TEAS Rev, App and/or COA of Atty/Dom.Rep

PAN

PERFORMANCE ASSESSMENT NETWORK, INC.

Revocation of Attorney/Domestic Representative and/or Appointment of Attorney/Domestic Representative

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.
PTO Form 2196 (Rev 09/2005)

OMB No. 0651-0056 (Exp 09/30/2017)

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	76123042
REGISTRATION NUMBER	2619770
LAW OFFICE ASSIGNED	LAW OFFICE 109
ATTORNEY DOCKET NUMBER	00167030
MARK SECTION
MARK	PAN (see, http://uspto.report/TM/76123042/mark.png)
ATTORNEY SECTION
ORIGINAL ADDRESS	BRADLEY M. STOHRY T01867US0 ONE AMERICAN SQUARE Suite 2900 INDIANAPOLIS Indiana 46282-0200 US (317) 236-2100 (317) 592-5453 ipdocket@icemiller.com
NEW ATTORNEY INFORMATION
STATEMENT TEXT	By submission of this request, the undersigned REVOKES the power of attorney currently of record, as listed above, and hereby APPOINTS the following new attorney:
NAME	Hara K. Jacobs
FIRM NAME	Ballard Spahr LLP
STREET	1735 Market Street, 51st Floor
CITY	Philadelphia
STATE	Pennsylvania
COUNTRY	United States
POSTAL/ZIP CODE	19103-7599
PHONE	215.864.8209
FAX	215.864.8999
EMAIL	jacobsh@ballardspahr.com
ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL	YES
NEW OTHER APPOINTED ATTORNEYS	all of the firm of Ballard Spahr LLP
NEW CORRESPONDENCE ADDRESS
NAME	Hara K. Jacobs
FIRM NAME	Ballard Spahr LLP
STREET	1735 Market Street, 51st Floor
CITY	Philadelphia
STATE	Pennsylvania
COUNTRY	United States
POSTAL/ZIP CODE	19103-7599
PHONE	215.864.8209
FAX	215.864.8999
EMAIL	jacobsh@ballardspahr.com; phila_tmdocketing@ballardspahr.com
AUTHORIZED TO COMMUNICATE VIA E-MAIL	YES
INDIVIDUAL ATTORNEY DOCKET/REFERENCE NUMBER	00167030
OTHER APPOINTED ATTORNEY	all of the firm of Ballard Spahr LLP
SIGNATURE SECTION
SIGNATURE	/Jeff Moxie/
SIGNATORY NAME	Jeff Moxie
SIGNATORY DATE	04/13/2017
SIGNATORY POSITION	Chief Financial Officer
FILING INFORMATION SECTION
SUBMIT DATE	Thu Apr 13 14:00:02 EDT 2017
TEAS STAMP	USPTO/RAA-XXX.XXX.XXX.XXX -20170413140002443072-751 36354-580da65e33185355152 cdee3f55a9b3354e8d17a6d3a db051be7fabe9b5178f5ac2-N /A-N/A-201704131240309160 01

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.
PTO Form 2196 (Rev 09/2005)

OMB No. 0651-0056 (Exp 09/30/2017)

Revocation of Attorney/Domestic Representative and/or Appointment of Attorney/Domestic Representative

To the Commissioner for Trademarks:
MARK: PAN (see, http://uspto.report/TM/76123042/mark.png)
SERIAL NUMBER: 76123042
REGISTRATION NUMBER: 2619770
ATTORNEY DOCKET NUMBER 00167030

The original attorney information:
BRADLEY M. STOHRY
T01867US0
ONE AMERICAN SQUARE
Suite 2900
INDIANAPOLIS Indiana 46282-0200
US
(317) 236-2100
(317) 592-5453
ipdocket@icemiller.com

Original Correspondence Address :
BRADLEY M. STOHRY
ICE MILLER LLP
ONE AMERICAN SQUARE
Suite 2900
INDIANAPOLIS Indiana 46282-0200
US
(317) 236-2100
(317) 592-5453
ipdocket@icemiller.com

By submission of this request, the undersigned REVOKES the power of attorney currently of record, as listed above, and hereby APPOINTS the following new attorney: In addition, any additional previously-appointed attorneys that are currently listed in the application are replaced with the new "Other Appointed Attorneys" listed below.

New attorney information:
Hara K. Jacobs
Ballard Spahr LLP
1735 Market Street, 51st Floor
Philadelphia, Pennsylvania 19103-7599
United States
215.864.8209
215.864.8999
jacobsh@ballardspahr.com (authorized)

New Other Appointed Attorneys:
all of the firm of Ballard Spahr LLP

The following is to be used as the correspondence address:
Hara K. Jacobs
Ballard Spahr LLP
1735 Market Street, 51st Floor
Philadelphia, Pennsylvania 19103-7599
United States

215.864.8209
215.864.8999
jacobsh@ballardspahr.com;phila_tmdocketing@ballardspahr.com (authorized)
The attorney docket/reference number is 00167030.

Signature: /Jeff Moxie/ Date: 04/13/2017
Signatory's Name: Jeff Moxie
Signatory's Position: Chief Financial Officer

Serial Number: 76123042
Internet Transmission Date: Thu Apr 13 14:00:02 EDT 2017
TEAS Stamp: USPTO/RAA-XXX.XXX.XXX.XXX-20170413140002
443072-75136354-580da65e33185355152cdee3
f55a9b3354e8d17a6d3adb051be7fabe9b5178f5
ac2-N/A-N/A-20170413124030916001

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