Change of Address

BECK SCALE FOR SUICIDE IDEATION

NCS PEARSON, 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	76226394
MARK SECTION
MARK	BECK SCALE FOR SUICIDE IDEATION
NEW CORRESPONDENCE ADDRESS
NEW ADDRESS
AUTHORIZED TO COMMUNICATE VIA E-MAIL	YES
SIGNATURE SECTION
SIGNATURE	/Daniel J. DeVoe/
SIGNATORY NAME	Daniel J. DeVoe
SIGNATORY DATE	05/02/2013
SIGNATORY POSITION	Assistant General Counsel
SIGNATORY PHONE NUMBER	952-681-3070
FILING INFORMATION SECTION
SUBMIT DATE	Thu May 02 16:34:46 EDT 2013
TEAS STAMP	USPTO/S08N09-XXX.XXX.X.X- 20130502163446264550-2745 897-500ff5342b2dc39f35a1a d2a8ecb19e73444c68fc513bf 83a50a566e47ad0505493-CC- 3359-20130502122057418105

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