Change Address or Representation Form

VENTANA

Roche Diagnostics GmbH

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 87781387
LAW OFFICE ASSIGNED LAW OFFICE 114
MARK SECTION
MARK VENTANA (standard characters, see http://tmng-al.uspto.gov /resting2/api/img/8778138 7/large)
OWNER SECTION(current)
NAME Roche Diagnostics GmbH
MAILING ADDRESS Sandhofer Strasse 116
CITY Mannheim
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY Germany
ZIP/POSTAL CODE 68305
EMAIL XXXX
ATTORNEY SECTION(current)
NAME Kenneth J. Waite
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
FIRM NAME Roche Diagnostics Operations, Inc.
STREET 9115 Hague Road
CITY Indianapolis
STATE Indiana
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
POSTAL/ZIP CODE 46250
PHONE 317-521-3104
EMAIL indianapolis.trademarks@roche.com
DOMESTIC REPRESENTATIVE SECTION(current)
NAME Brent A. Harris
PHONE 317-521-3416
EMAIL indianapolis.trademarks@roche.com
CORRESPONDENCE SECTION(current)
NAME Kenneth J. Waite
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE indianapolis.trademarks@roche.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 Roche Diagnostics GmbH
MAILING ADDRESS Sandhofer Straße 116
CITY Mannheim
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY Germany
ZIP/POSTAL CODE 68305
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 Justin L. Sage
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
FIRM NAME Roche Diagnostics Operations, Inc.
OTHER APPOINTED ATTORNEY(S) Brian L. Smiler
STREET 9115 Hague Road
CITY Indianapolis
STATE Indiana
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
POSTAL/ZIP CODE 46250
PHONE 317-521-7503
EMAIL indianapolis.trademarks@roche.com
DOMESTIC REPRESENTATIVE SECTION (proposed)
STATEMENT TEXT By submission of this request, the undersigned hereby appoints the following new domestic representative upon whom notices or process affecting the mark may be served or changes the address of an existing domestic representative of record:
NAME Justin L. Sage
FIRM NAME Roche Diagnostics Operations, Inc.
STREET 9115 Hague Road
CITY Indianapolis
STATE Indiana
POSTAL/ZIP CODE 46250
PHONE 317-521-7503
EMAIL indianapolis.trademarks@roche.com
CORRESPONDENCE SECTION (proposed)
NAME Justin L. Sage
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE indianapolis.trademarks@roche.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) debra.robinson@roche.com; emily.wilson@roche.com
SIGNATURE SECTION
SIGNATURE /T. Blanc/
SIGNATORY NAME Tapio Blanc
SIGNATORY DATE 10/07/2020
SIGNATORY POSITION Head of Trademark Department
AUTHORIZED SIGNATORY YES
FILING INFORMATION SECTION
SUBMIT DATE Wed Oct 07 14:16:17 ET 2020
TEAS STAMP USPTO/CAR-XXX.XX.XX.XXX-2
0201007141617059315-87392
419-7509b3fa84f2f17b18dc1
96e6cad84bd07e12c488d74d4
a88fe1612e95e8cb-N/A-N/A-
20201007141307295467



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: VENTANA (standard characters, see http://tmng-al.uspto.gov /resting2/api/img/8778138 7/large)
SERIAL NUMBER: 87781387


Owner Section (Current) :
Roche Diagnostics GmbH
Sandhofer Strasse 116
Mannheim 68305
Germany
XXXX
Attorney Section (Current):
Kenneth J. Waite of Roche Diagnostics Operations, Inc.
XX bar, admitted in XXXX, bar membership no. XXX, is located at
9115 Hague Road
Indianapolis, Indiana 46250
United States
317-521-3104
Email Address: indianapolis.trademarks@roche.com

Domestic Representative Section (Current):
Brent A. Harris
317-521-3416
Email Address: indianapolis.trademarks@roche.com

Correspondence Section (Current):
Kenneth J. Waite
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: indianapolis.trademarks@roche.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):
Roche Diagnostics GmbH
Sandhofer Straße 116
Mannheim 68305
Germany
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):
Justin L. Sage of Roche Diagnostics Operations, Inc.
XX bar, admitted in XXXX, bar membership no. XXX, is located at
9115 Hague Road
Indianapolis, Indiana 46250
United States
317-521-7503
indianapolis.trademarks@roche.com
Other Appointed Attorney(s): Brian L. Smiler
Justin L. Sage 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.

By submission of this request, the undersigned hereby appoints the following new domestic representative upon whom notices or process affecting the mark may be served or changes the address of an existing domestic representative of record:

Domestic Representative Section (proposed):

Justin L. Sage
Roche Diagnostics Operations, Inc.
9115 Hague Road
Indianapolis, Indiana 46250
317-521-7503
Email Address: indianapolis.trademarks@roche.com

Correspondence Section (proposed):
Justin L. Sage
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: indianapolis.trademarks@roche.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): debra.robinson@roche.com; emily.wilson@roche.com




Signature: /T. Blanc/      Date: 10/07/2020
Signatory's Name: Tapio Blanc
Signatory's Position: Head of Trademark Department

Serial Number: 87781387
Internet Transmission Date: Wed Oct 07 14:16:17 ET 2020
TEAS Stamp: USPTO/CAR-XXX.XX.XX.XXX-2020100714161705
9315-87392419-7509b3fa84f2f17b18dc196e6c
ad84bd07e12c488d74d4a88fe1612e95e8cb-N/A
-N/A-20201007141307295467



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