SS-4266 (5/16)Business Services DivisionTre Hargett, Secretary of StateState of TennesseeINSTRUCTIONSAPPLICATION FOR CHANGE OF ADDRESSTRADEMARK OR SERVICE MARKSUBMISSION OPTIONSPaper submission, Walk-inApplications must be accurately completed in their entirety. Cover forms that are inaccurate, incomplete or illegible will be rejected. þ APPLICANT INFORMATION1. þ Name of the mark: 2. þ Mark number: 3. þ The owner of record of the mark is:4. þ The new business address of the owner is:SIGNATURE AND VERIFICATIONapplication are true and correct.Failure to sign the application will result in the application being rejected.Failure to type or print the signature name and title of the signer (if the applicant is a business entity) will result in the application being rejected. NO FILING FEE American LegalNet, Inc. www.FormsWorkFlow.com þ þ þ þ þ APPLICATION FOR CHANGE OF ADDRESS TRADEMARK OR SERVICE MARK Business Services DivisionTre Hargett, Secretary of StateState of Tennessee312 Rosa L. Parks Ave., 6th Fl.Nashville, TN 37243(615) 741-0531 In compliance with the requirements of T.C.A. 247 47-25-507, the undersigned hereby submits a change of address for the owner of a trademark or service mark registered in Tennessee:No Filing Fee þ þ þ þ þ þ þ *Note: Pursuant to T.C.A. 247 10-7-503 all information on this form is public record.I declare under penalty of perjury the foregoing statements are true and correct. þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ ) þ (SS-4266) American LegalNet, Inc. www.FormsWorkFlow.com