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

CREST

The American Society of Colon and Rectal Surgeons

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 86641293
REGISTRATION NUMBER 4926024
LAW OFFICE ASSIGNED LAW OFFICE 115
ATTORNEY DOCKET NUMBER 010602.0701
MARK SECTION
MARK CREST (see, http://tmng-al.gov.uspto.report/resting2/api/img/86641293/large)
ATTORNEY SECTION
ORIGINAL ADDRESS LISA A. STEGINK
010602.0701
333 W Wacker Dr Ste 810
Chicago Illinois 60606-1249
US
(312) 929-1950
(312) 929-1955
lstegink@clpchicago.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 Susan Feingold Carlson
FIRM NAME Chicago Law Partners, LLC
STREET 333 West Wacker Drive, Suite 810
CITY Chicago
STATE Illinois
COUNTRY United States
POSTAL/ZIP CODE 60606
PHONE (312) 929-1950
FAX (312) 929-1955
EMAIL scarlson@clpchicago.com
ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL YES
NEW OTHER APPOINTED ATTORNEYS Kimberly A. Pendo
NEW CORRESPONDENCE ADDRESS
NAME Susan Feingold Carlson
FIRM NAME Chicago Law Partners, LLC
STREET 333 West Wacker Drive, Suite 810
CITY Chicago
STATE Illinois
COUNTRY United States
POSTAL/ZIP CODE 60606
PHONE (312) 929-1950
FAX (312) 929-1955
EMAIL scarlson@clpchicago.com
AUTHORIZED TO COMMUNICATE VIA E-MAIL YES
INDIVIDUAL ATTORNEY
DOCKET/REFERENCE NUMBER
010602.0701
OTHER APPOINTED ATTORNEY Kimberly A. Pendo
SIGNATURE SECTION
SIGNATURE /Susan Feingold Carlson/
SIGNATORY NAME Susan Feingold Carlson
SIGNATORY DATE 04/25/2016
SIGNATORY POSITION Attorney of record, Illinois bar member
SIGNATORY PHONE NUMBER (312) 929-1950
FILING INFORMATION SECTION
SUBMIT DATE Mon Apr 25 13:15:40 EDT 2016
TEAS STAMP USPTO/RAA-XXX.XXX.XXX.XXX
-20160425131540351132-866
41293-550240d3b15e5919eab
3c5042a821eb856dbdea9c7db
4653c737c2ca48fcc5b6-N/A-
N/A-20160425125202540711



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: CREST (see, http://tmng-al.gov.uspto.report/resting2/api/img/86641293/large)
SERIAL NUMBER: 86641293
REGISTRATION NUMBER: 4926024
ATTORNEY DOCKET NUMBER 010602.0701

The original attorney information:
LISA A. STEGINK
010602.0701
333 W Wacker Dr Ste 810
Chicago Illinois 60606-1249
US
(312) 929-1950
(312) 929-1955
lstegink@clpchicago.com

Original Correspondence Address :
LISA A. STEGINK
Chicago Law Partners Llc
333 W Wacker Dr Ste 810
Chicago Illinois 60606-1249
US
(312) 929-1950
(312) 929-1955
lstegink@clpchicago.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.

New attorney information:
Susan Feingold Carlson
Chicago Law Partners, LLC
333 West Wacker Drive, Suite 810
Chicago, Illinois 60606
United States
(312) 929-1950
(312) 929-1955
scarlson@clpchicago.com (authorized)


New Other Appointed Attorneys:
Kimberly A. Pendo

The following is to be used as the correspondence address:
Susan Feingold Carlson
Chicago Law Partners, LLC
333 West Wacker Drive, Suite 810
Chicago, Illinois 60606
United States

(312) 929-1950
(312) 929-1955
scarlson@clpchicago.com (authorized)
The attorney docket/reference number is 010602.0701.



Signature: /Susan Feingold Carlson/      Date: 04/25/2016
Signatory's Name: Susan Feingold Carlson
Signatory's Position: Attorney of record, Illinois bar member
Signatory's Phone Number: (312) 929-1950

Serial Number: 86641293
Internet Transmission Date: Mon Apr 25 13:15:40 EDT 2016
TEAS Stamp: USPTO/RAA-XXX.XXX.XXX.XXX-20160425131540
351132-86641293-550240d3b15e5919eab3c504
2a821eb856dbdea9c7db4653c737c2ca48fcc5b6
-N/A-N/A-20160425125202540711



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