Change Address or Representation Form

EVERACTIVE

EVERACTIVE, INC.

Change Address or Representation Form

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	88339707
LAW OFFICE ASSIGNED	LAW OFFICE 112
MARK SECTION
MARK	EVERACTIVE (standard characters, see http://tmng-al.uspto.gov /resting2/api/img/8833970 7/large)
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	EVERACTIVE, INC.
EMAIL	XXXX
CORRESPONDENCE SECTION (proposed)
NAME	Peter J. Willsey
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE	ip@brownrudnick.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES)	pwillsey@brownrudnick.com; doakes@brownrudnick.com
SIGNATURE SECTION
SIGNATURE	/Robert R Nunn/
SIGNATORY NAME	Robert R. Nunn
SIGNATORY DATE	02/21/2020
SIGNATORY POSITION	President and CEO
SIGNATORY PHONE NUMBER	8185192418
FILING INFORMATION SECTION
SUBMIT DATE	Fri Feb 21 11:44:13 ET 2020
TEAS STAMP	USPTO/SOU-XX.XXX.XXX.XXX- 20200221114413860008-8833 9707-7101ea3cb583e247e86d 0c7c92fe0aa9ef0fcb1c4cd83 782185986a31bc4f696e8b-DA -44137190-202002201001086 78558

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: EVERACTIVE (standard characters, see http://tmng-al.uspto.gov /resting2/api/img/8833970 7/large)
SERIAL NUMBER: 88339707

Correspondence Section (proposed):
Peter J. Willsey
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: ip@brownrudnick.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): pwillsey@brownrudnick.com; doakes@brownrudnick.com

Signature: /Robert R Nunn/ Date: 02/21/2020
Signatory's Name: Robert R. Nunn
Signatory's Position: President and CEO
Signatory's Phone Number: 8185192418

Serial Number: 88339707
Internet Transmission Date: Fri Feb 21 11:44:13 ET 2020
TEAS Stamp: USPTO/SOU-XX.XXX.XXX.XXX-202002211144138
60008-88339707-7101ea3cb583e247e86d0c7c9
2fe0aa9ef0fcb1c4cd83782185986a31bc4f696e
8b-DA-44137190-20200220100108678558

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