Change Address or Representation Form

OCTIQ

Innovus Pharmaceuticals, Inc.

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 88179843
LAW OFFICE ASSIGNED LAW OFFICE 130
MARK SECTION
MARK OCTIQ (standard characters, see http://uspto.report/TM/88179843/mark.png)
ATTORNEY SECTION(current)
NAME Jake D. Siciliano
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
INTERNAL ADDRESS Legal
STREET 373 Inverness Parkway, Suite 206
CITY Englewood
STATE Colorado
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
POSTAL/ZIP CODE 80112
PHONE 3039962198
EMAIL jsiciliano@aytubio.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 Jake D. Siciliano
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
STREET 373 Inverness Parkway, Suite 206
CITY Englewood
STATE Colorado
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
POSTAL/ZIP CODE 80112
PHONE 3039962198
EMAIL jsiciliano@aytubio.com
CORRESPONDENCE SECTION(current)
NAME Jake D. Siciliano
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE jsiciliano@aytubio.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) docketing@sheridanross.com
CORRESPONDENCE SECTION (proposed)
NAME Jake D. Siciliano
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE jsiciliano@aytubio.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) NOT PROVIDED
SIGNATURE SECTION
SIGNATURE /jake siciliano/
SIGNATORY NAME Jake D. Siciliano
SIGNATORY DATE 03/26/2021
SIGNATORY POSITION Attorney of record
SIGNATORY PHONE NUMBER 3039962198
ROLE OF AUTHORIZED SIGNATORY Authorized U.S.-Licensed Attorney
SIGNATURE METHOD Signed directly within the form
FILING INFORMATION SECTION
SUBMIT DATE Fri Mar 26 14:38:47 ET 2021
TEAS STAMP USPTO/CAR-XX.XXX.XXX.XXX-
20210326143847403750-8761
7672-770da38384c38f24332c
379dffe89ab9165d931f1d96a
ed8a88d4f31243b7245a0-N/A
-N/A-20210326143421519248



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: OCTIQ (standard characters, see http://uspto.report/TM/88179843/mark.png)
SERIAL NUMBER: 88179843

Attorney Section (Current):
Jake D. Siciliano
XX bar, admitted in XXXX, bar membership no. XXX, is located at
Legal
373 Inverness Parkway, Suite 206
Englewood, Colorado 80112
United States
3039962198
Email Address: jsiciliano@aytubio.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):
Jake D. Siciliano
XX bar, admitted in XXXX, bar membership no. XXX, is located at
373 Inverness Parkway, Suite 206
Englewood, Colorado 80112
United States
3039962198
jsiciliano@aytubio.com
Jake D. Siciliano 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):
Jake D. Siciliano
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: jsiciliano@aytubio.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): docketing@sheridanross.com

Correspondence Section (proposed):
Jake D. Siciliano
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: jsiciliano@aytubio.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): NOT PROVIDED


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: /jake siciliano/      Date: 03/26/2021
Signatory's Name: Jake D. Siciliano
Signatory's Position: Attorney of record
Signatory's Phone Number: 3039962198
Signature method: Signed directly within the form

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: 88179843
Internet Transmission Date: Fri Mar 26 14:38:47 ET 2021
TEAS Stamp: USPTO/CAR-XX.XXX.XXX.XXX-202103261438474
03750-87617672-770da38384c38f24332c379df
fe89ab9165d931f1d96aed8a88d4f31243b7245a
0-N/A-N/A-20210326143421519248



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