Teas Change of Owner Address

ULTRAVISION

Tomy Starck, M.D., P.A.

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 76383537
REGISTRATION NUMBER 2744555
LAW OFFICE ASSIGNED LAW OFFICE 114
MARK SECTION
MARK ULTRAVISION
OWNER SECTION (current)
NAME Tomy Starck, M.D., P.A.
STREET 413 Happy Trail
CITY San Antonio
STATE Texas
ZIP/POSTAL CODE 78231
COUNTRY United States
CORRESPONDENCE SECTION (current)
ORIGINAL ADDRESS TED D. LEE
GUNN, LEE & HANOR
700 N. ST. MARY'S STREET
SUITE 1500
SAN ANTONIO TEXAS 78205
United States
(210) 886-9500
(210) 886-9883
NEW OWNER ADDRESS
STREET 17239 Shavano Ranch apt 3308
CITY SAN ANTONIO
STATE Texas
ZIP/POSTAL CODE 78257
COUNTRY United States
PHONE 210-308-5550
FAX 210-308-6161
CURRENT CORRESPONDENCE ADDRESS
NAME TED D. LEE
FIRM NAME GUNN, LEE & HANOR
INTERNAL ADDRESS SUITE 1500
STREET 700 N. ST. MARY'S STREET
CITY SAN ANTONIO
STATE Texas
COUNTRY United States
POSTAL/ZIP CODE 78205
PHONE (210) 886-9500
FAX (210) 886-9883
SIGNATURE SECTION
SIGNATURE /TOMY STARCK/
SIGNATORY NAME TOMY STARCK
SIGNATORY DATE 07/21/2009
SIGNATORY POSITION OWNER/PRESIDENT
FILING INFORMATION SECTION
SUBMIT DATE Tue Jul 21 18:01:57 EDT 2009
TEAS STAMP USPTO/COA-XX.XXX.XXX.XXX-
20090721180157507609-7638
3537-400ff5ecb9a9afc1a34d
dbb367f485a-N/A-N/A-20090
721175703297539




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