| PTO Form 2196 (Rev 9/2005) |
| OMB No. 0651-0056 (Exp 09/30/2011) |
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 |
76566979 |
| REGISTRATION NUMBER |
3335652 |
| LAW OFFICE ASSIGNED |
LAW OFFICE 102 |
| MARK SECTION |
| MARK |
ZODIAC |
| ATTORNEY SECTION |
| ORIGINAL ADDRESS |
CHRISTINE M. BAKER
MINTZ, LEVIN, COHN, & ET AL
26786-402
666 THIRD AVENUE
NEW YORK NY 10017
(213) 896-2486
(213) 896-2450
|
| STATEMENT TEXT |
By submission of this request, the undersigned REVOKES the power of attorney currently of record, as listed above. |
| NEW CORRESPONDENCE ADDRESS |
| NAME |
ALPHATEC SPINE, INC. |
| INTERNAL ADDRESS |
Attn: J.Wheeler |
| STREET |
5818 El Camino Real |
| CITY |
Carlsbad |
| STATE |
California |
| COUNTRY |
United States |
| POSTAL/ZIP CODE |
92008 |
| PHONE |
760-431-9286 |
| FAX |
760-476-3468 |
| SIGNATURE SECTION |
| SIGNATURE |
/jwheeler/ |
| SIGNATORY NAME |
Jeannette Wheeler |
| SIGNATORY DATE |
06/11/2009 |
| SIGNATORY POSITION |
Trademark Administrator |
| FILING INFORMATION SECTION |
| SUBMIT DATE |
Thu Jun 11 18:25:50 EDT 2009 |
| TEAS STAMP |
USPTO/RAA-XX.XXX.XXX.XX-2
0090611182550400274-76058
465-400b31957de7c89f61f1d
1f7a2607aa2f0-N/A-N/A-200
90611181944172615 |
| PTO Form 2196 (Rev 9/2005) |
| OMB No. 0651-0056 (Exp 09/30/2011) |
Revocation of Attorney/Domestic Representative and/or Appointment of Attorney/Domestic Representative
To the Commissioner for Trademarks:
MARK: ZODIAC
SERIAL NUMBER: 76566979
REGISTRATION NUMBER: 3335652
The original attorney
CHRISTINE M. BAKER
MINTZ, LEVIN, COHN, & ET AL
26786-402
666 THIRD AVENUE
NEW YORK NY 10017
(213) 896-2486
(213) 896-2450
By submission of this request, the undersigned REVOKES the power of attorney currently of record, as listed above.
Original Correspondence Address :
CHRISTINE M. BAKER
MINTZ, LEVIN, COHN, & ET AL
666 THIRD AVENUE
NEW YORK NY 10017
(213) 896-2450
(213) 896-2486
The following is to be used as the correspondence address:
ALPHATEC SPINE, INC.
Attn: J.Wheeler
5818 El Camino Real
Carlsbad, California 92008
United States
760-431-9286
760-476-3468
Signature: /jwheeler/ Date: 06/11/2009
Signatory's Name: Jeannette Wheeler
Signatory's Position: Trademark Administrator
Serial Number: 76566979
Internet Transmission Date: Thu Jun 11 18:25:50 EDT 2009
TEAS Stamp: USPTO/RAA-XX.XXX.XXX.XX-2009061118255040
0274-76058465-400b31957de7c89f61f1d1f7a2
607aa2f0-N/A-N/A-20090611181944172615