| 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 | 90065402 |
| MARK SECTION | |
| MARK | PSILERA BIOSCIENCE (stylized and/or with design, see http://tmng-al.uspto.gov /resting2/api/img/9006540 2/large) |
| CORRESPONDENCE SECTION(current) | |
| NAME | TERP LIFE, LLC |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | chris@psilera.com |
| SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) | notifications@trademarkengine.com |
| 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 | Scott D. Locke |
| ATTORNEY BAR MEMBERSHIP NUMBER | XXX |
| YEAR OF ADMISSION | XXXX |
| U.S. STATE/ COMMONWEALTH/ TERRITORY | XX |
| FIRM NAME | Dorf & Nelson LLP |
| OTHER APPOINTED ATTORNEY(S) | Jessica J. Kastner |
| INTERNAL ADDRESS | The International Corporate Center |
| STREET | 555 Theodore Fremd Ave., Suite A300 |
| CITY | Rye |
| STATE | New York |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| POSTAL/ZIP CODE | 10580 |
| PHONE | (914) 381 - 7600 |
| FAX | (914) 381 - 7608 |
| slocke@dorflaw.com | |
| DOCKET/REFERENCE NUMBER(S) | Psilera 04US |
| CORRESPONDENCE SECTION (proposed) | |
| NAME | Scott D. Locke |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | slocke@dorflaw.com |
| SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) | tlebrun@dorflaw.com |
| DOCKET/REFERENCE NUMBER(S) | Psilera 04US |
| SIGNATURE SECTION | |
| SIGNATURE | /Chris Witowski/ |
| SIGNATORY NAME | Chris Witowski |
| SIGNATORY DATE | 10/01/2020 |
| SIGNATORY POSITION | Chief Executive Officer |
| SIGNATORY PHONE NUMBER | (727) 744-6075 |
| AUTHORIZED SIGNATORY | YES |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Thu Oct 01 13:04:46 ET 2020 |
| TEAS STAMP | USPTO/CAR-XXX.XXX.XXX.XXX -20201001130446027001-900 65407-7501b568d81c6a88d22 c0ebf9885b9e2699ac9309ede f61aeac1a66b3eab4c74-N/A- N/A-20201001124231268451 |
| 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) |