`
`OMB No. 0651-0054 (Exp. 09/30/2011)
`
`Trademark/Service Mark Statement of Use
`(15 U.S.C. Section 1051(d))
`
`The table below presents the data as entered.
`
`Entered
`
`77636476
`
`LAW OFFICE 101
`
`Input Field
`
`SERIAL NUMBER
`
`LAW OFFICE ASSIGNED
`
`EXTENSION OF USE
`
`MARK SECTION
`
`STANDARD CHARACTERS
`
`USPTO-GENERATED IMAGE
`
`OWNER SECTION (no change)
`
`GOODS AND/OR SERVICES SECTION
`
`INTERNATIONAL CLASS
`
`CURRENT IDENTIFICATION
`
`GOODS OR SERVICES
`
`FIRST USE ANYWHERE DATE
`
`FIRST USE IN COMMERCE DATE
`
`SPECIMEN FILE NAME(S)
`
`SPECIMEN DESCRIPTION
`
`REQUEST TO DIVIDE
`
`PAYMENT SECTION
`
`NUMBER OF CLASSES IN USE
`
`SUBTOTAL AMOUNT [ALLEGATION OF USE FEE]
`
`TOTAL AMOUNT
`
`SIGNATURE SECTION
`
` ORIGINAL PDF FILE
`
` CONVERTED PDF FILE(S)
` (1 page)
`
`SIGNATORY'S NAME
`
`SIGNATORY'S POSITION
`
`FILING INFORMATION
`
`SUBMIT DATE
`
`NO
`
`NO
`
`NO
`
`021
`
`Portable coolers
`
`KEEP ALL LISTED
`
`08/28/2009
`
`08/28/2009
`
`\\TICRS\EXPORT9\IMAGEOUT9 \776\364\77636476\xml1\SO
`U0002.JPG
`
`\\TICRS\EXPORT9\IMAGEOUT9 \776\364\77636476\xml1\SO
`U0003.JPG
`
`photo of goods
`
`NO
`
`1
`
`100
`
`100
`
`hw_20616950186-183300566_._Octagon_Cooler_Top_View_SOU_Dec.pdf
`
`\\TICRS\EXPORT9\IMAGEOUT9\776\364\77636476\xml1\SOU0004.JPG
`
`/Michael Levy/
`
`CFO/CEO
`
`Wed Dec 30 18:35:46 EST 2009
`
`USPTO/SOU-XXX.XXX.XX.XXX-
`
`
`
`
`TEAS STAMP
`
`20091230183546234445-7763
`6476-460f077cd8489b93b132
`4b515eafa58b6f5-DA-6537-2
`0091230183300566464
`
`
`
`PTO Form 1553 (Rev 9/2005)
`
`OMB No. 0651-0054 (Exp. 09/30/2011)
`
`To the Commissioner for Trademarks:
`
`MARK: Design only
`SERIAL NUMBER: 77636476
`
`Trademark/Service Mark Statement of Use
`(15 U.S.C. Section 1051(d))
`
`The applicant, Zuffa, LLC, having an address of
` 2960 W. Sahara Ave., Ste. 100
` Las Vegas, Nevada 89102
` United States
`is submitting the following allegation of use information:
`
`For International Class 021:
`Current identification: Portable coolers
`
`The mark is in use in commerce on or in connection with all goods or services listed in the application or Notice of Allowance or as subsequently
`modified for this specific class
`
`The mark was first used by the applicant, or the applicant's related company, licensee, or predecessor in interest at least as early as 08/28/2009,
`and first used in commerce at least as early as 08/28/2009, and is now in use in such commerce. The applicant is submitting one specimen for the
`class showing the mark as used in commerce on or in connection with any item in the class, consisting of a(n) photo of goods.
`Specimen File1
`Specimen File2
`
`The applicant is not filing a Request to Divide with this Allegation of Use form.
`
`A fee payment in the amount of $100 will be submitted with the form, representing payment for the allegation of use for 1 class.
`
`Declaration
`
`Original PDF file:
`hw_20616950186-183300566_._Octagon_Cooler_Top_View_SOU_Dec.pdf
`Converted PDF file(s) (1 page)
`Signature File1
`
`Signatory's Name: /Michael Levy/
`Signatory's Position: CFO/CEO
`
`RAM Sale Number: 6537
`RAM Accounting Date: 12/31/2009
`
`Serial Number: 77636476
`Internet Transmission Date: Wed Dec 30 18:35:46 EST 2009
`TEAS Stamp: USPTO/SOU-XXX.XXX.XX.XXX-200912301835462
`34445-77636476-460f077cd8489b93b1324b515
`eafa58b6f5-DA-6537-20091230183300566464
`
`
`
`
`
`
`
`
`
`
`
`Page 2 of 3
`
`Declaration
`
`Applicant requests registration of the above-identified trademark/service mark in the United States
`Patent and Trademark Office on the Principal Register established by the Act of July 5, 1946 (15 U.S.C.
`Section 1051 et seq., as amended). Applicant is the owner of the mark sought to be registered, and is
`using 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 undersigned, being hereby warned that willfui false statements and the like so made are punishable
`by fine or imprisonment, or both, under 18 U.S.C. Section 1001, and that such willful false statements
`may jeopardize the validity of the form or any resulting registration, declares that he/she is properly
`authorized to execute this form on behalf of the applicant; he/she believes the applicant to be the owner
`of the trademark/service mark sought to be registered, or, if the form is being filed under 15 U.S.C.
`Section 1126(d) or (e), he/she believes applicant to be entitled to use such mark in commerce; to the best
`of his/her knowledge and belief no other person, firm, corporation, or association has the right to use the
`mark in commerce, either in the identical form thereof or in such near resemblance thereto as to be
`likely, when used on or in connection with the goods/services of such other person, to cause confusion,
`or to cause mistake, or to deceive; and that 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 Section: MSignature:
`
`
`I
`Signatory‘s Name: /Michae Levy/
`Signatory‘s Position: QC: C H7
`
`Date Signed:
`
`NOTE TO APPLICANT: When filed as part of the electronic form (i.e., scanned and attached as an
`image file), the signature page must include both the signature information and the boilerplate
`declaration language. Do not include the entire application, but do ensure that the boilerplate declaration
`language actually appears; a Signature by itseffwill not be acceptable. If, due to browser limitations, the
`boilerplate declaration language appears on a previous page when printed, you must "merge“ the
`declaration and signature block onto a single page prior to signing, so that the one complete page can be
`scanned to create an acceptable image file. It is recommended that you copy—and-paste the entire text
`form into another document, manipulate the spacing there to move the declaration and signature section
`to a separate page, and then print this new version of the text form to send to the signatory.
`
`http://eteas.uspto.gov/aou/xslt.service?xsl=hsign
`
`12/29/2009
`
`
`
`FEE RECORD SHEET
`
`Serial Number:
`
`77636476
`
`RAM Sale Number: 6537
`
`RAM Accounting Date: 20091231
`
`
`
`
`
`
`
`
`
`Total Fees:
`
`$100
`
`Transaction
`
`Fee
`
`Code
`
`Transaction
`Date
`
`Fee per
`
`Class
`
`Number
`
`Total
`
`of Classes E
`
`Statement of Use (SOU)
`
`7003
`
`20091230
`
`$100
`
`1
`
`$100
`
`Transaction Date:
`
`20091230
`
`
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