| PTO Form 2197 (Rev 09/2005) |
| OMB No. 0651-0056 (Exp 09/30/2011) |
| Input Field | Entered |
|---|---|
| SERIAL NUMBER | 76467330 |
| REGISTRATION NUMBER | 2833828 |
| LAW OFFICE ASSIGNED | LAW OFFICE 110 |
| MARK SECTION | |
| MARK | THE FORUM CORPORATION |
| OWNER SECTION (current) | |
| NAME | The Forum Corporation of North America |
| STREET | One Exchange Place |
| CITY | Boston |
| STATE | Massachusetts |
| ZIP/POSTAL CODE | 02109 |
| COUNTRY | US |
| CORRESPONDENCE SECTION (current) | |
| ORIGINAL ADDRESS | Noelle J. Quinn, Esq. BELL, BOYD & LLOYD LLC P.O. Box 1135 Chicago Illinois 60690-1135 United States 312-827-8185 312-807-4286 trademarks@bellboyd.com |
| NEW OWNER ADDRESS | |
| STREET | 265 Franklin Street |
| CITY | Boston |
| STATE | Massachusetts |
| ZIP/POSTAL CODE | 02110-2113 |
| COUNTRY | United States |
| CURRENT CORRESPONDENCE ADDRESS | |
| NAME | Kathryn Starshak |
| FIRM NAME | Bell, Boyd & Lloyd LLP |
| STREET | P.O. Box 1135 |
| CITY | Chicago |
| STATE | Illinois |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 60690-1135 |
| PHONE | 312-781-6013 |
| FAX | 312-827-8185 |
| SIGNATURE SECTION | |
| SIGNATURE | /kathryn starshak/ |
| SIGNATORY NAME | Kathryn Starshak |
| SIGNATORY DATE | 05/09/2007 |
| SIGNATORY POSITION | Attorney of Record |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Wed May 09 12:24:47 EDT 2007 |
| TEAS STAMP | USPTO/COA-XX.XX.XXX.XX-20 070509122447708130-764673 30-360614f5ce77ccf7d81a49 71b38e0a8148-N/A-N/A-2007 0509121525331131 |