| PTO Form 1966 (Rev 5/2006) |
| OMB No. 0651-0050 (Exp. 04/2009) |
| Input Field |
Entered |
| SERIAL NUMBER | 76188463 |
| MARK SECTION (no change) | |
| GOODS AND/OR SERVICES SECTION (no change) | |
| ADDITIONAL STATEMENTS SECTION | |
| SUPPLEMENTAL REGISTER | The applicant seeks registration of the mark on the Supplemental Register (i.e., a change of the words 'Principal Register' to 'Supplemental Register'). |
| CORRESPONDENCE SECTION | |
| NAME | Lisa B. Kiichler |
| CONFIRM NAME | Gallup, Inc. |
| STREET | 1001 Gallup Drive |
| CITY | Omaha |
| STATE | Nebraska (NE) |
| ZIP/POSTAL CODE | 68102 |
| COUNTRY | United States |
| PHONE | 402-938-6414 |
| FAX | 402-938-5927 |
| lisa_kiichler@gallup.com | |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL | Yes |
| SIGNATURE SECTION | |
| SIGNATURE | /LBK11282/ |
| SIGNATORY NAME | Lisa B. Kiichler |
| SIGNATORY POSITION | Vice President - Law & Assistant Corporation Secretary |
| DATE SIGNED | 11/15/2004 |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Mon Nov 15 16:22:45 EST 2004 |
| TEAS STAMP | USPTO/PA-XXXXXXXX-2004111 5162245261021-76188463-20 023e612cfed2b7a1aa14a6c64 079fc8b-N-N-2004111516215 9350123 |
| PTO Form 1966 (Rev 5/2006) |
| OMB No. 0651-0050 (Exp. 04/2009) |
| Application serial no. 76188463 is amended as follows: | |
| Correspondence Address Change | |
| Applicant proposes to amend the following: | |
| Original: LISA B. KIICHLER GALLUP, INC. 300 SOUTH 68TH STREET PLACE LINCOLN NE 68510 | |
| Proposed: Lisa B. Kiichler of Gallup, Inc., having an address of 1001 Gallup Drive Omaha, Nebraska (NE) United States 68102, whose e-mail address is lisa_kiichler@gallup.com, whose phone number is 402-938-6414 and whose fax number is 402-938-5927. | |
| Additional Statements | |
| The applicant seeks registration of the mark on the Supplemental Register (i.e., a change of the words 'Principal Register' to 'Supplemental Register'). | |
| Preliminary Amendment Signature | |
| Signature: /LBK11282/ Date Signed: 11/15/2004 | |
| Signatory's Name: Lisa B. Kiichler | |
| Signatory's Position: Vice President - Law & Assistant Corporation Secretary | |
| Mailing Address: | |
| Lisa B. Kiichler | |
| Gallup, Inc. | |
| 1001 Gallup Drive | |
| Omaha, Nebraska (NE) 68102 | |
| Serial Number: 76188463 | |
| Internet Transmission Date: Mon Nov 15 16:22:45 EST 2004 | |
| TEAS Stamp: USPTO/PA-XXXXXXXX-20041115162245261021-7 6188463-20023e612cfed2b7a1aa14a6c64079fc 8b-N-N-20041115162159350123 |