Change Address or Representation Form

FAST

Boston Scientific Neuromodulation Corporation

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 88536883
LAW OFFICE ASSIGNED LAW OFFICE 104
MARK SECTION
MARK FAST (standard characters, see http://uspto.report/TM/88536883/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 Boston Scientific Neuromodulation Corporation
PHONE 763-494-1700
EMAIL michelle.anderson@bsci.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 Todd Messal
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
FIRM NAME BOSTON SCIENTIFIC CORPORATION
OTHER APPOINTED ATTORNEY(S) Sara J. Citrowske, Robert M. Crist, Matthew S. Jorgenson, Vincent Lai, Denise C. Lane, Lori J. Heinrichs, Todd P. Messal, Benjamin J. Nyquist, Katrina A. Witschen, Erin Martell
STREET ONE SCIMED PLACE
CITY MAPLE GROVE
STATE Minnesota
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
POSTAL/ZIP CODE 55311
PHONE 763-494-1700
EMAIL trademarks@bsci.com
DOCKET/REFERENCE NUMBER(S) TM-01000US01
CORRESPONDENCE SECTION (proposed)
NAME Todd Messal
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE trademarks@bsci.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) michelle.anderson@bsci.com
DOCKET/REFERENCE NUMBER(S) TM-01000US01
SIGNATURE SECTION
SIGNATURE /todd messal/
SIGNATORY NAME Todd Messal
SIGNATORY DATE 02/20/2020
SIGNATORY POSITION Assistant Secretary
SIGNATORY PHONE NUMBER 763-494-1700
AUTHORIZED SIGNATORY YES
FILING INFORMATION SECTION
SUBMIT DATE Thu Feb 20 16:42:58 ET 2020
TEAS STAMP USPTO/ROA-XXX.XXX.XX.XXX-
20200220164258707406-8853
6883-710b2a4d01dde1a92e3c
d2649ff3467d9364acbff21ed
8be1a4c71c2b734f8bc2b-N/A
-N/A-20200220161034582032



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: FAST (standard characters, see http://uspto.report/TM/88536883/mark.png)
SERIAL NUMBER: 88536883



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):
Todd Messal of BOSTON SCIENTIFIC CORPORATION
XX bar, admitted in XXXX, bar membership no. XXX, is located at
ONE SCIMED PLACE
MAPLE GROVE, Minnesota 55311
United States
763-494-1700
trademarks@bsci.com
Other Appointed Attorney(s): Sara J. Citrowske, Robert M. Crist, Matthew S. Jorgenson, Vincent Lai, Denise C. Lane, Lori J. Heinrichs, Todd P. Messal, Benjamin J. Nyquist, Katrina A. Witschen, Erin Martell
Docket Reference Number(s): TM-01000US01Todd Messal 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):
Todd Messal
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: trademarks@bsci.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): michelle.anderson@bsci.com
Docket Reference Number(s): TM-01000US01




Signature: /todd messal/      Date: 02/20/2020
Signatory's Name: Todd Messal
Signatory's Position: Assistant Secretary
Signatory's Phone Number: 763-494-1700

Serial Number: 88536883
Internet Transmission Date: Thu Feb 20 16:42:58 ET 2020
TEAS Stamp: USPTO/ROA-XXX.XXX.XX.XXX-202002201642587
07406-88536883-710b2a4d01dde1a92e3cd2649
ff3467d9364acbff21ed8be1a4c71c2b734f8bc2
b-N/A-N/A-20200220161034582032



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