Change Address or Representation Form

LOMELVIA

Glaxo Group Limited

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 88212381
LAW OFFICE ASSIGNED LAW OFFICE 101
MARK SECTION
MARK LOMELVIA (standard characters, see http://tmng-al.uspto.gov /resting2/api/img/8821238 1/large)
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 Merilee J. Arevalo
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
FIRM NAME GSK
OTHER APPOINTED ATTORNEY(S) Christopher M. Hanes, Terence A. Dixon, Michele A. Farber
INTERNAL ADDRESS LBP, 5.5A
STREET 5 MOORE DRIVE
CITY RESEARCH TRIANGLE PARK
STATE North Carolina
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
POSTAL/ZIP CODE 27709-3398
PHONE 919-315-8204
FAX 919-315-3023
EMAIL trademarks@gsk.com
DOCKET/REFERENCE NUMBER(S) 82764411
CORRESPONDENCE SECTION (proposed)
NAME Merilee J. Arevalo
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE trademarks@gsk.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) NOT PROVIDED
DOCKET/REFERENCE NUMBER(S) 82764411
SIGNATURE SECTION
SIGNATURE /Merilee J. Arevalo/
SIGNATORY NAME Merilee J. Arevalo
SIGNATORY DATE 02/17/2020
SIGNATORY POSITION Trademark Counsel, GSK, NJ and PA bar member
SIGNATORY PHONE NUMBER 919-315-8204
FILING INFORMATION SECTION
SUBMIT DATE Mon Feb 17 12:12:59 ET 2020
TEAS STAMP USPTO/ESU-XXX.XX.XX.X-202
00217121259783202-8821238
1-71043ded4a6baaf4ad516b7
b5d2e4d6e7932e8da273f4a18
a74122ba3eadab0ab-DA-1259
3756-20200217102408868801



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: LOMELVIA (standard characters, see http://tmng-al.uspto.gov /resting2/api/img/8821238 1/large)
SERIAL NUMBER: 88212381


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):
Merilee J. Arevalo of GSK
XX bar, admitted in XXXX, bar membership no. XXX, is located at
LBP, 5.5A
5 MOORE DRIVE
RESEARCH TRIANGLE PARK, North Carolina 27709-3398
United States
919-315-8204
919-315-3023
trademarks@gsk.com
Other Appointed Attorney(s): Christopher M. Hanes, Terence A. Dixon, Michele A. Farber
Docket Reference Number(s): 82764411Merilee J. Arevalo 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):
Merilee J. Arevalo
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: trademarks@gsk.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): NOT PROVIDED
Docket Reference Number(s): 82764411




Signature: /Merilee J. Arevalo/      Date: 02/17/2020
Signatory's Name: Merilee J. Arevalo
Signatory's Position: Trademark Counsel, GSK, NJ and PA bar member
Signatory's Phone Number: 919-315-8204

Serial Number: 88212381
Internet Transmission Date: Mon Feb 17 12:12:59 ET 2020
TEAS Stamp: USPTO/ESU-XXX.XX.XX.X-202002171212597832
02-88212381-71043ded4a6baaf4ad516b7b5d2e
4d6e7932e8da273f4a18a74122ba3eadab0ab-DA
-12593756-20200217102408868801



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