Teas Change of Owner Address

COVERAGE THAT MAKES IT THROUGH CUSTOMS

SEVEN CORNERS, INC.

Change Of Owner's Address

PTO Form 2197 (Rev 09/2005)
OMB No. 0651-0056 (Exp 09/30/2011)

Change Of Owner's Address


The table below presents the data as entered.

Input Field Entered
SERIAL NUMBER 76047186
REGISTRATION NUMBER 2450991
LAW OFFICE ASSIGNED LAW OFFICE 106
MARK SECTION
MARK COVERAGE THAT MAKES IT THROUGH CUSTOMS
OWNER SECTION (current)
NAME Specialty Risk International, Inc.
STREET 9200 Keystone Crossing, Ste 300
CITY Indianapolis
STATE Indiana
ZIP/POSTAL CODE 46240
COUNTRY US
CORRESPONDENCE SECTION (current)
ORIGINAL ADDRESS SPECIALTY RISK INTERNATIONAL INC
9200 KEYSTONE CROSSING STE 300
INDIANAPOLIS Indiana 46240
United States
NEW OWNER ADDRESS
STREET 303 Congressional Blvd
CITY Carmel
STATE Indiana
ZIP/POSTAL CODE 46032
COUNTRY United States
CURRENT CORRESPONDENCE ADDRESS
NAME Specialty Risk International, Inc.
STREET 303 Congressional Blvd.
CITY Carmel
STATE Indiana
COUNTRY United States
POSTAL/ZIP CODE 46032
SIGNATURE SECTION
SIGNATURE /Bryan S. Redding/
SIGNATORY NAME Bryan S. Redding
SIGNATORY DATE 08/24/2006
SIGNATORY POSITION Legal counsel for Speciality Risk International, Inc.
FILING INFORMATION SECTION
SUBMIT DATE Thu Aug 24 16:01:12 EDT 2006
TEAS STAMP USPTO/COA-XX.XX.XXX.XXX-2
0060824160112511190-78095
911-320f2c94b4d1ce1f2d572
cf53ea834cced-N/A-N/A-200
60824154908555338




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