| PTO Form 2196 (Rev 9/2005) |
| OMB No. 0651-0056 (Exp 09/30/2011) |
| Input Field | Entered |
|---|---|
| SERIAL NUMBER | 76555754 |
| REGISTRATION NUMBER | 2915791 |
| LAW OFFICE ASSIGNED | LAW OFFICE 106 |
| MARK SECTION | |
| MARK | EYESIGHTS |
| ATTORNEY SECTION | |
| ORIGINAL ADDRESS | Dioptics Medical Products, Inc. 125 Venture Drive San Luis Obispo CA 93401 (805) 781-3326 (805) 782-4651 struelson@dioptics.com |
| STATEMENT TEXT | By submission of this request, the undersigned REVOKES the power of attorney currently of record, as listed above. |
| CORRESPONDENCE SECTION | |
| ORIGINAL ADDRESS | Dioptics Medical Products, Inc. 125 Venture Drive San Luis Obispo CA 93401 (805) 781-3326 (805) 782-4651 struelson@dioptics.com |
| NEW DOMESTIC REPRESENTATIVE ADDRESS | |
| STATEMENT TEXT | By submission of this request, the undersigned hereby APPOINTS the following new domestic representative: |
| NAME | Live Eyewear, Inc. |
| STREET | 125 Venture Drive |
| CITY | San Luis Obispo |
| STATE | California |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 93401 |
| PHONE | 805-782-5070 |
| ddean@liveeyewear.com | |
| REPRESENTATIVE AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
| NEW CORRESPONDENCE ADDRESS | |
| NAME | Live Eyewear, Inc. |
| STREET | 125 Venture Drive |
| CITY | San Luis Obispo |
| STATE | California |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 93401 |
| PHONE | 805-782-5070 |
| ddean@liveeyewear.com | |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
| SIGNATURE SECTION | |
| SIGNATURE | /Dave Dean/ |
| SIGNATORY NAME | Dave Dean |
| SIGNATORY DATE | 03/03/2008 |
| SIGNATORY POSITION | VP Marketing |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Mon Mar 03 17:00:00 EST 2008 |
| TEAS STAMP | USPTO/RAA-XX.XX.XX.XX-200 80303170000240408-7735663 3-4009ef68fd6a35b34777377 92cc148b2de3-N/A-N/A-2008 0303163807705216 |
| PTO Form 2196 (Rev 9/2005) |
| OMB No. 0651-0056 (Exp 09/30/2011) |