| PTO Form 2197 (Rev 09/2005) |
| OMB No. 0651-0056 (Exp 09/30/2011) |
| Input Field | Entered |
|---|---|
| SERIAL NUMBER | 78004155 |
| REGISTRATION NUMBER | 2478199 |
| LAW OFFICE ASSIGNED | LAW OFFICE 112 |
| MARK SECTION | |
| MARK | SHIFT MASTERS |
| OWNER SECTION (current) | |
| NAME | Lewis, Beca |
| STREET | PO Box 764 |
| CITY | Cortland |
| STATE | Ohio |
| ZIP/POSTAL CODE | 44410 |
| COUNTRY | United States |
| PHONE | 330 269 0337 |
| FAX | 330 269 0281 |
| CORRESPONDENCE SECTION (current) | |
| ORIGINAL ADDRESS | Beca Lewis The Shift Center PO Box 764 Cortland Ohio 44410 United States 330 269 0281 330 269 0337 beca.lewis@gmail.com |
| NEW OWNER ADDRESS | |
| STREET | 2525 Howland Wilson Road |
| CITY | Cortland |
| STATE | Ohio |
| ZIP/POSTAL CODE | 44410 |
| COUNTRY | United States |
| PHONE | 330 871 7510 |
| CURRENT CORRESPONDENCE ADDRESS | |
| NAME | Beca Lewis |
| FIRM NAME | The Shift Center |
| STREET | 2525 Howland Wilson Road |
| CITY | Cortland |
| STATE | Ohio |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 44410 |
| PHONE | 330 871 7510 |
| FAX | 330 871 7510 |
| SIGNATURE SECTION | |
| SIGNATURE | /Beca Lewis/ |
| SIGNATORY NAME | Beca Lewis |
| SIGNATORY DATE | 09/03/2008 |
| SIGNATORY POSITION | Owner |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Wed Sep 03 10:57:40 EDT 2008 |
| TEAS STAMP | USPTO/COA-XX.XX.XX.XXX-20 080903105740529867-780041 55-400e38b7ff2a2a73198e43 01c5b391e1c-N/A-N/A-20080 903103002559663 |