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

1-800-MEDIGAP

1-800-MEDIGAP Holdings LLC

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	85348591
REGISTRATION NUMBER	4068891
LAW OFFICE ASSIGNED	LAW OFFICE 112
ATTORNEY DOCKET NUMBER	113.012T2US
MARK SECTION
MARK	1-800-MEDIGAP (see, http://uspto.report/TM/85348591/mark.png)
NEW ATTORNEY INFORMATION
STATEMENT TEXT	By submission of this request, the undersigned updates the attorney information of record.
NAME	Robert H. Johnston III
FIRM NAME	Hubbard Johnston, PLLC
STREET	4849 Greenville Ave., Ste. 1490
CITY	Dallas
STATE	Texas
COUNTRY	United States
POSTAL/ZIP CODE	75206
PHONE	214-220-9900
EMAIL	docket-rj@hubbardjohnston.com
ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL	YES
NEW OTHER APPOINTED ATTORNEYS	Marc Hubbard
NEW CORRESPONDENCE ADDRESS
NAME	Robert H. Johnston III
FIRM NAME	Hubbard Johnston, PLLC
STREET	4849 Greenville Ave., Ste. 1490
CITY	Dallas
STATE	Texas
COUNTRY	United States
POSTAL/ZIP CODE	75206
PHONE	214-220-9900
EMAIL	docket-rj@hubbardjohnston.com; rjohnston@hubbardjohnston.com
AUTHORIZED TO COMMUNICATE VIA E-MAIL	YES
INDIVIDUAL ATTORNEY DOCKET/REFERENCE NUMBER	113.012T2US
OTHER APPOINTED ATTORNEY	Marc Hubbard
SIGNATURE SECTION
SIGNATURE	/Jeff cline/
SIGNATORY NAME	Jeff Cline
SIGNATORY DATE	01/28/2017
SIGNATORY POSITION	President & CEO, 1-800-MEDIGAP Holdings LLC
SIGNATORY PHONE NUMBER	9728006670
FILING INFORMATION SECTION
SUBMIT DATE	Sat Jan 28 15:42:38 EST 2017
TEAS STAMP	USPTO/RAA-XXX.XXX.XXX.XXX -20170128154238030932-853 48591-5809549abc7e8eee536 ca49f7295a4b3dfd2c63e1e95 252356d77ef34ba94f4b14e-N /A-N/A-201701281508009947 00

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: 1-800-MEDIGAP (see, http://uspto.report/TM/85348591/mark.png)
SERIAL NUMBER: 85348591
REGISTRATION NUMBER: 4068891
ATTORNEY DOCKET NUMBER 113.012T2US

Original Correspondence Address :
JEFF CLINE
1-800-MEDIGAP Holdings LLC.
223 MCKINNEY TRAIL
1100
ROCKWALL Texas 75087
US
9728006670
8882775931
jeff.cline@me.com

By submission of this request, the undersigned updates the attorney information of record. In addition, any additional previously-appointed attorneys that are currently listed in the application are replaced with the new "Other Appointed Attorneys" listed below.

New attorney information:
Robert H. Johnston III
Hubbard Johnston, PLLC
4849 Greenville Ave., Ste. 1490
Dallas, Texas 75206
United States
214-220-9900
docket-rj@hubbardjohnston.com (authorized)

New Other Appointed Attorneys:
Marc Hubbard

The following is to be used as the correspondence address:
Robert H. Johnston III
Hubbard Johnston, PLLC
4849 Greenville Ave., Ste. 1490
Dallas, Texas 75206
United States

214-220-9900
docket-rj@hubbardjohnston.com;rjohnston@hubbardjohnston.com (authorized)
The attorney docket/reference number is 113.012T2US.

Signature: /Jeff cline/ Date: 01/28/2017
Signatory's Name: Jeff Cline
Signatory's Position: President & CEO, 1-800-MEDIGAP Holdings LLC
Signatory's Phone Number: 9728006670

Serial Number: 85348591
Internet Transmission Date: Sat Jan 28 15:42:38 EST 2017
TEAS Stamp: USPTO/RAA-XXX.XXX.XXX.XXX-20170128154238
030932-85348591-5809549abc7e8eee536ca49f
7295a4b3dfd2c63e1e95252356d77ef34ba94f4b
14e-N/A-N/A-20170128150800994700

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