Change Address or Representation Form

JELMYTO

UROGEN PHARMA LTD.

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 88204510
REGISTRATION NUMBER 6114299
LAW OFFICE ASSIGNED LAW OFFICE 101
MARK SECTION
MARK JELMYTO (standard characters, see http://uspto.report/TM/88204510/mark.png)
ATTORNEY SECTION(current)
NAME Peter J. Willsey
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
FIRM NAME Brown Rudnick LLP
STREET 601 Thirteenth Street NW Suite 600
CITY Washington
STATE District of Columbia
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
POSTAL/ZIP CODE 20005
PHONE 202-536-1751
FAX 617-289-0851
EMAIL ip@brownrudnick.com
DOCKET/REFERENCE NUMBER(S) 35560/4
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 Peter J. Willsey
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
FIRM NAME Brown Rudnick LLP
OTHER APPOINTED ATTORNEY(S) Vincent J. Badolato, Robert J. Tosti and Alvin B. Carter III
STREET 601 Thirteenth Street NW Suite 600
CITY Washington
STATE District of Columbia
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
POSTAL/ZIP CODE 20005
PHONE 2025361751
FAX 617-289-0851
EMAIL trademarks@brownrudnick.com
DOCKET/REFERENCE NUMBER(S) 35560/4
CORRESPONDENCE SECTION(current)
NAME Peter J. Willsey
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE ip@brownrudnick.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) pwillsey@brownrudnick.com; doakes@brownrudnick.com
DOCKET/REFERENCE NUMBER(S) 35560/4
CORRESPONDENCE SECTION (proposed)
NAME Peter J. Willsey
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE trademarks@brownrudnick.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) pwillsey@brownrudnick.com; doakes@brownrudnick.com
DOCKET/REFERENCE NUMBER(S) 35560/4
SIGNATURE SECTION
SIGNATURE /Peter J. Willsey/
SIGNATORY NAME Peter J. Willsey
SIGNATORY DATE 02/19/2021
SIGNATORY POSITION Attorney of Record, DC Bar member
SIGNATORY PHONE NUMBER 202-536-1751
ROLE OF AUTHORIZED SIGNATORY Authorized U.S.-Licensed Attorney
SIGNATURE METHOD Sent to third party for signature
FILING INFORMATION SECTION
SUBMIT DATE Fri Feb 19 15:04:07 ET 2021
TEAS STAMP USPTO/CAR-XX.XXX.XXX.XXX-
20210219150407418441-8809
6670-770b5cb5660459630761
8e86339d3221ce32f75d8a446
951f6311f8c1a2244265-N/A-
N/A-20210218185528738812



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: JELMYTO (standard characters, see http://uspto.report/TM/88204510/mark.png)
SERIAL NUMBER: 88204510
REGISTRATION NUMBER: 6114299

Attorney Section (Current):
Peter J. Willsey of Brown Rudnick LLP
XX bar, admitted in XXXX, bar membership no. XXX, is located at
601 Thirteenth Street NW Suite 600
Washington, District of Columbia 20005
United States
202-536-1751
617-289-0851
Email Address: ip@brownrudnick.com
Docket Reference Number(s):35560/4.


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):
Peter J. Willsey of Brown Rudnick LLP
XX bar, admitted in XXXX, bar membership no. XXX, is located at
601 Thirteenth Street NW Suite 600
Washington, District of Columbia 20005
United States
2025361751
617-289-0851
trademarks@brownrudnick.com
Other Appointed Attorney(s): Vincent J. Badolato, Robert J. Tosti and Alvin B. Carter III
Docket Reference Number(s): 35560/4Peter J. Willsey 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):
Peter J. Willsey
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: ip@brownrudnick.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): pwillsey@brownrudnick.com; doakes@brownrudnick.com
Docket Reference Number(s): 35560/4

Correspondence Section (proposed):
Peter J. Willsey
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: trademarks@brownrudnick.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): pwillsey@brownrudnick.com; doakes@brownrudnick.com
Docket Reference Number(s): 35560/4


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: /Peter J. Willsey/      Date: 02/19/2021
Signatory's Name: Peter J. Willsey
Signatory's Position: Attorney of Record, DC Bar member
Signatory's Phone Number: 202-536-1751
Signature method: Sent to third party for signature

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: 88204510
Internet Transmission Date: Fri Feb 19 15:04:07 ET 2021
TEAS Stamp: USPTO/CAR-XX.XXX.XXX.XXX-202102191504074
18441-88096670-770b5cb56604596307618e863
39d3221ce32f75d8a446951f6311f8c1a2244265
-N/A-N/A-20210218185528738812



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