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

FORTIFIER

Health Care Service Corporation

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

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 76267022
REGISTRATION NUMBER 2648718
LAW OFFICE ASSIGNED LAW OFFICE 107
ATTORNEY DOCKET NUMBER 45674.1
MARK SECTION
MARK FORTIFIER
ATTORNEY SECTION
ORIGINAL ADDRESS ELLIOTT C. BANKENDORF
WELSH & KATZ, LTD.
6060/82532
120 SOUTH RIVERSIDE PLAZA
22ND FLOOR
CHICAGO IL 60606-3913
(312) 655-1501
312 655-1500
CORRESPONDENCE SECTION
ORIGINAL ADDRESS ELLIOTT C. BANKENDORF
WELSH & KATZ, LTD.
6060/82532
120 SOUTH RIVERSIDE PLAZA
22ND FLOOR
CHICAGO IL 60606-3913
(312) 655-1501
312 655-1500
NEW ATTORNEY ADDRESS
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 Sean D. Garrison
FIRM NAME Lewis and Roca LLP
STREET 40 North Central Avenue, 19 Floor
CITY Phoenix
STATE Arizona
COUNTRY United States
POSTAL/ZIP CODE 85004
PHONE 602.262.5311
FAX 602.734.3750
EMAIL trademarks@lrlaw.com
ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL YES
ATTORNEY DOCKET NUMBER 45674.1
NEW CORRESPONDENCE ADDRESS
NAME Sean D. Garrison
FIRM NAME Lewis and Roca LLP
STREET 40 North Central Avenue, 19 Floor
CITY Phoenix
STATE Arizona
COUNTRY United States
POSTAL/ZIP CODE 85004
PHONE 602.262.5311
FAX 602.734.3750
EMAIL trademarks@lrlaw.com
AUTHORIZED TO COMMUNICATE VIA E-MAIL YES
SIGNATURE SECTION
SIGNATORY FILE \\TICRS\EXPORT\IMAGEOUT\762\670\76267022\xml2\RAA0002.JPG
SIGNATORY NAME Carolyn H. Clift
SIGNATORY POSITION Vice President & General Counsel
FILING INFORMATION SECTION
SUBMIT DATE Wed Dec 13 13:43:20 EST 2006
TEAS STAMP USPTO/RAA-XX.XX.XXX.XX-20
061213134320971940-762670
22-360a38fb54a45de93a591c
35f203db0af9d-N/A-N/A-200
61213133805411608



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: FORTIFIER
SERIAL NUMBER: 76267022
REGISTRATION NUMBER: 2648718
ATTORNEY DOCKET NUMBER 45674.1

The original attorney
ELLIOTT C. BANKENDORF
WELSH & KATZ, LTD.
6060/82532
120 SOUTH RIVERSIDE PLAZA
22ND FLOOR
CHICAGO IL 60606-3913
(312) 655-1501
312 655-1500

Original Correspondence Address :
ELLIOTT C. BANKENDORF
WELSH & KATZ, LTD.
120 SOUTH RIVERSIDE PLAZA
22ND FLOOR
CHICAGO IL 60606-3913
(312) 655-1501
312 655-1500


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:

Newly Appointed Attorney:
Sean D. Garrison
Lewis and Roca LLP
40 North Central Avenue, 19 Floor
Phoenix, Arizona 85004
United States
602.262.5311
602.734.3750

The following is to be used as the correspondence address:
Sean D. Garrison
Lewis and Roca LLP
40 North Central Avenue, 19 Floor
Phoenix, Arizona 85004
United States

602.262.5311
602.734.3750
trademarks@lrlaw.com



Signatory File Signature
Signatory's Name: Carolyn H. Clift
Signatory's Position: Vice President & General Counsel

Serial Number: 76267022
Internet Transmission Date: Wed Dec 13 13:43:20 EST 2006
TEAS Stamp: USPTO/RAA-XX.XX.XXX.XX-20061213134320971
940-76267022-360a38fb54a45de93a591c35f20
3db0af9d-N/A-N/A-20061213133805411608


TEAS Rev, App and/or COA of Atty/Dom.Rep [image/jpeg]


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