| PTO Form 1963 (Rev 5/2006) |
| OMB No. 0651-0055 (Exp 07/31/2018) |
| Input Field |
Entered |
| REGISTRATION NUMBER | 2693913 |
|---|---|
| REGISTRATION DATE | 03/04/2003 |
| SERIAL NUMBER | 76177360 |
| MARK SECTION | |
| MARK | WRITENOW |
| CORRESPONDENCE SECTION (current) | |
| NAME | LISA GATES |
| FIRM NAME | BAKER & MCKENZIE LLP |
| INTERNAL ADDRESS | 130 EAST RANDOLPH DRIVE |
| STREET | SUITE 3500 |
| CITY | CHICAGO |
| STATE | Illinois |
| POSTAL CODE | 60601 |
| COUNTRY | United States |
| CORRESPONDENCE SECTION (proposed) | |
| NAME | LISA GATES |
| FIRM NAME | BAKER & MCKENZIE LLP |
| INTERNAL ADDRESS | Suite 5000 |
| STREET | 300 East Randolph Street |
| CITY | CHICAGO |
| STATE | Illinois |
| POSTAL CODE | 60601 |
| COUNTRY | United States |
| DOCKET/REFERENCE NUMBER | 072330 |
| GOODS AND/OR SERVICES SECTION | |
| INTERNATIONAL CLASS | 036 |
| GOODS OR SERVICES | providing information and quotes in the field of insurance; consultation services in the field of insurance, namely, providing consultation to purchasers for processing insurance applications and other related insurance forms; and insurance administration |
| SPECIMEN FILE NAME(S) | |
| ORIGINAL PDF FILE | SPN0-20819353242-113546091_._write_now_specimen0001.pdf |
| CONVERTED PDF FILE(S) (1 page) |
\\TICRS\EXPORT16\IMAGEOUT16\761\773\76177360\xml2\S890002.JPG |
| ORIGINAL PDF FILE | SPN0-20819353242-113546091_._WRITE_NOW_specimen_page_20001.pdf |
| CONVERTED PDF FILE(S) (3 pages) |
\\TICRS\EXPORT16\IMAGEOUT16\761\773\76177360\xml2\S890003.JPG |
| \\TICRS\EXPORT16\IMAGEOUT16\761\773\76177360\xml2\S890004.JPG | |
| \\TICRS\EXPORT16\IMAGEOUT16\761\773\76177360\xml2\S890005.JPG | |
| SPECIMEN DESCRIPTION | Screenshot and first three pages of brochure offering the services |
| OWNER SECTION (current) | |
| NAME | LIBERTY MUTUAL INSURANCE COMPANY |
| STREET | 175 Berkeley Street |
| CITY | Boston |
| STATE | Massachusetts |
| ZIP/POSTAL CODE | 02116 |
| COUNTRY | United States |
| LEGAL ENTITY SECTION (current) | |
| TYPE | corporation |
| STATE/COUNTRY OF INCORPORATION | Massachusetts |
| PAYMENT SECTION | |
| NUMBER OF CLASSES | 1 |
| NUMBER OF CLASSES PAID | 1 |
| SUBTOTAL AMOUNT | 500 |
| TOTAL FEE PAID | 500 |
| SIGNATURE SECTION | |
| ORIGINAL PDF FILE | hw_20819353242-113546091_._write_now_dec0001.pdf |
| CONVERTED PDF FILE(S) (1 page) |
\\TICRS\EXPORT16\IMAGEOUT16\761\773\76177360\xml2\S890006.JPG |
| SIGNATORY'S NAME | James R. Pugh |
| SIGNATORY'S POSITION | Assistant Secretary |
| PAYMENT METHOD | DA |
| FILING INFORMATION | |
| SUBMIT DATE | Thu Feb 21 15:50:15 EST 2013 |
| TEAS STAMP | USPTO/S08N09-XXX.XXX.XX.X XX-20130221155015369682-2 693913-50054e2cb333a7ec64 4fec20b873bf39ba55860c15f d81d4c19d29136d2c267d-DA- 2749-20130221154824682273 |
| PTO Form 1963 (Rev 5/2006) |
| OMB No. 0651-0055 (Exp 07/31/2018) |
