Preliminary Amendment

Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid OMB control number. PTO Form 1966 (Rev 10/2011)

OMB No. 0651-0050 (Exp 07/31/2017)

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Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid OMB control number. PTO Form 1966 (Rev 10/2011)

OMB No. 0651-0050 (Exp 07/31/2017)

Voluntary Amendment

To the Commissioner for Trademarks:

Application serial no. 85348591 1-800-MEDIGAP(Standard Characters, see http://tmng-al.gov.uspto.report/resting2/api/img/85348591/large) has been amended as follows:

APPLICANT AND/OR ENTITY INFORMATION
Applicant proposes to amend the following:
Current: Policy Store Inc., a corporation of Texas, having an address of
      
      11002860 State Highway 66
      Rockwall, Texas 75087
      United States

      XXXX (not authorized)
      9728006670
      8882775931
Proposed: 1-800-MEDIGAP Holdings LLC., a corporation of Texas, having an address of
      1100
      223 McKinney Trail
      Rockwall, Texas 75087
      United States
      XXXX (authorized)
      9728006670
      8882775931

SIGNATURE(S)
Voluntary Amendment Signature
Signature: /Jeff CLine/     Date: 07/11/2016
Signatory's Name: Jeff Cline
Signatory's Position: holder

Signatory's Phone Number: 9728006670

The signatory has confirmed that he/she is not represented by either an authorized attorney or Canadian attorney/agent, and that he/she is either: (1) the applicant ; or (2) a person(s) with legal authority to bind the applicant; and if an authorized U.S. attorney or Canadian attorney/agent previously represented him/her in this matter, either he/she has filed a signed revocation of power of attorney with the USPTO or the USPTO has granted the request of his/her prior representative to withdraw.

        
Serial Number: 85348591
Internet Transmission Date: Mon Jul 11 16:00:18 EDT 2016
TEAS Stamp: USPTO/PRA-XX.XX.XX.XX-201607111600188290
61-85348591-55076141e23dfacf3518e9214b32
17b3480922a1aed44477c1b6e58daec2c63d730-
N/A-N/A-20160711155110660934