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))
`
`Input Field
`
`SERIAL NUMBER
`
`LAW OFFICE ASSIGNED
`
`EXTENSION OF USE
`
`MARK SECTION
`
`MARK
`
`The table below presents the data as entered.
`
`Entered
`
`77756225
`
`LAW OFFICE 115
`
`NO
`
`GAME OF THRONES
`
`OWNER SECTION (no change)
`
`GOODS AND/OR SERVICES SECTION
`
`INTERNATIONAL CLASS
`
`025
`
`CURRENT IDENTIFICATION
`
`Clothing, namely, shirts; t-shirts; sweatshirts; pullovers; sleepwear;
`bathrobes; Halloween costumes, masquerade costumes, costumes for use in
`role-playing games and masks sold in connection therewith; footwear;
`headgear, namely, caps, hats and visors; all the aforementioned goods
`relating to an ongoing television series
`
`GOODS OR SERVICES DELETED FROM THE
`APPLICATION OR INCLUDED IN A REQUEST TO
`DIVIDE
`
`sweatshirts; pullovers; sleepwear; bathrobes; Halloween costumes,
`masquerade costumes, costumes for use in role-playing games and masks
`sold in connection therewith; footwear; hats and visors
`
`GOODS OR SERVICES IN USE IN COMMERCE
`
`Clothing, namely, shirts; t-shirts; headgear, namely, caps; all the
`aforementioned goods relating to an ongoing television series
`
`FIRST USE ANYWHERE DATE
`
`FIRST USE IN COMMERCE DATE
`
`04/17/2011
`
`04/17/2011
`
`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
`
`DECLARATION SIGNATURE
`
`SIGNATORY'S NAME
`
`SIGNATORY'S POSITION
`
`DATE SIGNED
`
`\\TICRS\EXPORT11\IMAGEOUT 11\777\562\77756225\xml4\
`SOU0002.JPG
`
`mark on specified goods and services as currently sold in commerce
`
`NO
`
`1
`
`100
`
`100
`
`/judith mccool/
`
`Judith McCool
`
`Attorney of Record, New York State Bar Member
`
`06/01/2011
`
`

`

`FILING INFORMATION
`
`SUBMIT DATE
`
`TEAS STAMP
`
`Wed Jun 01 14:01:53 EDT 2011
`
`USPTO/SOU-XXX.XXX.XXX.XXX
`-20110601140153293646-777
`56225-480bd3552d37223410c
`0a7d59a7f919dd-DA-303-201
`10601094019643678
`
`

`

`PTO Form 1553 (Rev 9/2005)
`
`OMB No. 0651-0054 (Exp. 09/30/2011)
`
`To the Commissioner for Trademarks:
`
`MARK:(cid:160)GAME OF THRONES
`SERIAL NUMBER:(cid:160)77756225
`
`Trademark/Service Mark Statement of Use
`(15 U.S.C. Section 1051(d))
`
`The applicant, Home Box Office, Inc., having an address of
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)1100 Avenue of the Americas
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)New York, New York 10036
`(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 025:
`Current identification: Clothing, namely, shirts; t-shirts; sweatshirts; pullovers; sleepwear; bathrobes; Halloween costumes, masquerade
`costumes, costumes for use in role-playing games and masks sold in connection therewith; footwear; headgear, namely, caps, hats and visors; all
`the aforementioned goods relating to an ongoing television series
`
`This allegation of use does NOT cover the following goods or services listed in either the application or Notice of Allowance or as subsequently
`modified for this specific class; these goods or services are either being permanently deleted or included in a Request to Divide: sweatshirts;
`pullovers; sleepwear; bathrobes; Halloween costumes, masquerade costumes, costumes for use in role-playing games and masks sold in
`connection therewith; footwear; hats and visors
`
`The mark is in use in commerce on or in connection with the following goods or services listed in either the application or Notice of Allowance
`or as subsequently modified for this specific class: Clothing, namely, shirts; t-shirts; headgear, namely, caps; all the aforementioned goods
`relating to an ongoing television series
`The mark was first used by the applicant, or the applicant's related company, licensee, or predecessor in interest at least as early as 04/17/2011,
`and first used in commerce at least as early as 04/17/2011, 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) mark on specified goods and
`services as currently sold in commerce.
`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: /judith mccool/(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Date Signed: 06/01/2011
`
`

`

`Signatory's Name: Judith McCool
`Signatory's Position: Attorney of Record, New York State Bar Member
`
`RAM Sale Number: 303
`RAM Accounting Date: 06/02/2011
`
`Serial Number: 77756225
`Internet Transmission Date: Wed Jun 01 14:01:53 EDT 2011
`TEAS Stamp: USPTO/SOU-XXX.XXX.XXX.XXX-20110601140153
`293646-77756225-480bd3552d37223410c0a7d5
`9a7f919dd-DA-303-20110601094019643678
`
`

`

`

`

`FEE RECORD SHEET
`
`Serial Number:
`
`77756225
`
`RAM Sale Number: 303
`
`Total Fees:
`
`$100
`
`RAM Accounting Date: 20110602
`
`Transaction
`
`Transaction
`Date
`
`Fee per
`Class
`
`Total
`Number
`of Classes @
`
`Statement of Use (SOU)
`
`20110601
`
`$100
`
`$100
`
`Transaction Date:
`
`20110601
`
`