OMNI LIFE ASSOCIATES, INC.

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1998-01-01
Business code	524210
Sponsor’s telephone number	5169382465
Plan sponsor’s mailing address	375 N BROADWAY STE 203, JERICHO, NY, 117532008
Plan sponsor’s address	375 N BROADWAY STE 203, JERICHO, NY, 117532008

Number of participants as of the end of the plan year

Active participants	0
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits	0
Number of participants with account balances as of the end of the plan year	0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	0

Signature of

Role	Plan administrator
Date	2017-10-12
Name of individual signing	RICHARD STANGEL
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1998-01-01
Business code	524210
Sponsor’s telephone number	5169382465
Plan sponsor’s mailing address	375 N BROADWAY STE 203, JERICHO, NY, 117532008
Plan sponsor’s address	375 N BROADWAY STE 203, JERICHO, NY, 117532008

Number of participants as of the end of the plan year

Active participants	4
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	1
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits	0
Number of participants with account balances as of the end of the plan year	5
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	0

Signature of

Role	Plan administrator
Date	2017-03-03
Name of individual signing	RICHARD STANGEL
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1998-01-01
Business code	524210
Sponsor’s telephone number	5169382465
Plan sponsor’s mailing address	375 N BROADWAY STE 203, JERICHO, NY, 117532008
Plan sponsor’s address	375 N BROADWAY STE 203, JERICHO, NY, 117532008

Number of participants as of the end of the plan year

Active participants	4
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	1
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits	0
Number of participants with account balances as of the end of the plan year	5
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	0

Signature of

Role	Plan administrator
Date	2016-04-18
Name of individual signing	RICHARD STANGEL
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1998-01-01
Business code	524210
Sponsor’s telephone number	5169382465
Plan sponsor’s mailing address	375 N BROADWAY STE 203, JERICHO, NY, 117532008
Plan sponsor’s address	375 N BROADWAY STE 203, JERICHO, NY, 117532008

Number of participants as of the end of the plan year

Active participants	4
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	1
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits	0
Number of participants with account balances as of the end of the plan year	5
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	0

Signature of

Role	Plan administrator
Date	2015-05-26
Name of individual signing	RICHARD STANGEL
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1998-01-01
Business code	524210
Sponsor’s telephone number	5169382465
Plan sponsor’s mailing address	375 N BROADWAY STE 203, JERICHO, NY, 117532008
Plan sponsor’s address	375 N BROADWAY STE 203, JERICHO, NY, 117532008

Number of participants as of the end of the plan year

Active participants	4
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	1
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits	0
Number of participants with account balances as of the end of the plan year	5
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	0

Signature of

Role	Plan administrator
Date	2014-03-13
Name of individual signing	RICHARD STANGEL
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1998-01-01
Business code	524210
Sponsor’s telephone number	5169382465
Plan sponsor’s mailing address	375 N BROADWAY STE 203, JERICHO, NY, 117532008
Plan sponsor’s address	375 N BROADWAY STE 203, JERICHO, NY, 117532008

Plan administrator’s name and address

Administrator’s EIN	112531034
Plan administrator’s name	OMNI LIFE ASSOCIATES, INC.
Plan administrator’s address	375 N BROADWAY STE 203, JERICHO, NY, 117532008
Administrator’s telephone number	5169382465

Number of participants as of the end of the plan year

Active participants	4
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	2
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits	0
Number of participants with account balances as of the end of the plan year	6
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	0

Signature of

Role	Plan administrator
Date	2010-08-10
Name of individual signing	RICHARD STANGEL
Valid signature	Filed with authorized/valid electronic signature

Register	Principal
Mark Type	Service Mark
Status	Abandoned because the applicant failed to respond or filed a late response to an Office action. To view all documents in this file, click on the Trademark Document Retrieval link at the top of this page.
Status Date	1982-10-09

Mark Information

Mark Literal Elements	OMNI
Standard Character Claim	No
Mark Drawing Type	3 - AN ILLUSTRATION DRAWING WHICH INCLUDES WORD(S)/ LETTER(S) /NUMBER(S)

Goods and Services

For	LIFE AND HEALTH INSURANCE, GENERAL AGENCY
International Class(es)	036 - Primary Class
U.S Class(es)	102
Class Status	ABANDONED
Basis	1(a)
First Use	Jun. 10, 1980
Use in Commerce	Jun. 10, 1980

Basis Information (Case Level)

Filed Use	Yes
Currently Use	Yes
Filed ITU	No
Currently ITU	No
Filed 44D	No
Currently 44D	No
Filed 44E	No
Currently 44E	No
Filed 66A	No
Currently 66A	No
Filed No Basis	No
Currently No Basis	No

Current Owner(s) Information

Owner Name	OMNI LIFE ASSOCIATES, INC.
Owner Address	212-45 26TH AVE. BAYSIDE, NEW YORK UNITED STATES 11360
Legal Entity Type	CORPORATION
State or Country Where Organized	NEW YORK

Attorney/Correspondence Information

Correspondent Name/Address	ROBERT C FABER, NEW YORK, OSTROLENK, FABER, GERB & SOFFEN, 260 MADISON AVE, NEW YORK UNITED STATES 10016

Prosecution History

Date	Description
1982-10-31	ABANDONMENT - FAILURE TO RESPOND OR LATE RESPONSE

TM Staff and Location Information

Law Office Assigned	data usage
Current Location	FILE REPOSITORY (FRANCONIA)
Date in Location	1984-07-30