| PTO Form 2196 (Rev 9/2005) |
| OMB No. 0651-0056 (Exp 09/30/2011) |
| Input Field | Entered |
|---|---|
| SERIAL NUMBER | 76341910 |
| LAW OFFICE ASSIGNED | LAW OFFICE 111 |
| MARK SECTION | |
| MARK | CLUB MED |
| ATTORNEY SECTION | |
| ORIGINAL ADDRESS | Mark I. Peroff Kirkpatrick & Lockhart Nicholson Graham 599 Lexington Avenue New York NY 10022-6030 212-536-3901 212-536-3900 nytrademarks@klng.com |
| DOMESTIC REPRESENTATIVE SECTION | |
| ORIGINAL ADDRESS | Proskauer Rose LLP |
| CORRESPONDENCE SECTION | |
| ORIGINAL ADDRESS | Mark I. Peroff Kirkpatrick & Lockhart Nicholson Graham 599 Lexington Avenue New York NY 10022-6030 212-536-3901 212-536-3900 nytrademarks@klng.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 | Mark I. Peroff |
| FIRM NAME | Kirkpatrick & Lockhart Nicholson Graham LLP |
| STREET | 599 Lexington Avenue |
| CITY | New York |
| STATE | New York |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 10022-6030 |
| PHONE | 212-536-3900 |
| FAX | 212-536-3901 |
| nytrademarks@klng.com | |
| ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
| NEW DOMESTIC REPRESENTATIVE ADDRESS | |
| STATEMENT TEXT | By submission of this request, the undersigned REVOKES the power of domestic representative currently of record, as listed above, and hereby APPOINTS the following new domestic representative: |
| NAME | Mark I. Peroff |
| FIRM NAME | Kirkpatrick & Lockhart Nicholson Graham LLP |
| STREET | 599 Lexington Avenue |
| CITY | New York |
| STATE | New York |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 10022-6030 |
| PHONE | 212-535-3900 |
| FAX | 212-535-3901 |
| nytrademarks@klng.com | |
| REPRESENTATIVE AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
| NEW CORRESPONDENCE ADDRESS | |
| NAME | Mark I. Peroff |
| FIRM NAME | Kirkpatrick & Lockhart Nicholson Graham LLP |
| STREET | 599 Lexington Avenue |
| CITY | New York |
| STATE | New York |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 10022-6030 |
| PHONE | 212-536-3900 |
| FAX | 212-536-3901 |
| nytrademarks@klng.com | |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
| SIGNATURE SECTION | |
| SIGNATORY FILE | \\TICRS\EXPORT8\IMAGEOUT8\763\419\76341910\xml1\RAA0002.JPG |
| SIGNATORY NAME | Edouard Silverio |
| SIGNATORY POSITION | Vice President and General Counsel |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Fri Oct 14 09:52:57 EDT 2005 |
| TEAS STAMP | USPTO/RAA-XX.X.XXX.XXX-20 051014095257282757-760838 12-250d8f58476486694f8ec8 ad0325fb978de-N/A-N/A-200 51014095014172474 |
| PTO Form 2196 (Rev 9/2005) |
| OMB No. 0651-0056 (Exp 09/30/2011) |
