| 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) |
| Input Field | Entered |
|---|---|
| SERIAL NUMBER | 88533847 |
| LAW OFFICE ASSIGNED | LAW OFFICE 104 |
| MARK SECTION | |
| MARK | BULLYING. CALL IT WHEN YOU SEE IT. (standard characters, see http://uspto.report/TM/88533847/mark.png) |
| OWNER SECTION(proposed) | |
| STATEMENT TEXT |
By submission of this request, the undersigned requests that the following be made of record for the owner/holder: |
| NAME | The Children's Mercy Hospital |
| wade.kerrigan@huschblackwell.com | |
| STATEMENT TEXT | By submission of this request, the undersigned APPOINTS the following new attorney,is newly appearing as the attorney, or updates the information of an existing attorney of record. |
| NAME | Wade Kerrigan |
| ATTORNEY BAR MEMBERSHIP NUMBER | XXX |
| YEAR OF ADMISSION | XXXX |
| U.S. STATE/ COMMONWEALTH/ TERRITORY | XX |
| FIRM NAME | Husch Blackwell LLP |
| OTHER APPOINTED ATTORNEY(S) | Kris Kappel, Nathan Oleen, Robert Bowman, Max Ellenbecker, Liam Reilly, Adam Wright |
| STREET | 4801 Main Street, Suite 1000 |
| CITY | Kansas City |
| STATE | Missouri |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| POSTAL/ZIP CODE | 64112 |
| PHONE | 816-983-8000 |
| FAX | 816-983-8080 |
| pto-kc@huschblackwell.com | |
| DOCKET/REFERENCE NUMBER(S) | 80.95629 |
| CORRESPONDENCE SECTION (proposed) | |
| NAME | Wade Kerrigan |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | pto-kc@huschblackwell.com |
| SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) | NOT PROVIDED |
| DOCKET/REFERENCE NUMBER(S) | 80.95629 |
| SIGNATURE SECTION | |
| SIGNATURE | /Scott Gage/ |
| SIGNATORY NAME | Scott Gage |
| SIGNATORY DATE | 02/21/2020 |
| SIGNATORY POSITION | Vice President - Business Development and Contract Management |
| SIGNATORY PHONE NUMBER | 8166792244 |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Mon Feb 24 08:57:30 ET 2020 |
| TEAS STAMP | USPTO/SOU-XX.XX.XXX.XX-20 200224085730705505-885338 47-7102bb8454b971db49c45b 1614f3971276d2fef88da1075 451fa07b14ee1e6-DA-573099 10-20200219170220897941 |
| 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) |