| Global Format; No Form Number (Rev 8/2009) |
| OMB No. 0651-0061 (Exp. 07/31/2018) |
Petition to Make Special
The table below presents the data as entered.
Input Field
|
Entered
|
| SERIAL NUMBER |
86814317 |
| REGISTRATION NUMBER |
|
| FORM TEXT |
|
| ATTACHMENT(S) |
| ORIGINAL PDF FILE |
PureCircle-ZETA_Pet._to_Make_Special_20151017115621451.pdf |
CONVERTED PDF FILE(S)
(2 pages) |
\\TICRS\EXPORT16\IMAGEOUT16\868\143\86814317\xml2\PMS0002.jpg |
| |
\\TICRS\EXPORT16\IMAGEOUT16\868\143\86814317\xml2\PMS0003.jpg |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| FEE PER CLASS |
100 |
| TOTAL FEES DUE |
100 |
| SIGNATURE SECTION |
| DECLARATION SIGNATURE |
/kourtney mulcahy/ |
| SIGNATORY'S NAME |
Kourtney A. Mulcahy |
| SIGNATORY'S POSITION |
Attorney of Record, Illinois bar member |
| SIGNATORY'S PHONE NUMBER |
3127043336 |
| DATE SIGNED |
11/17/2015 |
| SUBMISSION SIGNATURE |
/kourtney mulcahy/ |
| SIGNATORY'S NAME |
Kourtney A. Mulcahy |
| SIGNATORY'S POSITION |
Attorney of Record, Illinois bar member |
| SIGNATORY'S PHONE NUMBER |
3127043336 |
| DATE SIGNED |
11/17/2015 |
| AUTHORIZED SIGNATORY |
YES |
| FILING INFORMATION SECTION |
| SUBMIT DATE |
Tue Nov 17 11:58:31 EST 2015 |
| TEAS STAMP |
USPTO/PMS-XX.XXX.XXX.XXX-
20151117115831303686-8681
4317-20151117115147756553
-DA-9947-2015111711514775
6553 |
| Global Format; No Form Number (Rev 8/2009) |
| OMB No. 0651-0061 (Exp. 07/31/2018) |
Petition to Make Special
To the Commissioner for Trademarks:
The following is submitted for application serial number.
86814317 :
FORM INFORMATION
FORM FILE NAME(S)
Original PDF file:
PureCircle-ZETA_Pet._to_Make_Special_20151017115621451.pdf
Converted PDF file(s) (2 pages)
Attachments-1
Attachments-2
FEE(S)
Fee(s) in the amount of $100 is being submitted.
SIGNATURE(S)
Declaration Signature
The signatory being warned that willful false statements and the like are punishable by fine or imprisonment, or both, under 18 U.S.C. § 1001, and that such willful false statements and the like may
jeopardize the validity of the application, submission, or any registration resulting therefrom, declares that the facts set forth above are true; all statements made of his/her own knowledge are
true; and all statements made on information and belief are believed to be true.
Signature: /kourtney mulcahy/ Date: 11/17/2015
Signatory's Name: Kourtney A. Mulcahy
Signatory's Position: Attorney of Record, Illinois bar member
Signatory's Phone Number: 3127043336
Submission Signature
Signature: /kourtney mulcahy/ Date: 11/17/2015
Signatory's Name: Kourtney A. Mulcahy
Signatory's Position: Attorney of Record, Illinois bar member
Signatory's Phone Number: 3127043336
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 petitioner'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 petitioner in this matter: (1) the petitioner 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 petitioner has filed a power of
attorney appointing him/her in this matter; or (4) the petitioner'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.
RAM Sale Number: 9947
RAM Accounting Date: 11/17/2015
Serial Number: 86814317
Internet Transmission Date: Tue Nov 17 11:58:31 EST 2015
TEAS Stamp: USPTO/PMS-XX.XXX.XXX.XXX-201511171158313
03686-86814317-20151117115147756553-DA-9
947-20151117115147756553
