| 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 | 88135736 |
| LAW OFFICE ASSIGNED | LAW OFFICE 100 |
| MARK SECTION | |
| MARK | VUE (standard characters, see http://tmng-al.uspto.gov /resting2/api/img/8813573 6/large) |
| OWNER SECTION(current) | |
| NAME | Columbia Insurance Company |
| MAILING ADDRESS | 1314 Douglas Street, Suite 1400 |
| CITY | Omaha |
| STATE | Nebraska |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| ZIP/POSTAL CODE | 68102 |
| XXXX | |
| ATTORNEY SECTION(current) | |
| NAME | Lisa Iverson |
| ATTORNEY BAR MEMBERSHIP NUMBER | XXX |
| YEAR OF ADMISSION | XXXX |
| U.S. STATE/ COMMONWEALTH/ TERRITORY | XX |
| FIRM NAME | Friedman Law Group, Ltd. |
| INTERNAL ADDRESS | Suite 305A |
| STREET | 1700 W. Irving Park Rd. |
| CITY | Chicago |
| STATE | Illinois |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| POSTAL/ZIP CODE | 60613 |
| PHONE | 773.248.2794 |
| liverson@marketing-law.com | |
| DOCKET/REFERENCE NUMBER(S) | 60197.08644 |
| CORRESPONDENCE SECTION(current) | |
| NAME | Lisa Iverson |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | liverson@marketing-law.com |
| SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) | ip@shawinc.com; sfoti@marketing-law.com; nbosshardt@marketing-law.com |
| DOCKET/REFERENCE NUMBER(S) | 60197.08644 |
| 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 | Columbia Insurance Company |
| MAILING ADDRESS | 1314 Douglas Street, Suite 1400 |
| CITY | Omaha |
| STATE | Nebraska |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| ZIP/POSTAL CODE | 68102-1944 |
| 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 | Lisa Iverson |
| ATTORNEY BAR MEMBERSHIP NUMBER | XXX |
| YEAR OF ADMISSION | XXXX |
| U.S. STATE/ COMMONWEALTH/ TERRITORY | XX |
| FIRM NAME | Iverson IP |
| INTERNAL ADDRESS | Suite 211 |
| STREET | 1700 W. Irving Park Rd. |
| CITY | Chicago |
| STATE | Illinois |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| POSTAL/ZIP CODE | 60613 |
| PHONE | 773.742.4605 |
| liverson@iverson-ip.com | |
| DOCKET/REFERENCE NUMBER(S) | 60197.08644 |
| CORRESPONDENCE SECTION (proposed) | |
| NAME | Lisa Iverson |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | liverson@iverson-ip.com |
| SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) | ip@shawinc.com; ablummer@iverson-ip.com; docket@iverson-ip.com; sfoti@iverson-ip.com |
| DOCKET/REFERENCE NUMBER(S) | 60197.08644 |
| SIGNATURE SECTION | |
| SIGNATURE | /Lisa A. Iverson/ |
| SIGNATORY NAME | Lisa A. Iverson |
| SIGNATORY DATE | 10/09/2020 |
| SIGNATORY POSITION | Attorney of Record, Illinois Bar member |
| AUTHORIZED SIGNATORY | YES |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Fri Oct 09 11:27:41 ET 2020 |
| TEAS STAMP | USPTO/CAR-XXX.XXX.XXX.XXX -20201009112741520110-871 99148-750b94ef12a7c3e39b5 1bbc74f238aec719267ba7818 26d05a35b3b8d4f591b4-N/A- N/A-20201009111645290163 |
| 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) |