| 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 | 88022508 |
| LAW OFFICE ASSIGNED | LAW OFFICE 124 |
| MARK SECTION | |
| MARK | PRIZM (standard characters, see http://tmng-al.uspto.gov /resting2/api/img/8802250 8/large) |
| OWNER SECTION(current) | |
| NAME | Diversatek Healthcare, Inc. |
| MAILING ADDRESS | 102 East Keefe Avenue |
| CITY | Milwaukee |
| STATE | Wisconsin |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| ZIP/POSTAL CODE | 53212 |
| CORRESPONDENCE SECTION(current) | |
| NAME | HILLARY J. WUCHERER |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | tm-dept@quarles.com |
| SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) | NOT PROVIDED |
| DOCKET/REFERENCE NUMBER(S) | 640320.00069 |
| 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 | Diversatek Healthcare, Inc. |
| MAILING ADDRESS | 102 East Keefe Avenue |
| CITY | Milwaukee |
| STATE | Wisconsin |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| ZIP/POSTAL CODE | 53212 |
| XXXX | |
| CORRESPONDENCE SECTION (proposed) | |
| NAME | Hillary J. Wucherer |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | tm-dept@quarles.com |
| SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) | NOT PROVIDED |
| DOCKET/REFERENCE NUMBER(S) | 640320.00069 |
| SIGNATURE SECTION | |
| SIGNATURE | /Hillary J. Wucherer/ |
| SIGNATORY NAME | Hillary J. Wucherer |
| SIGNATORY DATE | 03/16/2020 |
| SIGNATORY POSITION | Attorney of record, Wisconsin Bar member |
| AUTHORIZED SIGNATORY | YES |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Tue Mar 17 09:58:58 ET 2020 |
| TEAS STAMP | USPTO/CAR-X.XX.XXX.XXX-20 200317095858203520-880225 08-710cd1b535fc3bacf33d66 6f7ffdf69c6f95aade5cc8eae 791c946efa636dd49f5-N/A-N /A-20200316151852277784 |
| 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) |