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 FieldEntered
SERIAL NUMBER97682151
MARK SECTION
MARK SPACES (standard characters, see https://tmng-al.uspto.gov/resting2/api/img/97682151/large)
ATTORNEY SECTION (current)
NAME Jennifer Heisler Lavalley
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
FIRM NAME GTC LAW GROUP PC & AFFILIATES
STREET ONE UNIVERSITY AVE., STE. 302B
CITY WESTWOOD
STATE Massachusetts
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
POSTAL/ZIP CODE 02090
PHONE781-585-4504
EMAILtmg@gtclawgroup.com
DOCKET/REFERENCE NUMBER(S)SMSI-TM-9US1
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 Jennifer Heisler Lavalley
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
FIRM NAME GTC LAW GROUP PC & AFFILIATES
OTHER APPOINTED ATTORNEY(S)Brian M. Taillon
STREET One University Ave., Ste 302B
CITY Westwood
STATE Massachusetts
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
POSTAL/ZIP CODE 02090
PHONE781-585-4504
FAX617-904-1703
EMAILtmg@gtclawgroup.com
DOCKET/REFERENCE NUMBER(S)SMSI-TM-9US1
CORRESPONDENCE SECTION
NAME JENNIFER HEISLER LAVALLEY
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCEtmg@gtclawgroup.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES)jlavalley@gtclawgroup.com
DOCKET/REFERENCE NUMBER(S)SMSI-TM-9US1
SIGNATURE SECTION
SIGNATURE /Jennifer Heisler Lavalley/
SIGNATORY NAME Jennifer Heisler Lavalley
SIGNATORY DATE 02/07/2023
SIGNATORY POSITION Attorney of record, Massachusetts Bar member
SIGNATORY PHONE NUMBER 7815854504
ROLE OF AUTHORIZED SIGNATORY Authorized U.S.-Licensed Attorney
SIGNATURE METHOD Sent to third party for signature
FILING INFORMATION SECTION
SUBMIT DATE Tue Feb 07 10:21:34 ET 2023
TEAS STAMP USPTO/CAR-XX.XXX.XX.XXX-2
0230207102134122105-88705
934-850fa427d61869e9fb174
3f486db54efbc29d3f1d9e6b8
fee54278b3994372f79fd-N/A
-N/A-20230207092714180195


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: SPACES (standard characters, see https://tmng-al.uspto.gov/resting2/api/img/97682151/large)
SERIAL NUMBER: 97682151

Attorney Section (Current):
Jennifer Heisler Lavalley of GTC LAW GROUP PC & AFFILIATES
XX bar, admitted in XXXX, bar membership no. XXX, is located at
ONE UNIVERSITY AVE., STE. 302B
WESTWOOD, Massachusetts 02090
United States
781-585-4504
Email Address: tmg@gtclawgroup.com
Docket Reference Number(s):SMSI-TM-9US1.


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:

Attorney Section (proposed):
Jennifer Heisler Lavalley of GTC LAW GROUP PC & AFFILIATES
XX bar, admitted in XXXX, bar membership no. XXX, is located at
One University Ave., Ste 302B
Westwood, Massachusetts 02090
United States
781-585-4504
617-904-1703
tmg@gtclawgroup.com
Other Appointed Attorney(s): Brian M. Taillon

Docket Reference Number(s): SMSI-TM-9US1

Jennifer Heisler Lavalley 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:
JENNIFER HEISLER LAVALLEY
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE: tmg@gtclawgroup.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): jlavalley@gtclawgroup.com
Docket Reference Number(s): SMSI-TM-9US1


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: /Jennifer Heisler Lavalley/      Date: 02/07/2023
Signatory's Name: Jennifer Heisler Lavalley
Signatory's Position: Attorney of record, Massachusetts Bar member
Signatory's Phone Number: 7815854504
Signature method: Sent to third party for signature

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: 97682151
Internet Transmission Date: Tue Feb 07 10:21:34 ET 2023
TEAS Stamp: USPTO/CAR-XX.XXX.XX.XXX-2023020710213412
2105-88705934-850fa427d61869e9fb1743f486
db54efbc29d3f1d9e6b8fee54278b3994372f79f
d-N/A-N/A-20230207092714180195