Trademark/Service Mark Statement of Use

PTO Form 1553 (Rev 9/2005)

OMB No. 0651-0054 (Exp. 09/30/2011)

Trademark/Service Mark Statement of Use
(15 U.S.C. Section 1051(d))

The table below presents the data as entered.

MARK SECTION
Input Field	Entered
SERIAL NUMBER	76701953
LAW OFFICE ASSIGNED	LAW OFFICE 109
EXTENSION OF USE	NO
MARK	PEXS
OWNER SECTION (current)
NAME	Lantz, Gary W.
STREET	24282 Lysanda Drive
CITY	Mission Viejo
STATE	California
ZIP/POSTAL CODE	92691
COUNTRY	United States
OWNER SECTION (proposed)
NAME	Lantz, Gary W.
STREET	24282 Lysanda Drive
CITY	Mission Viejo
STATE	California
ZIP/POSTAL CODE	92691
COUNTRY	United States
PHONE	949-951-8456
FAX	949-951-8456
EMAIL	XXXX
GOODS AND/OR SERVICES SECTION
INTERNATIONAL CLASS	017
CURRENT IDENTIFICATION	Biodegradable thermal insulation for packaging and containers
GOODS OR SERVICES	KEEP ALL LISTED
FIRST USE ANYWHERE DATE	06/14/2010
FIRST USE IN COMMERCE DATE	06/14/2010
SPECIMEN FILE NAME(S)	\\TICRS\EXPORT11\IMAGEOUT 11\767\019\76701953\xml6\ SOU0002.JPG
SPECIMEN DESCRIPTION	Packaging (cardboard box) bearing the mark and conveying the goods in interstate commerce.
REQUEST TO DIVIDE	NO
PAYMENT SECTION
NUMBER OF CLASSES IN USE	1
SUBTOTAL AMOUNT [ALLEGATION OF USE FEE]	100
TOTAL AMOUNT	100
SIGNATURE SECTION
DECLARATION SIGNATURE	/Terry L. Miller/
SIGNATORY'S NAME	Terry L. Miller
SIGNATORY'S POSITION	Attorney for Applicant
DATE SIGNED	05/13/2011
FILING INFORMATION
SUBMIT DATE	Fri May 13 14:12:43 EDT 2011
TEAS STAMP	USPTO/SOU-XX.XXX.XX.XXX-2 0110513141243560213-76701 953-480a8ed7e851f41c973cf 15c4f6d97bb4b-CC-417-2011 0513140048797337

PTO Form 1553 (Rev 9/2005)

OMB No. 0651-0054 (Exp. 09/30/2011)

Trademark/Service Mark Statement of Use
(15 U.S.C. Section 1051(d))

To the Commissioner for Trademarks:

MARK: PEXS
SERIAL NUMBER: 76701953

The applicant, Lantz, Gary W., having an address of
      24282 Lysanda Drive
      Mission Viejo, California 92691
      United States
is submitting the following allegation of use information:

For International Class 017:
Current identification: Biodegradable thermal insulation for packaging and containers

The mark is in use in commerce on or in connection with all goods or services listed in the application or Notice of Allowance or as subsequently modified for this specific class

The mark was first used by the applicant, or the applicant's related company, licensee, or predecessor in interest at least as early as 06/14/2010, and first used in commerce at least as early as 06/14/2010, 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) Packaging (cardboard box) bearing the mark and conveying the goods in interstate commerce..
Specimen File1

The applicant is not filing a Request to Divide with this Allegation of Use form.

A fee payment in the amount of $100 will be submitted with the form, representing payment for the allegation of use 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 so made are punishable by fine or imprisonment, or both, under 18 U.S.C. Section 1001, and that such willful false statements may jeopardize the validity of the form or any resulting registration, declares that he/she is properly authorized to execute this form on behalf of the applicant; he/she believes the applicant to be the owner of the trademark/service mark sought to be registered; and that 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: /Terry L. Miller/      Date Signed: 05/13/2011
Signatory's Name: Terry L. Miller
Signatory's Position: Attorney for Applicant

RAM Sale Number: 417
RAM Accounting Date: 05/16/2011

Serial Number: 76701953
Internet Transmission Date: Fri May 13 14:12:43 EDT 2011
TEAS Stamp: USPTO/SOU-XX.XXX.XX.XXX-2011051314124356
0213-76701953-480a8ed7e851f41c973cf15c4f
6d97bb4b-CC-417-20110513140048797337