Change Address or Representation Form

BELONG

BELONG GAMING 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 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 88202137
LAW OFFICE ASSIGNED LAW OFFICE 127
MARK SECTION
MARK BELONG (stylized and/or with design, see http://tmng-al.uspto.gov /resting2/api/img/8820213 7/large)
ATTORNEY SECTION(current)
NAME Charles J. Meyer
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
FIRM NAME Woodard, Emhardt, Henry, Reeves & Wagner
STREET 111 MONUMENT CIRCLE, STE 3700
CITY INDIANAPOLIS
STATE Indiana
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
POSTAL/ZIP CODE 46204
PHONE 317-634-3456
FAX 317-637-7561
EMAIL cjmeyer@uspatent.com
DOCKET/REFERENCE NUMBER(S) 34520-2
CORRESPONDENCE SECTION(current)
NAME Charles J. Meyer
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE cjmeyer@uspatent.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) docketdept@uspatent.com; danielle@uspatent.com
DOCKET/REFERENCE NUMBER(S) 34520-2
STATEMENT OF THE REASON FOR REPLACEMENT
Applicant has requested that new counsel assume responsibility for the continued prosecution of the application.
ATTORNEY SECTION (proposed)
STATEMENT TEXT By submission of this request, the undersigned confirms that (1) representation is ongoing and (2) that the individual listed below should now be identified as the attorney of record:
NAME Carlo F. Van den Bosch
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
FIRM NAME Sheppard Mullin Ricther & Hampton LLP
OTHER APPOINTED ATTORNEY(S) Michelle LaVoie Wisniewski; Gazal Pour-Moezzi; Brian M. Daucher
RECOGNIZED CANADIAN ATTORNEY/AGENT Carlo F. Van den Bosch
INTERNAL ADDRESS 10 Floor
STREET 650 Town Center Drive
CITY Costa Mesa
STATE California
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
POSTAL/ZIP CODE 92626
PHONE 714-424-8215
FAX 714-513-5130
EMAIL uspto-tm-oc@sheppardmullin.com
DOCKET/REFERENCE NUMBER(S) 69BT-NEW01
CORRESPONDENCE SECTION (proposed)
NAME Carlo F. Van den Bosch
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE uspto-tm-oc@sheppardmullin.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) cvandenbosch@sheppardmullin.com
DOCKET/REFERENCE NUMBER(S) 69BT-NEW01
SIGNATURE SECTION
SIGNATURE /Jason Garmise/
SIGNATORY NAME Jason Garmise
SIGNATORY DATE 08/02/2020
SIGNATORY POSITION President and COO
SIGNATORY PHONE NUMBER 646-432-3749
AUTHORIZED SIGNATORY YES
FILING INFORMATION SECTION
SUBMIT DATE Mon Aug 03 11:51:10 ET 2020
TEAS STAMP USPTO/CAR-XX.XXX.XXX.XXX-
20200803115110693916-8820
2137-740b6dcb6da6f8f5c654
724f9434adea07d842d2e7bd0
88792a3e755816e874d38a-N/
A-N/A-2020073118042176713
9



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: BELONG (stylized and/or with design, see http://tmng-al.uspto.gov /resting2/api/img/8820213 7/large)
SERIAL NUMBER: 88202137

Attorney Section (Current):
Charles J. Meyer of Woodard, Emhardt, Henry, Reeves & Wagner
XX bar, admitted in XXXX, bar membership no. XXX, is located at
111 MONUMENT CIRCLE, STE 3700
INDIANAPOLIS, Indiana 46204
United States
317-634-3456
317-637-7561
Email Address: cjmeyer@uspatent.com
Docket Reference Number(s):34520-2.

Correspondence Section (Current):
Charles J. Meyer
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: cjmeyer@uspatent.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): docketdept@uspatent.com; danielle@uspatent.com
Docket Reference Number(s): 34520-2

STATEMENT OF THE REASON FOR REPLACEMENT
Applicant has requested that new counsel assume responsibility for the continued prosecution of the application.

By submission of this request, the undersigned confirms that (1) representation is ongoing and (2) that the individual listed below should now be identified as the attorney of record:

Attorney Section (proposed):
Carlo F. Van den Bosch of Sheppard Mullin Ricther & Hampton LLP
XX bar, admitted in XXXX, bar membership no. XXX, is located at
10 Floor
650 Town Center Drive
Costa Mesa, California 92626
United States
714-424-8215
714-513-5130
uspto-tm-oc@sheppardmullin.com
Other Appointed Attorney(s): Michelle LaVoie Wisniewski; Gazal Pour-Moezzi; Brian M. Daucher
Recognized Canadian Attorney/Agent: Carlo F. Van den Bosch
Docket Reference Number(s): 69BT-NEW01Carlo F. Van den Bosch 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):
Carlo F. Van den Bosch
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: uspto-tm-oc@sheppardmullin.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): cvandenbosch@sheppardmullin.com
Docket Reference Number(s): 69BT-NEW01




Signature: /Jason Garmise/      Date: 08/02/2020
Signatory's Name: Jason Garmise
Signatory's Position: President and COO
Signatory's Phone Number: 646-432-3749

Serial Number: 88202137
Internet Transmission Date: Mon Aug 03 11:51:10 ET 2020
TEAS Stamp: USPTO/CAR-XX.XXX.XXX.XXX-202008031151106
93916-88202137-740b6dcb6da6f8f5c654724f9
434adea07d842d2e7bd088792a3e755816e874d3
8a-N/A-N/A-20200731180421767139



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