Teas Change of Owner Address

ENVIROSEAL

Formula Science Corporation

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 78050124
REGISTRATION NUMBER 2713495
LAW OFFICE ASSIGNED LAW OFFICE 112
MARK SECTION
MARK ENVIROSEAL
OWNER SECTION (current)
NAME Formula Science Corporation
STREET 932 Curie Drive
CITY Alpharetta
STATE Georgia
ZIP/POSTAL CODE 30005
COUNTRY United States
CORRESPONDENCE SECTION (current)
ORIGINAL ADDRESS WILLIAM H. BREWSTER
KILPATRICK STROCKTON
1100 PEACHTREE STREET,
SUITE 2800
ATLANTA Georgia 30309
United States
NEW OWNER ADDRESS
STREET P.O. Box 2441
CITY Alpharetta
STATE Georgia
ZIP/POSTAL CODE 30023-2441
COUNTRY United States
PHONE 7706641225
FAX 7706641468
CURRENT CORRESPONDENCE ADDRESS
NAME Formula Science Corporation
FIRM NAME Formula Science Corporation
STREET P.O. Box 2441
CITY ALPHARETTA
STATE Georgia
COUNTRY United States
POSTAL/ZIP CODE 30023-2441
PHONE 7706641225
FAX 7706641468
SIGNATURE SECTION
SIGNATURE /Valan R. Martini/
SIGNATORY NAME Valan R. Martini
SIGNATORY DATE 08/03/2007
SIGNATORY POSITION President
FILING INFORMATION SECTION
SUBMIT DATE Fri Aug 03 15:17:59 EDT 2007
TEAS STAMP USPTO/COA-XX.XXX.XX.XXX-2
0070803151759334189-75386
984-380a46e981a94f1239c23
1c18129c1a93a-N/A-N/A-200
70803151602616789




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