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

MULTI-FLEX

Nationwide Life Insurance Company

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

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 76330501
REGISTRATION NUMBER 2624692
LAW OFFICE ASSIGNED LAW OFFICE 107
MARK SECTION
MARK MULTI-FLEX
ATTORNEY SECTION
ORIGINAL ADDRESS Heather A. Yarbrough
080US2
ONE NATIONWIDE PLAZA
OFFICE OF GENERAL COUNSEL 1-35-204
COLUMBUS Ohio (OH) 43215-2220
US
614.249.7150
614.249.2418
trademark@nationwide.com
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 Amy R. Grayem
FIRM NAME Nationwide Mutual Insurance Company
INTERNAL ADDRESS Office of General Counsel 1-35-204
STREET One Nationwide Plaza
CITY Columbus
STATE Ohio
COUNTRY United States
POSTAL/ZIP CODE 43215
PHONE 614.677.8521
FAX 614.249.2418
EMAIL trademark@nationwide.com
ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL YES
NEW OTHER APPOINTED ATTORNEYS Scott W. Linek
NEW CORRESPONDENCE ADDRESS
NAME Amy R. Grayem
FIRM NAME Nationwide Mutual Insurance Company
INTERNAL ADDRESS Office of General Counsel 1-35-204
STREET One Nationwide Plaza
CITY Columbus
STATE Ohio
COUNTRY United States
POSTAL/ZIP CODE 43215
PHONE 614.677.8521
FAX 614.249.2418
EMAIL trademark@nationwide.com
AUTHORIZED TO COMMUNICATE VIA E-MAIL YES
OTHER APPOINTED ATTORNEY Scott W. Linek
SIGNATURE SECTION
SIGNATURE /Christina Garrison/
SIGNATORY NAME Christina Garrison
SIGNATORY DATE 12/19/2014
SIGNATORY POSITION Associate Vice President
SIGNATORY PHONE NUMBER 614.677.8521
FILING INFORMATION SECTION
SUBMIT DATE Fri Dec 19 11:22:14 EST 2014
TEAS STAMP USPTO/RAA-XXX.XXX.XXX.XX-
20141219112214230013-8608
7933-50046e4efc7da3ea2eed
53da1fabd1fe995e808276adc
4ebc7ad3baee32493b43f-N/A
-N/A-20141218124639151686



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: MULTI-FLEX
SERIAL NUMBER: 76330501
REGISTRATION NUMBER: 2624692

The original attorney
Heather A. Yarbrough
080US2
ONE NATIONWIDE PLAZA
OFFICE OF GENERAL COUNSEL 1-35-204
COLUMBUS Ohio 43215-2220
US
614.249.7150
614.249.2418
trademark@nationwide.com

Original Correspondence Address :
Heather A. Yarbrough
NATIONWIDE MUTUAL INSURANCE COMPANY
ONE NATIONWIDE PLAZA
OFFICE OF GENERAL COUNSEL 1-35-204
COLUMBUS Ohio 43215-2220
US
614.249.7150
614.249.2418
trademark@nationwide.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.

Newly Appointed Attorney:
Amy R. Grayem
Nationwide Mutual Insurance Company
Office of General Counsel 1-35-204
One Nationwide Plaza
Columbus, Ohio 43215
United States
614.677.8521
614.249.2418
trademark@nationwide.com

Other Appointed Attorneys:

Scott W. Linek

The following is to be used as the correspondence address:
Amy R. Grayem
Nationwide Mutual Insurance Company
Office of General Counsel 1-35-204
One Nationwide Plaza
Columbus, Ohio 43215
United States

614.677.8521
614.249.2418
trademark@nationwide.com



Signature: /Christina Garrison/      Date: 12/19/2014
Signatory's Name: Christina Garrison
Signatory's Position: Associate Vice President
Signatory's Phone Number: 614.677.8521

Serial Number: 76330501
Internet Transmission Date: Fri Dec 19 11:22:14 EST 2014
TEAS Stamp: USPTO/RAA-XXX.XXX.XXX.XX-201412191122142
30013-86087933-50046e4efc7da3ea2eed53da1
fabd1fe995e808276adc4ebc7ad3baee32493b43
f-N/A-N/A-20141218124639151686



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