| PTO Form 2197 (Rev 09/2005) |
| OMB No. 0651-0056 (Exp 09/30/2011) |
| Input Field | Entered |
|---|---|
| SERIAL NUMBER | 77005966 |
| LAW OFFICE ASSIGNED | LAW OFFICE 107 |
| MARK SECTION | |
| MARK | BUST-A-MOVE |
| OWNER SECTION (current) | |
| NAME | Kabushiki Kaisha Taito |
| STREET | 5-3, Hirakawa-Cho 2 Chome |
| CITY | Chiyoda-ku, Tokyo |
| ZIP/POSTAL CODE | 1028648 |
| COUNTRY | Japan |
| CORRESPONDENCE SECTION (current) | |
| ORIGINAL ADDRESS | MARSHALL A. BURMEISTER PO BOX 765 WILLIAMS BAY Wisconsin 53191-0765 United States 262-245-0753 262-248-9384 burmeisterma@msn.com |
| NEW OWNER ADDRESS | |
| INTERNAL ADDRESS | Shinjuku Bunka Quint Bldg., 15F |
| STREET | 3-22-7 Yoyogi, Shibuya-ku |
| CITY | Tokyo |
| STATE | None |
| ZIP/POSTAL CODE | 151-0053 |
| COUNTRY | Japan |
| CURRENT CORRESPONDENCE ADDRESS | |
| NAME | MARSHALL A. BURMEISTER |
| STREET | PO BOX 765 |
| CITY | WILLIAMS BAY |
| STATE | Wisconsin |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 53191-0765 |
| PHONE | 262-248-9384 |
| FAX | 262-245-0753 |
| SIGNATURE SECTION | |
| SIGNATURE | /Marshall Burmeister/ |
| SIGNATORY NAME | Marshall A. Burmeister |
| SIGNATORY DATE | 09/06/2007 |
| SIGNATORY POSITION | Attorney of record |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Thu Sep 06 12:36:02 EDT 2007 |
| TEAS STAMP | USPTO/COA-XX.XX.XXX.XXX-2 0070906123602958289-77005 966-380257f934c533387d437 58f27eb9562d35-N/A-N/A-20 070906120708621087 |