PTO Form 1553 (Rev 9/2005)
`
`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.
`
`Input Field
`
`Entered
`
`SERIAL NUMBER
`
`77705747
`
`LAW OFFICE ASSIGNED
`
`LAW OFFICE 117
`
`EXTENSION OF USE
`
`NO
`
`MARK SECTION
`
`OWNER SECTION (current)
`
`NAME
`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`EMAIL
`
`OWNER SECTION (proposed)
`
`NAME
`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`EMAIL
`
`Hansen Beverage Company
`
`550 Monica Circle Suite 201
`
`Corona
`
`California
`
`92880
`
`US
`
`efiling@kmob.com
`
`Hansen Beverage Company
`
`550 Monica Circle Suite 201
`
`Corona
`
`California
`
`92880
`
`United States
`
`efiling@kmob.com
`
`GOODS AND/OR SERVICES SECTION
`
`INTERNATIONAL CLASS
`
`016
`
`CURRENT IDENTIFICATION
`
`Stickers; sticker kits comprising stickers and decals;
`
`
`
`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.
`
`Input Field
`
`Entered
`
`SERIAL NUMBER
`
`77705747
`
`LAW OFFICE ASSIGNED
`
`LAW OFFICE 117
`
`EXTENSION OF USE
`
`NO
`
`MARK SECTION
`
`OWNER SECTION (current)
`
`NAME
`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`
`OWNER SECTION (proposed)
`
`NAME
`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`
`Hansen Beverage Company
`
`550 Monica Circle Suite 201
`
`Corona
`
`California
`
`92880
`
`US
`
`efiling@kmob.com
`
`Hansen Beverage Company
`
`550 Monica Circle Suite 201
`
`Corona
`
`California
`
`92880
`
`United States
`
`efiling@kmob.com
`
`GOODS AND/OR SERVICES SECTION
`
`INTERNATIONAL CLASS
`
`016
`
`CURRENT IDENTIFICATION
`
`Stickers; sticker kits comprising stickers and decals;
`
`
`
`decals
`
`GOODS OR SERVICES
`
`KEEP ALL LISTED
`
`FIRST USE ANYWHERE DATE
`
`FIRST USE IN COMMERCE DATE
`
`01/00/2004
`
`01/00/2004
`
`SPECIMEN FILE NAME(S)
`
`\\TICRS\EXPORT11\IMAGEOUT
`11\777\057\77705747\xml4\ SOU0002.JPG
`
`SPECIMEN DESCRIPTION
`
`Photograph of sticker kit
`
`REQUEST TO DIVIDE
`
`PAYMENT SECTION
`
`NUMBER OF CLASSES IN USE
`
`SUBTOTAL AMOUNT [ALLEGATION
`OF USE FEE]
`
`TOTAL AMOUNT
`
`SIGNATURE SECTION
`
`NO
`
`1
`
`100
`
`100
`
`DECLARATION SIGNATURE
`
`/Cindy N. Nguyen/
`
`SIGNATORY'S NAME
`
`Cindy N. Nguyen
`
`SIGNATORY'S POSITION
`
`Attorney of record, California bar member
`
`DATE SIGNED
`
`11/18/2010
`
`FILING INFORMATION
`
`SUBMIT DATE
`
`Thu Nov 18 17:50:37 EST 2010
`
`TEAS STAMP
`
`USPTO/SOU-63.139.240.150-
`20101118175037728366-7770
`5747-470a2c88065cd9bce85e
`6da238f772c8cab-CC-4526-2
`0101118170403470678
`
`
`
`PTO Form 1553 (Rev 9/2005)
`
`OMB No. 0651-0054 (Exp. 09/30/2011)
`
`Trademark/Service Mark Statement of Use
`(15 U.S.C. Section 1051(d))
`To the Commissioner for Trademarks:
`
`MARK:(cid:160)M MONSTER ENERGY (stylized and/or with design)
`SERIAL NUMBER:(cid:160)77705747
`
`The applicant, Hansen Beverage Company, having an address of
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)550 Monica Circle Suite 201
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Corona, California 92880
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)United States
`is submitting the following allegation of use information:
`
`For International Class 016:
`Current identification: Stickers; sticker kits comprising stickers and decals; decals
`
`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 01/00/2004, and first used in commerce at least as early as 01/00/2004, 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) Photograph of sticker
`kit.
`Specimen File1
`
`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
`
`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 willful 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; 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: /Cindy N. Nguyen/(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Date Signed: 11/18/2010
`Signatory's Name: Cindy N. Nguyen
`Signatory's Position: Attorney of record, California bar member
`
`RAM Sale Number: 4526
`RAM Accounting Date: 11/19/2010
`
`Serial Number: 77705747
`Internet Transmission Date: Thu Nov 18 17:50:37 EST 2010
`TEAS Stamp: USPTO/SOU-63.139.240.150-201011181750377
`28366-77705747-470a2c88065cd9bce85e6da23
`8f772c8cab-CC-4526-20101118170403470678
`
`
`
`
`
`FEE RECORD SHEET
`
`Serial Number:
`
`77705747
`
`RAM Sale Number: 4526
`
`Total Fees:
`
`$100
`
`RAM Accounting Date: 20101119
`
`Transaction
`
`Transaction
`Date
`
`Fee per
`Class
`
`Total
`Number
`of Classes @
`
`Statement of Use (SOU)
`
`20101118
`
`$100
`
`$100
`
`Transaction Date:
`
`20101118
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