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

MEDEVAC200

USI Insurance Services, LLC

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

Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid OMB control number.
PTO Form 2196 (Rev 09/2005)
OMB No. 0651-0056 (Exp 09/30/2017)

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 76716633
REGISTRATION NUMBER 4650800
LAW OFFICE ASSIGNED LAW OFFICE 106
MARK SECTION
MARK MEDEVAC200 (stylized and/or with design, see http://uspto.report/TM/76716633/mark.png)
ATTORNEY SECTION
ORIGINAL ADDRESS JAMES A. HUDAK
9425 CHAGRIN BLVD STE 304
CLEVELAND Ohio 44122
US
(216) 292-3900
(216) 292-3930
NEW ATTORNEY INFORMATION
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 F. Kilmer
FIRM NAME Holland & Knight LLP
INTERNAL ADDRESS Suite 1100
STREET 800 17th Street NW
CITY Washington
STATE District of Columbia
COUNTRY United States
POSTAL/ZIP CODE 20006
PHONE 2029553000
EMAIL paul.kilmer@hklaw.com
ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL YES
NEW OTHER APPOINTED ATTORNEYS Daniel C. Neustadt, Thomas W. Brooke, Stephen J. Jeffries, Holland & Knight LLP
NEW CORRESPONDENCE ADDRESS
NAME Paul F. Kilmer
FIRM NAME Holland & Knight LLP
INTERNAL ADDRESS Suite 1100
STREET 800 17th Street NW
CITY Washington
STATE District of Columbia
COUNTRY United States
POSTAL/ZIP CODE 20006
PHONE 2029553000
EMAIL paul.kilmer@hklaw.com; dan.neustadt@hklaw.com; laurie.milton@hklaw.com; ptdocketing@hklaw.com
AUTHORIZED TO COMMUNICATE VIA E-MAIL YES
INDIVIDUAL ATTORNEY
DOCKET/REFERENCE NUMBER
OTHER APPOINTED ATTORNEY Daniel C. Neustadt, Thomas W. Brooke, Stephen J. Jeffries, Holland & Knight LLP
SIGNATURE SECTION
SIGNATURE /Terry L Burston/
SIGNATORY NAME Terry L Burston
SIGNATORY DATE 03/16/2017
SIGNATORY POSITION Chief Compliance Officer
FILING INFORMATION SECTION
SUBMIT DATE Mon Mar 20 09:45:30 EDT 2017
TEAS STAMP USPTO/RAA-XXX.XX.XXX.XXX-
20170320094530162243-7671
6207-58085b0193e7ecf2da23
c31a06e2d8cc7e0a39e45f285
748e75dacf766f0bee7af-N/A
-N/A-20170314171516722074



Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid OMB control number.
PTO Form 2196 (Rev 09/2005)
OMB No. 0651-0056 (Exp 09/30/2017)


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


To the Commissioner for Trademarks:
MARK: MEDEVAC200 (stylized and/or with design, see http://uspto.report/TM/76716633/mark.png)
SERIAL NUMBER: 76716633
REGISTRATION NUMBER: 4650800

The original attorney information:
JAMES A. HUDAK
9425 CHAGRIN BLVD STE 304
CLEVELAND Ohio 44122
US
(216) 292-3900
(216) 292-3930

Original Correspondence Address :
JAMES A. HUDAK
9425 CHAGRIN BLVD STE 304
CLEVELAND Ohio 44122
US
(216) 292-3900
(216) 292-3930


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.

New attorney information:
Paul F. Kilmer
Holland & Knight LLP
Suite 1100
800 17th Street NW
Washington, District of Columbia 20006
United States
2029553000
paul.kilmer@hklaw.com (authorized)


New Other Appointed Attorneys:
Daniel C. Neustadt, Thomas W. Brooke, Stephen J. Jeffries, Holland & Knight LLP

The following is to be used as the correspondence address:
Paul F. Kilmer
Holland & Knight LLP
Suite 1100
800 17th Street NW
Washington, District of Columbia 20006
United States

2029553000
paul.kilmer@hklaw.com;dan.neustadt@hklaw.com; laurie.milton@hklaw.com; ptdocketing@hklaw.com (authorized)



Signature: /Terry L Burston/      Date: 03/16/2017
Signatory's Name: Terry L Burston
Signatory's Position: Chief Compliance Officer

Serial Number: 76716633
Internet Transmission Date: Mon Mar 20 09:45:30 EDT 2017
TEAS Stamp: USPTO/RAA-XXX.XX.XXX.XXX-201703200945301
62243-76716207-58085b0193e7ecf2da23c31a0
6e2d8cc7e0a39e45f285748e75dacf766f0bee7a
f-N/A-N/A-20170314171516722074



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