PTO Form 1963 (Rev 5/2006)
`
`OMB No. 0651-0055 (Exp 10/31/2008)
`
`Combined Declaration of Use In Commerce & Application For Renewal of Registration of
`A Mark Under Sections 8 & 9
`
`The table below presents the data as entered.
`
`Entered
`
`Input Field
`
`REGISTRATION NUMBER
`
`REGISTRATION DATE
`
`SERIAL NUMBER
`
`MARK SECTION
`
`MARK
`
`OWNER SECTION (no change)
`
`ATTORNEY SECTION (current)
`
`2098577
`
`09/23/1997
`
`74673129
`
`Design only
`
`NAME
`
`PARKER H. BAGLEY,
`
`ATTORNEY SECTION (proposed)
`
`NAME
`
`DOCKET NUMBER
`
`PARKER H. BAGLEY,
`
`36784-06800
`
`DESIGN MARK FILE NAME(S)
`
`http://tess2.uspto.gov/Im ageAgent/ImageAgentProxy? getImage=74673129
`
`GOODS AND/OR SERVICES SECTION
`
`INTERNATIONAL CLASS
`
`USE ON ALL GOODS OR SERVICES OR EXCUSABLE
`NON-USE FOR ENTIRE CLASS
`
`041
`
`YES
`
`SPECIMEN FILE NAME(S)
`
`SPECIMEN DESCRIPTION
`
`PAYMENT SECTION
`
`NUMBER OF CLASSES
`
`NUMBER OF CLASSES PAID
`
`SUBTOTAL AMOUNT
`
`TOTAL AMOUNT
`
`SIGNATURE SECTION
`
`SIGNATURE
`
`SIGNATORY'S NAME
`
`SIGNATORY'S POSITION
`
`DATE SIGNED
`
`PAYMENT METHOD
`
`FILING INFORMATION
`
`SUBMIT DATE
`
`\\TICRS\EXPORT3\IMAGEOUT3 \746\731\74673129\xml1\S8 90002.JPG
`
`photo of registrant's eight sided ring taken during a live fighting competition
`
`1
`
`1
`
`500
`
`500
`
`/phb/
`
`Parker H. Bagley
`
`Attorney
`
`09/27/2006
`
`DA
`
`Wed Sep 27 14:56:03 EDT 2006
`
`

`

`TEAS STAMP
`
`USPTO/S08N09-XX.XX.XXX.XX
`X-20060927145604064235-20
`98577-35044df01dd966139d2
`838fc2c72926cc3-DA-39-200
`60927121335848643
`
`

`

`PTO Form 1963 (Rev 5/2006)
`
`OMB No. 0651-0055 (Exp 10/31/2008)
`
`Combined Declaration of Use In Commerce & Application For Renewal of Registration of A Mark Under Sections
`8 & 9
`
`To the Commissioner for Trademarks:
`
`REGISTRATION NUMBER: 2098577
`REGISTRATION DATE: 09/23/1997
`
`MARK: Design only
`
`The owner, ZUFFA, LLC, having an address of 2960 WEST SAHARA AVE SUITE 200, LAS VEGAS, Nevada US 89102, is filing a Combined
`Declaration of Use In Commerce & Application For Renewal of Registration of A Mark Under Sections 8 & 9.
`
`For International Class 041, the owner, or its related company, is using the mark in commerce on or in connection with all goods or services
`listed in the existing registration for this class; or, the owner is claiming excusable non-use for this entire class.
`
`The owner is submitting one specimen showing the mark as used in commerce on or in connection with any item in this class, consisting of a(n)
`photo of registrant's eight sided ring taken during a live fighting competition.
`Specimen-1
`
`The registrant hereby appoints PARKER H. BAGLEY, to file this Combined Declaration of Use In Commerce & Application For Renewal of
`Registration of A Mark Under Sections 8 & 9 on behalf of the registrant.  The attorney docket/reference number is 36784-06800.
`
`A fee payment in the amount of $500 will be submitted with the form, representing payment for 1 class(es), plus any additional grace period fee,
`if necessary.
`
`Declaration
`
`Section 8: Declaration of Use in Commerce
`Unless the owner has specifically claimed excusable non-use, the owner, or its related company, is using the mark in commerce on or in
`connection with the goods and/or services identified above, as evidenced by the attached specimen(s) showing the mark as used in commerce.
`
`Section 9: Application for Renewal
`The registrant requests that the registration be renewed for the goods and/or services identified above.
`
`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: /phb/      Date: 09/27/2006
`Signatory's Name: Parker H. Bagley
`Signatory's Position: Attorney
`
`Serial Number: 74673129
`Internet Transmission Date: Wed Sep 27 14:56:03 EDT 2006
`TEAS Stamp: USPTO/S08N09-XX.XX.XXX.XXX-2006092714560
`4064235-2098577-35044df01dd966139d2838fc
`2c72926cc3-DA-39-20060927121335848643
`
`

`

`MMMHQHI-fl-fl
`
`I"? IT
`
`1he Octagon. where the LIFE battles take place.
`
`Laura RauchstF' Phat:-
`
`

`

`ROUTING SHEET TO POST REGISTRATION (PRU)
`
`Registration Number:
`
`2098577
`
`
`
`
`
`Serial Number:
`
`
`
`
`
`74673129
`
`RAM Sale Number: 39
`
`|
`
`
`
`
`
`
`
`
`
`RAM Accounting Date: 20060928
`
`Total Fees:
`
`$500
`
`Note: Process in accordance With Post Registration Standard Operating Procedure (SOP)
`
`Transaction
`
`Fee
`Transaction
`
`Code
`Date
`
`Fee per
`
`Class
`
`Total
`Number
`of Classes m
`
`§8 affidavit
`Application for Renewal (§9)
`
`7205
`7201
`
`20060927
`20060927
`
`$100
`$400
`
`1
`1
`
`$100
`$400
`
`Physical Location: 900 - FILE REPOSITORY (FRANCONIA)
`
`Lost Case Flag: False
`
`In TICRS (AM-FLG-IN-TICRS): False
`
`Transaction Date:
`
`20060927
`
`