| PTO Form 2196 (Rev 9/2005) |
| OMB No. 0651-0056 (Exp 9/30/2017) |
| Input Field | Entered |
|---|---|
| SERIAL NUMBER | 76421970 |
| REGISTRATION NUMBER | 2695620 |
| LAW OFFICE ASSIGNED | LAW OFFICE 111 |
| ATTORNEY DOCKET NUMBER | 123- |
| MARK SECTION | |
| MARK | JALISCO |
| ATTORNEY SECTION | |
| ORIGINAL ADDRESS | STEWART J BELLUS 1077 NORTHERN BLVD ROSLYN New York (NY) 11576 US 5163659802 5163659805 |
| 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 | Alan M. Sack |
| FIRM NAME | SACK IP Law pc |
| INTERNAL ADDRESS | Suite 120W |
| STREET | 6800 Jericho Turnpike |
| CITY | Syosset |
| STATE | New York |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 11791 |
| PHONE | (516) 393-5960 |
| Alan.Sack@SACK-IP.com | |
| ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
| ATTORNEY DOCKET NUMBER | 123- |
| NEW CORRESPONDENCE ADDRESS | |
| NAME | Alan M. Sack |
| FIRM NAME | SACK IP Law pc |
| DOCKET/REFERENCE NUMBER | 123- |
| INTERNAL ADDRESS | Suite 120W |
| STREET | 6800 Jericho Turnpike |
| CITY | Syosset |
| STATE | New York |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 11791 |
| PHONE | (516) 393-5960 |
| Alan.Sack@SACK-IP.com;IP.Docket@SACK-IP.com | |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
| SIGNATURE SECTION | |
| SIGNATURE | /jesus gutierrez/ |
| SIGNATORY NAME | Jesus Gutierrez |
| SIGNATORY DATE | 10/22/2015 |
| SIGNATORY POSITION | General Manager |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Thu Oct 22 18:07:47 EDT 2015 |
| TEAS STAMP | USPTO/RAA-XXX.X.XXX.XXX-2 0151022180747711889-78854 841-540c9c145b8bfa516714e 4aef48abe74fdf4ed88fcefc0 b8f4e02e91bde35e4c-N/A-N/ A-20151021165040909120 |
| PTO Form 2196 (Rev 9/2005) |
| OMB No. 0651-0056 (Exp 9/30/2017) |