PTO Form 1553 (Rev 9/2005) |
OMB No. 0651-0054 (Exp. 10/31/2017) |
Trademark/Service Mark Request to Divide
The table below presents the data as entered.
Input Field
|
Entered
|
SERIAL NUMBER |
85594648 |
LAW OFFICE ASSIGNED |
LAW OFFICE 113 |
EXTENSION OF USE |
YES |
MARK SECTION |
MARK |
CLEARASIL ULTRA |
REQUEST TO DIVIDE |
YES |
GOOD(S)/SERVICE(S) IN USE |
Disposable wipes impregnated with medicated skin cleansers (Class 5) |
GOOD(S)/SERVICES INTENT TO USE |
(Class 3); medicated body wash (Class 5) |
SIGNATURE SECTION |
DECLARATION SIGNATURE |
/kellymslavitt/ |
SIGNATORY'S NAME |
Kelly M. Slavitt |
SIGNATORY'S POSITION |
In-House Counsel |
DATE SIGNED |
01/18/2013 |
REQUEST TO DIVIDE SIGNATURE |
/mark lerner/ |
SIGNATORY'S NAME |
Mark Lerner |
SIGNATORY'S POSITION |
Attorney of record, a New York bar member |
DATE SIGNED |
01/18/2013 |
AUTHORIZED SIGNATORY |
YES |
PAYMENT SECTION |
NUMBER OF CLASSES IN USE |
1 |
SUBTOTAL AMOUNT [ALLEGATION OF USE FEE] |
100 |
REQUEST TO DIVIDE FEE |
100 |
NUMBER OF CLASSES REQUIRING NEW APPLICATION FEE |
1 |
SUBTOTAL AMOUNT [NEW APPLICATION FEE] |
325 |
TOTAL AMOUNT |
525 |
PAYMENT METHOD |
DA |
FILING INFORMATION |
SUBMIT DATE |
Fri Jan 18 15:22:40 EST 2013 |
TEAS STAMP |
USPTO/SOU-XX.X.XX.XX-2013
0118152240458234-85594648
-490c38a2eb090f2dab19827c
768cb466d-DA-2112-2013011
7133321638672 |
PTO Form 1553 (Rev 9/2005) |
OMB No. 0651-0054 (Exp. 10/31/2017) |
Trademark/Service Mark Request to Divide
To the Commissioner for Trademarks:
MARK: CLEARASIL ULTRA
SERIAL NUMBER: 85594648
REQUEST TO DIVIDE
The applicant is requesting to divide the application and specifies the following:
The following good(s) or service(s) is/are now in use: Disposable wipes impregnated with medicated skin cleansers (Class 5)
The following good(s) or service(s) remain(s) under the Section 1(b), intent to use basis: (Class 3); medicated body wash (Class 5)
A fee payment in the amount of $100 will be submitted with the form, representing payment for the allegation of use for 1 class.
A fee payment in the amount of $100 will be submitted with the form, representing payment for the request to divide fee.
A fee payment in the amount of $325 will be submitted with the form, representing payment for the new application fee 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: /kellymslavitt/ Date Signed: 01/18/2013
Signatory's Name: Kelly M. Slavitt
Signatory's Position: In-House Counsel
Request to Divide Signature:
Signature: /mark lerner/ Date Signed: 01/18/2013
Signatory's Name: Mark Lerner
Signatory's Position: Attorney of record, a New York bar member
Serial Number: 85594648
Internet Transmission Date: Fri Jan 18 15:22:40 EST 2013
TEAS Stamp: USPTO/SOU-XX.X.XX.XX-2013011815224045823
4-85594648-490c38a2eb090f2dab19827c768cb
466d-DA-2112-20130117133321638672