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

SHAPELOCK

USGI Medical, Inc.

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

PTO Form 2196 (Rev 9/2005)

OMB No. 0651-0056 (Exp 9/30/2017)

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	78426002
REGISTRATION NUMBER	2999262
LAW OFFICE ASSIGNED	LAW OFFICE 102
ATTORNEY DOCKET NUMBER	300285-20000
MARK SECTION
MARK	SHAPELOCK
ATTORNEY SECTION
ORIGINAL ADDRESS	Seyamack Kouretchian USGI 1140 S Coast Highway 101 Encinitas California (CA) 92024 US 760-942-8505 760-942-8515 trademarks@coastlawgroup.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	Anne H. Peck
FIRM NAME	Cooley LLP
STREET	1299 Pennsylvania Avenue, NW, Suite 700
CITY	Washington
STATE	District of Columbia
COUNTRY	United States
POSTAL/ZIP CODE	20004-2400
PHONE	(650) 843-5000
FAX	(650) 849-7400
EMAIL	trademarks@cooley.com
ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL	YES
ATTORNEY DOCKET NUMBER	300285-20000
NEW OTHER APPOINTED ATTORNEYS	John W. Crittenden, Janet L. Cullum, Brendan J. Hughes, Anne H. Peck, Peter J. Willsey, Vincent J. Badolato, Todd S. Bontemps, Morgan A. Champion, Susan Piascik Christoff, Thomas Hadid, Timothy Hance, Chantal Hwang, Ariana Gallisá Hiscott, Judd Lauter, John Paul Oleksiuk, Kathlyn Querubin, Karen K. Won, Amanda M. Levendowski, Caroline Camp, Elisa Rosen, Rebecca Givner-Forbes, Mary Klumpp, Shannan Higgins of Cooley LLP
NEW CORRESPONDENCE ADDRESS
NAME	Anne H. Peck
FIRM NAME	Cooley LLP
DOCKET/REFERENCE NUMBER	300285-20000
STREET	1299 Pennsylvania Avenue, NW, Suite 700
CITY	Washington
STATE	District of Columbia
COUNTRY	United States
POSTAL/ZIP CODE	20004-2400
PHONE	(650) 843-5000
FAX	(650) 849-7400
EMAIL	trademarks@cooley.com
AUTHORIZED TO COMMUNICATE VIA E-MAIL	YES
OTHER APPOINTED ATTORNEY	John W. Crittenden, Janet L. Cullum, Brendan J. Hughes, Anne H. Peck, Peter J. Willsey, Vincent J. Badolato, Todd S. Bontemps, Morgan A. Champion, Susan Piascik Christoff, Thomas Hadid, Timothy Hance, Chantal Hwang, Ariana Gallisá Hiscott, Judd Lauter, John Paul Oleksiuk, Kathlyn Querubin, Karen K. Won, Amanda M. Levendowski, Caroline Camp, Elisa Rosen, Rebecca Givner-Forbes, Mary Klumpp, Shannan Higgins of Cooley LLP
SIGNATURE SECTION
SIGNATURE	/Tracy Maahs/
SIGNATORY NAME	Tracy Maahs
SIGNATORY DATE	10/06/2015
SIGNATORY POSITION	CTO
FILING INFORMATION SECTION
SUBMIT DATE	Tue Oct 06 16:40:05 EDT 2015
TEAS STAMP	USPTO/RAA-XXX.XXX.XXX.XX- 20151006164005142907-8666 4001-54022ac572b6e383980f 7c3dee3a8bcff4e6f4b0e0617 3dec9fc173873ca3e79-N/A-N /A-20151005174359226921

PTO Form 2196 (Rev 9/2005)

OMB No. 0651-0056 (Exp 9/30/2017)

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

To the Commissioner for Trademarks:
MARK: SHAPELOCK
SERIAL NUMBER: 78426002
REGISTRATION NUMBER: 2999262
ATTORNEY DOCKET NUMBER 300285-20000

The original attorney
Seyamack Kouretchian
USGI
1140 S Coast Highway 101
Encinitas California 92024
US
760-942-8505
760-942-8515
trademarks@coastlawgroup.com

Original Correspondence Address :
Seyamack Kouretchian
Coast Law Group LLP
1140 S Coast Highway 101
Encinitas California 92024
US
760-942-8505
760-942-8515
trademarks@coastlawgroup.com

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.

Newly Appointed Attorney:
Anne H. Peck
Cooley LLP
1299 Pennsylvania Avenue, NW, Suite 700
Washington, District of Columbia 20004-2400
United States
(650) 843-5000
(650) 849-7400
trademarks@cooley.com
300285-20000

Other Appointed Attorneys:

John W. Crittenden, Janet L. Cullum, Brendan J. Hughes, Anne H. Peck, Peter J. Willsey, Vincent J. Badolato, Todd S. Bontemps, Morgan A. Champion, Susan Piascik Christoff, Thomas Hadid, Timothy Hance, Chantal Hwang, Ariana Gallisá Hiscott, Judd Lauter, John Paul Oleksiuk, Kathlyn Querubin, Karen K. Won, Amanda M. Levendowski, Caroline Camp, Elisa Rosen, Rebecca Givner-Forbes, Mary Klumpp, Shannan Higgins of Cooley LLP

The following is to be used as the correspondence address:
Anne H. Peck
Cooley LLP
1299 Pennsylvania Avenue, NW, Suite 700
Washington, District of Columbia 20004-2400
United States

(650) 843-5000
(650) 849-7400
trademarks@cooley.com The attorney docket/reference number is 300285-20000.

Signature: /Tracy Maahs/ Date: 10/06/2015
Signatory's Name: Tracy Maahs
Signatory's Position: CTO

Serial Number: 78426002
Internet Transmission Date: Tue Oct 06 16:40:05 EDT 2015
TEAS Stamp: USPTO/RAA-XXX.XXX.XXX.XX-201510061640051
42907-86664001-54022ac572b6e383980f7c3de
e3a8bcff4e6f4b0e06173dec9fc173873ca3e79-
N/A-N/A-20151005174359226921

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