Teas Change of Owner Address

HC2 HIGH-RISK HPV DNA TEST

QIAGEN GAITHERSBURG, LLC

Change Of Owner's Address

The table below presents the data as entered.

Input Field	Entered
SERIAL NUMBER	76515724
REGISTRATION NUMBER	2946532
LAW OFFICE ASSIGNED	LAW OFFICE 106
MARK SECTION
MARK	HC2 HIGH-RISK HPV DNA TEST
OWNER SECTION (current)
NAME	QIAGEN GAITHERSBURG, INC.
STREET	1201 CLOPPER ROAD
CITY	GAITHERSBURG
STATE	Maryland
ZIP/POSTAL CODE	20878
COUNTRY	US
NEW OWNER ADDRESS
STREET	1201 Clopper Road
CITY	Gaithersburg
STATE	Maryland
ZIP/POSTAL CODE	20878
COUNTRY	United States
SIGNATURE SECTION
SIGNATURE	/christopher p. bussert/
SIGNATORY NAME	Christopher P. Bussert
SIGNATORY DATE	05/14/2015
SIGNATORY POSITION	Attorney of Record, GA Bar Member
SIGNATORY PHONE NUMBER	404-815-6545
FILING INFORMATION SECTION
SUBMIT DATE	Thu May 14 14:06:33 EDT 2015
TEAS STAMP	USPTO/COA-XX.X.XX.XXX-201 50514140633410504-7455128 3-5301576f13f85e4b7bbea29 fad42c86bc5594b5312ddb99a eeb31b4ab71ea34-N/A-N/A-2 0150514124714816256

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