Change Address or Representation Form

HR HILLROM

Hill-Rom Services, Inc.

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 88398177
LAW OFFICE ASSIGNED LAW OFFICE 127
MARK SECTION
MARK HR HILLROM (stylized and/or with design, see http://uspto.report/TM/88398177/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 Hill-Rom Services, Inc.
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 Clay A. Tillack
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
FIRM NAME SCHIFF HARDIN LLP
STREET P.O. BOX 06079
CITY CHICAGO
STATE Illinois
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
POSTAL/ZIP CODE 60606-0079
PHONE 312-258-5758
FAX 312-258-5600
EMAIL trademarks@schiffhardin.com
DOCKET/REFERENCE NUMBER(S) 39108-1616
CORRESPONDENCE SECTION (proposed)
NAME Clay A. Tillack
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE trademarks@schiffhardin.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) NOT PROVIDED
DOCKET/REFERENCE NUMBER(S) 39108-1616
SIGNATURE SECTION
SIGNATURE /Clay A. Tillack/
SIGNATORY NAME Clay A. Tillack
SIGNATORY DATE 02/24/2020
SIGNATORY POSITION Attorney of Record, Illinois Bar Member
SIGNATORY PHONE NUMBER 312-258-5758
FILING INFORMATION SECTION
SUBMIT DATE Mon Feb 24 17:15:12 ET 2020
TEAS STAMP USPTO/ESU-XX.XX.XXX.X-202
00224171512001627-8839817
7-7102ec6ee245892622cd460
c81d15fa957383ca2c11464d2
536bbaf6b63729de35-CC-151
09518-2020022416090317630
6



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: HR HILLROM (stylized and/or with design, see http://uspto.report/TM/88398177/mark.png)
SERIAL NUMBER: 88398177



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):
Clay A. Tillack of SCHIFF HARDIN LLP
XX bar, admitted in XXXX, bar membership no. XXX, is located at
P.O. BOX 06079
CHICAGO, Illinois 60606-0079
United States
312-258-5758
312-258-5600
trademarks@schiffhardin.com
Docket Reference Number(s): 39108-1616Clay A. Tillack 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):
Clay A. Tillack
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: trademarks@schiffhardin.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): NOT PROVIDED
Docket Reference Number(s): 39108-1616




Signature: /Clay A. Tillack/      Date: 02/24/2020
Signatory's Name: Clay A. Tillack
Signatory's Position: Attorney of Record, Illinois Bar Member
Signatory's Phone Number: 312-258-5758

Serial Number: 88398177
Internet Transmission Date: Mon Feb 24 17:15:12 ET 2020
TEAS Stamp: USPTO/ESU-XX.XX.XXX.X-202002241715120016
27-88398177-7102ec6ee245892622cd460c81d1
5fa957383ca2c11464d2536bbaf6b63729de35-C
C-15109518-20200224160903176306



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