| Input Field | Entered |
|---|---|
| SERIAL NUMBER | 77832856 |
| REGISTRATION NUMBER | 3784431 |
| LAW OFFICE ASSIGNED | LAW OFFICE 103 |
| MARK SECTION | |
| MARK | FACEPLANT |
| OWNER SECTION (current) | |
| NAME | Faceplant, Inc. |
| STREET | P.O. Box 864 |
| CITY | Anna Maria |
| STATE | Florida |
| ZIP/POSTAL CODE | 34216 |
| COUNTRY | US |
| PHONE | 941-920-5308 |
| XXXX | |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL | Yes |
| NEW OWNER ADDRESS | |
| STREET | 2402 East 7th Ave. |
| CITY | Tampa |
| STATE | Florida |
| ZIP/POSTAL CODE | 33605 |
| COUNTRY | United States |
| PHONE | 813-443-4888 |
| XXXX | |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL | Yes |
| CORRESPONDENCE SECTION (current) | |
| ORIGINAL ADDRESS | FACEPLANT, INC. FACEPLANT, INC. PO BOX 864 ANNA MARIA Florida 34216-0864 US 941-920-5308 brigitte@faceplantdreams.com |
| CORRESPONDENCE SECTION (NEW CORRESPONDENCE ADDRESS FOR OWNER) | |
| NAME | FACEPLANT, INC. |
| STREET | 2402 East 7th Ave. |
| CITY | Tampa |
| STATE | Florida |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 33605 |
| PHONE | 813-443-4888 |
| kevin@faceplantdreams.com | |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
| SIGNATURE SECTION | |
| SIGNATURE | /kevin farrell/ |
| SIGNATORY NAME | Kevin Farrell |
| SIGNATORY DATE | 05/04/2015 |
| SIGNATORY POSITION | Vice President |
| SIGNATORY PHONE NUMBER | 813-443-4888 |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Mon May 04 15:44:28 EDT 2015 |
| TEAS STAMP | USPTO/COA-XXX.XXX.XX.XXX- 20150504154428351780-7783 2856-530d844672db6d66995f f1f78f21242231983fe95244c 5e329a6874a12c16fd1-N/A-N /A-20150504154032121339 |