`
`OMB No. 0651-0055 (Exp 10/31/2008)
`
`Combined Declaration of Use and Incontestability Under Sections 8 & 15
`
`Input Field
`
`REGISTRATION NUMBER
`
`REGISTRATION DATE
`
`SERIAL NUMBER
`
`MARK SECTION
`
`MARK
`
`OWNER SECTION (current)
`
`NAME
`
`STREET
`
`CITY
`
`COUNTRY
`
`OWNER SECTION (proposed)
`
`NAME
`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`
`The table below presents the data as entered.
`
`Entered
`
`1841201
`
`06/21/1994
`
`74223555
`
`PRIVATE JOCKEY CLUB
`
`CAMEO OPTICAL LTD./OPTIQUE CAMEO LTEE
`
`600 Peel Street, Suite 300
`
`Montreal, Quebec, H3C 2H1
`
`CA
`
`CAMEO OPTICAL LTD./OPTIQUE CAMEO LTEE
`
`600 Peel Street, Suite 300
`
`Montreal
`
`Quebec
`
`H3C 2H1
`
`CA
`
`(514) 938-3000
`
`(514) 938-3888
`
`jpsam@aspexeyewear.com
`
`GOODS AND/OR SERVICES SECTION
`
`INTERNATIONAL CLASS
`
`KEEP EXISTING GOODS AND/OR SERVICES
`
`009
`
`YES
`
`SPECIMEN(cid:160)FILE NAME(S)
`
`\\ticrs\EXPORT10\IMAGEOUT 10\742\235\74223555\xml1\ 8150002.JPG
`
`SPECIMEN DESCRIPTION
`
`PAYMENT SECTION
`
`NUMBER OF CLASSES
`
`NUMBER OF CLASSES PAID
`
`SUBTOTAL AMOUNT
`
`TOTAL AMOUNT
`
`SIGNATURE SECTION
`
`Pictures of two different eyeglass frames featuring the trademark on their
`respective right demo lens
`
`1
`
`1
`
`300
`
`300
`
`
`
`SIGNATURE
`
`SIGNATORY NAME
`
`SIGNATORY DATE
`
`SIGNATORY POSITION
`
`FILING INFORMATION
`
`SUBMIT DATE
`
`TEAS STAMP
`
`/JP Sam/
`
`Jean-Pierre Sam
`
`06/21/2004
`
`authorized person
`
`Mon Jun 21 16:03:37 EDT 2004
`
`USPTO/S08N15-XXXXXXXXXX-2
`0040621160337050063-18412
`01-200c427897858298aa4c1d
`27dd2636cc40-CC-209-20040
`621155252773441
`
`
`
`PTO Form 1583 (Rev 5/2006)
`
`OMB No. 0651-0055 (Exp 10/31/2008)
`
`Combined Declaration of Use and Incontestability Under Sections 8 & 15
`To the Commissioner for Trademarks:
`
`REGISTRATION NUMBER:(cid:160)1841201
`REGISTRATION DATE:(cid:160)06/21/1994
`
`MARK: (cid:160)PRIVATE JOCKEY CLUB
`
`The owner, CAMEO OPTICAL LTD./OPTIQUE CAMEO LTEE, residing at 600 Peel Street, Suite 300, Montreal, Quebec CA H3C 2H1, is
`using the mark in commerce on or in connection with the goods and /or services as follows:
`
`For International Class 009, the owner is using or is using through a related company or licensee the mark in commerce on or in connection with
`all goods and/or services listed in the existing registration.
`
`The owner is submitting one specimen for each class showing the mark as used in commerce on or in connection with any item in the class of
`listed goods and/or services , consisting of a(n) Pictures of two different eyeglass frames featuring the trademark on their respective right demo
`lens.
`Specimen-1
`
`A fee payment in the amount of $300 will be submitted with the form, representing payment for 1 class(es), plus any additional grace period fee,
`if necessary.
`
`Declaration
`
`The owner is using or is using through a related company or licensee 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 mark has been in continuous use in
`commerce for five consecutive years after the date of registration, or the date of publication under Section 12(c), and is still in use in commerce
`on or in connection with all goods and/or services as identified above. There has been no final decision adverse to the owner's claim of
`ownership of such mark for such goods and/or services, or to the owner's right to register the same or to keep the same on the register; and there
`is no proceeding involving said rights pending and not disposed of either in the Patent and Trademark Office or in the courts.
`
`The undersigned being hereby warned that willful false statements and the like are punishable by fine or imprisonment, or both, under 18 U.S.C.
`Section 1001, and that such willful false statements and the like may jeopardize the validity of this document, declares that he/she is properly
`authorized to execute this document on behalf of the Owner; and 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: /JP Sam/(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Date: 06/21/2004
`Signatory's Name: Jean-Pierre Sam
`Signatory's Position: authorized person
`
`RAM Sale Number: 209
`RAM Accounting Date: 06/22/2004
`
`Serial Number: 74223555
`Internet Transmission Date: Mon Jun 21 16:03:37 EDT 2004
`TEAS Stamp: USPTO/S08N15-XXXXXXXXXX-2004062116033705
`0063-1841201-200c427897858298aa4c1d27dd2
`636cc40-CC-209-20040621155252773441
`
`
`
`
`
`
`
`1-:r.A_1.-\'(ur----—— *—-’ ".
`
`EAS‘ ’CL|P
`Patantec Technology
`
`
`
`
`
`FEE RECORD SHEET
`
`Registration Number:
`
`1841201
`
`Serial Number:
`
`74223555
`
`RAM Sale Number: 209
`
`Total Fees:
`
`$300
`
`RAM Accounting Date: 20040622
`
`Transaction
`
`§8 affidavit
`§15 affidavit
`
`Number
`of Classes
`
`Transaction
`Date
`
`06/21/2004
`06/21/2004
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