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

HEALTH PARTNERS FOUNDATION

Health Partners Plans

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 76716988
LAW OFFICE ASSIGNED LAW OFFICE 117
ATTORNEY DOCKET NUMBER C6054-TBD
MARK SECTION
MARK HEALTH PARTNERS FOUNDATION (see, http://tmng-al.gov.uspto.report/resting2/api/img/76716988/large)
NEW ATTORNEY INFORMATION
STATEMENT TEXT By submission of this request, the undersigned hereby APPOINTS the following new attorney:
NAME Christiane S. Campbell
FIRM NAME Duane Morris LLP
STREET 30 South 17th Street
CITY Philadelphia
STATE Pennsylvania
COUNTRY United States
POSTAL/ZIP CODE 19103
PHONE 215.979.1817
FAX 215.979.1020
EMAIL ccampbell@duanemorris.com
ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL YES
NEW OTHER APPOINTED ATTORNEYS attorneys of the law firm
NEW CORRESPONDENCE ADDRESS
NAME Christiane S. Campbell
FIRM NAME Duane Morris LLP
STREET 30 South 17th Street
CITY Philadelphia
STATE Pennsylvania
COUNTRY United States
POSTAL/ZIP CODE 19103
PHONE 215.979.1817
FAX 215.979.1020
EMAIL ccampbell@duanemorris.com
AUTHORIZED TO COMMUNICATE VIA E-MAIL YES
INDIVIDUAL ATTORNEY
DOCKET/REFERENCE NUMBER
C6054-TBD
OTHER APPOINTED ATTORNEY attorneys of the law firm
SIGNATURE SECTION
SIGNATURE /Christiane S. Campbell/
SIGNATORY NAME Christiane S. Campbell
SIGNATORY DATE 01/13/2016
SIGNATORY POSITION Attorney of Record, Member NJ and PA State Bars
SIGNATORY PHONE NUMBER 215.979.1817
FILING INFORMATION SECTION
SUBMIT DATE Wed Jan 13 14:47:19 EST 2016
TEAS STAMP USPTO/RAA-XX.XXX.XX.XXX-2
0160113144719284224-76716
989-550adca9263acb3ed982b
abad419be379ac2934b9e7c21
e6ebf84153e9569c858a6-N/A
-N/A-20160113144350990076



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: HEALTH PARTNERS FOUNDATION (see, http://tmng-al.gov.uspto.report/resting2/api/img/76716988/large)
SERIAL NUMBER: 76716988
ATTORNEY DOCKET NUMBER C6054-TBD



Original Correspondence Address :
JOHNNA W BAKER
HEALTH PARTNERS PLANS
901 MARKET STREET SUITE 500
PHILADELPHIA Pennsylvania 19107-4496
US
(215) 991-4051
(215) 991-4105
jbaker@hpplans.com


By submission of this request, the undersigned 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:
Christiane S. Campbell
Duane Morris LLP
30 South 17th Street
Philadelphia, Pennsylvania 19103
United States
215.979.1817
215.979.1020
ccampbell@duanemorris.com (authorized)


New Other Appointed Attorneys:
attorneys of the law firm

The following is to be used as the correspondence address:
Christiane S. Campbell
Duane Morris LLP
30 South 17th Street
Philadelphia, Pennsylvania 19103
United States

215.979.1817
215.979.1020
ccampbell@duanemorris.com (authorized)
The attorney docket/reference number is C6054-TBD.



Signature: /Christiane S. Campbell/      Date: 01/13/2016
Signatory's Name: Christiane S. Campbell
Signatory's Position: Attorney of Record, Member NJ and PA State Bars
Signatory's Phone Number: 215.979.1817

Serial Number: 76716988
Internet Transmission Date: Wed Jan 13 14:47:19 EST 2016
TEAS Stamp: USPTO/RAA-XX.XXX.XX.XXX-2016011314471928
4224-76716989-550adca9263acb3ed982babad4
19be379ac2934b9e7c21e6ebf84153e9569c858a
6-N/A-N/A-20160113144350990076



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