Change Address or Representation Form

SLAY

Hazel, Louise

Change Address or Representation Form

PTO- 2300
Approved for use through 11/30/2020. OMB 0651-0051
U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number

Change Address or Representation Form


The table below presents the data as entered.

Input Field Entered
SERIAL NUMBER 87983428
LAW OFFICE ASSIGNED LAW OFFICE 117
MARK SECTION
MARK SLAY (stylized and/or with design, see http://uspto.report/TM/87983428/mark.png)
OWNER SECTION(current)
NAME Hazel, Louise
MAILING ADDRESS 1550 N El Centro Avenue
CITY Los Angeles
STATE California
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
ZIP/POSTAL CODE 90028
PHONE 323-499-1480
EMAIL XXXX
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 Hazel, Louise
MAILING ADDRESS 6201 Hollywood Blvd, Unit 3014
CITY Los Angeles
STATE California
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
ZIP/POSTAL CODE 90028
PHONE 323-798-4268
EMAIL XXXX
ATTORNEY SECTION(current)
STATEMENT TEXT By submission of this request, the undersigned REVOKES the power of attorney currently of record, as listed below:
NAME Abraham Lichy
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
FIRM NAME The Lichy Law Firm, P.C.
STREET 222 East 68th Street
CITY New York
STATE New York
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
POSTAL/ZIP CODE 10065
PHONE 9179333895
EMAIL alichy@lichylaw.com
CORRESPONDENCE SECTION(current)
NAME Abraham Lichy
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE alichy@lichylaw.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) dhalberstein@lichylaw.com
CORRESPONDENCE SECTION (proposed)
NAME Hazel, Louise
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE info@louisehazel.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) bbecker@royaltrademarklaw.com
SIGNATURE SECTION
SIGNATURE /louise hazel/
SIGNATORY NAME Louise Hazel
SIGNATORY DATE 02/09/2021
SIGNATORY POSITION Owner
SIGNATORY PHONE NUMBER 323-798-4268
ROLE OF AUTHORIZED SIGNATORY Owner/Holder not represented by an attorney
SIGNATURE METHOD Signed directly within the form
FILING INFORMATION SECTION
SUBMIT DATE Tue Feb 09 20:02:34 ET 2021
TEAS STAMP USPTO/CAR-XXXX:XXXX:XXXX:
XXXX:XXXX:XXXX:XXX:XXXX-2
0210209200234626541-87983
428-760df239f49ad48d2139d
1dd510a79ec421a1c9f61e7b6
ed36d4931ab18d2b58-N/A-N/
A-20210209195558636604



PTO- 2300
Approved for use through 11/30/2020. OMB 0651-0051
U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number


Change Address or Representation Form


To the Commissioner for Trademarks:

MARK: SLAY (stylized and/or with design, see http://uspto.report/TM/87983428/mark.png)
SERIAL NUMBER: 87983428


Owner Section (Current) :
Hazel, Louise
1550 N El Centro Avenue
Los Angeles, California 90028
United States
323-499-1480
XXXX

By submission of this request, the undersigned requests that the following be made of record for the owner/holder:

Owner Section (proposed):
Hazel, Louise
6201 Hollywood Blvd, Unit 3014
Los Angeles, California 90028
United States
323-798-4268
XXXXAttorney Section (Current):

By submission of this request, the undersigned REVOKES the power of attorney currently of record, as listed below:
Abraham Lichy of The Lichy Law Firm, P.C.
XX bar, admitted in XXXX, bar membership no. XXX, is located at
222 East 68th Street
New York, New York 10065
United States
9179333895
Email Address: alichy@lichylaw.com

Correspondence Section (Current):
Abraham Lichy
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: alichy@lichylaw.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): dhalberstein@lichylaw.com

Correspondence Section (proposed):
Hazel, Louise
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: info@louisehazel.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): bbecker@royaltrademarklaw.com


Requirement for Email and Electronic Filing: I understand that a valid email address must be maintained by the owner/holder and the owner's/holder's attorney, if appointed, and that all official trademark correspondence must be submitted via the Trademark Electronic Application System (TEAS).


Signature: /louise hazel/      Date: 02/09/2021
Signatory's Name: Louise Hazel
Signatory's Position: Owner
Signatory's Phone Number: 323-798-4268
Signature method: Signed directly within the form

The signatory has confirmed that he/she is either: (1) the owner/holder; or (2) a person or persons with legal authority to bind the owner/holder.


Serial Number: 87983428
Internet Transmission Date: Tue Feb 09 20:02:34 ET 2021
TEAS Stamp: USPTO/CAR-XXXX:XXXX:XXXX:XXXX:XXXX:XXXX:
XXX:XXXX-20210209200234626541-87983428-7
60df239f49ad48d2139d1dd510a79ec421a1c9f6
1e7b6ed36d4931ab18d2b58-N/A-N/A-20210209
195558636604



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