| PTO Form 1966 (Rev 5/2006) |
| OMB No. 0651-0050 (Exp. 04/2009) |
| Input Field |
Entered |
| SERIAL NUMBER | 76403656 |
| MARK SECTION (no change) | |
| ADDITIONAL STATEMENTS SECTION | |
| MISCELLANEOUS STATEMENT | Further to the request for extension of time submitted this date with the fees, Applicant declares that it is making efforts to use the mark in the form of marketing and market research. |
| CORRESPONDENCE SECTION | |
| NAME | MIKOLEAN MORGAN LONGACRE |
| CONFIRM NAME | LONGACRE LAW OFFICE |
| STREET | 1061 BARNWELL ROAD |
| CITY | FERANDINA BEACH |
| STATE | Florida (FL) |
| ZIP/POSTAL CODE | 32034 |
| COUNTRY | United States |
| PHONE | 9044911143 |
| FAX | 9044911165 |
| SIGNATURE SECTION | |
| SIGNATURE | /MIKOLEAN MORGAN LONGACRE/ |
| SIGNATORY NAME | MIKOLEAN MORGAN LONGACRE |
| SIGNATORY POSITION | ATTORNEY FOR APPLICANT |
| DATE SIGNED | 08/28/2004 |
| SIGNATURE | /MIKOLEAN MORGAN LONGACRE/ |
| SIGNATORY NAME | MIKOLEAN MORGAN LONGACRE |
| SIGNATORY POSITION | ATTORNEY FOR APPLICANT |
| DATE SIGNED | 08/28/2004 |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Sat Aug 28 03:43:28 EDT 2004 |
| TEAS STAMP | USPTO/PA-XXXXXXXXXXX-2004 0828034328401025-76403656 -200ca39eef463b637d3f643a f5f8bd1bc60-N-N-200408280 34305913261 |
| PTO Form 1966 (Rev 5/2006) |
| OMB No. 0651-0050 (Exp. 04/2009) |
| Application serial no. 76403656 is amended as follows: | |
| Correspondence Address Change | |
| Applicant proposes to amend the following: | |
| Original: MIKOLEAN MORGAN LONGACRE LONGACRE & ASSOCIATES P.O. BOX 16148 FERNANDINA BEACH, Fla 32035 | |
| Proposed: MIKOLEAN MORGAN LONGACRE of LONGACRE LAW OFFICE, having an address of 1061 BARNWELL ROAD FERANDINA BEACH, Florida (FL) United States 32034, whose phone number is 9044911143 and whose fax number is 9044911165. | |
| Additional Statements | |
| Further to the request for extension of time submitted this date with the fees, Applicant declares that it is making efforts to use the mark in the form of marketing and market research. | |
| Declaration Signature |
|
| The undersigned, being hereby warned that willful false statements and the like so made are punishable by fine or imprisonment, or both, under 18 U.S.C. §1001, and that such willful false statements may jeopardize the validity of the application or any resulting registration, declares that he/she is properly authorized to execute this application on behalf of the applicant; he/she believes the applicant to be the owner of the trademark/service mark sought to be registered, or, if the application is being filed under 15 U.S.C. §1051(b), he/she believes applicant to be entitled to use such mark in commerce; to the best of his/her knowledge and belief no other person, firm, corporation, or association has the right to use the mark in commerce, either in the identical form thereof or in such near resemblance thereto as to be likely, when used on or in connection with the goods/services of such other person, to cause confusion, or to cause mistake, or to deceive; that if the original application was submitted unsigned, that all statements in the original application and this submission made of the declaration signer's knowledge are true; and all statements in the original application and this submission made on information and belief are believed to be true. | |
| Signature: /MIKOLEAN MORGAN LONGACRE/ Date: 08/28/2004 | |
| Signatory's Name: MIKOLEAN MORGAN LONGACRE | |
| Signatory's Position: ATTORNEY FOR APPLICANT | |
| Preliminary Amendment Signature | |
| Signature: /MIKOLEAN MORGAN LONGACRE/ Date Signed: 08/28/2004 | |
| Signatory's Name: MIKOLEAN MORGAN LONGACRE | |
| Signatory's Position: ATTORNEY FOR APPLICANT | |
| Mailing Address: | |
| MIKOLEAN MORGAN LONGACRE | |
| LONGACRE LAW OFFICE | |
| 1061 BARNWELL ROAD | |
| FERANDINA BEACH, Florida (FL) 32034 | |
| Serial Number: 76403656 | |
| Internet Transmission Date: Sat Aug 28 03:43:28 EDT 2004 | |
| TEAS Stamp: USPTO/PA-XXXXXXXXXXX-2004082803432840102 5-76403656-200ca39eef463b637d3f643af5f8b d1bc60-N-N-20040828034305913261 |