| PTO Form 2196 (Rev 9/2005) |
| OMB No. 0651-0056 (Exp 09/30/2011) |
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 |
76262125 |
| REGISTRATION NUMBER |
2967467 |
| LAW OFFICE ASSIGNED |
LAW OFFICE 101 |
| MARK SECTION |
| MARK |
QUINTESSENCE BIOSCIENCES |
| ATTORNEY SECTION |
| ORIGINAL ADDRESS |
James D. Peterson
Quintessence Biosciences, Inc.
056930-0002
Suite 166
505 S. Rosa Road
Madison WI 53719
608-441-2983
608-441-2952
kayg@quintbio.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 |
Mary K. Groff |
| FIRM NAME |
Quintessence Biosciences, Inc. |
| STREET |
505 S. Rosa Road |
| CITY |
Madison |
| STATE |
Wisconsin |
| COUNTRY |
United States |
| POSTAL/ZIP CODE |
53719 |
| PHONE |
608-441-2983 |
| FAX |
608-441-2952 |
| EMAIL |
kayg@quintbio.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
YES |
| SIGNATURE SECTION |
| SIGNATURE |
/Mary K. Groff/ |
| SIGNATORY NAME |
Mary K. Groff |
| SIGNATORY DATE |
07/12/2011 |
| SIGNATORY POSITION |
Corporate Secretary |
| FILING INFORMATION SECTION |
| SUBMIT DATE |
Tue Jul 12 09:22:33 EDT 2011 |
| TEAS STAMP |
USPTO/RAA-XXX.XX.XX.XXX-2
0110712092233873945-76262
125-4806ec9b9bfd0b41b1bf1
bfe1afd02ade-N/A-N/A-2011
0712091503688542 |
| PTO Form 2196 (Rev 9/2005) |
| OMB No. 0651-0056 (Exp 09/30/2011) |
Revocation of Attorney/Domestic Representative and/or Appointment of Attorney/Domestic Representative
To the Commissioner for Trademarks:
MARK: QUINTESSENCE BIOSCIENCES
SERIAL NUMBER: 76262125
REGISTRATION NUMBER: 2967467
The original attorney
James D. Peterson
Quintessence Biosciences, Inc.
056930-0002
Suite 166
505 S. Rosa Road
Madison WI 53719
608-441-2983
608-441-2952
kayg@quintbio.com
By submission of this request, the undersigned REVOKES the power of attorney currently of record, as listed above.
Original Correspondence Address :
James D. Peterson
Quintessence Biosciences, Inc.
Suite 166
505 S. Rosa Road
Madison WI 53719
608-441-2983
608-441-2952
kayg@quintbio.com
The following is to be used as the correspondence address:
Mary K. Groff
Quintessence Biosciences, Inc.
505 S. Rosa Road
Madison, Wisconsin 53719
United States
608-441-2983
608-441-2952
kayg@quintbio.com
Signature: /Mary K. Groff/ Date: 07/12/2011
Signatory's Name: Mary K. Groff
Signatory's Position: Corporate Secretary
Serial Number: 76262125
Internet Transmission Date: Tue Jul 12 09:22:33 EDT 2011
TEAS Stamp: USPTO/RAA-XXX.XX.XX.XXX-2011071209223387
3945-76262125-4806ec9b9bfd0b41b1bf1bfe1a
fd02ade-N/A-N/A-20110712091503688542