Teas Change of Owner Address

EMPOWER

W4 HEALTH GROUP, INC.

Change Of Owner's Address

The table below presents the data as entered.

Input Field	Entered
SERIAL NUMBER	76640728
REGISTRATION NUMBER	3392283
LAW OFFICE ASSIGNED	LAW OFFICE 105
MARK SECTION
MARK	EMPOWER
OWNER SECTION (current)
NAME	Fitness Equipment Manufacturing, LLC
INTERNAL ADDRESS	39 Pleasant Valley Road
CITY	Sutton
STATE	Massachusetts
ZIP/POSTAL CODE	01590
COUNTRY	US
NEW OWNER ADDRESS
STREET	660 Douglas Street
CITY	Uxbridge
STATE	Massachusetts
ZIP/POSTAL CODE	01569
COUNTRY	United States
SIGNATURE SECTION
SIGNATURE	/Jack Lacey/
SIGNATORY NAME	Jack Lacey
SIGNATORY DATE	03/04/2014
SIGNATORY POSITION	Chief Operating Officer
FILING INFORMATION SECTION
SUBMIT DATE	Tue Mar 04 13:30:40 EST 2014
TEAS STAMP	USPTO/COA-XX.X.XX.XXX-201 40304133040181256-7664072 8-50087f874e5689c5b9fbd43 22eca66a4cd72f424bd9c6322 571a0e2db91c142494-N/A-N/ A-20140304132628744014

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