Teas Change of Owner Address

CERTIFIED CPHRM AMERICAN HOSPITAL ASSOCIATION

American Hospital Association.

Change Of Owner's Address

PTO Form 2197 (Rev 09/2005)
OMB No. 0651-0056 (Exp 09/30/2011)

Change Of Owner's Address


The table below presents the data as entered.

Input Field Entered
SERIAL NUMBER 76675121
REGISTRATION NUMBER 3443391
LAW OFFICE ASSIGNED LAW OFFICE 114
MARK SECTION
MARK CERTIFIED CPHRM AMERICAN HOSPITAL ASSOCIATION (stylized and/or with design)
OWNER SECTION (current)
NAME American Hospital Association.
STREET One North Franklin
CITY Chicago
STATE Illinois
ZIP/POSTAL CODE 60610
COUNTRY US
CORRESPONDENCE SECTION (current)
ORIGINAL ADDRESS Sherri D. Way
Krendl Krendl Sachnoff & Way PC
370 17th Street, Suite 5350
Denver Colorado 80202
United States
303-629-2600
303-629-2606
sdw@krendl.com
NEW OWNER ADDRESS
STREET 155 N. Wacker Drive, Suite 400
CITY Chicago
STATE Illinois
ZIP/POSTAL CODE 60606
COUNTRY United States
NEW CORRESPONDENCE ADDRESS FOR OWNER
NAME Sherri D. Way
STREET 370 17th Street Suite 5350
CITY Denver
STATE Colorado
COUNTRY United States
POSTAL/ZIP CODE 80202
PHONE 303-629-2600
FAX 303-629-2606
SIGNATURE SECTION
SIGNATURE /Sherri D. Way/
SIGNATORY NAME Sherri D. Way
SIGNATORY DATE 03/23/2010
SIGNATORY POSITION Attorney of Record
FILING INFORMATION SECTION
SUBMIT DATE Tue Mar 23 13:54:59 EDT 2010
TEAS STAMP USPTO/COA-XX.XX.XXX.XXX-2
0100323135459488442-75806
851-460f87e5fb6f53a16ef49
636acdf46ba56a-N/A-N/A-20
100323135017833258




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