Teas Change of Owner Address

REACT

reACT Fitness Holdings, LLC

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 85287996
LAW OFFICE ASSIGNED LAW OFFICE 112
MARK SECTION
MARK REACT
OWNER SECTION (current)
NAME reACT Fitness Holdings, LLC
STREET #482 215 Main Street
CITY Kirkland
STATE Washington
ZIP/POSTAL CODE 98033
COUNTRY US
PHONE 206-920-5239
NEW OWNER ADDRESS
STREET 218 Main Street, #482
CITY Kirkland
STATE Washington
ZIP/POSTAL CODE 98033
COUNTRY United States
PHONE 206-920-5239
SIGNATURE SECTION
SIGNATURE / Brian C. Miller /
SIGNATORY NAME Brian C. Miller
SIGNATORY DATE 10/25/2011
SIGNATORY POSITION Attorney of Record
FILING INFORMATION SECTION
SUBMIT DATE Tue Oct 25 12:53:46 EDT 2011
TEAS STAMP USPTO/COA-XX.XXX.XXX.X-20
111025125346352258-852879
96-480dbf44abbcc369e565b8
0baf5d2cda10-N/A-N/A-2011
1025123830363216




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