Change Address or Representation Form

QS

Ueyama, Ishin

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 2300 (Rev 02/2020)

OMB No. 0651-0051 (Exp 11/30/2020)

Change Address or Representation Form

The table below presents the data as entered.

Input Field	Entered
SERIAL NUMBER	88510408
REGISTRATION NUMBER	5975940
LAW OFFICE ASSIGNED	LAW OFFICE 122
MARK SECTION
MARK	QS (stylized and/or with design, see http://uspto.report/TM/88510408/mark.png)
OWNER SECTION(current)
NAME	Ueyama, Ishin
MAILING ADDRESS	1762 HARTSHORN AVE
CITY	TROY
STATE	Michigan
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY	United States
ZIP/POSTAL CODE	48083
EMAIL	usptoforwarding@legal-sherpa.com
CORRESPONDENCE SECTION(current)
NAME	UEYAMA, ISHIN
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE	usptoforwarding@legal-sherpa.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES)	NOT PROVIDED
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	Ueyama, Ishin
MAILING ADDRESS	1762 HARTSHORN AVE
CITY	TROY
STATE	Michigan
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY	United States
ZIP/POSTAL CODE	48083
EMAIL	qsusa.llc@gmail.com
CORRESPONDENCE SECTION (proposed)
NAME	Ueyama, Ishin
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE	qsusa.llc@gmail.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES)	NOT PROVIDED
SIGNATURE SECTION
SIGNATURE	/Ishin Ueyama/
SIGNATORY NAME	Ishin Ueyama
SIGNATORY DATE	02/21/2020
SIGNATORY POSITION	owner
SIGNATORY PHONE NUMBER	3473020151
AUTHORIZED SIGNATORY	YES
FILING INFORMATION SECTION
SUBMIT DATE	Fri Feb 21 08:13:31 ET 2020
TEAS STAMP	USPTO/CAR-XXX.X.XX.XXX-20 200221081331440758-885104 08-710ff71b242423e72736ae 9c6cd27ac8f428ea7923ef9fc 09446516e2a6433fc-N/A-N/A -20200221081033021259

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 2300 (Rev 02/2020)

OMB No. 0651-0051 (Exp 11/30/2020)

Change Address or Representation Form

To the Commissioner for Trademarks:

MARK: QS (stylized and/or with design, see http://uspto.report/TM/88510408/mark.png)
SERIAL NUMBER: 88510408
REGISTRATION NUMBER: 5975940

Owner Section (Current) :
Ueyama, Ishin
1762 HARTSHORN AVE
TROY, Michigan 48083
United States
usptoforwarding@legal-sherpa.com
Correspondence Section (Current):
UEYAMA, ISHIN
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: usptoforwarding@legal-sherpa.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): NOT PROVIDED

Correspondence Section (proposed):
Ueyama, Ishin
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: qsusa.llc@gmail.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): NOT PROVIDED

Signature: /Ishin Ueyama/ Date: 02/21/2020
Signatory's Name: Ishin Ueyama
Signatory's Position: owner
Signatory's Phone Number: 3473020151

Serial Number: 88510408
Internet Transmission Date: Fri Feb 21 08:13:31 ET 2020
TEAS Stamp: USPTO/CAR-XXX.X.XX.XXX-20200221081331440
758-88510408-710ff71b242423e72736ae9c6cd
27ac8f428ea7923ef9fc09446516e2a6433fc-N/
A-N/A-20200221081033021259

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