| PTO Form 2196 (Rev 9/2005) |
| OMB No. 0651-0056 (Exp 9/30/2017) |
| Input Field | Entered |
|---|---|
| SERIAL NUMBER | 76343577 |
| REGISTRATION NUMBER | 2615264 |
| LAW OFFICE ASSIGNED | LAW OFFICE 101 |
| MARK SECTION | |
| MARK | DESTRESS |
| ATTORNEY SECTION | |
| ORIGINAL ADDRESS | DAVID R. ELLIS 3233 E BAY DR STE 101 LARGO Florida (FL) 33771-1900 US 7275311111 7275315088 ellislaw@alum.mit.edu |
| 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 | Monica B. Mason, Esq. |
| FIRM NAME | Fowler White Boggs P.A. |
| INTERNAL ADDRESS | Suite 1700 |
| STREET | 501 E. Kennedy Blvd. |
| CITY | Tampa |
| STATE | Florida |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 33602 |
| PHONE | 813-222-2021 |
| FAX | 813-384-2817 |
| mmason@fowlerwhite.com | |
| ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
| NEW CORRESPONDENCE ADDRESS | |
| NAME | Monica B. Mason, Esq. |
| FIRM NAME | Fowler White Boggs P.A. |
| INTERNAL ADDRESS | Suite 1700 |
| STREET | 501 E. Kennedy Blvd. |
| CITY | Tampa |
| STATE | Florida |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 33602 |
| PHONE | 813-222-2021 |
| FAX | 813-384-2817 |
| mmason@fowlerwhite.com | |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
| SIGNATURE SECTION | |
| SIGNATORY FILE | |
| ORIGINAL PDF FILE | hw_962542211-105621707_._Executed_Revocation_Ellis.pdf |
| CONVERTED PDF FILE(S) (1 page) |
\\TICRS\EXPORT16\IMAGEOUT16\763\435\76343577\xml2\RAA0002.JPG |
| SIGNATORY NAME | Tyler Lasher |
| SIGNATORY POSITION | President |
| SIGNATORY PHONE NUMBER | 813-222-2021 |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Fri Mar 01 11:27:23 EST 2013 |
| TEAS STAMP | USPTO/RAA-XX.XXX.XX.XX-20 130301112723102993-850048 76-500c23969666d992dfd52d 9e3a6aa8c963e7ef7c9f8f9de 9489ebbb099aaff4b-N/A-N/A -20130301105621707063 |
| PTO Form 2196 (Rev 9/2005) |
| OMB No. 0651-0056 (Exp 9/30/2017) |
