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
The table below presents the data as entered.
Input Field
|
Entered
|
SERIAL NUMBER |
88297656 |
LAW OFFICE ASSIGNED |
LAW OFFICE 116 |
EXTENSION OF USE |
NO |
MARK SECTION |
MARK |
THERGY |
REQUEST TO DIVIDE |
YES |
GOOD(S)/SERVICE(S) IN USE |
Medicated topical cream for treating radiation dermatitis; medicated skin care preparations for protecting skin (Class 5) |
GOOD(S)/SERVICES INTENT TO USE |
oral spray for treatment of mucositis; oral spray for treatment of inflammation and lesions caused by radiation and chemotherapy; pharmaceutical
preparations for the treatment of cancer (Class 5) |
SIGNATURE SECTION |
DECLARATION SIGNATURE |
/R. Breeze/ |
SIGNATORY'S NAME |
Robert Breeze |
SIGNATORY'S POSITION |
C.E.O. |
DATE SIGNED |
09/11/2019 |
REQUEST TO DIVIDE SIGNATURE |
/lbe/ |
SIGNATORY'S NAME |
Lauren Beth Emerson |
SIGNATORY'S POSITION |
attorney for applicant [NY bar] |
DATE SIGNED |
09/11/2019 |
AUTHORIZED SIGNATORY |
YES |
PAYMENT SECTION |
NUMBER OF CLASSES IN USE |
1 |
SUBTOTAL AMOUNT [ALLEGATION OF USE FEE] |
100 |
REQUEST TO DIVIDE FEE |
100 |
TOTAL AMOUNT |
475 |
PAYMENT METHOD |
CC |
FILING INFORMATION |
SUBMIT DATE |
Wed Sep 11 12:39:33 EDT 2019 |
TEAS STAMP |
USPTO/SOU-XX.XX.XX.XX-201
90911123933900234-8829765
6-610367d31de5cc95f79829c
52b5c5e4c7252df80587db857
7a48a3f7eb05582fc-CC-3910
4088-20190910092340934081 |
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: THERGY
SERIAL NUMBER: 88297656
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: Medicated topical cream for treating radiation dermatitis; medicated skin care preparations for protecting skin (Class 5)
The following good(s) or service(s) remain(s) under the Section 1(b), intent to use basis: oral spray for treatment of mucositis; oral spray for treatment of inflammation and lesions caused by
radiation and chemotherapy; pharmaceutical preparations for the treatment of cancer (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 $275 will be
Declaration
The signatory believes that the applicant is the owner of the mark sought to be registered.
For a trademark or service mark application, the mark is in use in commerce on or in connection with all the goods/services in the application or notice of allowance, or as subsequently
modified.
For a collective trademark, collective service mark, collective membership mark application, the applicant is exercising legitimate control over the use of the mark in commerce by members on
or in connection with all the goods/services/collective membership organization in the application or notice of allowance, or as subsequently modified.
For a certification mark application, the applicant is exercising legitimate control over the use of the mark in commerce by authorized users on or in connection with the all goods/services in
the application or notice of allowance, or as subsequently modified, and the applicant is not engaged in the production or marketing of the goods/services to which the mark is applied, except to
advertise or promote recognition of the certification program or of the goods/services that meet the certification standards of the applicant.
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 or submission or any registration resulting therefrom, declares that all statements made of his/her own knowledge are true and all statements made on
information and belief are believed to be true.
Signature: /R. Breeze/ Date Signed: 09/11/2019
Signatory's Name: Robert Breeze
Signatory's Position: C.E.O.
Request to Divide Signature:
Signature: /lbe/ Date Signed: 09/11/2019
Signatory's Name: Lauren Beth Emerson
Signatory's Position: attorney for applicant [NY bar]
Serial Number: 88297656
Internet Transmission Date: Wed Sep 11 12:39:33 EDT 2019
TEAS Stamp: USPTO/SOU-XX.XX.XX.XX-201909111239339002
34-88297656-610367d31de5cc95f79829c52b5c
5e4c7252df80587db8577a48a3f7eb05582fc-CC
-39104088-20190910092340934081