Change Address or Representation Form

SPERLING PROSTATE CENTER

SPERLING RADIOLOGY P.C.

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 2300 (Rev 02/2020)
OMB No. 0651-0051 (Exp 11/30/2020)

Change Address or Representation Form


The table below presents the data as entered.

Input Field Entered
SERIAL NUMBER 88176033
REGISTRATION NUMBER 5769452
LAW OFFICE ASSIGNED LAW OFFICE 122
MARK SECTION
MARK SPERLING PROSTATE CENTER (standard characters, see http://tmng-al.uspto.gov /resting2/api/img/8817603 3/large)
OWNER SECTION(current)
NAME SPERLING RADIOLOGY P.C.
INTERNAL ADDRESS 4205 WEST ATLANTIC AVENUE
MAILING ADDRESS BUILDING D
CITY DELRAY BEACH
STATE Florida
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
ZIP/POSTAL CODE 33445
ATTORNEY SECTION(current)
NAME David I Greenbaum
ATTORNEY BAR MEMBERSHIP NUMBER NOT SPECIFIED
YEAR OF ADMISSION NOT SPECIFIED
U.S. STATE/ COMMONWEALTH/ TERRITORY NOT SPECIFIED
FIRM NAME FOX ROTHSCHILD LLP
STREET 997 LENOX DRIVE, BUILDING 3
CITY LAWRENCEVILLE
STATE New Jersey
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
POSTAL/ZIP CODE 08648-2311
PHONE 561-804-4423
FAX 609-896-1469
EMAIL ipdocket@foxrothschild.com
DOCKET/REFERENCE NUMBER(S) 182782-00100
CORRESPONDENCE SECTION(current)
NAME DAVID I GREENBAUM
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE ipdocket@foxrothschild.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) dgreenbaum@foxrothschild.com
DOCKET/REFERENCE NUMBER(S) 182782-00100
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 SPERLING RADIOLOGY P.C.
INTERNAL ADDRESS 4205 WEST ATLANTIC AVENUE
MAILING ADDRESS BUILDING D
CITY DELRAY BEACH
STATE Florida
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
ZIP/POSTAL CODE 33445
EMAIL 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 David I Greenbaum
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
FIRM NAME RIMON, P.C.
STREET ONE EMBARCADERO CENTER, #400
CITY SAN FRANCISCO
STATE California
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
POSTAL/ZIP CODE 94111
PHONE 646-779-0787
FAX 646-779-0787
EMAIL david.greenbaum@rimonlaw.com
DOCKET/REFERENCE NUMBER(S) 6177.28034
CORRESPONDENCE SECTION (proposed)
NAME David I Greenbaum
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE david.greenbaum@rimonlaw.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) tmdocketing@rimonlaw.com
DOCKET/REFERENCE NUMBER(S) 6177.28034
SIGNATURE SECTION
SIGNATURE /dig/
SIGNATORY NAME David I. Greenbaum
SIGNATORY DATE 03/08/2020
SIGNATORY POSITION Attorney of Record
SIGNATORY PHONE NUMBER 646-779-0787
AUTHORIZED SIGNATORY YES
FILING INFORMATION SECTION
SUBMIT DATE Mon Mar 09 09:29:28 ET 2020
TEAS STAMP USPTO/CAR-XX.XX.XX.XXX-20
200309092928722606-881760
33-710faa5e5f54ef48d64071
10512182d45b9ae5a8864748a
278b56aa3b12f3a38-N/A-N/A
-20200306102404864912



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)


Change Address or Representation Form


To the Commissioner for Trademarks:

MARK: SPERLING PROSTATE CENTER (standard characters, see http://tmng-al.uspto.gov /resting2/api/img/8817603 3/large)
SERIAL NUMBER: 88176033
REGISTRATION NUMBER: 5769452


Owner Section (Current) :
SPERLING RADIOLOGY P.C.
4205 WEST ATLANTIC AVENUE
BUILDING D
DELRAY BEACH, Florida 33445
United States
Attorney Section (Current):
David I Greenbaum of FOX ROTHSCHILD LLP
is located at
997 LENOX DRIVE, BUILDING 3
LAWRENCEVILLE, New Jersey 08648-2311
United States
561-804-4423
609-896-1469
Email Address: ipdocket@foxrothschild.com
Docket Reference Number(s):182782-00100.

Correspondence Section (Current):
DAVID I GREENBAUM
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: ipdocket@foxrothschild.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): dgreenbaum@foxrothschild.com
Docket Reference Number(s): 182782-00100


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

Owner Section (proposed):
SPERLING RADIOLOGY P.C.
4205 WEST ATLANTIC AVENUE
BUILDING D
DELRAY BEACH, Florida 33445
United States
XXXX
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):
David I Greenbaum of RIMON, P.C.
XX bar, admitted in XXXX, bar membership no. XXX, is located at
ONE EMBARCADERO CENTER, #400
SAN FRANCISCO, California 94111
United States
646-779-0787
646-779-0787
david.greenbaum@rimonlaw.com
Docket Reference Number(s): 6177.28034David I Greenbaum 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 (proposed):
David I Greenbaum
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: david.greenbaum@rimonlaw.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): tmdocketing@rimonlaw.com
Docket Reference Number(s): 6177.28034




Signature: /dig/      Date: 03/08/2020
Signatory's Name: David I. Greenbaum
Signatory's Position: Attorney of Record
Signatory's Phone Number: 646-779-0787

Serial Number: 88176033
Internet Transmission Date: Mon Mar 09 09:29:28 ET 2020
TEAS Stamp: USPTO/CAR-XX.XX.XX.XXX-20200309092928722
606-88176033-710faa5e5f54ef48d6407110512
182d45b9ae5a8864748a278b56aa3b12f3a38-N/
A-N/A-20200306102404864912



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