Request to Divide

Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid OMB control number. PTO Form No Form Number (Rev 12/2015)

OMB No. 0651-0054 (Exp 10/31/2017)

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Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid OMB control number. PTO Form No Form Number (Rev 12/2015)

OMB No. 0651-0054 (Exp 10/31/2017)

Trademark/Service Mark Request to Divide

To the Commissioner for Trademarks:

MARK: SILVER FERN
SERIAL NUMBER: 86551841




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: Dietary and nutritional supplements; health ingredients, namely, protein supplements and dietary fiber for use as an ingredient in the manufacture of dietary supplements; dietary fiber for use as an ingredient in beverages, foods, nutritional and dietary supplements; fiber and fiber-based nutritional supplements; nutritional meal replacement powder supplements for weight loss or muscle gain; meal replacement shake powders for weight loss or muscle gain; protein powder nutritional supplements; nutritional supplements in the form of protein-based drink mixes; protein supplement drink mixes for weight gain purposes; weight gain powder for drink mixes; weight loss supplements; weight loss powder for drink mixes; super food nutritional supplements comprising fruits, vegetables, herbs, and nuts; dietary supplement drink mixes; powdered nutritional supplement drink mixes; enzyme dietary supplements; pre-workout nutritional supplements; recovery meal replacement shake powder; bone and joint dietary and nutritional supplements in the form of powders; nutritional supplements in the form of powders, or capsules; dietary and nutritional supplements for boosting energy; energy powder supplements; dietary and nutritional supplements for promoting organ support; powder enzyme blends for use as an integral component of dietary supplements for human consumption; enzyme blends in the form of capsules for breaking down peptides for consumption by humans (Class 005); Powders for use in preparing energy drinks; powdered drink mixes used in the preparation of flavored water; powder energy supplements mixes for preparing energy drinks (Class 032)
The following good(s) or service(s) remain(s) under the Section 1(b), intent to use basis: Powder and liquid enzyme blends for manufacture of dietary supplements for human consumption (Class 001)



A fee payment in the amount of $200 will be submitted with the form, representing payment for the allegation of use for 2 classes.

A fee payment in the amount of $100 will be submitted with the form, representing payment for the request to divide fee.


Declaration


The attached signature image file:

Original PDF file:
hw_50243111-185153182_._Declaration.pdf
Converted PDF file(s) (3 pages)
Signature File1
Signature File2
Signature File3

Signatory's Name: Phillip Cox
Signatory's Position: Manager

Request to Divide Signature:

Signature: /Christopher L. Johnson/      Date Signed: 01/04/2018
Signatory's Name: Christopher L Johnson
Signatory's Position: Attorney of Record, Utah Bar Member

The signatory has confirmed that he/she is an attorney who is a member in good standing of the bar of the highest court of a U.S. state, which includes the District of Columbia, Puerto Rico, and other federal territories and possessions; and he/she is currently the applicant's attorney or an associate thereof; and to the best of his/her knowledge, if prior to his/her appointment another U.S. attorney or a Canadian attorney/agent not currently associated with his/her company/firm previously represented the applicant in this matter: (1) the applicant has filed or is concurrently filing a signed revocation of or substitute power of attorney with the USPTO; (2) the USPTO has granted the request of the prior representative to withdraw; (3) the applicant has filed a power of attorney appointing him/her in this matter; or (4) the applicant's appointed U.S. attorney or Canadian attorney/agent has filed a power of attorney appointing him/her as an associate attorney in this matter.


Serial Number: 86551841
Internet Transmission Date: Thu Jan 04 19:48:57 EST 2018
TEAS Stamp: USPTO/SOU-XX.XXX.XX.X-201801041948570519
01-86551841-5107bace3768b1824f7b31aba898
cdd31f4e3c69e92b3ae458f809889dadc439716-
CC-4957-20180104185153182560