| PTO Form 2196 (Rev 9/2005) |
| OMB No. 0651-0056 (Exp 9/30/2017) |
| Input Field | Entered |
|---|---|
| SERIAL NUMBER | 79114733 |
| LAW OFFICE ASSIGNED | LAW OFFICE 112 |
| ATTORNEY DOCKET NUMBER | 5033.01 |
| MARK SECTION | |
| MARK | VICI (stylized and/or with design) |
| NEW ATTORNEY ADDRESS | |
| STATEMENT TEXT | By submission of this request, the undersigned updates the attorney information of record. |
| NAME | Nicholas D. Wells |
| FIRM NAME | Wells IP Law |
| STREET | 299 South Main Street, Suite 1300 |
| CITY | Salt Lake City |
| STATE | Utah |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 84111 |
| PHONE | 8014447143 |
| FAX | 2032953730 |
| nwells@wellsiplaw.com | |
| ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
| ATTORNEY DOCKET NUMBER | 5033.01 |
| NEW DOMESTIC REPRESENTATIVE ADDRESS | |
| STATEMENT TEXT | By submission of this request, the undersigned hereby APPOINTS the following new domestic representative upon whom notices or process affecting the mark may be served: |
| NAME | Nicholas D. Wells |
| FIRM NAME | Wells IP Law |
| STREET | 299 South Main Street, Suite 1300 |
| CITY | Salt Lake City |
| STATE | Utah |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 84111 |
| PHONE | 8014447143 |
| FAX | 2032953730 |
| nwells@wellsiplaw.com | |
| REPRESENTATIVE AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
| NEW CORRESPONDENCE ADDRESS | |
| NAME | Nicholas D. Wells |
| FIRM NAME | Wells IP Law |
| DOCKET/REFERENCE NUMBER | 5033.01 |
| STREET | 299 South Main Street, Suite 1300 |
| CITY | Salt Lake City |
| STATE | Utah |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 84111 |
| PHONE | 8014447143 |
| FAX | 2032953730 |
| nwells@wellsiplaw.com | |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
| SIGNATURE SECTION | |
| SIGNATURE | /Nicholas D. Wells/ |
| SIGNATORY NAME | Nicholas D. Wells |
| SIGNATORY DATE | 01/18/2013 |
| SIGNATORY POSITION | Attorney |
| SIGNATORY PHONE NUMBER | 8014447143 |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Fri Jan 18 12:31:34 EST 2013 |
| TEAS STAMP | USPTO/RAA-XX.XXX.XXX.XXX- 20130118123134683047-7911 4733-490f50bbb5bd3e109cb7 18e4e72eefe510-N/A-N/A-20 130118122935793086 |
| PTO Form 2196 (Rev 9/2005) |
| OMB No. 0651-0056 (Exp 9/30/2017) |