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

EMPOWER

W4 HEALTH GROUP, INC.

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

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 76640728
REGISTRATION NUMBER 3392283
LAW OFFICE ASSIGNED LAW OFFICE 105
ATTORNEY DOCKET NUMBER 62649/399063
MARK SECTION
MARK EMPOWER
ATTORNEY SECTION
ORIGINAL ADDRESS BRIAN M. DINGMAN
MIRICK, O'CONNELL, DEMALLIE & LOUGEE
19236-00008
1700 WEST PARK DRIVE
WESTBOROUGH, MA 01581-3941
(508) 898-1501
508-898-1502
NEW OTHER APPOINTED ATTORNEYS Dean W. Russell, Lauren A. Linder, and the attorneys of Kilpatrick Townsend & Stockton LLP
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 William H. Brewster
FIRM NAME KILPATRICK TOWNSEND & STOCKTON LLP
STREET 1100 Peachtree Street, Suite 2800
CITY Atlanta
STATE Georgia
COUNTRY United States
POSTAL/ZIP CODE 30309
PHONE 404-815-6500
FAX 404-815-6555
EMAIL tmadmin@kilpatricktownsend.com
ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL YES
ATTORNEY DOCKET NUMBER 62649/399063
NEW CORRESPONDENCE ADDRESS
NAME William H. Brewster
FIRM NAME KILPATRICK TOWNSEND & STOCKTON LLP
STREET 1100 Peachtree Street, Suite 2800
CITY Atlanta
STATE Georgia
COUNTRY United States
POSTAL/ZIP CODE 30309
PHONE 404-815-6500
FAX 404-815-6555
EMAIL tmadmin@kilpatricktownsend.com
AUTHORIZED TO COMMUNICATE VIA E-MAIL YES
OTHER APPOINTED ATTORNEY Dean W. Russell, Lauren A. Linder, and the attorneys of Kilpatrick Townsend & Stockton LLP
SIGNATURE SECTION
SIGNATURE /Kathy O'Connell Johnson1/
SIGNATORY NAME Kathy O'Connell Johnson
SIGNATORY DATE 08/02/2011
SIGNATORY POSITION Director of Marketing
FILING INFORMATION SECTION
SUBMIT DATE Tue Aug 02 12:09:39 EDT 2011
TEAS STAMP USPTO/RAA-XX.X.XX.XXX-201
10802120939391429-7664072
8-480aac21ab35532eb16d2d5
1c6a8f72ad3f-N/A-N/A-2011
0721112303440083



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: EMPOWER
SERIAL NUMBER: 76640728
REGISTRATION NUMBER: 3392283
ATTORNEY DOCKET NUMBER 62649/399063

The original attorney
BRIAN M. DINGMAN
MIRICK, O'CONNELL, DEMALLIE & LOUGEE
19236-00008
1700 WEST PARK DRIVE
WESTBOROUGH, MA 01581-3941
(508) 898-1501
508-898-1502

Original Correspondence Address :
BRIAN M. DINGMAN
MIRICK, O'CONNELL, DEMALLIE & LOUGEE
1700 WEST PARK DRIVE
WESTBOROUGH, MA 01581-3941
(508) 898-1501
508-898-1502


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.

Newly Appointed Attorney:
William H. Brewster
KILPATRICK TOWNSEND & STOCKTON LLP
1100 Peachtree Street, Suite 2800
Atlanta, Georgia 30309
United States
404-815-6500
404-815-6555
tmadmin@kilpatricktownsend.com
62649/399063

Other Appointed Attorneys:

Dean W. Russell, Lauren A. Linder, and the attorneys of Kilpatrick Townsend & Stockton LLP

The following is to be used as the correspondence address:
William H. Brewster
KILPATRICK TOWNSEND & STOCKTON LLP
1100 Peachtree Street, Suite 2800
Atlanta, Georgia 30309
United States

404-815-6500
404-815-6555
tmadmin@kilpatricktownsend.com The attorney docket/reference number is 62649/399063.



Signature: /Kathy O'Connell Johnson1/      Date: 08/02/2011
Signatory's Name: Kathy O'Connell Johnson
Signatory's Position: Director of Marketing

Serial Number: 76640728
Internet Transmission Date: Tue Aug 02 12:09:39 EDT 2011
TEAS Stamp: USPTO/RAA-XX.X.XX.XXX-201108021209393914
29-76640728-480aac21ab35532eb16d2d51c6a8
f72ad3f-N/A-N/A-20110721112303440083



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