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

XL

GREAT HEALTHWORKS, INC.

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 88227876
LAW OFFICE ASSIGNED LAW OFFICE 108
MARK SECTION
MARK XL (see, http://uspto.report/TM/88227876/mark.png)
ATTORNEY SECTION
ORIGINAL ADDRESS ZACHARY RICH
4150 SW 28TH WAY
FORT LAUDERDALE Florida 33312
US
trademarks@GREATHEALTHWORKS.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 Ruben Fogel
STREET 4150 SW 28th Way
CITY Fort Lauderdale
STATE Florida
COUNTRY United States
POSTAL/ZIP CODE 33312
EMAIL trademarks@greathealthworks.com
ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL YES
NEW CORRESPONDENCE ADDRESS
NAME Ruben Fogel
STREET 4150 SW 28th Way
CITY Fort Lauderdale
STATE Florida
COUNTRY United States
POSTAL/ZIP CODE 33312
EMAIL trademarks@greathealthworks.com
AUTHORIZED TO COMMUNICATE VIA E-MAIL YES
INDIVIDUAL ATTORNEY
DOCKET/REFERENCE NUMBER
SIGNATURE SECTION
SIGNATURE /Vickie Carcaise/
SIGNATORY NAME Vickie Carcaise
SIGNATORY DATE 06/18/2019
SIGNATORY POSITION Secretary
FILING INFORMATION SECTION
SUBMIT DATE Tue Jun 18 12:23:56 EDT 2019
TEAS STAMP USPTO/RAA-XXX.XXX.XXX.X-2
0190618122356065066-88227
876-620f2ba5a27816cc741d5
ef8fe0d132f7379630cbcb6f1
601709d298113a08bd0-N/A-N
/A-20190618122240492846



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: XL (see, http://uspto.report/TM/88227876/mark.png)
SERIAL NUMBER: 88227876

The original attorney information:
ZACHARY RICH
4150 SW 28TH WAY
FORT LAUDERDALE Florida 33312
US
trademarks@GREATHEALTHWORKS.COM

Original Correspondence Address :
ZACHARY RICH
4150 SW 28TH WAY
FORT LAUDERDALE Florida 33312
US
trademarks@GREATHEALTHWORKS.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:
Ruben Fogel
4150 SW 28th Way
Fort Lauderdale, Florida 33312
United States
trademarks@greathealthworks.com (authorized)


The following is to be used as the correspondence address:
Ruben Fogel
4150 SW 28th Way
Fort Lauderdale, Florida 33312
United States
trademarks@greathealthworks.com (authorized)



Signature: /Vickie Carcaise/      Date: 06/18/2019
Signatory's Name: Vickie Carcaise
Signatory's Position: Secretary

Serial Number: 88227876
Internet Transmission Date: Tue Jun 18 12:23:56 EDT 2019
TEAS Stamp: USPTO/RAA-XXX.XXX.XXX.X-2019061812235606
5066-88227876-620f2ba5a27816cc741d5ef8fe
0d132f7379630cbcb6f1601709d298113a08bd0-
N/A-N/A-20190618122240492846



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