Doc Code: PET.POA.WDRW
`DocumentDescription: Petition to withdraw attorney or agent (SB83)
`
`PTO/AIA/83 (04-13)
`Approved for use through 03/31/2021. OMB 0651-0035
`U.S. Patent and Trademark Office, U.S. DEPARTMENT OF COMMERCE
`required to respond to a collection of information unless it displays a valid OMB control number.
`
`Under the Paperwork Reduction Act of 1995, no persons are
`
`REQUEST FOR WITHDRAWAL
`AS ATTORNEY OR AGENT AND
`CHANGE OF
`
`CORRESPONDENCE ADDRESS
`
`Application Number
`
`16/150,919
`October 3, 2018
`Christopher A. Estes
`
`Practitioner Docket
`Number
`
`Richard Anthony McCoy
`ESTES-5
`
`To: Commissioner for Patents
`P.O. Box 1450
`
`Alexandria, VA 22313-1450
`
`Please withdraw me as attorney or agent for the above-identified patent application, and
`[] all the practitioners of record;
`[] the practitioners (with registration numbers) of record listed on the attached paper(s); or
`(| the practitioners of record associated with Customer Number: 43218
`NOTE: The immediately preceding box should only be marked when the practitioners were appointed using the listed
`Customer Number.
`
`The reason(s) for this request are those described in 37 CFR:
`[- ]11.116(a)(1)
`[]11.116(a)(2)
`[-]11.116(b)(1)
`[-]11.116(b)(2)
`[-]11.116(b)(4)
`[-]11.116(b)(5)
`(| 11. 116(b}(7) Please explain below:
`
`[| 11.116(a)(3)
`[_] 11.116(b)(3)
`[_] 11.116(b)(6)
`
`The Applicant has requestedthat the practitioners associated with Customer Number
`43218 terminate working on this pending matter and closeitsfile.
`Certifications
`
`Checkeach boxbelow thatis factually correct. WARNING: If a boxis left unchecked, the requestwill likely not be
`approved.
`1. ml
`|/Wehavegiven reasonable notice to the client, prior to the expiration of the response period, that the
`practitioner(s)
`intend to withdraw from employment.
`|/Wehavedelivered to the client or a duly authorized representative of the client all papers and property (including
`funds) to which the client is entitled.
`\/Wehavenotified the client of any responses that may be due andthe time frame within whichthe client must
`respond.
`
`3. (ml
`
`2. ml
`
`Please provide an explanation, if necessary:
`
`[Page 1 of 2]
`This collection of information is required by 37 CFR 1.36. The information is required to obtain or retain a benefit by the public which is to file (and by the USPTO to
`process) an application. Confidentiality is governed by 35 U.S.C. 122 and 37 CFR 1.11 and 1.14.This collection is estimated to take 15 minutes to complete, including
`gathering, preparing, and submitting the completed application form to the USPTO. Time will vary depending upon the individual case. Any comments on the
`amountof time you require to complete this form and/or suggestions for reducing this burden, should be sent to the Chief Information Officer, U.S. Patent and
`Trademark Office, U.S. Department of Commerce, P.O. Box 1450, Alexandria, VA 22313-1450. DO NOT SEND FEES OR COMPLETED FORMSTO THIS ADDRESS. SEND
`TO: Commissionerfor Patents, P.O. Box 1450, Alexandria, VA 22313-1450.
`
`!f you need assistance in completing the form, call 1-800-PTO-9199 andselect option 2.
`
`

`

`REQUEST FOR WITHDRAWALAS ATTORNEY OR AGENT
`AND CHANGE OF CORRESPONDENCE ADDRESS
`
`Complete the following section only when the correspondence addresswill change. Changes of address will only be accepted to an applicant.
`
`Changethe correspondence address and direct all future correspondenceto:
`A. [] The addressof the applicant associated with Customer Number:
`OR
`
`B. [m| Applicant
`
`Address 3109 Grand AVe., #503
`
`Telephone
`
`lam authorized to sign on behalf of myself and all withdrawing practitioners.
`
`Signature /Patrick J. Palascak/
`
`|
`
`PTO/AIA/83 (04-13)
`Approved for use through 03/31/2021. OMB 0651-0035
`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 displays a valid OMB control number.
`
`NOTE: Withdrawalis effective when approvedrather than whenreceived. [Page 2 of 2]
`
`Name Patrick J. Palascak
`
`Registration No. 73,533
`
`Address 425 Walnut Street, Suite 1800
`
`city Cincinnati
`
`Date January 18, 2022
`
`Telephone No.
`
`This collection of information is required by 37 CFR 1.36. The information is required to obtain or retain a benefit by the public which is to file (and by the USPTO to
`process) an application. Confidentiality is governed by 35 U.S.C. 122 and 37 CFR 1.11 and 1.14. This collection is estimated to take 15 minutes to complete,including
`gathering, preparing, and submitting the completed application form to the USPTO. Time will vary depending upon the individual case. Any comments on the
`amountof time you require to complete this form and/or suggestions for reducing this burden, should be sent to the Chief Information Officer, U.S. Patent and
`TrademarkOffice, U.S. Department of Commerce, P.O. Box 1450, Alexandria, VA 22313-1450. DO NOT SEND FEES OR COMPLETED FORMSTO THIS ADDRESS. SEND
`TO: Commissionerfor Patents, P.O. Box 1450, Alexandria, VA 22313-1450.
`
`!f you need assistance in completing the form, call 1-800-PTO-9199 andselect option 2.
`
`

`

`Privacy Act Statement
`
`The Privacy Act of 1974 (P.L. 93-579) requires that you be given certain information in connection with your
`submission of the attached form related to a patent application or patent. Accordingly, pursuant to the
`requirements of the Act, please be advised that: (1) the general authority for the collection of this information is
`35 U.S.C. 2(b)(2); (2) furnishing of the information Solicited is voluntary; and (3) the principal purpose for which
`the information is used by the U.S. Patent and Trademark Office is to process and/or examine your submission
`related to a patent application or patent.
`If you do not furnish the requested information, the U.S. Patent and
`Trademark Office may not be able to process and/or examine your submission, which may result in termination
`of proceedings or abandonmentof the application or expiration of the patent.
`
`The information provided by you in this form will be subject to the following routine uses:
`
`1. The information on this form will be treated confidentially to the extent allowed under the Freedom of
`Information Act (5 U.S.C. 552) and the Privacy Act (5 U.S.C 552a). Records from this system of records
`may be disclosed to the Department of Justice to determine whether disclosure of these records is
`required by the Freedom ofInformation Act.
`A record from this system of records may be disclosed, as a routine use, in the course of presenting
`evidence to a court, magistrate, or administrative tribunal, including disclosures to opposing counsel in
`the course of settlement negotiations.
`A record in this system of records may be disclosed, as a routine use, to a Member of Congress
`submitting a request involving an individual, to whom the record pertains, when the individual has
`requested assistance from the Member with respect to the subject matter of the record.
`A record in this system of records may be disclosed, as a routine use, to a contractor of the Agency
`having need for the information in orderto perform a contract. Recipients of information shall be required
`to comply with the requirements of the Privacy Act of 1974, as amended, pursuant to 5 U.S.C. 552a(m).
`A record related to an International Application filed under the Patent Cooperation Treaty in this system
`of records may be disclosed, as a routine use, to the International Bureau of the World Intellectual
`Property Organization, pursuant to the Patent Cooperation Treaty.
`A record in this system of records may be disclosed, as a routine use, to another federal agency for
`purposesof National Security review (35 U.S.C. 181) and for review pursuant to the Atomic Energy Act
`(42 U.S.C. 218(c)).
`A record from this system of records may be disclosed, as a routine use, to the Administrator, General
`Services,or his/her designee, during an inspection of records conducted by GSAaspart of that agency's
`responsibility to recommend improvements in records management practices and programs, under
`authority of 44 U.S.C. 2904 and 2906. Such disclosure shall be made in accordance with the GSA
`regulations governing inspection of records for this purpose, and any other relevant (.e., GSA or
`Commerce) directive. Such disclosure shall not be used to make determinations about individuals.
`A record from this system of records may be disclosed, as a routine use, to the public after either
`publication of the application pursuant to 35 U.S.C. 122(b) or issuanceof a patent pursuant to 35 U.S.C.
`151. Further, a record may be disclosed, subject to the limitations of 37 CFR 1.14, as a routine use, to
`the public if the record wasfiled in an application which became abandonedor in which the proceedings
`were terminated and which application is referenced by either a published application, an application
`open to public inspection or an issued patent.
`A record from this system of records maybe disclosed, as a routine use, to a Federal, State, or local law
`enforcement agency,
`if the USPTO becomes aware of a violation or potential violation of law or
`regulation.
`
`