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

BANNER

BANNER HEALTH

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 78836441
REGISTRATION NUMBER 3196708
LAW OFFICE ASSIGNED LAW OFFICE 103
MARK SECTION
MARK BANNER (see, http://tmng-al.gov.uspto.report/resting2/api/img/78836441/large)
ATTORNEY SECTION
ORIGINAL ADDRESS Magill Weber
39412-15
2901 North Central Avenue, Suite 160
Legal Department
PHOENIX Arizona 85012
US
602-747-2021
602-747-4528
magill.weber@bannerhealth.com;bhtrademarkwatch@gmail.com
NEW ATTORNEY INFORMATION
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 Magill Weber
FIRM NAME Banner Health
INTERNAL ADDRESS Legal Department
STREET 2901 N. Central Avenue, Suite 160
CITY Phoenix
STATE Arizona
COUNTRY United States
POSTAL/ZIP CODE 85012
PHONE 602-747-2021
FAX 602-747-4528
EMAIL magill.weber@bannerhealth.com
ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL YES
NEW CORRESPONDENCE ADDRESS
NAME Magill Weber
FIRM NAME Banner Health
INTERNAL ADDRESS Legal Department
STREET 2901 N. Central Avenue, Suite 160
CITY Phoenix
STATE Arizona
COUNTRY United States
POSTAL/ZIP CODE 85012
PHONE 602-747-2021
FAX 602-747-4528
EMAIL magill.weber@bannerhealth.com
AUTHORIZED TO COMMUNICATE VIA E-MAIL YES
INDIVIDUAL ATTORNEY
DOCKET/REFERENCE NUMBER
SIGNATURE SECTION
SIGNATURE /David Bixby/
SIGNATORY NAME David Bixby
SIGNATORY DATE 05/03/2016
SIGNATORY POSITION SVP, General Counsel
SIGNATORY PHONE NUMBER 602-747-4130
FILING INFORMATION SECTION
SUBMIT DATE Tue May 03 12:34:00 EDT 2016
TEAS STAMP USPTO/RAA-XXX.XXX.XX.XXX-
20160503123400557786-8650
3731-550295f718c2ee2c712d
268dcf19fc27d4772672d3746
6b182cc3a6c04eeb81526f-N/
A-N/A-2016050312294030498
0



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: BANNER (see, http://tmng-al.gov.uspto.report/resting2/api/img/78836441/large)
SERIAL NUMBER: 78836441
REGISTRATION NUMBER: 3196708

The original attorney information:
Magill Weber
39412-15
2901 North Central Avenue, Suite 160
Legal Department
PHOENIX Arizona 85012
US
602-747-2021
602-747-4528
magill.weber@bannerhealth.com;bhtrademarkwatch@gmail.com

Original Correspondence Address :
Magill Weber
Banner Health
2901 North Central Avenue, Suite 160
Legal Department
PHOENIX Arizona 85012
US
602-747-2021
602-747-4528
magill.weber@bannerhealth.com;bhtrademarkwatch@gmail.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:

New attorney information:
Magill Weber
Banner Health
Legal Department
2901 N. Central Avenue, Suite 160
Phoenix, Arizona 85012
United States
602-747-2021
602-747-4528
magill.weber@bannerhealth.com (authorized)


The following is to be used as the correspondence address:
Magill Weber
Banner Health
Legal Department
2901 N. Central Avenue, Suite 160
Phoenix, Arizona 85012
United States

602-747-2021
602-747-4528
magill.weber@bannerhealth.com (authorized)



Signature: /David Bixby/      Date: 05/03/2016
Signatory's Name: David Bixby
Signatory's Position: SVP, General Counsel
Signatory's Phone Number: 602-747-4130

Serial Number: 78836441
Internet Transmission Date: Tue May 03 12:34:00 EDT 2016
TEAS Stamp: USPTO/RAA-XXX.XXX.XX.XXX-201605031234005
57786-86503731-550295f718c2ee2c712d268dc
f19fc27d4772672d37466b182cc3a6c04eeb8152
6f-N/A-N/A-20160503122940304980



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