| PTO Form 2197 (Rev 09/2005) |
| OMB No. 0651-0056 (Exp 09/30/2011) |
| Input Field | Entered |
|---|---|
| SERIAL NUMBER | 76211524 |
| REGISTRATION NUMBER | 2633584 |
| LAW OFFICE ASSIGNED | LAW OFFICE 115 |
| MARK SECTION | |
| MARK | Design only |
| OWNER SECTION (current) | |
| NAME | SB Pharmco Puerto Rico Inc. |
| STREET | State Road No. 172, Km 9.1/ Bo., Certenejas |
| CITY | Cidra |
| ZIP/POSTAL CODE | 00639 |
| COUNTRY | PR |
| PHONE | 610-270-4479 |
| FAX | 610-270-4440 |
| CORRESPONDENCE SECTION (current) | |
| ORIGINAL ADDRESS | PAMELA A MAY GLAXOSMITHKLINE CORPORATE INTELLECTUAL PROPERT 709 SWEDELAND RD KING OF PRUSSIA Pennsylvania 19406-2711 United States 610-270-4440 610-270-4479 Pamela_AMay@sbphrd.com |
| NEW OWNER ADDRESS | |
| INTERNAL ADDRESS | Prentice Hall Corp. System (The) |
| STREET | c/o FGR Corp. Srvcs, BBV Tower 8th Floor |
| CITY | 254 Munoz Rivera Ave. |
| STATE | San Juan |
| ZIP/POSTAL CODE | 00918 |
| COUNTRY | Puerto Rico |
| PHONE | 610-270-4479 |
| FAX | 610-270-4440 |
| CURRENT CORRESPONDENCE ADDRESS | |
| NAME | Maribeth D. Day |
| FIRM NAME | GlaxoSmithKline |
| INTERNAL ADDRESS | CIP Trademarks, UW 2220 |
| STREET | 709 Swedeland Ave. |
| CITY | King of Prussia |
| STATE | Pennsylvania |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 19406 |
| PHONE | 919-483-1803 |
| FAX | 704 625 9190 |
| SIGNATURE SECTION | |
| SIGNATURE | /Maribeth Day Case/ |
| SIGNATORY NAME | Maribeth Day Case |
| SIGNATORY DATE | 08/28/2006 |
| SIGNATORY POSITION | Attorney |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Mon Aug 28 11:52:41 EDT 2006 |
| TEAS STAMP | USPTO/COA-XXX.XX.XXX.XXX- 20060828115241948132-7826 4721-320cf48b910ce2eacee2 6faada50eb45cc-N/A-N/A-20 060826203117156949 |