| 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 | 87930442 |
| REGISTRATION NUMBER | 5647895 |
| LAW OFFICE ASSIGNED | LAW OFFICE 112 |
| MARK SECTION | |
| MARK | (Design only, see http://tmng-al.uspto.gov /resting2/api/img/8793044 2/large) |
| OWNER SECTION(current) | |
| NAME | Ubio Labs, Inc. |
| MAILING ADDRESS | 3006 Northup Way Ste 101 |
| CITY | Bellevue |
| STATE | Washington |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| ZIP/POSTAL CODE | 98004 |
| ATTORNEY SECTION(current) | |
| NAME | Pam Kohli Jacobson |
| ATTORNEY BAR MEMBERSHIP NUMBER | NOT SPECIFIED |
| YEAR OF ADMISSION | NOT SPECIFIED |
| U.S. STATE/ COMMONWEALTH/ TERRITORY | NOT SPECIFIED |
| FIRM NAME | K&L GATES LLP |
| STREET | 925 4th Avenue, Ste. 2 |
| CITY | Seattle |
| STATE | Washington |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| POSTAL/ZIP CODE | 98104 |
| PHONE | 206-370-7605 |
| DOCKET/REFERENCE NUMBER(S) | 207084000026 |
| CORRESPONDENCE SECTION(current) | |
| NAME | Pam Kohli Jacobson |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | citrademarks@klgates.com |
| SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) | Pam.Jacobson@klgates.com; alexis.douglas@klgates.com; kristen.moore@klgates.com; Terri.Li.SE@klgates.com |
| DOCKET/REFERENCE NUMBER(S) | 207084000026 |
| 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 | Ubio Labs, Inc. |
| MAILING ADDRESS | 3006 Northrup Way, Suite 101 |
| CITY | Bellevue |
| STATE | Washington |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| ZIP/POSTAL CODE | 98004-1445 |
| 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 | Pam Kohli Jacobson |
| ATTORNEY BAR MEMBERSHIP NUMBER | XXX |
| YEAR OF ADMISSION | XXXX |
| U.S. STATE/ COMMONWEALTH/ TERRITORY | XX |
| FIRM NAME | K&L GATES LLP |
| OTHER APPOINTED ATTORNEY(S) | Michael Meredith, Katie Christensen, Ryan Edmondson |
| STREET | 925 4th Avenue, Ste. 2900 |
| CITY | Seattle |
| STATE | Washington |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| POSTAL/ZIP CODE | 98104 |
| PHONE | 206-370-7605 |
| pam.jacobson@klgates.com | |
| DOCKET/REFERENCE NUMBER(S) | 207084000026 |
| CORRESPONDENCE SECTION (proposed) | |
| NAME | Pam Kohli Jacobson |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | pam.jacobson@klgates.com |
| SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) | Setrademarks@klgates.com; grace.carlson@klgates.com; terri.li@klgaes.com; UbioIPTeam@klgates.com |
| DOCKET/REFERENCE NUMBER(S) | 207084000026 |
| SIGNATURE SECTION | |
| SIGNATURE | /Pam Kohli Jacobson/ |
| SIGNATORY NAME | Pam Kohli Jacobson |
| SIGNATORY DATE | 04/06/2020 |
| SIGNATORY POSITION | Attorney of record, Washington bar member |
| SIGNATORY PHONE NUMBER | 206.370.7605 |
| AUTHORIZED SIGNATORY | YES |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Mon Apr 06 13:42:24 ET 2020 |
| TEAS STAMP | USPTO/CAR-XXXX:XXX:XXXX:X XXX:XXXX:XXXX:XXXX:XXXX-2 0200406134224563134-87590 468-7105c7d724ee89d7ec1ad 478965ee5885b6e5f607ab2be 6b8561f7d3104ccf5af2-N/A- N/A-20200406123313444623 |
| 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) |