Teas Change of Owner Address

POLIDENT

Block Drug Company 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 76342689
REGISTRATION NUMBER 2612676
LAW OFFICE ASSIGNED LAW OFFICE 106
MARK SECTION
MARK POLIDENT (stylized and/or with design)
OWNER SECTION (current)
NAME Block Drug Company Inc.
STREET 257 Cornelison Avenue
CITY Jersey City
STATE New Jersey
ZIP/POSTAL CODE 07302-9988
COUNTRY United States
PHONE 610-270-4472
FAX 610-270-4440
CORRESPONDENCE SECTION (current)
ORIGINAL ADDRESS CHRISTOPHER A. SIDOTI
GLAXOSMITHKLINE
709 SWEDELAND ROAD
KING OF PRUSSIA Pennsylvania 19406-0939
United States
610-270-4440
610-270-4472
MARYELLEN_A_MOTTOLO@gsk.com
NEW OWNER ADDRESS
STREET 830 Bear Tavern Road
CITY West Trenton
STATE New Jersey
ZIP/POSTAL CODE 08628
COUNTRY United States
CURRENT CORRESPONDENCE ADDRESS
NAME Terence A Dixon
FIRM NAME GlaxoSmithkline
INTERNAL ADDRESS UW2221
STREET 709 Swedeland Road
CITY King of Prussia
STATE Pennsylvania
COUNTRY United States
POSTAL/ZIP CODE 19406
PHONE 610-270-4121
FAX 610-270-7177
SIGNATURE SECTION
SIGNATURE /tad/
SIGNATORY NAME Terence A. Dixon
SIGNATORY DATE 08/17/2007
SIGNATORY POSITION Attorney for Application
FILING INFORMATION SECTION
SUBMIT DATE Fri Aug 17 14:28:31 EDT 2007
TEAS STAMP USPTO/COA-XXX.XXX.XX.XXX-
20070817142831570740-7380
8454-3804e5a31b96efb64273
4330fc584359c-N/A-N/A-200
70817113507146837




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