Preliminary Amendment

LIFEBELT

Allison, Robert D. III

Preliminary Amendment

PTO Form 1966 (Rev 5/2006)
OMB No. 0651-0050 (Exp. 04/2009)

Preliminary Amendment


The table below presents the data as entered.

Input Field
Entered
SERIAL NUMBER 78465795
MARK SECTION (no change)
OWNER SECTION (current)
NAME Allison, Robert D. III
STREET 7656 West Sahara Avenue, Suite 110
CITY Las Vegas
STATE NV
ZIP/POSTAL CODE 89117
COUNTRY US
OWNER SECTION (proposed)
NAME Allison III, Robert D.
STREET 7656 West Sahara Avenue, Suite 110
CITY Las Vegas
STATE Nevada
ZIP/POSTAL CODE 89117
COUNTRY United States
LEGAL ENTITY SECTION (current)
TYPE INDIVIDUAL
COUNTRY OF CITIZENSHIP US
LEGAL ENTITY SECTION (proposed)
TYPE INDIVIDUAL
COUNTRY OF CITIZENSHIP United States
SIGNATURE SECTION
SIGNATURE /Farley I. Weiss/
SIGNATORY NAME Farley I. Weiss
SIGNATORY POSITION Attorney
DATE SIGNED 10/06/2004
FILING INFORMATION SECTION
SUBMIT DATE Wed Oct 06 14:57:48 EDT 2004
TEAS STAMP USPTO/PA-XXXXXXX-20041006
145748610025-78465795-200
7a7258891f4deba32e6434ccb
13a3443-N-N-2004100614570
7531135



PTO Form 1966 (Rev 5/2006)
OMB No. 0651-0050 (Exp. 04/2009)

Preliminary Amendment


To the Commissioner for Trademarks:

Application serial no. 78465795 is amended as follows:    
Procedural Matters/Informalities
Applicant proposes to amend the following:
Original: Robert D III Allison, , a citizen of US, having an address of 7656 West Sahara Avenue, Suite 110 Las Vegas, NV United States 89117.
Proposed: Allison III, Robert D., a citizen of United States, having an address of 7656 West Sahara Avenue, Suite 110 Las Vegas, Nevada United States 89117.
 
        
Preliminary Amendment Signature
        
Signature: /Farley I. Weiss/     Date Signed: 10/06/2004
Signatory's Name: Farley I. Weiss
Signatory's Position: Attorney
        
        
        
Serial Number: 78465795
Internet Transmission Date: Wed Oct 06 14:57:48 EDT 2004
TEAS Stamp: USPTO/PA-XXXXXXX-20041006145748610025-78
465795-2007a7258891f4deba32e6434ccb13a34
43-N-N-20041006145707531135




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