| 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) |
| Input Field | Entered |
|---|---|
| SERIAL NUMBER | 88743332 |
| LAW OFFICE ASSIGNED | LAW OFFICE 117 |
| MARK SECTION | |
| MARK | ENERGY (standard characters, see http://tmng-al.uspto.gov /resting2/api/img/8874333 2/large) |
| OWNER SECTION(current) | |
| NAME | Plant Therapy LLC |
| INTERNAL ADDRESS | 510 2nd Ave S. |
| MAILING ADDRESS | 510 2nd Ave S. |
| CITY | Twin Falls |
| STATE | Idaho |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| ZIP/POSTAL CODE | 83301 |
| PHONE | 208-735-2413 |
| FAX | 2089699959 |
| XXXX | |
| CORRESPONDENCE SECTION(current) | |
| NAME | PLANT THERAPY LLC |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | mbryant@planttherapy.com |
| SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) | kathryn.stewart@planttherapy.com |
| 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 | Plant Therapy LLC |
| MAILING ADDRESS | 621 WASHINGTON ST. SOUTH, SUITE 100 |
| CITY | TWIN FALLS |
| STATE | Idaho |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| ZIP/POSTAL CODE | 83301 |
| PHONE | 208-735-2413 |
| FAX | 208-969-9959 |
| XXXX | |
| ATTORNEY SECTION (proposed) | |
| 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 | Chris Herzinger |
| ATTORNEY BAR MEMBERSHIP NUMBER | XXX |
| YEAR OF ADMISSION | XXXX |
| U.S. STATE/ COMMONWEALTH/ TERRITORY | XX |
| FIRM NAME | Plant Therapy, LLC |
| INTERNAL ADDRESS | Suite 100 |
| STREET | 621 Washington St. South |
| CITY | Twin Falls |
| STATE | Idaho |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| POSTAL/ZIP CODE | 83301 |
| PHONE | 208-735-2413 |
| FAX | 208-969-9959 |
| chris.herzinger@planttherapy.com | |
| CORRESPONDENCE SECTION (proposed) | |
| NAME | Chris Herzinger |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | chris.herzinger@planttherapy.com |
| SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) | kathryn.stewart@planttherapy.com |
| SIGNATURE SECTION | |
| SIGNATURE | /Chris Herzinger/ |
| SIGNATORY NAME | Chris Herzinger |
| SIGNATORY DATE | 08/24/2020 |
| SIGNATORY POSITION | Attorney of Record, General Counsel, Plant Therapy, LLC, Idaho Bar member |
| SIGNATORY PHONE NUMBER | 2087352413 |
| AUTHORIZED SIGNATORY | YES |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Mon Aug 24 12:59:31 ET 2020 |
| TEAS STAMP | USPTO/CAR-XXX.XX.XX.XXX-2 0200824125931993954-88400 113-74054b87c84d86f34f832 97660ce40ddbbcd7fbaffafad 2e85285a16ff7bf18350-N/A- N/A-20200824124940147193 |
| 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) |