| Licensee Name: | FOAM TEK |
| License Type: | Bedding Retailer |
| License Number: | 143903 |
| Registry Number: | N/A |
| Expiration Date: | March 31, 2009 |
| Issue Date: | March 11, 2005 |
| Address: | 36916 PEBLEY CT |
| City: | WINCHESTER |
| State: | CA |
| Zip: | 92596 |
| County: | RIVERSIDE |
| Actions: | No |