| PTO Form 1957 (Rev 8/2005) |
| OMB Control #0651-0050 (Exp. 04/30/2006) |
| Input Field |
Entered |
| SERIAL NUMBER | 76601388 |
| MARK SECTION (no change) | |
| OWNER SECTION (current) | |
| NAME | Citizens National Bank |
| STREET | 7305 Manchester |
| CITY | Maplewood |
| STATE | MO |
| ZIP/POSTAL CODE | 63143 |
| COUNTRY | US |
| OWNER SECTION (proposed) | |
| NAME | Citizens National Bank |
| STREET | 7305 Manchester |
| CITY | Maplewood |
| STATE | Missouri |
| ZIP/POSTAL CODE | 63143 |
| COUNTRY | United States |
| LEGAL ENTITY SECTION (current) | |
| TYPE | NATIONAL BANK |
| LEGAL ENTITY SECTION (proposed) | |
| TYPE | CORPORATION |
| STATE/COUNTRY OF INCORPORATION | Missouri |
| GOODS AND/OR SERVICES SECTION (no change) | |
| SIGNATURE SECTION | |
| RESPONSE SIGNATURE | /kelly k burris/ |
| SIGNATORY NAME | Kelly K Burris |
| SIGNATORY POSITION | Attorney |
| SIGNATURE DATE | 03/10/2005 |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Thu Mar 10 12:54:46 EST 2005 |
| TEAS STAMP | USPTO/OA-XXXXXXXXXX-20050 310125446545376-76601388- 2008a4375d75dc1b46d766fc7 8514dbd9d-N-N-20050310124 629280972 |
| PTO Form 1957 (Rev 8/2005) |
| OMB Control #0651-0050 (Exp. 04/30/2006) |
| Application serial no. 76601388 is amended as follows: | |
| Procedural Matters/Informalities | |
| Applicant proposes to amend the following: | |
| Original: Citizens National Bank a(n) NATIONAL BANK, having an address of 7305 Manchester Maplewood, MO US 63143. | |
| Proposed: Citizens National Bank, a corporation of Missouri, having an address of 7305 Manchester Maplewood, Missouri United States 63143. | |
| Response Signature | |
| Signature: /kelly k burris/ Date: 03/10/2005 | |
| Signatory's Name: Kelly K Burris | |
| Signatory's Position: Attorney | |
| Serial Number: 76601388 | |
| Internet Transmission Date: Thu Mar 10 12:54:46 EST 2005 | |
| TEAS Stamp: USPTO/OA-XXXXXXXXXX-20050310125446545376 -76601388-2008a4375d75dc1b46d766fc78514d bd9d-N-N-20050310124629280972 |