‘TRADEMARK EXAMINATION W
`El AMENDMENT STAGE”/A
`CHANGE
`Name:_Deleaches Young
`L.O. __l05
`Date 3 "
`
`' D 3
`
`PUBLICATION/REGISTRATION STAGE
`Serial No.
`‘
`l
`V-I
`
`INSTRUCTIONS: Place a cieck mark in the appropriate column and/or box to indicate which data elements have been amended/coded.
`‘K
`HN95.5
`/5 MH\/
`
`Le al Instrument
`
`Class Data
`
`‘
`
`.(D
`
`El Prime/International Class
`_
`El First Use Date
`
`El
`
`El
`
`In Another Form
`
`lb
`
`I
`
`Data Element
`D Goods and Services
`_
`_
`El First Use in Commerce Date I
`
`A
`
`C] Certification
`
`A El Pseudo Mark
`
`l.__l Design Search Code
`
`El Disclaimer
`
`El Name/Portrait/Consent
`
`Section 2(1) in Part
`Amended Register Date
`
`>
`
`Foreign -Application Filing Date
`Foreign Registration Date
`Foreign Renewal Reg. Number
`
`Mark Data
`
`El Word Mark
`
`Misc. Mark Data
`
`Section i2(f)
`
`.
`
`Foreign Reg. Data ’
`
`K El Mark Drawing Code
`El Scan Sub Drawing
`
`El Mark Description
`
`Cl Lining/Stippling
`
`; El Translation
`El Section 2(i) Entire Mark
`El Section 2(f) Limitation Statement
`El Amended Register
`
`El Foreign Country
`El Foreign Application Number
`El ’ Foreign Registration Number
`El Foreign Registration Expiration Date
`
`’ Owner Data
`
`El Foreign Reg. Renewal Expiration Date
`El Owner Name
`
`Foreign Renewal Reg Date
`DBA/AKA/TA
`
`El Address 1
`
`El City
`El Zip Code
`
`g
`
`El Citizenship
`
`F
`
`Cl Entity Statement
`El Assignment(s)/Name Change
`
`El Concurrent Use
`Prior Registratio
`
`El Attorney
`El Attorney Docket Number
`
`Address 2
`
`State
`
`Composed of
`
`g
`
`I
`
`El Domestic Representative
`
`Amd/Corr Restr.
`Prior U.S. Reg.
`
`Correspondence
`
`El, Correspondence Firm Name/Address
`I certify that all corrections have been entered in accordance with text editing guidelines.
`
`M
`
`Other:
`
`D.Young
`LIE

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