Change Address or Representation Form

BOTANIKA LIFE

Botanika Life Inc

Change Address or Representation Form

PTO- 2300
Approved for use through 11/30/2020. OMB 0651-0051
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.

Change Address or Representation Form


The table below presents the data as entered.

Input Field Entered
SERIAL NUMBER 90063093
LAW OFFICE ASSIGNED LAW OFFICE 104
MARK SECTION
MARK BOTANIKA LIFE (stylized and/or with design, see http://teas.gov.uspto.report/ccr/view/common/No-Image-File.jpg)
OWNER SECTION(current)
NAME Botanika Life Inc
MAILING ADDRESS 1688 Meridian Ave., Suite 905
CITY Miami Beach
STATE Florida
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
ZIP/POSTAL CODE 33139
EMAIL XXXX
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 Botanika Life Inc
MAILING ADDRESS 1688 MERIDIAN AVE., SUITE 905
CITY MIAMI BEACH
STATE Florida
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
ZIP/POSTAL CODE 33139
EMAIL XXXX
ATTORNEY SECTION(current)
NAME Victoria Friedman
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
FIRM NAME DENNEMEYER & ASSOCIATES, LLC
INTERNAL ADDRESS SUITE 1500
STREET 2 NORTH RIVERSIDE PLAZA
CITY CHICAGO
STATE Illinois
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
POSTAL/ZIP CODE 60606
PHONE 312-628-5529
FAX 312-419-9440
EMAIL vfriedman@dennemeyer-law.com
DOCKET/REFERENCE NUMBER(S) 10166785TF
ATTORNEY SECTION (proposed)
STATEMENT TEXT By submission of this request, the undersigned REVOKES the power of attorney currently of record, as listed above, and hereby APPOINTS the following new attorney:
NAME Leslie J. Lott
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
FIRM NAME Lott & Fischer, PL
OTHER APPOINTED ATTORNEY(S) Ury Fischer, Neda Lajevardi, Noah H. Rashkind, Giulia Farrior, Dylan Smith
STREET P.O. Box 141098
CITY Coral Gables
STATE Florida
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
POSTAL/ZIP CODE 33114-1098
PHONE 305-448-7089
FAX 305-446-6191
EMAIL teas@lottfischer.com
DOCKET/REFERENCE NUMBER(S) 02178.8050
CORRESPONDENCE SECTION(current)
NAME VICTORIA FRIEDMAN
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE vfriedman@dennemeyer-law.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) docket@dennemeyer-law.com; tm-us@dennemeyer-law.com; askoumal@dennemeyer-law.com; crosenburg@dennemeyer-law.com
DOCKET/REFERENCE NUMBER(S) 10166785TF
CORRESPONDENCE SECTION (proposed)
NAME Leslie J. Lott
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE teas@lottfischer.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) ljlott@lottfischer.com; sdonna@lottfischer.com
DOCKET/REFERENCE NUMBER(S) 02178.8050
SIGNATURE SECTION
SIGNATURE /BENJAMIN SHABTAI/
SIGNATORY NAME Benjamin Shabtai
SIGNATORY DATE 01/07/2021
SIGNATORY POSITION President
SIGNATORY PHONE NUMBER 305-448-7089
ROLE OF AUTHORIZED SIGNATORY Owner/Holder not represented by an attorney
SIGNATURE METHOD Sent to third party for signature
FILING INFORMATION SECTION
SUBMIT DATE Thu Jan 07 15:48:53 ET 2021
TEAS STAMP USPTO/CAR-XXX.XXX.XXX.XXX
-20210107154853153357-884
96512-7609b77bd855fc57672
9faf69d11b6f6cba49ad71d99
b888a933ba8574780c728-N/A
-N/A-20210106171050157753



PTO- 2300
Approved for use through 11/30/2020. OMB 0651-0051
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.


Change Address or Representation Form


To the Commissioner for Trademarks:

MARK: BOTANIKA LIFE (stylized and/or with design, see http://teas.gov.uspto.report/ccr/view/common/No-Image-File.jpg)
SERIAL NUMBER: 90063093


Owner Section (Current) :
Botanika Life Inc
1688 Meridian Ave., Suite 905
Miami Beach, Florida 33139
United States
XXXX

By submission of this request, the undersigned requests that the following be made of record for the owner/holder:

Owner Section (proposed):
Botanika Life Inc
1688 MERIDIAN AVE., SUITE 905
MIAMI BEACH, Florida 33139
United States
XXXXAttorney Section (Current):
Victoria Friedman of DENNEMEYER & ASSOCIATES, LLC
XX bar, admitted in XXXX, bar membership no. XXX, is located at
SUITE 1500
2 NORTH RIVERSIDE PLAZA
CHICAGO, Illinois 60606
United States
312-628-5529
312-419-9440
Email Address: vfriedman@dennemeyer-law.com
Docket Reference Number(s):10166785TF.


By submission of this request, the undersigned REVOKES the power of attorney currently of record, as listed above, and hereby APPOINTS the following new attorney:

Attorney Section (proposed):
Leslie J. Lott of Lott & Fischer, PL
XX bar, admitted in XXXX, bar membership no. XXX, is located at
P.O. Box 141098
Coral Gables, Florida 33114-1098
United States
305-448-7089
305-446-6191
teas@lottfischer.com
Other Appointed Attorney(s): Ury Fischer, Neda Lajevardi, Noah H. Rashkind, Giulia Farrior, Dylan Smith
Docket Reference Number(s): 02178.8050Leslie J. Lott 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 (Current):
VICTORIA FRIEDMAN
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: vfriedman@dennemeyer-law.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): docket@dennemeyer-law.com; tm-us@dennemeyer-law.com; askoumal@dennemeyer-law.com; crosenburg@dennemeyer-law.com
Docket Reference Number(s): 10166785TF

Correspondence Section (proposed):
Leslie J. Lott
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: teas@lottfischer.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): ljlott@lottfischer.com; sdonna@lottfischer.com
Docket Reference Number(s): 02178.8050


Requirement for Email and Electronic Filing: I understand that a valid email address must be maintained by the owner/holder and the owner's/holder's attorney, if appointed, and that all official trademark correspondence must be submitted via the Trademark Electronic Application System (TEAS).


Signature: /BENJAMIN SHABTAI/      Date: 01/07/2021
Signatory's Name: Benjamin Shabtai
Signatory's Position: President
Signatory's Phone Number: 305-448-7089
Signature method: Sent to third party for signature

The signatory has confirmed that he/she is either: (1) the owner/holder; or (2) a person or persons with legal authority to bind the owner/holder.


Serial Number: 90063093
Internet Transmission Date: Thu Jan 07 15:48:53 ET 2021
TEAS Stamp: USPTO/CAR-XXX.XXX.XXX.XXX-20210107154853
153357-88496512-7609b77bd855fc576729faf6
9d11b6f6cba49ad71d99b888a933ba8574780c72
8-N/A-N/A-20210106171050157753



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