ADDRESS | #107-340 |
| MAILING ADDRESS | 3267 Bee Caves Road |
| CITY | Austin |
| STATE | Texas |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| ZIP/POSTAL CODE | 78746 |
| 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 | Alison Danaceau |
| ATTORNEY BAR MEMBERSHIP NUMBER | XXX |
| YEAR OF ADMISSION | XXXX |
| U.S. STATE/ COMMONWEALTH/ TERRITORY | XX |
| FIRM NAME | Jones & Spross |
| INTERNAL ADDRESS | Suite 100 |
| STREET | 1605 Lakecliff Hills Lane |
| CITY | Austin |
| STATE | Texas |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| POSTAL/ZIP CODE | 78732 |
| PHONE | 4043179361 |
| FAX | 512-287-4866 |
| alison.danaceau@jonesspross.com | |
| DOCKET/REFERENCE NUMBER(S) | PRL-001 |
| CORRESPONDENCE SECTION (proposed) | |
| NAME | Alison Danaceau |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | alison.danaceau@jonesspross.com |
| SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) | leigh.rand@jonesspross.com; tina.erales@jonesspross.com |
| DOCKET/REFERENCE NUMBER(S) | PRL-001 |
| SIGNATURE SECTION | |
| SIGNATURE | /Alison Danaceau/ |
| SIGNATORY NAME | Alison Danaceau |
| SIGNATORY DATE | 02/24/2020 |
| SIGNATORY POSITION | Attorney of Record, Georgia bar member |
| SIGNATORY PHONE NUMBER | 4043179361 |
| AUTHORIZED SIGNATORY | YES |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Mon Feb 24 16:10:50 ET 2020 |
| TEAS STAMP | USPTO/CAR-XXXX:XXX:XXX:XX XX:XXXX:XXXX:XXXX:XXXX-20 200224161050783486-875536 16-710cc4f5bb9925fb7da67b de9456494674a16d13176fd27 148d6117ca5beecb-N/A-N/A- 20200224143130998296 |
| 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) |