TEAS Rev, App and/or COA of Atty/Dom.Rep

SMILEY HARVEY BALL

Harvey Ball Smile Limited

Revocation, Appointment, and/or Change of Address of Attorney/Domestic Representative

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)

Revocation, Appointment, and/or Change of Address of Attorney/Domestic Representative


The table below presents the data as entered.

Input Field Entered
SERIAL NUMBER 88351435
LAW OFFICE ASSIGNED LAW OFFICE 125
MARK SECTION
MARK SMILEY HARVEY BALL (stylized and/or with design, see http://uspto.report/TM/88351435/mark.png)
CURRENT CORRESPONDENCE ADDRESS
NAME HARVEY BALL SMILE LIMITED
FIRM NAME HARVEY BALL SMILE LIMITED
STREET #832MINAMIMEGUROEN BLDG 4-6-16 KAMIOSAKI
CITY SHINAGAWA-KU TOKYO
COUNTRY JP
POSTAL/ZIP CODE 141-0021
PHONE +81-357211437
FAX 81-3-5721-1422
EMAIL jassinter.inc-jp@dream.com
AUTHORIZED TO COMMUNICATE VIA E-MAIL YES
NEW ATTORNEY INFORMATION
STATEMENT TEXT By submission of this request, the undersigned hereby APPOINTS the following new attorney:
NAME Charles P. Ball
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
FIRM NAME Charles P. Ball, Attorney at Law
STREET 390 Main Street, Suite 528
CITY Worcester
STATE Massachusetts
COUNTRY United States
POSTAL/ZIP CODE 01608
EMAIL jassinter.inc-jp@dream.com
ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL YES
INDIVIDUAL ATTORNEY
DOCKET/REFERENCE NUMBER
NEW CORRESPONDENCE INFORMATION
NAME HARVEY BALL SMILE LIMITED
FIRM NAME HARVEY BALL SMILE LIMITED
STREET NF Building 3F, 3-5-5 Nakameguro
CITY Meguro-ku Tokyo
COUNTRY Japan
POSTAL/ZIP CODE 153-0061
EMAIL jassinter.inc-jp@dream.com
AUTHORIZED TO COMMUNICATE VIA E-MAIL YES
INDIVIDUAL ATTORNEY
DOCKET/REFERENCE NUMBER
SIGNATURE SECTION
SIGNATURE /cb/
SIGNATORY NAME Charles P Ball
SIGNATORY DATE 10/08/2019
SIGNATORY POSITION Attorney of record, Massachusetts Bar member
FILING INFORMATION SECTION
SUBMIT DATE Tue Oct 08 01:23:11 EDT 2019
TEAS STAMP USPTO/RAA-XXX.X.XXX.XX-20
191008012311019198-880181
46-610936fb124853eeaf926f
8893229171c9121d8f70a2938
6d3edbad38351e8-N/A-N/A-2
0191008005910537990



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)


Revocation, Appointment, and/or Change of Address of Attorney/Domestic Representative


To the Commissioner for Trademarks:
MARK: SMILEY HARVEY BALL (stylized and/or with design, see http://uspto.report/TM/88351435/mark.png)
SERIAL NUMBER: 88351435

Current Correspondence Information:
HARVEY BALL SMILE LIMITED
HARVEY BALL SMILE LIMITED
#832MINAMIMEGUROEN BLDG 4-6-16 KAMIOSAKI
SHINAGAWA-KU TOKYO 141-0021
JP
+81-357211437
81-3-5721-1422
jassinter.inc-jp@dream.com (authorized)


By submission of this request, the undersigned hereby APPOINTS the following new attorney:

New Attorney information:
Charles P. Ball, Charles P. Ball, Attorney at Law
XX bar, admitted in XXXX, bar membership no. XXX, is located at
390 Main Street, Suite 528
Worcester, Massachusetts 01608
United States
jassinter.inc-jp@dream.com (not authorized)

Charles P. Ball 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.New Correspondence Information:
HARVEY BALL SMILE LIMITED
HARVEY BALL SMILE LIMITED
NF Building 3F, 3-5-5 Nakameguro
Meguro-ku Tokyo 153-0061
Japan
jassinter.inc-jp@dream.com (authorized)



Signature: /cb/      Date: 10/08/2019
Signatory's Name: Charles P Ball
Signatory's Position: Attorney of record, Massachusetts Bar member

Serial Number: 88351435
Internet Transmission Date: Tue Oct 08 01:23:11 EDT 2019
TEAS Stamp: USPTO/RAA-XXX.X.XXX.XX-20191008012311019
198-88018146-610936fb124853eeaf926f88932
29171c9121d8f70a29386d3edbad38351e8-N/A-
N/A-20191008005910537990



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