Change Address or Representation Form

SPRING HILL

ASHBY BEHAVIORAL HEALTH, LLC

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 88066885
REGISTRATION NUMBER 5702673
LAW OFFICE ASSIGNED LAW OFFICE 100
MARK SECTION
MARK SPRING HILL (standard characters, see http://uspto.report/TM/88066885/mark.png)
ATTORNEY SECTION(current)
NAME Nathaniel Weiner
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
FIRM NAME POLSINELLI LLP
STREET Three Embarcadero Center, Suite 2400
CITY San Francisco
STATE California
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
POSTAL/ZIP CODE 94111
EMAIL uspt@polsinelli.com
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 Nathaniel Weiner
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
FIRM NAME POLSINELLI LLP
OTHER APPOINTED ATTORNEY(S) Miya Yusa, Kathryn T. Allen, Ari M. Bai, Corey M. Casey, Kory D. Christensen, Brad Crawford, Rhiannon D'Agostin, Elton F. Dean, III, Mark T. Deming, Brian B. Diekhoff, Derek D. Donahoe, Kate J. Doty, Gregory P. Durbin, Taryn A. Elliott, Jeffrey E. Fine, Timothy D. Fontes, Monica M. Gutierrez, Eric J. Hanson, Roberta J. Hanson, Gary E. Hood, L. Hannah Ji, S. Wade Johnson, J. Morgan Kirley, Gregory M. Kratofil, Jr., Todd M. Malynn, Joshua M. McCaig, Daniel P. Mullarkey, Tara A. Nealey, Michael D. Pegues, Andrea M. Porterfield, Joshua Pranckun, Emily C. Peyser, Adam C. Rehm, Rebecca C. Riley-Vargas, Melvin J. Sims, Matthew J. Smith, Colby B. Springer, James M. Stipek, Lawrence A. Swain, Peter G. Thurlow, Matt Todd, Milan Vinnola, Adam S. Weiss, Jason A. Wietjes, Michael A. Williamson, Laila S. Wolfgram, Spencer R. Wood, Patrick C. Woolley
STREET Three Embarcadero Center, Suite 2400
CITY San Francisco
STATE California
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
POSTAL/ZIP CODE 94111
EMAIL uspt@polsinelli.com
DOCKET/REFERENCE NUMBER(S) 093537615431
CORRESPONDENCE SECTION(current)
NAME Nathaniel Weiner
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE uspt@polsinelli.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) nweiner@polsinelli.com; ahilton@polsinelli.com; MGutierrez@Polsinelli.com
CORRESPONDENCE SECTION (proposed)
NAME Nathaniel Weiner
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE uspt@polsinelli.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) nweiner@polsinelli.com; myusa@polsinelli.com; jwillard@polsinelli.com
DOCKET/REFERENCE NUMBER(S) 093537615431
SIGNATURE SECTION
SIGNATURE /Miya Yusa/
SIGNATORY NAME Miya Yusa
SIGNATORY DATE 03/04/2021
SIGNATORY POSITION Associate Attorney, Polsinelli LLP, California bar member
ROLE OF AUTHORIZED SIGNATORY Authorized U.S.-Licensed Attorney
SIGNATURE METHOD Sent to third party for signature
FILING INFORMATION SECTION
SUBMIT DATE Fri Mar 05 09:45:13 ET 2021
TEAS STAMP USPTO/CAR-XXX.XXX.XXX.X-2
0210305094513141107-88066
885-7708f9b95fa9111e10ded
59a9865ebcd19cfd5c9725613
a568eee1b9aeeb7d50bb-N/A-
N/A-20210219121002537421



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: SPRING HILL (standard characters, see http://uspto.report/TM/88066885/mark.png)
SERIAL NUMBER: 88066885
REGISTRATION NUMBER: 5702673

Attorney Section (Current):
Nathaniel Weiner of POLSINELLI LLP
XX bar, admitted in XXXX, bar membership no. XXX, is located at
Three Embarcadero Center, Suite 2400
San Francisco, California 94111
United States
Email Address: uspt@polsinelli.com


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:

Attorney Section (proposed):
Nathaniel Weiner of POLSINELLI LLP
XX bar, admitted in XXXX, bar membership no. XXX, is located at
Three Embarcadero Center, Suite 2400
San Francisco, California 94111
United States
uspt@polsinelli.com
Other Appointed Attorney(s): Miya Yusa, Kathryn T. Allen, Ari M. Bai, Corey M. Casey, Kory D. Christensen, Brad Crawford, Rhiannon D'Agostin, Elton F. Dean, III, Mark T. Deming, Brian B. Diekhoff, Derek D. Donahoe, Kate J. Doty, Gregory P. Durbin, Taryn A. Elliott, Jeffrey E. Fine, Timothy D. Fontes, Monica M. Gutierrez, Eric J. Hanson, Roberta J. Hanson, Gary E. Hood, L. Hannah Ji, S. Wade Johnson, J. Morgan Kirley, Gregory M. Kratofil, Jr., Todd M. Malynn, Joshua M. McCaig, Daniel P. Mullarkey, Tara A. Nealey, Michael D. Pegues, Andrea M. Porterfield, Joshua Pranckun, Emily C. Peyser, Adam C. Rehm, Rebecca C. Riley-Vargas, Melvin J. Sims, Matthew J. Smith, Colby B. Springer, James M. Stipek, Lawrence A. Swain, Peter G. Thurlow, Matt Todd, Milan Vinnola, Adam S. Weiss, Jason A. Wietjes, Michael A. Williamson, Laila S. Wolfgram, Spencer R. Wood, Patrick C. Woolley
Docket Reference Number(s): 093537615431Nathaniel Weiner 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.
Correspondence Section (Current):
Nathaniel Weiner
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: uspt@polsinelli.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): nweiner@polsinelli.com; ahilton@polsinelli.com; MGutierrez@Polsinelli.com

Correspondence Section (proposed):
Nathaniel Weiner
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: uspt@polsinelli.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): nweiner@polsinelli.com; myusa@polsinelli.com; jwillard@polsinelli.com
Docket Reference Number(s): 093537615431


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: /Miya Yusa/      Date: 03/04/2021
Signatory's Name: Miya Yusa
Signatory's Position: Associate Attorney, Polsinelli LLP, California bar member
Signature method: Sent to third party for signature

The signatory has confirmed that he/she is a U.S.-licensed attorney who is an active member in good standing of the bar of the highest court of a U.S. state (including the District of Columbia and any U.S. Commonwealth or territory); and he/she is currently the owner's/holder's attorney or an associate thereof; and to the best of his/her knowledge, if prior to his/her appointment another U.S.-licensed attorney not currently associated with his/her company/firm previously represented the owner/holder in this matter: the owner/holder has revoked their power of attorney by a signed revocation or substitute power of attorney with the USPTO; the USPTO has granted that attorney's withdrawal request; the owner/holder has filed a power of attorney appointing him/her in this matter; or the owner's/holder's appointed U.S.-licensed attorney has filed a power of attorney appointing him/her as an associate attorney in this matter.


Serial Number: 88066885
Internet Transmission Date: Fri Mar 05 09:45:13 ET 2021
TEAS Stamp: USPTO/CAR-XXX.XXX.XXX.X-2021030509451314
1107-88066885-7708f9b95fa9111e10ded59a98
65ebcd19cfd5c9725613a568eee1b9aeeb7d50bb
-N/A-N/A-20210219121002537421



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