`
`The table below presents the data as entered.
`
`Entered
`
`85683144
`
`4336301
`
`LAW OFFICE 109
`
`BLEND A HAND
`
`Shipman Associates, Inc.
`
`2184 Sutter Street #303
`
`San Francisco
`
`California
`
`94115
`
`US
`
`4155928860
`
`413-215-3802
`
`marissa@thebalm.com
`
`Input Field
`
`SERIAL NUMBER
`
`REGISTRATION NUMBER
`
`LAW OFFICE ASSIGNED
`
`MARK SECTION
`
`MARK
`
`OWNER SECTION (current)
`
`NAME
`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`
`AUTHORIZED TO COMMUNICATE VIA E-MAIL
`
`Yes
`
`NEW OWNER ADDRESS
`
`INTERNAL ADDRESS
`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`
`Shipman Associates, Inc.
`
`1770 Post Street #203
`
`San Francisco
`
`California
`
`94115
`
`United States
`
`4155928860
`
`4132153802
`
`marissa@thebalm.com
`
`AUTHORIZED TO COMMUNICATE VIA E-MAIL
`
`Yes
`
`CORRESPONDENCE SECTION (current)
`
`ORIGINAL ADDRESS
`
`SHIPMAN ASSOCIATES, INC.
`SHIPMAN ASSOCIATES, INC.
`2184 SUTTER ST # 303
`SAN FRANCISCO California 94115-2224
`US
`415-592-8860
`
`
`
`CORRESPONDENCE SECTION (NEW CORRESPONDENCE ADDRESS FOR OWNER)
`
`413-215-3802
`marissa@thebalm.com
`
`NAME
`
`FIRM NAME
`
`STREET
`
`CITY
`
`STATE
`
`COUNTRY
`
`POSTAL/ZIP CODE
`
`PHONE
`
`FAX
`
`
`SHIPMAN ASSOCIATES, INC.
`
`SHIPMAN ASSOCIATES, INC.
`
`1770 Post Street #203
`
`SAN FRANCISCO
`
`California
`
`United States
`
`94115
`
`415-592-8860
`
`413-215-3802
`
`marissa@thebalm.com
`
`AUTHORIZED TO COMMUNICATE VIA E-MAIL
`
`YES
`
`SIGNATURE SECTION
`
`SIGNATURE
`
`SIGNATORY NAME
`
`SIGNATORY DATE
`
`SIGNATORY POSITION
`
`SIGNATORY PHONE NUMBER
`
`FILING INFORMATION SECTION
`
`SUBMIT DATE
`
`TEAS STAMP
`
`/Marissa Shipman/
`
`Marissa Shipman
`
`09/29/2015
`
`CEO
`
`415-592-8860
`
`Tue Sep 29 15:11:23 EDT 2015
`
`USPTO/COA-XX.XX.XXX.XXX-2
`0150929151123206466-85640
`979-540b0b745a2364b7df4f2
`b281f56bbc74717d680509062
`969dd5d412acbf53d9d6-N/A-
`N/A-20150929141956546644
`
`
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