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 1966 (Rev 10/2011) |
| OMB No. 0651-0050 (Exp 09/20/2020) |
Voluntary Amendment
The table below presents the data as entered.
Input Field
|
Entered
|
| SERIAL NUMBER |
88501039 |
| MARK SECTION |
| LITERAL ELEMENT |
SALEX |
| STANDARD CHARACTERS |
NO |
| USPTO-GENERATED IMAGE |
NO |
| OWNER SECTION (current) |
| NAME |
Siomukha Vadzimavich Aliaksandr |
| DBA/AKA/TA/Formerly |
DBA SALEX |
| INTERNAL ADDRESS |
apartment 31 |
| STREET |
Vostochnaya, 33 |
| CITY |
Privolniy |
| ZIP/POSTAL CODE |
223062 |
| COUNTRY |
Belarus |
| PHONE |
+375-297114182 |
| EMAIL |
a.semukha@gmail.com |
| OWNER SECTION (proposed) |
| NAME |
Siomukha Aliaksandr Vadzimavich |
| DBA/AKA/TA/Formerly |
DBA SALEX |
| INTERNAL ADDRESS |
apartment 31 |
| STREET |
Vostochnaya, 33 |
| CITY |
Privolniy |
| ZIP/POSTAL CODE |
223062 |
| COUNTRY |
Belarus |
| PHONE |
+375-297114182 |
| EMAIL |
a.semukha@gmail.com |
| SIGNATURE SECTION |
| RESPONSE SIGNATURE |
/AVS/ |
| SIGNATORY'S NAME |
Aliaksandr Siomukha |
| SIGNATORY'S POSITION |
Owner |
| SIGNATORY'S PHONE NUMBER |
+375297114182 |
| DATE SIGNED |
07/10/2019 |
| AUTHORIZED SIGNATORY |
YES |
| FILING INFORMATION SECTION |
| SUBMIT DATE |
Wed Jul 10 12:40:31 EDT 2019 |
| TEAS STAMP |
USPTO/PRA-XX.XXX.XX.XX-20
190710124031790471-885010
39-620b7d31ba5ee6bbcd1e98
b50418d238dd510afd851752d
4dde2acba5558be925-N/A-N/
A-20190710123520047172 |
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 1966 (Rev 10/2011) |
| OMB No. 0651-0050 (Exp 09/20/2020) |
Voluntary Amendment
To the Commissioner for Trademarks:
Application serial no.
88501039 SALEX (Stylized and/or with Design, see ) has been amended as follows:
APPLICANT AND/OR ENTITY INFORMATION
Applicant proposes to amend the following:
Current: Siomukha Vadzimavich Aliaksandr, DBA SALEX, a citizen of Belarus, having an address of
apartment 31Vostochnaya, 33
Privolniy, 223062
Belarus
a.semukha@gmail.com (not authorized)
+375-297114182
Proposed: Siomukha Aliaksandr Vadzimavich, DBA SALEX, a citizen of Belarus, having an address of
apartment 31
Vostochnaya, 33
Privolniy, 223062
Belarus
a.semukha@gmail.com (not authorized)
+375-297114182
SIGNATURE(S)
Voluntary Amendment Signature
Signature: /AVS/ Date: 07/10/2019
Signatory's Name: Aliaksandr Siomukha
Signatory's Position: Owner
Signatory's Phone Number: +375297114182
The signatory has confirmed that he/she is not represented by either an authorized attorney or Canadian attorney/agent, and that he/she is either: (1) the applicant ; or (2) a person(s) with legal
authority to bind the applicant; and if an authorized U.S. attorney or Canadian attorney/agent previously represented him/her in this matter, either he/she has filed a signed revocation of power of
attorney with the USPTO or the USPTO has granted the request of his/her prior representative to withdraw.
Serial Number: 88501039
Internet Transmission Date: Wed Jul 10 12:40:31 EDT 2019
TEAS Stamp: USPTO/PRA-XX.XXX.XX.XX-20190710124031790
471-88501039-620b7d31ba5ee6bbcd1e98b5041
8d238dd510afd851752d4dde2acba5558be925-N
/A-N/A-20190710123520047172