PTO Form 2196 (Rev 9/2005) |
OMB No. 0651-0056 (Exp 9/30/2017) |
Input Field | Entered |
---|---|
SERIAL NUMBER | 77942855 |
REGISTRATION NUMBER | 3887981 |
LAW OFFICE ASSIGNED | LAW OFFICE 115 |
MARK SECTION | |
MARK | PREMIERPRO |
ATTORNEY SECTION | |
ORIGINAL ADDRESS | ERICA YODER 118 2ND AVE SE CEDAR RAPIDS Iowa (IA) 52401-1253 US (319) 286-2535 (319) 286-2512 eyoder@unitedfiregroup.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 | Chad Zenisek |
FIRM NAME | United Fire Group |
INTERNAL ADDRESS | Accounting |
STREET | 118 |
CITY | Cedar Rapids |
STATE | Iowa |
COUNTRY | United States |
POSTAL/ZIP CODE | 52401-1212 |
PHONE | 319-286-2535 |
FAX | 319-286-2512 |
czenisek@unitedfiregroup.com | |
ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
NEW CORRESPONDENCE ADDRESS | |
NAME | Chad Zenisek |
FIRM NAME | United Fire Group |
INTERNAL ADDRESS | Accounting |
STREET | 118 2nd Ave SE |
CITY | Cedar Rapids |
STATE | Iowa |
COUNTRY | United States |
POSTAL/ZIP CODE | 52401-1212 |
PHONE | (319) 286-2535 |
FAX | (319) 286-2512 |
czenisek@unitedfiregroup.com;nscharmer@unitedfiregroup.com; csova@unitedfiregroup.com | |
AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
SIGNATURE SECTION | |
SIGNATURE | /Chad Zenisek/ |
SIGNATORY NAME | Chad Zenisek |
SIGNATORY DATE | 09/14/2015 |
SIGNATORY POSITION | Attorney, Licensed in Iowa, AT0011119 |
SIGNATORY PHONE NUMBER | 319-286-2535 |
FILING INFORMATION SECTION | |
SUBMIT DATE | Mon Sep 14 13:49:52 EDT 2015 |
TEAS STAMP | USPTO/RAA-XX.XX.XXX.X-201 50914134952798380-8614739 4-54055b5879aab29bf60e733 f6d64ad7de4374aef4b28c5dd b23619b49ea9bbf873-N/A-N/ A-20150914134340369947 |
PTO Form 2196 (Rev 9/2005) |
OMB No. 0651-0056 (Exp 9/30/2017) |