| PTO Form 2196 (Rev 9/2005) |
| OMB No. 0651-0056 (Exp 9/30/2017) |
Revocation of Attorney/Domestic Representative and/or Appointment of Attorney/Domestic Representative
The table below presents the data as entered.
| Input Field |
Entered |
| SERIAL NUMBER |
76057533 |
| REGISTRATION NUMBER |
2475599 |
| LAW OFFICE ASSIGNED |
LAW OFFICE 109 |
| MARK SECTION |
| MARK |
SMILE CLUB |
| ATTORNEY SECTION |
| ORIGINAL ADDRESS |
PAUL B. HEYNSSENS
75117-05
4340 E. INDIAN SCHOOL ROAD, SUITE 21-474
PHOENIX Arizona (AZ) 85018
US
800.655.5807
800.655.1804
pbh@pbhpatents.com;docket@blackhillsip.com;stephanie@pbhpatents.com
|
| STATEMENT TEXT |
By submission of this request, the undersigned REVOKES the power of attorney currently of record, as listed above. |
| NEW CORRESPONDENCE ADDRESS |
| NAME |
Gary M. Johnson |
| DOCKET/REFERENCE NUMBER |
75117-02 |
| STREET |
938 East Lois Lane |
| CITY |
PHOENIX |
| STATE |
Arizona |
| COUNTRY |
United States |
| POSTAL/ZIP CODE |
85020 |
| PHONE |
(602) 944-7517 |
| EMAIL |
gjohnson@molarman.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
YES |
| SIGNATURE SECTION |
| SIGNATURE |
/Paul B. Heynssens/ |
| SIGNATORY NAME |
PAUL B. HEYNSSENS |
| SIGNATORY DATE |
10/13/2014 |
| SIGNATORY POSITION |
Attorney of Record |
| SIGNATORY PHONE NUMBER |
800.655.5807 |
| FILING INFORMATION SECTION |
| SUBMIT DATE |
Mon Oct 13 09:18:02 EDT 2014 |
| TEAS STAMP |
USPTO/RAA-XX.XXX.XX.XX-20
141013091802050656-741126
34-500943d29c6e75c5aa1ba6
1fef309a95ca676795d9a3872
e28ba9cdf1e221dfd-N/A-N/A
-20141013090331230704 |
| PTO Form 2196 (Rev 9/2005) |
| OMB No. 0651-0056 (Exp 9/30/2017) |
Revocation of Attorney/Domestic Representative and/or Appointment of Attorney/Domestic Representative
To the Commissioner for Trademarks:
MARK: SMILE CLUB
SERIAL NUMBER: 76057533
REGISTRATION NUMBER: 2475599
The original attorney
PAUL B. HEYNSSENS
75117-05
4340 E. INDIAN SCHOOL ROAD, SUITE 21-474
PHOENIX Arizona 85018
US
800.655.5807
800.655.1804
pbh@pbhpatents.com;docket@blackhillsip.com;stephanie@pbhpatents.com
By submission of this request, the undersigned REVOKES the power of attorney currently of record, as listed above.
Original Correspondence Address :
PAUL B. HEYNSSENS
PAUL B. HEYNSSENS ATTORNEY AT LAW PLC
4340 E. INDIAN SCHOOL ROAD, SUITE 21-474
PHOENIX Arizona 85018
US
800.655.5807
800.655.1804
pbh@pbhpatents.com;docket@blackhillsip.com;stephanie@pbhpatents.com
The following is to be used as the correspondence address:
Gary M. Johnson
938 East Lois Lane
PHOENIX, Arizona 85020
United States
(602) 944-7517
gjohnson@molarman.com The attorney docket/reference number is 75117-02.
Signature: /Paul B. Heynssens/ Date: 10/13/2014
Signatory's Name: PAUL B. HEYNSSENS
Signatory's Position: Attorney of Record
Signatory's Phone Number: 800.655.5807
Serial Number: 76057533
Internet Transmission Date: Mon Oct 13 09:18:02 EDT 2014
TEAS Stamp: USPTO/RAA-XX.XXX.XX.XX-20141013091802050
656-74112634-500943d29c6e75c5aa1ba61fef3
09a95ca676795d9a3872e28ba9cdf1e221dfd-N/
A-N/A-20141013090331230704