| Input Field | Entered |
|---|---|
| SERIAL NUMBER | 76450496 |
| REGISTRATION NUMBER | 2783952 |
| LAW OFFICE ASSIGNED | LAW OFFICE 111 |
| MARK SECTION | |
| MARK | CAMPO DE MONTALBAN |
| OWNER SECTION (current) | |
| NAME | Forever Cheese |
| STREET | 36-36 33RD, ST. STE 307 |
| CITY | ASTORIA |
| STATE | New York |
| ZIP/POSTAL CODE | 11106 |
| COUNTRY | US |
| PHONE | 7182678325 |
| FAX | 7187770778 |
| XXXX | |
| NEW OWNER ADDRESS | |
| STREET | 36-36 33rd Street, Suite 307 |
| CITY | Long Island City |
| STATE | New York |
| ZIP/POSTAL CODE | 11106 |
| COUNTRY | United States |
| XXXX | |
| CORRESPONDENCE SECTION (current) | |
| ORIGINAL ADDRESS | FOREVER CHEESE 166-35 9TH AVE STE 8A WHITESTONE New York 11357 US 7182678325 7187770778 forevercheese@aol.com |
| CORRESPONDENCE SECTION (NEW CORRESPONDENCE ADDRESS FOR OWNER) | |
| NAME | FOREVER CHEESE INC |
| FIRM NAME | FOREVER CHEESE INC |
| STREET | 36-36 33rd Street, Suite 307 |
| CITY | Long Island City |
| STATE | New York |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 11106 |
| PHONE | 7187770772 |
| FAX | 7183616999 |
| michele@forevercheese.com | |
| SIGNATURE SECTION | |
| SIGNATURE | /Alexis Arena/ |
| SIGNATORY NAME | Alexis Arena |
| SIGNATORY DATE | 09/17/2013 |
| SIGNATORY POSITION | Attorney of record, PA bar member |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Tue Sep 17 14:16:01 EDT 2013 |
| TEAS STAMP | USPTO/COA-XX.XXX.XXX.XXX- 20130917141601965423-8575 4299-500f22cf3b3c86877b79 d9c64acf36643150bbf186b38 abdc7461965744b1066ab-N/A -N/A-20130917140547034427 |