Change Address or Representation Form

GL

Greenbush Elite, 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 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 88365759
LAW OFFICE ASSIGNED LAW OFFICE 101
MARK SECTION
MARK GL (stylized and/or with design, see http://uspto.report/TM/88365759/mark.png)
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 Greenbush Elite, LLC
EMAIL XXXX
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 Timothy A. Bush, Esq.
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
FIRM NAME SIROTE & PERMUTT, PC
STREET 2311 HIGHLAND AVE. S.
CITY BIRMINGHAM
STATE Alabama
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
POSTAL/ZIP CODE 35205
PHONE 205-930-5382
FAX 205-930-5101
EMAIL tbush@sirote.com
DOCKET/REFERENCE NUMBER(S) 48591-7
CORRESPONDENCE SECTION (proposed)
NAME Timothy A. Bush, Esq.
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE tbush@sirote.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) tmcclain@sirote.com
DOCKET/REFERENCE NUMBER(S) 48591-7
SIGNATURE SECTION
SIGNATURE /TAB/
SIGNATORY NAME Timothy A. Bush
SIGNATORY DATE 02/21/2020
SIGNATORY POSITION Attorney of Record, Alabama bar member
SIGNATORY PHONE NUMBER 205.930.5282
FILING INFORMATION SECTION
SUBMIT DATE Fri Feb 21 12:39:20 ET 2020
TEAS STAMP USPTO/ESU-X.XX.XXX.XXX-20
200221123920192560-883657
59-7106b45daee1fadabe013b
4532aa0fa68de399e4467e4bb
d373324f9c9fca531-DA-3919
8510-20200221123402906179



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: GL (stylized and/or with design, see http://uspto.report/TM/88365759/mark.png)
SERIAL NUMBER: 88365759



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):
Timothy A. Bush, Esq. of SIROTE & PERMUTT, PC
XX bar, admitted in XXXX, bar membership no. XXX, is located at
2311 HIGHLAND AVE. S.
BIRMINGHAM, Alabama 35205
United States
205-930-5382
205-930-5101
tbush@sirote.com
Docket Reference Number(s): 48591-7Timothy A. Bush, Esq. 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):
Timothy A. Bush, Esq.
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: tbush@sirote.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): tmcclain@sirote.com
Docket Reference Number(s): 48591-7




Signature: /TAB/      Date: 02/21/2020
Signatory's Name: Timothy A. Bush
Signatory's Position: Attorney of Record, Alabama bar member
Signatory's Phone Number: 205.930.5282

Serial Number: 88365759
Internet Transmission Date: Fri Feb 21 12:39:20 ET 2020
TEAS Stamp: USPTO/ESU-X.XX.XXX.XXX-20200221123920192
560-88365759-7106b45daee1fadabe013b4532a
a0fa68de399e4467e4bbd373324f9c9fca531-DA
-39198510-20200221123402906179



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