| PTO Form 1553 (Rev 9/2005) |
| OMB No. 0651-0054 (Exp. 11/30/2008) |
Trademark/Service Mark Statement of Use
(15 U.S.C. Section 1051(d))
The table below presents the data as entered.
Input Field
|
Entered
|
| SERIAL NUMBER |
76358566 |
| LAW OFFICE ASSIGNED |
LAW OFFICE 111 |
| NOTICE OF ALLOWANCE |
YES |
| EXTENSION OF USE |
NO |
| REQUEST TO DIVIDE |
NO |
| MARK SECTION |
| STANDARD CHARACTERS |
NO |
| LITERAL ELEMENT |
SBLI USA PAYCHECK PROTECTOR |
| OWNER SECTION (current) |
| NAME |
SBLI USA Mutual Life Insurance Company,Inc. |
| STREET |
460 West 34th Street, Suite 800 |
| CITY |
New York |
| STATE |
New York |
| ZIP/POSTAL CODE |
10001 |
| COUNTRY |
United States |
| OWNER SECTION (proposed) |
| NAME |
SBLI USA Mutual Life Insurance Company, Inc. |
| STREET |
460 West 34th Street, Suite 800 |
| CITY |
New York |
| STATE |
New York |
| ZIP/POSTAL CODE |
10001 |
| COUNTRY |
United States |
| EMAIL |
XXXX |
| ATTORNEY SECTION (current) |
| NAME |
RICHARD E. PEIRCE |
| DOCKET NUMBER |
890064 |
| ATTORNEY SECTION (proposed) |
| NAME |
Roberta Jacobs-Meadway, Esq. |
| DOCKET NUMBER |
890064 |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
036 |
| GOODS AND/OR SERVICES |
KEEP ALL LISTED |
| FIRST USE ANYWHERE DATE |
04/30/2003 |
| FIRST USE IN COMMERCE DATE |
06/09/2003 |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT10\IMAGEOUT10\763\585\76358566\xml4\SOU0002.JPG |
| SPECIMEN DESCRIPTION |
a page from the website showing the mark as used in connection with the services |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| SUBTOTAL AMOUNT |
100 |
| TOTAL AMOUNT |
100 |
| SIGNATURE SECTION |
| SIGNATURE |
/Roberta Jacobs-Meadway/ |
| SIGNATORY NAME |
Roberta Jacobs-Meadway, Esq. |
| SIGNATORY DATE |
07/13/2005 |
| SIGNATORY POSITION |
Attorney for Applicant |
| FILING INFORMATION |
| SUBMIT DATE |
Wed Jul 13 10:39:50 EDT 2005 |
| TEAS STAMP |
USPTO/SOU-XX.XXX.XX.X-200
50713103950577130-7635856
6-250d167dfa9ed29c08a4dc6
a38e1991ed8d-DA-1164-2005
0713103057010970 |
| PTO Form 1553 (Rev 9/2005) |
| OMB No. 0651-0054 (Exp. 11/30/2008) |
Trademark/Service Mark Statement of Use
(15 U.S.C. Section 1051(d))
To the Commissioner for Trademarks:
MARK: SBLI USA PAYCHECK PROTECTOR
SERIAL NUMBER: 76358566
This Allegation of Use is being filed after a Notice of Allowance has issued.
The applicant, SBLI USA Mutual Life Insurance Company, Inc., having an address of 460 West 34th Street, Suite 800, New York, New York United States 10001, is using or is using through a related
company or licensee the mark in commerce on or in connection with the goods and/or services as follows:
For International Class: 036, the applicant, or the applicant's related company or licensee, is using the mark in commerce on or in connection with all goods and/or services listed in the application
or Notice of Allowance.
The mark was first used by the applicant, or the applicant's related company, licensee, or predecessor in interest at least as early as 04/30/2003, and first used in commerce at least as early as
06/09/2003, and is now in use in such commerce. The applicant is submitting one specimen for the class showing the mark as used in commerce on or in connection with any item in the class, consisting
of a(n) a page from the website showing the mark as used in connection with the services.
Specimen-1
The applicant hereby appoints Roberta Jacobs-Meadway, Esq. to submit this Trademark/Service Mark Statement of Use on behalf of the applicant. The attorney docket/reference number is 890064.
A fee payment in the amount of $100 will be submitted with the form, representing payment for 1 class.
Declaration
Applicant requests registration of the above-identified trademark/service mark in the United States 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). Applicant is the owner of the mark sought to be registered, and is using the mark in commerce on or in connection with the goods/services identified above,
as evidenced by the attached specimen(s) showing the mark as used in commerce.
The undersigned being hereby warned that willful false statements and the like are punishable by fine or imprisonment, or both, under 18 U.S.C. Section 1001, and that such willful false statements
and the like may jeopardize the validity of this document, declares that he/she is properly authorized to execute this document on behalf of the Owner; and all statements made of his/her own
knowledge are true and that all statements made on information and belief are believed to be true.
Signature: /Roberta Jacobs-Meadway/ Date Signed: 07/13/2005
Signatory's Name: Roberta Jacobs-Meadway, Esq.
Signatory's Position: Attorney for Applicant
RAM Sale Number: 1164
RAM Accounting Date: 07/13/2005
Serial Number: 76358566
Internet Transmission Date: Wed Jul 13 10:39:50 EDT 2005
TEAS Stamp: USPTO/SOU-XX.XXX.XX.X-200507131039505771
30-76358566-250d167dfa9ed29c08a4dc6a38e1
991ed8d-DA-1164-20050713103057010970
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