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

PASS

Palomar Specialty Insurance Company

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 88350126
LAW OFFICE ASSIGNED LAW OFFICE 120
ATTORNEY DOCKET NUMBER 393550900105
MARK SECTION
MARK PASS (see, http://uspto.report/TM/88350126/mark.png)
NEW ATTORNEY INFORMATION
STATEMENT TEXT By submission of this request, the undersigned updates the attorney information of record.
NAME Susan N. Acquista, Esq.
FIRM NAME DLA Piper LLP (US)
STREET 401 B Street, Suite 1700
CITY San Diego
STATE California
COUNTRY United States
POSTAL/ZIP CODE 92101
PHONE 619-699-2723
EMAIL sdtrademark@dlapiper.com
ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL YES
NEW OTHER APPOINTED ATTORNEYS Gina L. Durham, Esq., Heather A. Dunn, Esq., Carissa Bouwer, Esq., Mark F. Radcliffe, Esq., Andrew P. Valentine, Esq., Alan Limbach, Esq., Megan M. Michaels, Esq., Jordan Chisek, Esq., Pei Heng Li, Esq., and all other qualified practitioners of DLA Piper LLP (US)
NEW CORRESPONDENCE ADDRESS
NAME Susan N. Acquista, Esq.
FIRM NAME DLA Piper LLP (US)
STREET 401 B Street, Suite 1700
CITY San Diego
STATE California
COUNTRY United States
POSTAL/ZIP CODE 92101
PHONE 619-699-2723
EMAIL sdtrademark@dlapiper.com
AUTHORIZED TO COMMUNICATE VIA E-MAIL YES
INDIVIDUAL ATTORNEY
DOCKET/REFERENCE NUMBER
393550900105
SIGNATURE SECTION
SIGNATURE /Jeffery D. Lim/
SIGNATORY NAME Jeffery D. Lim, Esq.
SIGNATORY DATE 07/10/2019
SIGNATORY POSITION Vice President Legal, Compliance & Claims
SIGNATORY PHONE NUMBER 619.597.1423
FILING INFORMATION SECTION
SUBMIT DATE Wed Jul 10 15:42:16 EDT 2019
TEAS STAMP USPTO/RAA-XXX.XXX.XXX.XX-
20190710154216234995-8835
0126-620d7d43a44745415816
5bd947c91327728a638bd9208
3195aab2d4e4cfc4bfea6-N/A
-N/A-20190710151424587584



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: PASS (see, http://uspto.report/TM/88350126/mark.png)
SERIAL NUMBER: 88350126
ATTORNEY DOCKET NUMBER 393550900105



Original Correspondence Address :
PALOMAR SPECIALTY INSURANCE COMPANY
PALOMAR SPECIALTY INSURANCE COMPANY
7979 IVANHOE AVENUE, SUITE 500
LA JOLLA California 92037
US
619-567-5290
6195676954
service@palomarspecialty.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:
Susan N. Acquista, Esq.
DLA Piper LLP (US)
401 B Street, Suite 1700
San Diego, California 92101
United States
619-699-2723
sdtrademark@dlapiper.com (authorized)


New Other Appointed Attorneys:
Gina L. Durham, Esq., Heather A. Dunn, Esq., Carissa Bouwer, Esq., Mark F. Radcliffe, Esq., Andrew P. Valentine, Esq., Alan Limbach, Esq., Megan M. Michaels, Esq., Jordan Chisek, Esq., Pei Heng Li, Esq., and all other qualified practitioners of DLA Piper LLP (US)

The following is to be used as the correspondence address:
Susan N. Acquista, Esq.
DLA Piper LLP (US)
401 B Street, Suite 1700
San Diego, California 92101
United States

619-699-2723
sdtrademark@dlapiper.com (authorized)
The attorney docket/reference number is 393550900105.



Signature: /Jeffery D. Lim/      Date: 07/10/2019
Signatory's Name: Jeffery D. Lim, Esq.
Signatory's Position: Vice President Legal, Compliance & Claims
Signatory's Phone Number: 619.597.1423

Serial Number: 88350126
Internet Transmission Date: Wed Jul 10 15:42:16 EDT 2019
TEAS Stamp: USPTO/RAA-XXX.XXX.XXX.XX-201907101542162
34995-88350126-620d7d43a447454158165bd94
7c91327728a638bd92083195aab2d4e4cfc4bfea
6-N/A-N/A-20190710151424587584



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