Change Address or Representation Form

PROSTALIS

Liptis Pharmaceuticals USA, Inc.

Change Address or Representation Form

PTO- 2300
Approved for use through 07/31/2024. OMB 0651-0056
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 90563160
LAW OFFICE ASSIGNED LAW OFFICE 119
MARK SECTION
MARK PROSTALIS (standard characters, see http://uspto.report/TM/90563160/mark.png)
ATTORNEY SECTION(current)
NAME SHARIF OMAR
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
STREET 110 RED SCHOOLHOUSE ROAD
CITY SPRING VALLEY
STATE New York
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
POSTAL/ZIP CODE 10977
PHONE 646-484-0512
EMAIL sharif.omar@liptisnutrition.com
STATEMENT OF THE REASON FOR REPLACEMENT
The Applicant has retain the firm, Moritt Hock & Hamroff LLP as attorney of record.
ATTORNEY SECTION (proposed)
STATEMENT TEXT By submission of this request, the undersigned confirms that (1) representation is ongoing and (2) that the individual listed below should now be identified as the attorney of record:
NAME Brian Bloom
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
FIRM NAME Moritt Hock & Hamroff LLP
OTHER APPOINTED ATTORNEY(S) Michael J. Schwab, Stephen Breidenbach
STREET 400 Garden City Plaza
CITY Garden City
STATE New York
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
POSTAL/ZIP CODE 11530
PHONE 5168732000
EMAIL Bbloom@moritthock.com
DOCKET/REFERENCE NUMBER(S) M-6874.001
CORRESPONDENCE SECTION(current)
NAME SHARIF OMAR
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE sharif.omar@liptisnutrition.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) bbloom@moritthock.com; chay@moritthock.com; mschwab@moritthock.com
CORRESPONDENCE SECTION (proposed)
NAME Brian Bloom
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE Bbloom@moritthock.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) bbloom@moritthock.com; chay@moritthock.com; mschwab@moritthock.com
DOCKET/REFERENCE NUMBER(S) M-6874.001
SIGNATURE SECTION
SIGNATURE /Brian Bloom/
SIGNATORY NAME Brian A. Bloom
SIGNATORY DATE 06/29/2022
SIGNATORY POSITION Attorney of Record, New York Bar
SIGNATORY PHONE NUMBER 5168732000
ROLE OF AUTHORIZED SIGNATORY Authorized U.S.-Licensed Attorney
SIGNATURE METHOD Signed directly within the form
FILING INFORMATION SECTION
SUBMIT DATE Wed Jun 29 15:20:22 ET 2022
TEAS STAMP USPTO/CAR-X.XX.XXX.XXX-20
220629152022538371-905631
60-800b458d7ab1d5c164c592
422f940fd3c90d57889c98f00
48590ac19bee6d1eb-N/A-N/A
-20220629151907711134



PTO- 2300
Approved for use through 07/31/2024. OMB 0651-0056
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: PROSTALIS (standard characters, see http://uspto.report/TM/90563160/mark.png)
SERIAL NUMBER: 90563160

Attorney Section (Current):
SHARIF OMAR
XX bar, admitted in XXXX, bar membership no. XXX, is located at
110 RED SCHOOLHOUSE ROAD
SPRING VALLEY, New York 10977
United States
646-484-0512
Email Address: sharif.omar@liptisnutrition.com

STATEMENT OF THE REASON FOR REPLACEMENT
The Applicant has retain the firm, Moritt Hock & Hamroff LLP as attorney of record.

By submission of this request, the undersigned confirms that (1) representation is ongoing and (2) that the individual listed below should now be identified as the attorney of record:

Attorney Section (proposed):
Brian Bloom of Moritt Hock & Hamroff LLP
XX bar, admitted in XXXX, bar membership no. XXX, is located at
400 Garden City Plaza
Garden City, New York 11530
United States
5168732000
Bbloom@moritthock.com
Other Appointed Attorney(s): Michael J. Schwab, Stephen Breidenbach
Docket Reference Number(s): M-6874.001Brian Bloom 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):
SHARIF OMAR
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: sharif.omar@liptisnutrition.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): bbloom@moritthock.com; chay@moritthock.com; mschwab@moritthock.com

Correspondence Section (proposed):
Brian Bloom
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: Bbloom@moritthock.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): bbloom@moritthock.com; chay@moritthock.com; mschwab@moritthock.com
Docket Reference Number(s): M-6874.001


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: /Brian Bloom/      Date: 06/29/2022
Signatory's Name: Brian A. Bloom
Signatory's Position: Attorney of Record, New York Bar
Signatory's Phone Number: 5168732000
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: 90563160
Internet Transmission Date: Wed Jun 29 15:20:22 ET 2022
TEAS Stamp: USPTO/CAR-X.XX.XXX.XXX-20220629152022538
371-90563160-800b458d7ab1d5c164c592422f9
40fd3c90d57889c98f0048590ac19bee6d1eb-N/
A-N/A-20220629151907711134



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