| PTO Form 2196 (Rev 9/2005) |
| OMB No. 0651-0056 (Exp 9/30/2017) |
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 |
76699379 |
| REGISTRATION NUMBER |
3839591 |
| LAW OFFICE ASSIGNED |
LAW OFFICE 113 |
| MARK SECTION |
| MARK |
POLKADOG |
| ATTORNEY SECTION |
| ORIGINAL ADDRESS |
GREGORY J. NELSON
4500 N 32ND ST STE 110
PHOENIX Arizona (AZ) 85018-3350
US
(602) 263-8782
(602) 265-5984
Greg@Nelson-Roediger.com
|
| 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 |
PAUL B. HEYNSSENS |
| FIRM NAME |
PAUL B. HEYNSSENS ATTORNEY AT LAW PLC |
| STREET |
4340 E. Indian School Road, Suite 21-474 |
| CITY |
PHOENIX |
| STATE |
Arizona |
| COUNTRY |
United States |
| POSTAL/ZIP CODE |
85018 |
| PHONE |
800.655.5807 |
| FAX |
800.655.1804 |
| EMAIL |
pbh@pbhpatents.com |
| ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL |
YES |
| NEW CORRESPONDENCE ADDRESS |
| NAME |
PAUL B. HEYNSSENS |
| FIRM NAME |
PAUL B. HEYNSSENS ATTORNEY AT LAW PLC |
| STREET |
4340 E. Indian School Road, Suite 21-474 |
| CITY |
PHOENIX |
| STATE |
Arizona |
| COUNTRY |
United States |
| POSTAL/ZIP CODE |
85018 |
| PHONE |
800.655.5807 |
| FAX |
800.655.1804 |
| EMAIL |
pbh@pbhpatents.com;docket@blackhillsip.com; stephanie@pbhpatents.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
YES |
| SIGNATURE SECTION |
| SIGNATURE |
/Rob Van Sickle/ |
| SIGNATORY NAME |
/Rob Van Sickle/ |
| SIGNATORY DATE |
02/13/2012 |
| SIGNATORY POSITION |
Member |
| SIGNATORY PHONE NUMBER |
800.655.5807 |
| FILING INFORMATION SECTION |
| SUBMIT DATE |
Mon Feb 13 12:58:32 EST 2012 |
| TEAS STAMP |
USPTO/RAA-XX.XXX.XX.XX-20
120213125832738313-767081
52-490768ec12aed57fd9b4f9
b6dc382dac21-N/A-N/A-2012
0213114953477910 |
| PTO Form 2196 (Rev 9/2005) |
| OMB No. 0651-0056 (Exp 9/30/2017) |
Revocation of Attorney/Domestic Representative and/or Appointment of Attorney/Domestic Representative
To the Commissioner for Trademarks:
MARK: POLKADOG
SERIAL NUMBER: 76699379
REGISTRATION NUMBER: 3839591
The original attorney
GREGORY J. NELSON
4500 N 32ND ST STE 110
PHOENIX Arizona 85018-3350
US
(602) 263-8782
(602) 265-5984
Greg@Nelson-Roediger.com
Original Correspondence Address :
GREGORY J. NELSON
4500 N 32ND ST STE 110
PHOENIX Arizona 85018-3350
US
(602) 263-8782
(602) 265-5984
Greg@Nelson-Roediger.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:
Newly Appointed Attorney:
PAUL B. HEYNSSENS
PAUL B. HEYNSSENS ATTORNEY AT LAW PLC
4340 E. Indian School Road, Suite 21-474
PHOENIX, Arizona 85018
United States
800.655.5807
800.655.1804
pbh@pbhpatents.com
The following is to be used as the correspondence address:
PAUL B. HEYNSSENS
PAUL B. HEYNSSENS ATTORNEY AT LAW PLC
4340 E. Indian School Road, Suite 21-474
PHOENIX, Arizona 85018
United States
800.655.5807
800.655.1804
pbh@pbhpatents.com;docket@blackhillsip.com; stephanie@pbhpatents.com
Signature: /Rob Van Sickle/ Date: 02/13/2012
Signatory's Name: /Rob Van Sickle/
Signatory's Position: Member
Signatory's Phone Number: 800.655.5807
Serial Number: 76699379
Internet Transmission Date: Mon Feb 13 12:58:32 EST 2012
TEAS Stamp: USPTO/RAA-XX.XXX.XX.XX-20120213125832738
313-76708152-490768ec12aed57fd9b4f9b6dc3
82dac21-N/A-N/A-20120213114953477910