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

BASE CAMP JERKY

Clark, Ken

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	88358618
LAW OFFICE ASSIGNED	LAW OFFICE 119
MARK SECTION
MARK	BASE CAMP JERKY (see, http://uspto.report/TM/88358618/mark.png)
CURRENT CORRESPONDENCE ADDRESS
NAME	CLARK, KEN
STREET	4122 BLUFF HARBOR WAY
CITY	WELLINGTON
STATE	Florida
COUNTRY	US
POSTAL/ZIP CODE	33449
PHONE	808-385-0393
EMAIL	keneclark333@gmail.com
AUTHORIZED TO COMMUNICATE VIA E-MAIL	YES
NEW ATTORNEY INFORMATION
STATEMENT TEXT	By submission of this request, the undersigned updates the attorney information of record.
NAME	Derek Fahey
ATTORNEY BAR MEMBERSHIP NUMBER	XXX
YEAR OF ADMISSION	XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY	XX
FIRM NAME	The Plus IP Firm
STREET	101 NE 3RD AVENUE SUITE 1500
CITY	Fort Lauderdale
STATE	Florida
COUNTRY	United States
POSTAL/ZIP CODE	33301
PHONE	9543323584
EMAIL	derek@plusfirm.com
ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL	YES
INDIVIDUAL ATTORNEY DOCKET/REFERENCE NUMBER
NEW CORRESPONDENCE INFORMATION
NAME	Derek Fahey
FIRM NAME	The Plus IP Firm
STREET	101 NE 3RD AVENUE SUITE 1500
CITY	Fort Lauderdale
STATE	Florida
COUNTRY	United States
POSTAL/ZIP CODE	33301
PHONE	9543323584
EMAIL	derek@plusfirm.com; info@plusfirm.com
AUTHORIZED TO COMMUNICATE VIA E-MAIL	YES
INDIVIDUAL ATTORNEY DOCKET/REFERENCE NUMBER
SIGNATURE SECTION
SIGNATURE	/Ken Clark/
SIGNATORY NAME	Ken Clark
SIGNATORY DATE	10/10/2019
SIGNATORY POSITION	Owner
FILING INFORMATION SECTION
SUBMIT DATE	Fri Oct 11 09:02:38 EDT 2019
TEAS STAMP	USPTO/RAA-XXX.XXX.XX.XXX- 20191011090238553615-8835 8618-610a7abc97e585063d2f d84774074ebd5b8247f1c6187 982799e867e7eea5f2549-N/A -N/A-20191010171129539625

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: BASE CAMP JERKY (see, http://uspto.report/TM/88358618/mark.png)
SERIAL NUMBER: 88358618

Current Correspondence Information:
CLARK, KEN
4122 BLUFF HARBOR WAY
WELLINGTON, Florida 33449
US
808-385-0393
keneclark333@gmail.com (authorized)

By submission of this request, the undersigned updates the attorney information of record.

New Attorney information:
Derek Fahey, The Plus IP Firm
XX bar, admitted in XXXX, bar membership no. XXX, is located at
101 NE 3RD AVENUE SUITE 1500
Fort Lauderdale, Florida 33301
United States
9543323584
derek@plusfirm.com (not authorized)

Derek Fahey submitted the following statement: The attorney of record is an active member in good standing of the bar of the highest court of a U.S. state, the District of Columbia, or any U.S. Commonwealth or territory.New Correspondence Information:
Derek Fahey
The Plus IP Firm
101 NE 3RD AVENUE SUITE 1500
Fort Lauderdale, Florida 33301
United States
9543323584
derek@plusfirm.com;info@plusfirm.com (authorized)

Signature: /Ken Clark/ Date: 10/10/2019
Signatory's Name: Ken Clark
Signatory's Position: Owner

Serial Number: 88358618
Internet Transmission Date: Fri Oct 11 09:02:38 EDT 2019
TEAS Stamp: USPTO/RAA-XXX.XXX.XX.XXX-201910110902385
53615-88358618-610a7abc97e585063d2fd8477
4074ebd5b8247f1c6187982799e867e7eea5f254
9-N/A-N/A-20191010171129539625

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