PTO Form 2196 (Rev 9/2005) |
OMB No. 0651-0056 (Exp 09/30/2011) |
Input Field | Entered |
---|---|
SERIAL NUMBER | 76613916 |
LAW OFFICE ASSIGNED | LAW OFFICE 101 |
MARK SECTION | |
MARK | PROTEGE |
ATTORNEY SECTION | |
ORIGINAL ADDRESS | GARY BLUM BLUM LAW OFFICE 3278 WILSHIRE BLVD APT 603 LOS ANGELES CA 90010-1431 |
CORRESPONDENCE SECTION | |
ORIGINAL ADDRESS | GARY BLUM BLUM LAW OFFICE 3278 WILSHIRE BLVD APT 603 LOS ANGELES CA 90010-1431 |
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 | Eric J. Goodman, Esq. |
FIRM NAME | Goodman Law Group PC |
INTERNAL ADDRESS | 14th Floor |
STREET | 695 Town Center Drive |
CITY | Costa Mesa |
STATE | California |
COUNTRY | United States |
POSTAL/ZIP CODE | 92626 |
PHONE | 714.754.0200 |
FAX | 714.754.0500 |
eric@goodmanlawyers.com | |
ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
NEW CORRESPONDENCE ADDRESS | |
NAME | Eric J. Goodman, Esq. |
FIRM NAME | Goodman Law Group PC |
INTERNAL ADDRESS | 14th Floor |
STREET | 695 Town Center Drive |
CITY | Costa Mesa |
STATE | California |
COUNTRY | United States |
POSTAL/ZIP CODE | 92626 |
PHONE | 714.754.0200 |
FAX | 714.754.0500 |
eric@goodmanlawyers.com | |
AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
SIGNATURE SECTION | |
SIGNATURE | /Michael Radlovic/ |
SIGNATORY NAME | Michael Radlovic |
SIGNATORY DATE | 06/13/2005 |
SIGNATORY POSITION | Owner |
FILING INFORMATION SECTION | |
SUBMIT DATE | Mon Jun 13 19:24:27 EDT 2005 |
TEAS STAMP | USPTO/RAA-XX.XXX.XXX.XXX- 20050613192427068331-7660 5441-250999933ba91d8e8113 498b78d693d463-N/A-N/A-20 050613191847815827 |
PTO Form 2196 (Rev 9/2005) |
OMB No. 0651-0056 (Exp 09/30/2011) |