Change Address or Representation Form

LA28

UNITED STATES OLYMPIC AND PARALYMPIC COMMITTEE

Change Address or Representation Form

PTO- 2300
Approved for use through 11/30/2020. OMB 0651-0051
U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number

Change Address or Representation Form


The table below presents the data as entered.

Input Field Entered
SERIAL NUMBER 90148796
LAW OFFICE ASSIGNED LAW OFFICE 106
MARK SECTION
MARK LA28 (stylized and/or with design, see http://uspto.report/TM/90148796/mark.png)
OWNER SECTION(current)
NAME UNITED STATES OLYMPIC AND PARALYMPIC COMMITTEE
MAILING ADDRESS ONE OLYMPIC PLAZA
CITY COLORADO SPRINGS
STATE Colorado
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
ZIP/POSTAL CODE 80909
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 UNITED STATES OLYMPIC AND PARALYMPIC COMMITTEE
MAILING ADDRESS ONE OLYMPIC PLAZA
CITY COLORADO SPRINGS
STATE Colorado
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
ZIP/POSTAL CODE 80909
EMAIL XXXX
CORRESPONDENCE SECTION(current)
NAME Dana Jozefczyk
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE dana.jozefczyk@usopc.org
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) tmdocketing@ballardspahr.com; GlasserJ@ballardspahr.com
CORRESPONDENCE SECTION (proposed)
NAME Dana Jozefczyk
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE dana.jozefczyk@usopc.org
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) Dockmpls@merchantgould.com; crusso@merchantgould.com
SIGNATURE SECTION
SIGNATURE /Dana P. Jozefczyk/
SIGNATORY NAME Dana P. Jozefczyk
SIGNATORY DATE 02/12/2021
SIGNATORY POSITION Attorney of Record
SIGNATORY PHONE NUMBER 7198664115
ROLE OF AUTHORIZED SIGNATORY Authorized U.S.-Licensed Attorney
SIGNATURE METHOD Signed directly within the form
FILING INFORMATION SECTION
SUBMIT DATE Fri Feb 12 17:50:39 ET 2021
TEAS STAMP USPTO/CAR-XXX.XXX.XXX.XXX
-20210212175039764274-889
39168-760998f4a35df22c445
c5a42107e422d83d7b7c7c7b5
b7eb11c4661a73219ca8f1-N/
A-N/A-2021021217461745978
0



PTO- 2300
Approved for use through 11/30/2020. OMB 0651-0051
U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number


Change Address or Representation Form


To the Commissioner for Trademarks:

MARK: LA28 (stylized and/or with design, see http://uspto.report/TM/90148796/mark.png)
SERIAL NUMBER: 90148796


Owner Section (Current) :
UNITED STATES OLYMPIC AND PARALYMPIC COMMITTEE
ONE OLYMPIC PLAZA
COLORADO SPRINGS, Colorado 80909
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):
UNITED STATES OLYMPIC AND PARALYMPIC COMMITTEE
ONE OLYMPIC PLAZA
COLORADO SPRINGS, Colorado 80909
United States
XXXXCorrespondence Section (Current):
Dana Jozefczyk
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: dana.jozefczyk@usopc.org
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): tmdocketing@ballardspahr.com; GlasserJ@ballardspahr.com

Correspondence Section (proposed):
Dana Jozefczyk
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: dana.jozefczyk@usopc.org
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): Dockmpls@merchantgould.com; crusso@merchantgould.com


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: /Dana P. Jozefczyk/      Date: 02/12/2021
Signatory's Name: Dana P. Jozefczyk
Signatory's Position: Attorney of Record
Signatory's Phone Number: 7198664115
Signature method: Signed directly within the form

The signatory has confirmed that he/she is a U.S.-licensed attorney who is an active member in good standing of the bar of the highest court of a U.S. state (including the District of Columbia and any U.S. Commonwealth or territory); and he/she is currently the owner's/holder's attorney or an associate thereof; and to the best of his/her knowledge, if prior to his/her appointment another U.S.-licensed attorney not currently associated with his/her company/firm previously represented the owner/holder in this matter: the owner/holder has revoked their power of attorney by a signed revocation or substitute power of attorney with the USPTO; the USPTO has granted that attorney's withdrawal request; the owner/holder has filed a power of attorney appointing him/her in this matter; or the owner's/holder's appointed U.S.-licensed attorney has filed a power of attorney appointing him/her as an associate attorney in this matter.


Serial Number: 90148796
Internet Transmission Date: Fri Feb 12 17:50:39 ET 2021
TEAS Stamp: USPTO/CAR-XXX.XXX.XXX.XXX-20210212175039
764274-88939168-760998f4a35df22c445c5a42
107e422d83d7b7c7c7b5b7eb11c4661a73219ca8
f1-N/A-N/A-20210212174617459780



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