Change Address or Representation Form

PRIDE

Axcentria Pharmaceuticals, LLC

Change Address or Representation Form

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 2196 (Rev 09/2005)

OMB No. 0651-0056 (Exp 11/30/2020)

Change Address or Representation Form

The table below presents the data as entered.

Input Field	Entered
SERIAL NUMBER	88152750
LAW OFFICE ASSIGNED	LAW OFFICE 100
MARK SECTION
MARK	PRIDE (standard characters, see http://tmng-al.uspto.gov /resting2/api/img/8815275 0/large)
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	Axcentria Pharmaceuticals, LLC
EMAIL	XXXX
CORRESPONDENCE SECTION (proposed)
NAME	Mary L. Shapiro
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE	iplaw@evoke.law
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES)	mary@evoke.law; nicole@evoke.law
SIGNATURE SECTION
SIGNATURE	/Nicole A. Syzdek/
SIGNATORY NAME	Nicole A. Syzdek
SIGNATORY DATE	02/21/2020
SIGNATORY POSITION	Associate Attorney, Evoke Law, PC, California Bar Member
SIGNATORY PHONE NUMBER	4153983141
FILING INFORMATION SECTION
SUBMIT DATE	Fri Feb 21 12:46:01 ET 2020
TEAS STAMP	USPTO/ESU-XXX.XXX.XXX.XXX -20200221124601425527-881 52750-710f2211afa347c5336 b17e855785c4ea941489b1bcb ff44bb8117cb3789f7473-CC- 45598611-2020022112441240 1952

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 2196 (Rev 09/2005)

OMB No. 0651-0056 (Exp 11/30/2020)

Change Address or Representation Form

To the Commissioner for Trademarks:

MARK: PRIDE (standard characters, see http://tmng-al.uspto.gov /resting2/api/img/8815275 0/large)
SERIAL NUMBER: 88152750

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

Owner Section (proposed):
Axcentria Pharmaceuticals, LLC
XXXXCorrespondence Section (proposed):
Mary L. Shapiro
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: iplaw@evoke.law
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): mary@evoke.law; nicole@evoke.law

Signature: /Nicole A. Syzdek/ Date: 02/21/2020
Signatory's Name: Nicole A. Syzdek
Signatory's Position: Associate Attorney, Evoke Law, PC, California Bar Member
Signatory's Phone Number: 4153983141

Serial Number: 88152750
Internet Transmission Date: Fri Feb 21 12:46:01 ET 2020
TEAS Stamp: USPTO/ESU-XXX.XXX.XXX.XXX-20200221124601
425527-88152750-710f2211afa347c5336b17e8
55785c4ea941489b1bcbff44bb8117cb3789f747
3-CC-45598611-20200221124412401952

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