Change of Address

TRUFORM

Surgical Appliance Industries, Inc.

Combined Declaration of Use and/or Excusable Nonuse/Application for Renewal of Registration of a Mark under Sections 8 & 9

Change Of Correspondence Address

The table below presents the data as entered.

Input Field	Entered
SERIAL NUMBER	74510419
MARK SECTION
MARK	TRUFORM
NEW CORRESPONDENCE ADDRESS
NEW ADDRESS
AUTHORIZED TO COMMUNICATE VIA E-MAIL	YES
SIGNATURE SECTION
SIGNATURE	/Rick Stautberg/
SIGNATORY NAME	Rick Stautberg
SIGNATORY DATE	04/01/2015
SIGNATORY POSITION	Manager
SIGNATORY PHONE NUMBER	513-271-4594
FILING INFORMATION SECTION
SUBMIT DATE	Wed Apr 01 10:14:35 EDT 2015
TEAS STAMP	USPTO/S08N09-XX.XXX.XXX.X XX-20150401101435415794-1 959633-530ead09d825d7c117 be6ea27f0e57be7388329ca6a bba977bd1f88631b1bc361-CC -8482-2015040109242054715 8

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