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

MAPS

ORIGINS PHARMACY SOLUTIONS LLC

Revocation, Appointment, and/or Change of Address 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, Appointment, and/or Change of Address of Attorney/Domestic Representative


The table below presents the data as entered.

Input Field Entered
SERIAL NUMBER 85934377
REGISTRATION NUMBER 4618291
LAW OFFICE ASSIGNED LAW OFFICE 109
ATTORNEY DOCKET NUMBER 1153-002
MARK SECTION
MARK MAPS (see, http://uspto.report/TM/85934377/mark.png)
ATTORNEY SECTION
ORIGINAL ADDRESS STEPHEN NIPPER
1153-002
1508 W. Cayuse Creek Dr., Ste. 125
Meridian Idaho 83646
US
208-629-0020 x152
208-629-0020
steve@bnip.com;uspto@bnip.com;matthew.montgomery@bnip.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 STEPHEN M NIPPER
FIRM NAME COLBY NIPPER PLLC
STREET 291 EAST SHORE DRIVE
CITY EAGLE
STATE Idaho
COUNTRY United States
POSTAL/ZIP CODE 83616
PHONE 2086290020
EMAIL steve@colbynipper.com
ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL YES
NEW CORRESPONDENCE ADDRESS
NAME STEPHEN M NIPPER
FIRM NAME COLBY NIPPER PLLC
STREET 291 EAST SHORE DRIVE
CITY EAGLE
STATE Idaho
COUNTRY United States
POSTAL/ZIP CODE 83616
PHONE 2086290020
EMAIL steve@colbynipper.com; docket@colbynipper.com
AUTHORIZED TO COMMUNICATE VIA E-MAIL YES
INDIVIDUAL ATTORNEY
DOCKET/REFERENCE NUMBER
1153-002
SIGNATURE SECTION
SIGNATURE /Jaren Reyna/
SIGNATORY NAME Jaren Reyna
SIGNATORY DATE 06/20/2017
SIGNATORY POSITION CEO/President, Origins Pharmacy Solutions, LLC
SIGNATORY PHONE NUMBER n/a
FILING INFORMATION SECTION
SUBMIT DATE Tue Jun 20 17:23:33 EDT 2017
TEAS STAMP USPTO/RAA-XX.XX.XXX.XXX-2
0170620172333043345-85934
377-590bc7364d2aa98bc14ec
2956ccc0628299caa66745d3a
bc5d485f54864be5c287e-N/A
-N/A-20170619185554931917



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, Appointment, and/or Change of Address of Attorney/Domestic Representative


To the Commissioner for Trademarks:
MARK: MAPS (see, http://uspto.report/TM/85934377/mark.png)
SERIAL NUMBER: 85934377
REGISTRATION NUMBER: 4618291
ATTORNEY DOCKET NUMBER 1153-002

The original attorney information:
STEPHEN NIPPER
1153-002
1508 W. Cayuse Creek Dr., Ste. 125
Meridian Idaho 83646
US
208-629-0020 x152
208-629-0020
steve@bnip.com;uspto@bnip.com;matthew.montgomery@bnip.com

Original Correspondence Address :
STEPHEN NIPPER
BUCHANAN NIPPER LLC
1508 W. Cayuse Creek Dr., Ste. 125
Meridian Idaho 83646
US
208-629-0020 x152
208-629-0020
steve@bnip.com;uspto@bnip.com;matthew.montgomery@bnip.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:
STEPHEN M NIPPER
COLBY NIPPER PLLC
291 EAST SHORE DRIVE
EAGLE, Idaho 83616
United States
2086290020
steve@colbynipper.com (authorized)


The following is to be used as the correspondence address:
STEPHEN M NIPPER
COLBY NIPPER PLLC
291 EAST SHORE DRIVE
EAGLE, Idaho 83616
United States

2086290020
steve@colbynipper.com;docket@colbynipper.com (authorized)
The attorney docket/reference number is 1153-002.



Signature: /Jaren Reyna/      Date: 06/20/2017
Signatory's Name: Jaren Reyna
Signatory's Position: CEO/President, Origins Pharmacy Solutions, LLC
Signatory's Phone Number: n/a

Serial Number: 85934377
Internet Transmission Date: Tue Jun 20 17:23:33 EDT 2017
TEAS Stamp: USPTO/RAA-XX.XX.XXX.XXX-2017062017233304
3345-85934377-590bc7364d2aa98bc14ec2956c
cc0628299caa66745d3abc5d485f54864be5c287
e-N/A-N/A-20170619185554931917



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