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.
Input Field
|
Entered
|
SERIAL NUMBER |
77838912 |
LAW OFFICE ASSIGNED |
LAW OFFICE 110 |
EXTENSION OF USE |
NO |
MARK SECTION |
MARK |
BAUSCH + LOMB |
MISCELLANEOUS STATEMENTS SECTION |
MISCELLANEOUS STATEMENT |
"CONTACT WETTING AND CLEANING LENS SOLUTIONS" in the identification of goods in Class 5 has been amended to "CONTACT LENS WETTING AND CLEANING
SOLUTIONS." This amendment is merely to fix a typographical error and does not broaden the scope of the goods. |
OWNER SECTION (current) |
NAME |
Bausch & Lomb Incorporated |
STREET |
Law Department |
CITY |
Rochester |
STATE |
New York |
ZIP/POSTAL CODE |
14604-2701 |
COUNTRY |
United States |
PHONE |
585-338-8318 |
FAX |
585-338-8706 |
EMAIL |
XXXX |
OWNER SECTION (proposed) |
NAME |
Bausch & Lomb Incorporated |
INTERNAL ADDRESS |
Law Department |
STREET |
One Bausch & Lomb Place |
CITY |
Rochester |
STATE |
New York |
ZIP/POSTAL CODE |
14604-2701 |
COUNTRY |
United States |
PHONE |
585-338-6367 |
FAX |
585-338-8706 |
EMAIL |
XXXX |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
003 |
CURRENT IDENTIFICATION |
OPHTHALMIC LENS CLEANING SOLUTIONS, NAMELY, CLEANERS FOR USE ON EYEGLASSES, SUNGLASSES AND OPTICAL EQUIPMENT AND APPARATUS; Impregnated cleaning cloths for
optical products |
GOODS OR SERVICES |
KEEP ALL LISTED |
FIRST USE ANYWHERE DATE |
10/01/2011 |
FIRST USE IN COMMERCE DATE |
10/01/2011 |
SPECIMEN FILE NAME(S) |
ORIGINAL PDF FILE |
SPN0-1-16124210254-133949940_._BAUSCH_LOMBSpec3.jpg.pdf |
CONVERTED PDF FILE(S)
(3 pages) |
\\TICRS\EXPORT11\IMAGEOUT11\778\389\77838912\xml8\SOU0002.JPG |
|
\\TICRS\EXPORT11\IMAGEOUT11\778\389\77838912\xml8\SOU0003.JPG |
|
\\TICRS\EXPORT11\IMAGEOUT11\778\389\77838912\xml8\SOU0004.JPG |
SPECIMEN DESCRIPTION |
an online catalog with the mark used in close proximity to pictures of the goods which includes information or means for ordering the goods |
INTERNATIONAL CLASS |
005 |
CURRENT IDENTIFICATION |
OPHTHALMIC PHARMACEUTICALS, NAMELY, CONTACT WETTING AND CLEANING LENS SOLUTIONS AND TABLETS, EYE DROPS, SOLUTIONS, GELS, LUBRICANTS AND OINTMENTS USED FOR
MOISTURIZING THE EYE AND TO TREAT EYE INFECTION, EYE INFLAMMATION AND OTHER ALLERGY SYMPTOMS; OPHTHALMIC VITAMIN AND MINERAL SUPPLEMENTS; OPHTHALMIC DIAGNOSTIC TEST STRIPS; VISCOELASTIC PREPARATIONS
USED IN OPHTHALMIC SURGERY |
GOODS OR SERVICES DELETED FROM THE APPLICATION OR INCLUDED IN A REQUEST TO DIVIDE |
TABLETS, OPHTHALMIC DIAGNOSTIC TEST STRIPS |
GOODS OR SERVICES IN USE IN COMMERCE |
OPHTHALMIC PHARMACEUTICALS, NAMELY, CONTACT LENS WETTING AND CLEANING SOLUTIONS, EYE DROPS, SOLUTIONS, GELS, LUBRICANTS AND OINTMENTS USED
FOR MOISTURIZING THE EYE AND TO TREAT EYE INFECTION, EYE INFLAMMATION AND OTHER ALLERGY SYMPTOMS; OPHTHALMIC VITAMIN AND MINERAL SUPPLEMENTS; VISCOELASTIC PREPARATIONS USED IN OPHTHALMIC SURGERY |
FIRST USE ANYWHERE DATE |
10/01/2011 |
FIRST USE IN COMMERCE DATE |
10/01/2011 |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT11\IMAGEOUT 11\778\389\77838912\xml8\ SOU0005.JPG |
SPECIMEN DESCRIPTION |
a picture of the packaging clearly showing the mark used for the goods |
INTERNATIONAL CLASS |
009 |
CURRENT IDENTIFICATION |
CONTACT LENSES, PLASTIC BLANKS FOR CONTACT LENSES, CONTACT LENS CASES, EYEGLASS REPAIR KITS COMPRISED OF SCREWDRIVER, HINGE SCREWS AND HINGE RINGS; REPLACEMENT
PARTS FOR EYEGLASSES; COMPUTER SOFTWARE USED FOR OPHTHALMIC SURGICAL PROCEDURES, DIAGNOSING EYE CONDITIONS AND FITTING OF LENSES; MAGNIFIERS, BINOCULARS, SPOTTING SCOPES AND TELESCOPES |
GOODS OR SERVICES DELETED FROM THE APPLICATION OR INCLUDED IN A REQUEST TO DIVIDE |
BINOCULARS, SPOTTING SCOPES AND TELESCOPES |
GOODS OR SERVICES IN USE IN COMMERCE |
CONTACT LENSES, PLASTIC BLANKS FOR CONTACT LENSES, CONTACT LENS CASES, EYEGLASS REPAIR KITS COMPRISED OF SCREWDRIVER, HINGE SCREWS AND HINGE
RINGS; REPLACEMENT PARTS FOR EYEGLASSES; COMPUTER SOFTWARE USED FOR OPHTHALMIC SURGICAL PROCEDURES, DIAGNOSING EYE CONDITIONS AND FITTING OF LENSES; MAGNIFIERS |
FIRST USE ANYWHERE DATE |
10/01/2011 |
FIRST USE IN COMMERCE DATE |
10/01/2011 |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT11\IMAGEOUT 11\778\389\77838912\xml8\ SOU0006.JPG |
SPECIMEN DESCRIPTION |
a picture of the packaging clearly showing the mark used for the goods |
INTERNATIONAL CLASS |
010 |
CURRENT IDENTIFICATION |
OPHTHALMIC SURGICAL INSTRUMENTS AND DEVICES USED IN DIAGNOSING EYE CONDITIONS AND PERFORMING OPHTHALMIC SURGICAL PROCEDURES AND COMPONENT PARTS THEREOF, NAMELY,
LASERS, ABERROMETERS, TOPOGRAPHERS, KERATOMES AND BLADES, PHACOEMULSIFICATION DEVICES, HAND HELD OPHTHALMIC SURGICAL INSTRUMENTS, NAMELY, FORCEPS, SCISSORS, KNIVES, BLADES, HANDLES, DISSECTORS AND
NEEDLES, INTRAOCULAR LENSES, INTRAOCULAR LENS INSERTERS, INTRAOCULAR LENS IMPLANTS, ENDOSCOPES, TONOMETERS AND CORNEAL SHIELDS |
GOODS OR SERVICES DELETED FROM THE APPLICATION OR INCLUDED IN A REQUEST TO DIVIDE |
LASERS, ABERROMETERS, TOPOGRAPHERS, KERATOMES AND BLADES |
GOODS OR SERVICES IN USE IN COMMERCE |
OPHTHALMIC SURGICAL INSTRUMENTS AND DEVICES USED IN DIAGNOSING EYE CONDITIONS AND PERFORMING OPHTHALMIC SURGICAL PROCEDURES AND COMPONENT
PARTS THEREOF, NAMELY, PHACOEMULSIFICATION DEVICES, HAND HELD OPHTHALMIC SURGICAL INSTRUMENTS, NAMELY, FORCEPS, SCISSORS, KNIVES, BLADES, HANDLES, DISSECTORS AND NEEDLES, INTRAOCULAR LENSES,
INTRAOCULAR LENS INSERTERS, INTRAOCULAR LENS IMPLANTS, ENDOSCOPES, TONOMETERS AND CORNEAL SHIELDS |
FIRST USE ANYWHERE DATE |
10/01/2011 |
FIRST USE IN COMMERCE DATE |
10/01/2011 |
SPECIMEN FILE NAME(S) |
ORIGINAL PDF FILE |
SPN3-16124210254-133949940_._BAUSCH_LOMB-Spec10.pdf |
CONVERTED PDF FILE(S)
(1 page) |
\\TICRS\EXPORT11\IMAGEOUT11\778\389\77838912\xml8\SOU0007.JPG |
ORIGINAL PDF FILE |
SPN3-16124210254-133949940_._BAUSCH_LOMB-Spec_10.pdf |
CONVERTED PDF FILE(S)
(4 pages) |
\\TICRS\EXPORT11\IMAGEOUT11\778\389\77838912\xml8\SOU0008.JPG |
|
\\TICRS\EXPORT11\IMAGEOUT11\778\389\77838912\xml8\SOU0009.JPG |
|
\\TICRS\EXPORT11\IMAGEOUT11\778\389\77838912\xml8\SOU0010.JPG |
|
\\TICRS\EXPORT11\IMAGEOUT11\778\389\77838912\xml8\SOU0011.JPG |
SPECIMEN DESCRIPTION |
online catalogs with the mark used in close proximity to pictures of the goods which includes information or means for ordering the goods |
INTERNATIONAL CLASS |
016 |
CURRENT IDENTIFICATION |
PRINTED MATTER, NAMELY, BROCHURES, PAMPHLETS, NEWSLETTERS, PRODUCT INSERTS, PATIENT FITTING GUIDES AND PRODUCT CARE GUIDES IN THE FIELD OF EYE CARE AND HEALTH OF
THE EYE |
GOODS OR SERVICES |
KEEP ALL LISTED |
FIRST USE ANYWHERE DATE |
10/01/2011 |
FIRST USE IN COMMERCE DATE |
10/01/2011 |
SPECIMEN FILE NAME(S) |
ORIGINAL PDF FILE |
SPN4-16124210254-133949940_._BAUSCH_LOMB-Spec16.pdf |
CONVERTED PDF FILE(S)
(1 page) |
\\TICRS\EXPORT11\IMAGEOUT11\778\389\77838912\xml8\SOU0012.JPG |
SPECIMEN DESCRIPTION |
a product insert clearly showing the mark used for the goods |
INTERNATIONAL CLASS |
021 |
CURRENT IDENTIFICATION |
OPTICAL LENS CLEANING PRODUCTS, NAMELY, EYEGLASS AND LENS CLEANING CLOTHS |
GOODS OR SERVICES |
KEEP ALL LISTED |
FIRST USE ANYWHERE DATE |
10/01/2011 |
FIRST USE IN COMMERCE DATE |
10/01/2011 |
SPECIMEN FILE NAME(S) |
ORIGINAL PDF FILE |
SPN5-1-16124210254-133949940_._BAUSCH_LOMB-Spec21.pdf |
CONVERTED PDF FILE(S)
(2 pages) |
\\TICRS\EXPORT11\IMAGEOUT11\778\389\77838912\xml8\SOU0013.JPG |
|
\\TICRS\EXPORT11\IMAGEOUT11\778\389\77838912\xml8\SOU0014.JPG |
SPECIMEN DESCRIPTION |
an online catalog with the mark used in close proximity to pictures of the goods which includes information or means for ordering the goods |
INTERNATIONAL CLASS |
041 |
CURRENT IDENTIFICATION |
PROVIDING INFORMATION AND TRAINING FOR THE PURPOSE OF EDUCATING CONSUMERS IN THE FIELD OF EYE CARE AND HEALTH OF THE EYE |
GOODS OR SERVICES |
KEEP ALL LISTED |
FIRST USE ANYWHERE DATE |
10/01/2011 |
FIRST USE IN COMMERCE DATE |
10/01/2011 |
SPECIMEN FILE NAME(S) |
ORIGINAL PDF FILE |
SPN6-16124210254-133949940_._BAUSCH_LOMB-Spec41.pdf |
CONVERTED PDF FILE(S)
(2 pages) |
\\TICRS\EXPORT11\IMAGEOUT11\778\389\77838912\xml8\SOU0015.JPG |
|
\\TICRS\EXPORT11\IMAGEOUT11\778\389\77838912\xml8\SOU0016.JPG |
SPECIMEN DESCRIPTION |
a webpage displaying the mark in association with the services |
REQUEST TO DIVIDE |
NO |
PAYMENT SECTION |
NUMBER OF CLASSES IN USE |
7 |
SUBTOTAL AMOUNT [ALLEGATION OF USE FEE] |
700 |
TOTAL AMOUNT |
700 |
SIGNATURE SECTION |
DECLARATION SIGNATURE |
/Jon O. Webster/ |
SIGNATORY'S NAME |
Jon O. Webster |
SIGNATORY'S POSITION |
Attorney of Record |
DATE SIGNED |
11/11/2011 |
FILING INFORMATION |
SUBMIT DATE |
Fri Nov 11 14:35:37 EST 2011 |
TEAS STAMP |
USPTO/SOU-XXX.XXX.XX.XXX-
20111111143537327911-7783
8912-4806d53c3ac6575df9a7
96bdd4aaa95073-DA-10002-2
0111111133949940841 |
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: BAUSCH + LOMB
SERIAL NUMBER: 77838912
The applicant, Bausch & Lomb Incorporated, having an address of
Law Department
One Bausch & Lomb Place
Rochester, New York 14604-2701
United States
is submitting the following allegation of use information:
For International Class 003:
Current identification: OPHTHALMIC LENS CLEANING SOLUTIONS, NAMELY, CLEANERS FOR USE ON EYEGLASSES, SUNGLASSES AND OPTICAL EQUIPMENT AND APPARATUS; Impregnated cleaning cloths for optical
products
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 10/01/2011, and first used in commerce at least as early as
10/01/2011, 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) an online catalog with the mark used in close proximity to pictures of the goods which includes information or means for ordering the goods.
Original PDF file:
SPN0-1-16124210254-133949940_._BAUSCH_LOMBSpec3.jpg.pdf
Converted PDF file(s) (3 pages)
Specimen File1
Specimen File2
Specimen File3
For International Class 005:
Current identification: OPHTHALMIC PHARMACEUTICALS, NAMELY, CONTACT WETTING AND CLEANING LENS SOLUTIONS AND TABLETS, EYE DROPS, SOLUTIONS, GELS, LUBRICANTS AND OINTMENTS USED FOR MOISTURIZING THE EYE
AND TO TREAT EYE INFECTION, EYE INFLAMMATION AND OTHER ALLERGY SYMPTOMS; OPHTHALMIC VITAMIN AND MINERAL SUPPLEMENTS; OPHTHALMIC DIAGNOSTIC TEST STRIPS; VISCOELASTIC PREPARATIONS USED IN OPHTHALMIC
SURGERY
This
allegation of use does
NOT cover the following goods or services listed in either the application or Notice of Allowance or as subsequently modified for this specific class; these
goods or services are either being
permanently deleted or included in a Request to Divide: TABLETS, OPHTHALMIC DIAGNOSTIC TEST STRIPS
The mark is in use in commerce on or in connection with the following goods or services listed in either the application or Notice of Allowance or as subsequently modified for this specific class:
OPHTHALMIC PHARMACEUTICALS, NAMELY, CONTACT LENS WETTING AND CLEANING SOLUTIONS, EYE DROPS, SOLUTIONS, GELS, LUBRICANTS AND OINTMENTS USED FOR MOISTURIZING THE EYE AND TO TREAT EYE INFECTION, EYE
INFLAMMATION AND OTHER ALLERGY SYMPTOMS; OPHTHALMIC VITAMIN AND MINERAL SUPPLEMENTS; VISCOELASTIC PREPARATIONS USED IN OPHTHALMIC SURGERY
The mark was first used by the applicant, or the applicant's related company, licensee, or predecessor in interest at least as early as 10/01/2011, and first used in commerce at least as early as
10/01/2011, 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 picture of the packaging clearly showing the mark used for the goods.
Specimen File1
For International Class 009:
Current identification: CONTACT LENSES, PLASTIC BLANKS FOR CONTACT LENSES, CONTACT LENS CASES, EYEGLASS REPAIR KITS COMPRISED OF SCREWDRIVER, HINGE SCREWS AND HINGE RINGS; REPLACEMENT PARTS FOR
EYEGLASSES; COMPUTER SOFTWARE USED FOR OPHTHALMIC SURGICAL PROCEDURES, DIAGNOSING EYE CONDITIONS AND FITTING OF LENSES; MAGNIFIERS, BINOCULARS, SPOTTING SCOPES AND TELESCOPES
This
allegation of use does
NOT cover the following goods or services listed in either the application or Notice of Allowance or as subsequently modified for this specific class; these
goods or services are either being
permanently deleted or included in a Request to Divide: BINOCULARS, SPOTTING SCOPES AND TELESCOPES
The mark is in use in commerce on or in connection with the following goods or services listed in either the application or Notice of Allowance or as subsequently modified for this specific class:
CONTACT LENSES, PLASTIC BLANKS FOR CONTACT LENSES, CONTACT LENS CASES, EYEGLASS REPAIR KITS COMPRISED OF SCREWDRIVER, HINGE SCREWS AND HINGE RINGS; REPLACEMENT PARTS FOR EYEGLASSES; COMPUTER SOFTWARE
USED FOR OPHTHALMIC SURGICAL PROCEDURES, DIAGNOSING EYE CONDITIONS AND FITTING OF LENSES; MAGNIFIERS
The mark was first used by the applicant, or the applicant's related company, licensee, or predecessor in interest at least as early as 10/01/2011, and first used in commerce at least as early as
10/01/2011, 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 picture of the packaging clearly showing the mark used for the goods.
Specimen File1
For International Class 010:
Current identification: OPHTHALMIC SURGICAL INSTRUMENTS AND DEVICES USED IN DIAGNOSING EYE CONDITIONS AND PERFORMING OPHTHALMIC SURGICAL PROCEDURES AND COMPONENT PARTS THEREOF, NAMELY, LASERS,
ABERROMETERS, TOPOGRAPHERS, KERATOMES AND BLADES, PHACOEMULSIFICATION DEVICES, HAND HELD OPHTHALMIC SURGICAL INSTRUMENTS, NAMELY, FORCEPS, SCISSORS, KNIVES, BLADES, HANDLES, DISSECTORS AND NEEDLES,
INTRAOCULAR LENSES, INTRAOCULAR LENS INSERTERS, INTRAOCULAR LENS IMPLANTS, ENDOSCOPES, TONOMETERS AND CORNEAL SHIELDS
This
allegation of use does
NOT cover the following goods or services listed in either the application or Notice of Allowance or as subsequently modified for this specific class; these
goods or services are either being
permanently deleted or included in a Request to Divide: LASERS, ABERROMETERS, TOPOGRAPHERS, KERATOMES AND BLADES
The mark is in use in commerce on or in connection with the following goods or services listed in either the application or Notice of Allowance or as subsequently modified for this specific class:
OPHTHALMIC SURGICAL INSTRUMENTS AND DEVICES USED IN DIAGNOSING EYE CONDITIONS AND PERFORMING OPHTHALMIC SURGICAL PROCEDURES AND COMPONENT PARTS THEREOF, NAMELY, PHACOEMULSIFICATION DEVICES, HAND HELD
OPHTHALMIC SURGICAL INSTRUMENTS, NAMELY, FORCEPS, SCISSORS, KNIVES, BLADES, HANDLES, DISSECTORS AND NEEDLES, INTRAOCULAR LENSES, INTRAOCULAR LENS INSERTERS, INTRAOCULAR LENS IMPLANTS, ENDOSCOPES,
TONOMETERS AND CORNEAL SHIELDS
The mark was first used by the applicant, or the applicant's related company, licensee, or predecessor in interest at least as early as 10/01/2011, and first used in commerce at least as early as
10/01/2011, 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) online catalogs with the mark used in close proximity to pictures of the goods which includes information or means for ordering the goods.
Original PDF file:
SPN3-16124210254-133949940_._BAUSCH_LOMB-Spec10.pdf
Converted PDF file(s) (1 page)
Specimen File1
Original PDF file:
SPN3-16124210254-133949940_._BAUSCH_LOMB-Spec_10.pdf
Converted PDF file(s) (4 pages)
Specimen File1
Specimen File2
Specimen File3
Specimen File4
For International Class 016:
Current identification: PRINTED MATTER, NAMELY, BROCHURES, PAMPHLETS, NEWSLETTERS, PRODUCT INSERTS, PATIENT FITTING GUIDES AND PRODUCT CARE GUIDES IN THE FIELD OF EYE CARE AND HEALTH OF THE EYE
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 10/01/2011, and first used in commerce at least as early as
10/01/2011, 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 product insert clearly showing the mark used for the goods.
Original PDF file:
SPN4-16124210254-133949940_._BAUSCH_LOMB-Spec16.pdf
Converted PDF file(s) (1 page)
Specimen File1
For International Class 021:
Current identification: OPTICAL LENS CLEANING PRODUCTS, NAMELY, EYEGLASS AND LENS CLEANING CLOTHS
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 10/01/2011, and first used in commerce at least as early as
10/01/2011, 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) an online catalog with the mark used in close proximity to pictures of the goods which includes information or means for ordering the goods.
Original PDF file:
SPN5-1-16124210254-133949940_._BAUSCH_LOMB-Spec21.pdf
Converted PDF file(s) (2 pages)
Specimen File1
Specimen File2
For International Class 041:
Current identification: PROVIDING INFORMATION AND TRAINING FOR THE PURPOSE OF EDUCATING CONSUMERS IN THE FIELD OF EYE CARE AND HEALTH OF THE EYE
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 10/01/2011, and first used in commerce at least as early as
10/01/2011, 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 webpage displaying the mark in association with the services.
Original PDF file:
SPN6-16124210254-133949940_._BAUSCH_LOMB-Spec41.pdf
Converted PDF file(s) (2 pages)
Specimen File1
Specimen File2
The applicant is not filing a Request to Divide with this Allegation of Use form.
MISCELLANEOUS STATEMENTS
"CONTACT WETTING AND CLEANING LENS SOLUTIONS" in the identification of goods in Class 5 has been amended to "CONTACT LENS WETTING AND CLEANING SOLUTIONS." This amendment is merely to fix a
typographical error and does not broaden the scope of the goods.
A fee payment in the amount of $700 will be submitted with the form, representing payment for the allegation of use for 7 classes.
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: /Jon O. Webster/ Date Signed: 11/11/2011
Signatory's Name: Jon O. Webster
Signatory's Position: Attorney of Record
RAM Sale Number: 10002
RAM Accounting Date: 11/14/2011
Serial Number: 77838912
Internet Transmission Date: Fri Nov 11 14:35:37 EST 2011
TEAS Stamp: USPTO/SOU-XXX.XXX.XX.XXX-201111111435373
27911-77838912-4806d53c3ac6575df9a796bdd
4aaa95073-DA-10002-20111111133949940841