| PTO Form 2197 (Rev 09/2005) |
| OMB No. 0651-0056 (Exp 09/30/2011) |
| Input Field | Entered |
|---|---|
| SERIAL NUMBER | 76627997 |
| LAW OFFICE ASSIGNED | LAW OFFICE 110 |
| MARK SECTION | |
| MARK | MANDATORY RECORDS (stylized and/or with design) |
| OWNER SECTION (current) | |
| NAME | Greg Young / Jamel Johnson |
| STREET | 3720 W. CAPITOL ST. APT. A |
| CITY | JACKSON |
| STATE | Mississippi |
| ZIP/POSTAL CODE | 39209 |
| COUNTRY | US |
| PHONE | (601) 961-5959 |
| CORRESPONDENCE SECTION (current) | |
| ORIGINAL ADDRESS | GREG YOUNG/ JAMEL JOHNSON MANDATORY RECORDS/ PAST TIME ENT./ LOOSE 3720W. CAPITOL ST. APT. A JACKSON Mississippi 39209 United States (601) 961-5959 |
| NEW OWNER ADDRESS | |
| STREET | 228 Rosslyn Avenue |
| CITY | jackson |
| STATE | Mississippi |
| ZIP/POSTAL CODE | 39209 |
| COUNTRY | United States |
| PHONE | (601) 961-5959 |
| CURRENT CORRESPONDENCE ADDRESS | |
| NAME | GREG YOUNG/ JAMEL JOHNSON |
| FIRM NAME | MANDATORY RECORDS/ PAST TIME ENT./ LOOSE |
| STREET | 228 rosslyn avenue |
| CITY | JACKSON |
| STATE | Mississippi |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 39209 |
| PHONE | (601) 948-1544 |
| SIGNATURE SECTION | |
| SIGNATURE | /Greg Young/ |
| SIGNATORY NAME | Greg Young |
| SIGNATORY DATE | 09/03/2005 |
| SIGNATORY POSITION | CEO |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Sat Sep 03 23:58:00 EDT 2005 |
| TEAS STAMP | USPTO/COA-XXX.XXX.XXX.XXX -20050903235800533637-766 27997-2505b5c1af2a5bcfe99 5ec4c2b2cedc72ad-N/A-N/A- 20050903234532234187 |