Trademark/Service Mark Application, Principal Register

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1 PTO Form 1478 (Rev 9/2006) OMB No (Exp 12/31/2011) Trademark/Service Mark Application, Principal Register Serial Number: Filing Date: 02/01/2012 The table below presents the data as entered. Input Field Entered SERIAL NUMBER MARK INFORMATION *MARK STANDARD CHARACTERS USPTO- GENERATED IMAGE LITERAL ELEMENT MARK STATEMENT REGISTER SIFIX YES YES SIFIX The mark consists of standard characters, without claim to any particular font, style, size, or color. Principal APPLICANT INFORMATION *OWNER OF MARK NuTech Spine, Inc. *STREET P.O. Box *CITY *STATE (Required for U.S. applicants) *COUNTRY *ZIP/POSTAL CODE (Required for U.S. applicants only) Birmingham LEGAL ENTITY INFORMATION TYPE corporation

2 STATE/COUNTRY OF INCORPORATION GOODS AND/OR SERVICES AND BASIS INFORMATION INTERNATIONAL CLASS * IDENTIFICATION FILING BASIS 010 implants and instruments for use in surgery on the sacroiliac joints SECTION 1(b) ATTORNEY INFORMATION NAME ATTORNEY DOCKET NUMBER FIRM NAME INTERNAL ADDRESS STREET CITY STATE COUNTRY ZIP/POSTAL CODE India E. Vincent Burr & Forman LLP Birmingham PHONE FAX ADDRESS AUTHORIZED TO COMMUNICATE VIA OTHER APPOINTED ATTORNEY ivincent@burr.com Yes Ellen T. Mathews CORRESPONDENCE INFORMATION NAME FIRM NAME INTERNAL ADDRESS India E. Vincent Burr & Forman LLP STREET

3 STREET CITY STATE COUNTRY ZIP/POSTAL CODE Birmingham PHONE FAX ADDRESS AUTHORIZED TO COMMUNICATE VIA Yes FEE INFORMATION NUMBER OF CLASSES 1 FEE PER CLASS 325 *TOTAL FEE DUE 325 *TOTAL FEE PAID 325 SIGNATURE INFORMATION ORIGINAL PDF FILE CONVERTED PDF FILE(S) (1 page) SIGNATORY'S NAME SIGNATORY'S POSITION hw_ _._sifix_-_tm_app_-_declaration.pdf \\TICRS\EXPORT11\IMAGEOUT11\855\313\ \xml1\APP0003.JPG Howard P. Walthall, Jr. President

4 PTO Form 1478 (Rev 9/2006) OMB No (Exp 12/31/2011) Trademark/Service Mark Application, Principal Register Serial Number: Filing Date: 02/01/2012 To the Commissioner for Trademarks: MARK: SIFIX (Standard Characters, see mark) The literal element of the mark consists of SIFIX. The mark consists of standard characters, without claim to any particular font, style, size, or color. The applicant, NuTech Spine, Inc., a corporation of, having an address of P.O. Box Birmingham, requests registration of the trademark/service mark identified above in the Patent and Trademark Office on the Principal Register established by the Act of July 5, 1946 (15 U.S.C. Section 1051 et seq.), as amended, for the following: International Class 010: implants and instruments for use in surgery on the sacroiliac joints Intent to Use: The applicant has a bona fide intention to use or use through the applicant's related company or licensee the mark in commerce on or in connection with the identified goods and/or services. (15 U.S.C. Section 1051(b)). The applicant's current Attorney Information: India E. Vincent and Ellen T. Mathews of Burr & Forman LLP Birmingham, The attorney docket/reference number is The applicant's current Correspondence Information: India E. Vincent Burr & Forman LLP Birmingham, (phone) (fax) ivincent@burr.com (authorized)

5 A fee payment in the amount of $325 has been submitted with the application, representing payment for 1 class(es). Declaration Original PDF file: hw_ _._sifix_-_tm_app_-_declaration.pdf Converted PDF file(s) (1 page) Signature File1 Signatory's Name: Howard P. Walthall, Jr. Signatory's Position: President RAM Sale Number: 4794 RAM Accounting Date: 02/02/2012 Serial Number: Internet Transmission Date: Wed Feb 01 17:53:26 EST 2012 TEAS Stamp: USPTO/BAS c4b28aa55c0d01e73 bce67847-da

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