| PTO Form 1966 (Rev 5/2006) |
| OMB No. 0651-0050 (Exp. 04/2009) |
| Input Field |
Entered |
| SERIAL NUMBER | 76563528 |
| MARK SECTION (no change) | |
| OWNER SECTION (no change) | |
| LEGAL ENTITY SECTION (current) | |
| TYPE | COMPANY |
| STATE/COUNTRY UNDER WHICH ORGANIZED | DE |
| LEGAL ENTITY SECTION (proposed) | |
| TYPE | CORPORATION |
| STATE/COUNTRY OF INCORPORATION | Delaware |
| SIGNATURE SECTION | |
| SIGNATURE | /brad d. rose/ |
| SIGNATORY NAME | Brad D. Rose |
| SIGNATORY POSITION | Attorney for Applicant |
| DATE SIGNED | 01/07/2004 |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Wed Jan 07 09:38:06 EST 2004 |
| TEAS STAMP | USPTO/PA-XXXXXXXXXXX-2004 0107093806059001-76563528 -2007ed5f786f7e869738fdd5 9b0ec2f3-N-N-200401070936 54535009 |
| PTO Form 1966 (Rev 5/2006) |
| OMB No. 0651-0050 (Exp. 04/2009) |
| Application serial no. 76563528 is amended as follows: | |
| Procedural Matters/Informalities | |
| Applicant proposes to amend the following: | |
| Original: AHG Licensing, Inc., a company organized under the laws of United States, having an address of 1411 Broadway, 12th Floor New York, NY United States 10018. | |
| Proposed: AHG Licensing, Inc., a corporation of Delaware, having an address of 1411 Broadway, 12th Floor New York, NY US 10018. | |
| Preliminary Amendment Signature | |
| Signature: /brad d. rose/ Date Signed: 01/07/2004 | |
| Signatory's Name: Brad D. Rose | |
| Signatory's Position: Attorney for Applicant | |
| Serial Number: 76563528 | |
| Internet Transmission Date: Wed Jan 07 09:38:06 EST 2004 | |
| TEAS Stamp: USPTO/PA-XXXXXXXXXXX-2004010709380605900 1-76563528-2007ed5f786f7e869738fdd59b0ec 2f3-N-N-20040107093654535009 |