| 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 | 88628814 |
| ATTORNEY DOCKET NUMBER | 0068623-1569 |
| MARK SECTION | |
| MARK | GEISINGER 65 FORWARD (stylized and/or with design, see http://uspto.report/TM/88628814/mark.png) |
| CURRENT ATTORNEY ADDRESS | |
| NAME | Bassam N. Ibrahim |
| ATTORNEY BAR MEMBERSHIP NUMBER | XXX |
| YEAR OF ADMISSION | XXXX |
| U.S. STATE/ COMMONWEALTH/ TERRITORY | XX |
| FIRM NAME | BUCHANAN INGERSOLL & ROONEY, PC |
| INTERNAL ADDRESS | SUITE 500 |
| STREET | 1737 KING STREET |
| CITY | ALEXANDRIA |
| STATE | Virginia |
| COUNTRY | US |
| POSTAL/ZIP CODE | 22314-2727 |
| PHONE | 703-836-6620 |
| FAX | 703-836-2021 |
| bassam.ibrahim@bipc.com | |
| ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
| CURRENT CORRESPONDENCE ADDRESS | |
| NAME | BASSAM N. IBRAHIM |
| FIRM NAME | BUCHANAN INGERSOLL & ROONEY, PC |
| INTERNAL ADDRESS | SUITE 500 |
| STREET | 1737 KING STREET |
| CITY | ALEXANDRIA |
| STATE | Virginia |
| COUNTRY | US |
| POSTAL/ZIP CODE | 22314-2727 |
| PHONE | 703-836-6620 |
| FAX | 703-836-2021 |
| bassam.ibrahim@bipc.com | |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
| 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 | Bassam N. Ibrahim |
| ATTORNEY BAR MEMBERSHIP NUMBER | XXX |
| YEAR OF ADMISSION | XXXX |
| U.S. STATE/ COMMONWEALTH/ TERRITORY | XX |
| FIRM NAME | Buchanan Ingersoll & Rooney, P.C. |
| STREET | 1737 King Street, Suite 500 |
| CITY | Alexandria |
| STATE | Virginia |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 22314-2727 |
| PHONE | 7038366620 |
| FAX | (703) 836-2021 |
| bassam.ibrahim@bipc.com | |
| ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
| INDIVIDUAL ATTORNEY DOCKET/REFERENCE NUMBER |
0068623-1569 |
| OTHER APPOINTED ATTORNEY | Bryce J. Maynard and Laura K. Pitts |
| NEW DOMESTIC REPRESENTATIVE INFORMATION | |
| STATEMENT TEXT | By submission of this request, the undersigned hereby appoints the following new domestic representative upon whom notices or process affecting the mark may be served or changes the address of an existing domestic representative of record: |
| NAME | Bassam N. Ibrahim |
| FIRM NAME | Buchanan Ingersoll & Rooney, P.C. |
| STREET | 1737 King Street, Suite 500 |
| CITY | Alexandria |
| STATE | Virginia |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 22314-2727 |
| PHONE | 7038366620 |
| FAX | (703) 836-2021 |
| bassam.ibrahim@bipc.com | |
| INDIVIDUAL ATTORNEY DOCKET/REFERENCE NUMBER |
0068623-1569 |
| NEW CORRESPONDENCE INFORMATION | |
| NAME | Bassam N. Ibrahim |
| FIRM NAME | Buchanan Ingersoll & Rooney, P.C. |
| STREET | 1737 King Street, Suite 500 |
| CITY | Alexandria |
| STATE | Virginia |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 22314-2727 |
| PHONE | 7038366620 |
| FAX | (703) 836-2021 |
| bassam.ibrahim@bipc.com | |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
| INDIVIDUAL ATTORNEY DOCKET/REFERENCE NUMBER |
0068623-1569 |
| SIGNATURE SECTION | |
| SIGNATURE | /matt rogers/ |
| SIGNATORY NAME | Matt Rogers |
| SIGNATORY DATE | 10/28/2019 |
| SIGNATORY POSITION | General Counsel |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Mon Oct 28 15:47:21 EDT 2019 |
| TEAS STAMP | USPTO/RAA-XXX.XXX.XX.XXX- 20191028154721135948-7350 3054-700606f465715cf85d61 666d3d3a33ccca0e383924cd8 5fba16dc91547bbe03f-N/A-N /A-20191028143318522993 |
| 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) |