Teas Change of Owner Address

POLAR SHIELD

FGX INTERNATIONAL 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 76223076
REGISTRATION NUMBER 2759616
LAW OFFICE ASSIGNED LAW OFFICE 108
MARK SECTION
MARK POLAR SHIELD
OWNER SECTION (current)
NAME Dioptics Medical Products, Inc.
STREET 51 Zaca Lane
CITY San Luis Obispo
STATE California
ZIP/POSTAL CODE 93401
COUNTRY United States
PHONE (805) 593-1140
FAX (805) 781-3322
CORRESPONDENCE SECTION (current)
ORIGINAL ADDRESS Dioptics Medical Products, Inc.
125 Venture Drive
San Luis Obispo California 93401
United States
(805) 781-3326
(805) 782-4651
struelson@dioptics.com
NEW OWNER ADDRESS
STREET 125 Venture Drive
CITY San Luis Obispo
STATE California
ZIP/POSTAL CODE 93401
COUNTRY United States
PHONE (805) 782-4651
FAX (805) 781-3326
CURRENT CORRESPONDENCE ADDRESS
NAME Dioptics Medical Products, Inc.
STREET 125 Venture Drive
CITY San Luis Obispo
STATE California
COUNTRY United States
POSTAL/ZIP CODE 93401
PHONE (805) 782-4651
FAX (805) 781-3326
SIGNATURE SECTION
SIGNATURE /tom fourt/
SIGNATORY NAME Tom Fourt
SIGNATORY DATE 10/18/2007
SIGNATORY POSITION VP Marketing
FILING INFORMATION SECTION
SUBMIT DATE Thu Oct 18 18:48:16 EDT 2007
TEAS STAMP USPTO/COA-XX.XX.XX.XX-200
71018184816607605-7580839
1-400d41348d71b291d02bc43
ee4da488-N/A-N/A-20071018
174132228118




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