PTO Form 1553 (Rev 9/2005)
`
`OMB No. 0651-0054 (Exp. 09/30/2011)
`
`Trademark/Service Mark Request to Divide
`
`Input Field
`
`SERIAL NUMBER
`
`LAW OFFICE ASSIGNED
`
`EXTENSION OF USE
`
`MARK SECTION
`
`MARK
`
`REQUEST TO DIVIDE
`
`GOOD(S)/SERVICE(S) IN USE
`
`The table below presents the data as entered.
`
`Entered
`
`77753163
`
`LAW OFFICE 105
`
`YES
`
`UFC
`
`YES
`
`Retail store services featuring a variety of goods, namely, gaming
`merchandise, souvenirs, mugs, glasswear, gift items, clothing, clothing
`accessories, consumer electronics, housewares, paper products, sporting
`goods, books and magazines (Class 035); Electronic transmission of text,
`graphics, and data; communication services, namely, providing online chat
`rooms for real-time interaction between online computer users concerning
`online contests and games of chance; communication services, namely,
`providing access to an online computer database for real-time tracking of
`and searching for network use and online computer users and transferring
`users to the online location(s) of another user or other users or other online
`locations; communication services, namely, providing online chat rooms for
`real-time interaction between online computer users for arranging and
`playing online contests and games of chance; instant messaging services
`(Class 38)
`
`GOOD(S)/SERVICES INTENT TO USE
`
`Class 009, Class 028 and Class 041
`
`SIGNATURE SECTION
`
`DECLARATION SIGNATURE
`
`SIGNATORY'S NAME
`
`SIGNATORY'S POSITION
`
`DATE SIGNED
`
`REQUEST TO DIVIDE SIGNATURE
`
`SIGNATORY'S NAME
`
`SIGNATORY'S POSITION
`
`DATE SIGNED
`
`AUTHORIZED SIGNATORY
`
`PAYMENT SECTION
`
`NUMBER OF CLASSES IN USE
`
`SUBTOTAL AMOUNT [ALLEGATION OF USE FEE]
`
`REQUEST TO DIVIDE FEE
`
`TOTAL AMOUNT
`
`/Timothy J. Bellamy/
`
`Timothy J. Bellamy
`
`Senior Vice President and Associate General
`
`01/19/2011
`
`/Jennifer K. Craft/
`
`Jennifer K. Craft
`
`Attorney of Record, Nevada Bar Member
`
`01/19/2011
`
`YES
`
`2
`
`200
`
`100
`
`300
`
`

`

`PAYMENT METHOD
`
`FILING INFORMATION
`
`SUBMIT DATE
`
`TEAS STAMP
`
`DA
`
`Wed Jan 19 18:15:22 EST 2011
`
`USPTO/SOU-XXX.XXX.XX.XXX-
`20110119181522897024-7775
`3163-4702dcede35b7ee10ecc
`74f760b3edf9ae-DA-4914-20
`110119181059881361
`
`

`

`PTO Form 1553 (Rev 9/2005)
`
`OMB No. 0651-0054 (Exp. 09/30/2011)
`
`To the Commissioner for Trademarks:
`
`MARK:(cid:160)UFC
`SERIAL NUMBER:(cid:160)77753163
`
`Trademark/Service Mark Request to Divide
`
`REQUEST TO DIVIDE
`The applicant is requesting to divide the application and specifies the following:
`The following good(s) or service(s) is/are now in use: Retail store services featuring a variety of goods, namely, gaming merchandise, souvenirs,
`mugs, glasswear, gift items, clothing, clothing accessories, consumer electronics, housewares, paper products, sporting goods, books and
`magazines (Class 035); Electronic transmission of text, graphics, and data; communication services, namely, providing online chat rooms for
`real-time interaction between online computer users concerning online contests and games of chance; communication services, namely, providing
`access to an online computer database for real-time tracking of and searching for network use and online computer users and transferring users to
`the online location(s) of another user or other users or other online locations; communication services, namely, providing online chat rooms for
`real-time interaction between online computer users for arranging and playing online contests and games of chance; instant messaging services
`(Class 38)
`The following good(s) or service(s) remain(s) under the Section 1(b), intent to use basis: Class 009, Class 028 and Class 041
`
`A fee payment in the amount of $200 will be submitted with the form, representing payment for the allegation of use for 2 classes.
`
`A fee payment in the amount of $100 will be submitted with the form, representing payment for the request to divide fee.
`
`

`

`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: /Timothy J. Bellamy/(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Date Signed: 01/19/2011
`Signatory's Name: Timothy J. Bellamy
`Signatory's Position: Senior Vice President and Associate General
`
`Request to Divide Signature:
`
`Signature: /Jennifer K. Craft/(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Date Signed: 01/19/2011
`Signatory's Name: Jennifer K. Craft
`Signatory's Position: Attorney of Record, Nevada Bar Member
`
`The signatory has confirmed that he/she is an attorney who is a member in good standing of the bar of the highest court of a U.S. state, which
`includes the District of Columbia, Puerto Rico, and other federal territories and possessions; and he/she is currently the applicant's attorney or an
`associate thereof; and to the best of his/her knowledge, if prior to his/her appointment another U.S. attorney or a Canadian attorney/agent not
`currently associated with his/her company/firm previously represented the applicant in this matter: (1) the applicant has filed or is concurrently
`filing a signed revocation of or substitute power of attorney with the USPTO; (2) the USPTO has granted the request of the prior representative to
`withdraw; (3) the applicant has filed a power of attorney appointing him/her in this matter; or (4) the applicant's appointed U.S. attorney or
`Canadian attorney/agent has filed a power of attorney appointing him/her as an associate attorney in this matter.
`
`Serial Number: 77753163
`Internet Transmission Date: Wed Jan 19 18:15:22 EST 2011
`TEAS Stamp: USPTO/SOU-XXX.XXX.XX.XXX-201101191815228
`97024-77753163-4702dcede35b7ee10ecc74f76
`0b3edf9ae-DA-4914-20110119181059881361
`
`

`

`FEE RECORD SHEET
`
`Serial Number:
`
`77753163
`
`RAM Sale Number: 4914
`
`Total Fees:
`
`$30
`
`0
`
`RAM Accounting Date: 20110120
`
`Transaction
`
`Transaction
`Date
`
`Fee per
`Class
`
`Number
`of Classes
`
`Statement of Use (SOU)
`Request to Divide (per new app.)
`
`20110119
`20110119
`
`$100
`
`Transaction Date:
`
`20110119
`
`