Teas Change of Owner Address

PROACTIVE

FREEMAN CAPITAL COMPANY

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 76425934
REGISTRATION NUMBER 2752338
LAW OFFICE ASSIGNED LAW OFFICE 108
MARK SECTION
MARK PROACTIVE
OWNER SECTION (current)
NAME FREEMAN CAPITAL COMPANY
STREET 1000 PLACID SUITE 101
CITY LAS VEGAS
STATE Nevada
ZIP/POSTAL CODE 89119-4239
COUNTRY US
NEW OWNER ADDRESS
STREET 6555 W. Sunset Road
CITY Las Vegas
STATE Nevada
ZIP/POSTAL CODE 89118
COUNTRY United States
SIGNATURE SECTION
SIGNATURE /Jennifer Daniel Collins/
SIGNATORY NAME Jennifer Daniel Collins
SIGNATORY DATE 08/23/2011
SIGNATORY POSITION Attorney of record, Colorado bar member
FILING INFORMATION SECTION
SUBMIT DATE Tue Aug 23 17:48:09 EDT 2011
TEAS STAMP USPTO/COA-XX.XXX.XXX.XXX-
20110823174809980381-7465
7462-480d468770a4cb73bbf0
f959a8e3e6af6-N/A-N/A-201
10823172532497291




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