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

PAN

PERFORMANCE ASSESSMENT NETWORK, INC.

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

Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid OMB control number.
PTO Form 2196 (Rev 09/2005)
OMB No. 0651-0056 (Exp 09/30/2017)

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 76552063
REGISTRATION NUMBER 3061556
LAW OFFICE ASSIGNED LAW OFFICE 115
ATTORNEY DOCKET NUMBER 00167030
MARK SECTION
MARK PAN (stylized and/or with design, see http://uspto.report/TM/76552063/mark.png)
ATTORNEY SECTION
ORIGINAL ADDRESS NICHOLAS R. MERKER
T01867US01
ONE AMERICAN SQUARE
SUITE 2900
INDIANAPOLIS Indiana 46282-0200
US
(317) 236-2100
(317) 236-2219
ipdocket@icemiller.com;chiipdocket@icemiller.com
NEW ATTORNEY INFORMATION
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 Hara K. Jacobs
FIRM NAME Ballard Spahr LLP
STREET 1735 Market Street, 51st Floor
CITY Philadelphia
STATE Pennsylvania
COUNTRY United States
POSTAL/ZIP CODE 19103-7599
PHONE 215.864.8209
FAX 215.864.8999
EMAIL jacobsh@ballardspahr.com
ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL YES
NEW OTHER APPOINTED ATTORNEYS all of the firm of Ballard Spahr LLP
NEW CORRESPONDENCE ADDRESS
NAME Hara K. Jacobs
FIRM NAME Ballard Spahr LLP
STREET 1735 Market Street, 51st Floor
CITY Philadelphia
STATE Pennsylvania
COUNTRY United States
POSTAL/ZIP CODE 19103-7599
PHONE 215.864.8209
FAX 215.864.8999
EMAIL jacobsh@ballardspahr.com; phila_tmdocketing@ballardspahr.com
AUTHORIZED TO COMMUNICATE VIA E-MAIL YES
INDIVIDUAL ATTORNEY
DOCKET/REFERENCE NUMBER
00167030
OTHER APPOINTED ATTORNEY all of the firm of Ballard Spahr LLP
SIGNATURE SECTION
SIGNATURE /Jeff Moxie/
SIGNATORY NAME Jeff Moxie
SIGNATORY DATE 04/13/2017
SIGNATORY POSITION Chief Financial Officer
FILING INFORMATION SECTION
SUBMIT DATE Thu Apr 13 14:00:02 EDT 2017
TEAS STAMP USPTO/RAA-XXX.XXX.XXX.XXX
-20170413140002443072-751
36354-580da65e33185355152
cdee3f55a9b3354e8d17a6d3a
db051be7fabe9b5178f5ac2-N
/A-N/A-201704131240309160
01



Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid OMB control number.
PTO Form 2196 (Rev 09/2005)
OMB No. 0651-0056 (Exp 09/30/2017)


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


To the Commissioner for Trademarks:
MARK: PAN (stylized and/or with design, see http://uspto.report/TM/76552063/mark.png)
SERIAL NUMBER: 76552063
REGISTRATION NUMBER: 3061556
ATTORNEY DOCKET NUMBER 00167030

The original attorney information:
NICHOLAS R. MERKER
T01867US01
ONE AMERICAN SQUARE
SUITE 2900
INDIANAPOLIS Indiana 46282-0200
US
(317) 236-2100
(317) 236-2219
ipdocket@icemiller.com;chiipdocket@icemiller.com

Original Correspondence Address :
NICHOLAS R. MERKER
ICE MILLER LLP
ONE AMERICAN SQUARE
SUITE 2900
INDIANAPOLIS Indiana 46282-0200
US
(317) 236-2100
(317) 236-2219
ipdocket@icemiller.com;chiipdocket@icemiller.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.

New attorney information:
Hara K. Jacobs
Ballard Spahr LLP
1735 Market Street, 51st Floor
Philadelphia, Pennsylvania 19103-7599
United States
215.864.8209
215.864.8999
jacobsh@ballardspahr.com (authorized)


New Other Appointed Attorneys:
all of the firm of Ballard Spahr LLP

The following is to be used as the correspondence address:
Hara K. Jacobs
Ballard Spahr LLP
1735 Market Street, 51st Floor
Philadelphia, Pennsylvania 19103-7599
United States

215.864.8209
215.864.8999
jacobsh@ballardspahr.com;phila_tmdocketing@ballardspahr.com (authorized)
The attorney docket/reference number is 00167030.



Signature: /Jeff Moxie/      Date: 04/13/2017
Signatory's Name: Jeff Moxie
Signatory's Position: Chief Financial Officer

Serial Number: 76552063
Internet Transmission Date: Thu Apr 13 14:00:02 EDT 2017
TEAS Stamp: USPTO/RAA-XXX.XXX.XXX.XXX-20170413140002
443072-75136354-580da65e33185355152cdee3
f55a9b3354e8d17a6d3adb051be7fabe9b5178f5
ac2-N/A-N/A-20170413124030916001



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