PTO Form 2196 (Rev 9/2005) |
OMB No. 0651-0056 (Exp 09/30/2011) |
Input Field | Entered |
---|---|
SERIAL NUMBER | 78235647 |
LAW OFFICE ASSIGNED | LAW OFFICE 106 |
MARK SECTION | |
MARK | PROFORM |
ATTORNEY SECTION | |
ORIGINAL ADDRESS | David L. Stott Icon Health & Fitness, Inc. T039 US 1500 South 1000 West Logan UT 84321 (435) 786-5006 (435) 750-3679 kari.anderson@iconfitness.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 | Richard Chang |
STREET | 1500 South 1000 West |
CITY | Logan |
STATE | Utah |
COUNTRY | United States |
POSTAL/ZIP CODE | 84321 |
richard.chang@iconfitness.com | |
ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
NEW CORRESPONDENCE ADDRESS | |
NAME | Richard Chang |
STREET | 1500 South 1000 West |
CITY | Logan |
STATE | Utah |
COUNTRY | United States |
POSTAL/ZIP CODE | 84321 |
richard.chang@iconfitness.com | |
AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
SIGNATURE SECTION | |
SIGNATORY FILE | |
ORIGINAL PDF FILE | hw_6322563106-152127102_._Revocation_of_Attorney.pdf |
CONVERTED PDF FILE(S) (1 page) |
\\TICRS\EXPORT11\IMAGEOUT11\782\356\78235647\xml4\RAA0002.JPG |
SIGNATORY NAME | Everett Smith |
SIGNATORY POSITION | Secretary |
FILING INFORMATION SECTION | |
SUBMIT DATE | Tue Sep 13 15:27:09 EDT 2011 |
TEAS STAMP | USPTO/RAA-XX.XXX.XX.XXX-2 0110913152709467757-78652 456-48027154f47f3d6d9af4a 4d1ad74676dc-N/A-N/A-2011 0913152127102804 |
PTO Form 2196 (Rev 9/2005) |
OMB No. 0651-0056 (Exp 09/30/2011) |