Change Address or Representation Form

REPUBLIC

ERB Industries, 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 88519887
LAW OFFICE ASSIGNED LAW OFFICE 113
MARK SECTION
MARK REPUBLIC (standard characters, see http://uspto.report/TM/88519887/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 ERB Industries, Inc.
EMAIL clients@erikpelton.com
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 Erik M. Pelton
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
FIRM NAME Erik M. Pelton & Associates, PLLC
OTHER APPOINTED ATTORNEY(S) Julie S. Shursky
STREET PO Box 100637
CITY Arlington
STATE Virginia
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
POSTAL/ZIP CODE 22210
PHONE 703-525-8009
EMAIL uspto@tm4smallbiz.com
CORRESPONDENCE SECTION (proposed)
NAME Erik M. Pelton
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE uspto@tm4smallbiz.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) NOT PROVIDED
SIGNATURE SECTION
SIGNATURE /JulieSShursky/
SIGNATORY NAME Julie S. Shursky
SIGNATORY DATE 02/21/2020
SIGNATORY POSITION Associate Attorney, New York Bar Member
SIGNATORY PHONE NUMBER 703-525-8009
AUTHORIZED SIGNATORY YES
FILING INFORMATION SECTION
SUBMIT DATE Fri Feb 21 14:47:24 ET 2020
TEAS STAMP USPTO/ROA-XXX.XX.XX.XXX-2
0200221144724413021-88519
887-710792c8419aff723e608
dc9201037d45dcc5c66e8dea8
a29862198b4f19384-N/A-N/A
-20200221144245203278



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: REPUBLIC (standard characters, see http://uspto.report/TM/88519887/mark.png)
SERIAL NUMBER: 88519887



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):
Erik M. Pelton of Erik M. Pelton & Associates, PLLC
XX bar, admitted in XXXX, bar membership no. XXX, is located at
PO Box 100637
Arlington, Virginia 22210
United States
703-525-8009
uspto@tm4smallbiz.com
Other Appointed Attorney(s): Julie S. Shursky
Erik M. Pelton 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):
Erik M. Pelton
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: uspto@tm4smallbiz.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): NOT PROVIDED




Signature: /JulieSShursky/      Date: 02/21/2020
Signatory's Name: Julie S. Shursky
Signatory's Position: Associate Attorney, New York Bar Member
Signatory's Phone Number: 703-525-8009

Serial Number: 88519887
Internet Transmission Date: Fri Feb 21 14:47:24 ET 2020
TEAS Stamp: USPTO/ROA-XXX.XX.XX.XXX-2020022114472441
3021-88519887-710792c8419aff723e608dc920
1037d45dcc5c66e8dea8a29862198b4f19384-N/
A-N/A-20200221144245203278



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