Form Tt-19-Npm - Tobacco Product Manufacturer Certification For Non-Participating Manufacturers Page 4

FORM TT-19-NPM

B. Brand Family Compliance with Federal Law

• For each Brand Family and Brand Style (cigarettes only), provide a copy of the current Federal

Trade Commission Health Warning Rotation Plan Approval letter.

Federal Trade Commission

600 Pennsylvania Avenue, N.W.

Washington, D.C. 20580

• For each Brand Family and Brand Style, provide a copy of the current Centers for Disease Control

and Prevention Certificate of Compliance and Ingredient Report.

Centers for Disease Control and Prevention

1600 Clifton Road

Atlanta, Georgia 30333

• For each Brand Family (and Brand Style, if applicable), provide evidence of trademark ownership.

United States Patent and Trademark Office

Mail Stop USPTO Contact Center

P.O. Box 1450

Alexandria, Virginia 22313-1450

Part 6: Stamping Agent Identification (attach supplemental pages if needed)

Name, Address and Phone

Brand Family(s)

Rev. 02.01.05

Page 4 of 6

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