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

R

Qualtrics, 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 11/30/2020)

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


The table below presents the data as entered.

Input Field Entered
SERIAL NUMBER 87728576
LAW OFFICE ASSIGNED LAW OFFICE 101
MARK SECTION
MARK R (stylized and/or with design, see http://uspto.report/TM/87728576/mark.png)
ATTORNEY SECTION
ORIGINAL ADDRESS DEBORAH GUBERNICK
600 ANTON BOULEVARD, SUITE 1400
COSTA MESA California 92626
US
949-717-3000
dgubernick@calljensen.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 DEBORAH GUBERNICK
FIRM NAME Snell & Wilmer LLP
STREET 600 Anton Boulevard, Suite 1400
CITY Costa Mesa
STATE California
COUNTRY United States
POSTAL/ZIP CODE 92626
PHONE 714.427.7077
FAX 714.427.7799
EMAIL ipocdocket@swlaw.com
ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL YES
NEW CORRESPONDENCE ADDRESS
NAME DEBORAH GUBERNICK
FIRM NAME SNELL & WILMER LLP
INTERNAL ADDRESS SUITE 1400
STREET 600 ANTON BOULEVARD
CITY COSTA MESA
STATE California
COUNTRY United States
POSTAL/ZIP CODE 92626
PHONE 714-427-7077
FAX 714-427-7799
EMAIL ipocdocket@swlaw.com; dgubernick@swlaw.com
AUTHORIZED TO COMMUNICATE VIA E-MAIL YES
INDIVIDUAL ATTORNEY
DOCKET/REFERENCE NUMBER
SIGNATURE SECTION
SIGNATURE /erin goodsell/
SIGNATORY NAME Erin Goodsell
SIGNATORY DATE 03/05/2019
SIGNATORY POSITION Managing Counsel, Litigation & Intellectual Property
FILING INFORMATION SECTION
SUBMIT DATE Wed Mar 06 12:31:21 EST 2019
TEAS STAMP USPTO/RAA-XXX.XXX.XXX.XXX
-20190306123121689230-877
28322-620208468dc2d9efa20
7fd95ba7bfd26e606161d1d58
5e88ad42a329eb64d-N/A-N/A
-20190227141739387947



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 11/30/2020)


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


To the Commissioner for Trademarks:
MARK: R (stylized and/or with design, see http://uspto.report/TM/87728576/mark.png)
SERIAL NUMBER: 87728576

The original attorney information:
DEBORAH GUBERNICK
600 ANTON BOULEVARD, SUITE 1400
COSTA MESA California 92626
US
949-717-3000
dgubernick@calljensen.com

Original Correspondence Address :
DEBORAH GUBERNICK
SNELL & WILMER
600 ANTON BOULEVARD, SUITE 1400
COSTA MESA California 92626
US
949-717-3000
dgubernick@calljensen.com;ipdocket@calljensen.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:
DEBORAH GUBERNICK
Snell & Wilmer LLP
600 Anton Boulevard, Suite 1400
Costa Mesa, California 92626
United States
714.427.7077
714.427.7799
ipocdocket@swlaw.com (authorized)


The following is to be used as the correspondence address:
DEBORAH GUBERNICK
SNELL & WILMER LLP
SUITE 1400
600 ANTON BOULEVARD
COSTA MESA, California 92626
United States

714-427-7077
714-427-7799
ipocdocket@swlaw.com;dgubernick@swlaw.com (authorized)



Signature: /erin goodsell/      Date: 03/05/2019
Signatory's Name: Erin Goodsell
Signatory's Position: Managing Counsel, Litigation & Intellectual Property

Serial Number: 87728576
Internet Transmission Date: Wed Mar 06 12:31:21 EST 2019
TEAS Stamp: USPTO/RAA-XXX.XXX.XXX.XXX-20190306123121
689230-87728322-620208468dc2d9efa207fd95
ba7bfd26e606161d1d585e88ad42a329eb64d-N/
A-N/A-20190227141739387947



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