PTO Form 2196 (Rev 9/2005) |
OMB No. 0651-0056 (Exp 9/30/2017) |
Input Field | Entered |
---|---|
SERIAL NUMBER | 77583681 |
REGISTRATION NUMBER | 3690799 |
LAW OFFICE ASSIGNED | LAW OFFICE 110 |
ATTORNEY DOCKET NUMBER | 00134 |
MARK SECTION | |
MARK | SECUREMESSAGE |
ATTORNEY SECTION | |
ORIGINAL ADDRESS | JENNIFER M. MIKULINA SUITE 4400 227 W. MONROE STREET CHICAGO Illinois (IL) 60606-5096 US 312.372.2000 312.984.7700 chicago_ip_docket@mwe.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 | Heather E. Balmat |
FIRM NAME | Balmat Law, PLLC |
STREET | 977 Seminole Trail, #342 |
CITY | Charlottesville |
STATE | Virginia |
COUNTRY | United States |
POSTAL/ZIP CODE | 22901 |
PHONE | (434) 260-1837 |
FAX | (434) 473-6738 |
hbalmat@balmatlaw.com | |
ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
ATTORNEY DOCKET NUMBER | 00134 |
NEW CORRESPONDENCE ADDRESS | |
NAME | Heather E. Balmat |
FIRM NAME | Balmat Law, PLLC |
DOCKET/REFERENCE NUMBER | 00128 |
STREET | 977 Seminole Trail, #342 |
CITY | Charlottesville |
STATE | Virginia |
COUNTRY | United States |
POSTAL/ZIP CODE | 22901 |
PHONE | (434) 260-1837 |
FAX | (434) 473-6738 |
hbalmat@balmatlaw.com | |
AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
SIGNATURE SECTION | |
SIGNATORY FILE | |
ORIGINAL PDF FILE | hw_7610421104-105938009_._Revocation_of_Attorney_-_SIGNED__2012-11-26_.pdf |
CONVERTED PDF FILE(S) (6 pages) |
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SIGNATORY NAME | Cindy Williams |
SIGNATORY POSITION | General Counsel |
SIGNATORY PHONE NUMBER | (630) 320-3235 |
FILING INFORMATION SECTION | |
SUBMIT DATE | Mon Dec 03 11:05:35 EST 2012 |
TEAS STAMP | USPTO/RAA-XX.XXX.XX.XXX-2 0121203110535707394-78615 709-490935102c90aa2e97ffa ec820cc33f87a-N/A-N/A-201 21203105938009421 |
PTO Form 2196 (Rev 9/2005) |
OMB No. 0651-0056 (Exp 9/30/2017) |