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
`
`78949122
`
`LAW OFFICE 117
`
`NO
`
`LESHAUN BLAHZE
`
`OWNER SECTION (no change)
`
`GOODS AND/OR SERVICES SECTION
`
`INTERNATIONAL CLASS
`
`025
`
`CURRENT IDENTIFICATION
`
`GOODS OR SERVICES DELETED FROM THE
`APPLICATION OR INCLUDED IN A REQUEST TO
`DIVIDE
`
`GOODS OR SERVICES IN USE IN COMMERCE
`
`Clothing and apparel, namely, shirts, t-shirts, polo shirts, dress shirts, knit
`shirts, tank tops, sweat shirts, sweat pants, pants, jeans, shorts, dresses,
`skirts, coats, overcoats, jackets, vests, camisoles, sweaters, suits, dress suits,
`sweat suits, track suits, scarves and ties
`
`dresses, skirts, coats, overcoats, camisoles, sweaters
`
`Clothing and apparel, namely, shirts, t-shirts, polo shirts, dress shirts, knit
`shirts, tank tops, sweat shirts, sweat pants, pants, jeans, shorts, jackets,
`vests, suits, dress suits, sweat suits, track suits, scarves and ties
`
`FIRST USE ANYWHERE DATE
`
`FIRST USE IN COMMERCE DATE
`
`12/22/2010
`
`12/22/2010
`
`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
`
`FILING INFORMATION
`
`\\TICRS\EXPORT11\IMAGEOUT 11\789\491\78949122\xml1\
`SOU0002.JPG
`
`label for clothing goods
`
`NO
`
`1
`
`100
`
`100
`
`/hbader/
`
`Howard Bader
`
`Attorney of record, NY bar member
`
`12/23/2010
`
`

`

`SUBMIT DATE
`
`TEAS STAMP
`
`Thu Dec 23 16:11:35 EST 2010
`
`USPTO/SOU-XXX.XX.XXX.XXX-
`20101223161135571733-7894
`9122-4703fc32e339a445fb6b
`ee42616551953-CC-3301-201
`01223154315473388
`
`

`

`PTO Form 1553 (Rev 9/2005)
`
`OMB No. 0651-0054 (Exp. 09/30/2011)
`
`To the Commissioner for Trademarks:
`
`MARK:(cid:160)LESHAUN BLAHZE
`SERIAL NUMBER:(cid:160)78949122
`
`Trademark/Service Mark Statement of Use
`(15 U.S.C. Section 1051(d))
`
`The applicant, Johnson, Girvan J., having an address of
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Suite 21C
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Bronx, New York 10475
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)US
`is submitting the following allegation of use information:
`
`For International Class 025:
`Current identification: Clothing and apparel, namely, shirts, t-shirts, polo shirts, dress shirts, knit shirts, tank tops, sweat shirts, sweat pants,
`pants, jeans, shorts, dresses, skirts, coats, overcoats, jackets, vests, camisoles, sweaters, suits, dress suits, sweat suits, track suits, scarves and ties
`
`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: dresses,
`skirts, coats, overcoats, camisoles, sweaters
`
`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 and apparel, namely, shirts, t-shirts, polo shirts, dress shirts, knit shirts, tank tops,
`sweat shirts, sweat pants, pants, jeans, shorts, jackets, vests, suits, dress suits, sweat suits, track suits, scarves and ties
`The mark was first used by the applicant, or the applicant's related company, licensee, or predecessor in interest at least as early as 12/22/2010,
`and first used in commerce at least as early as 12/22/2010, 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) label for clothing goods.
`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: /hbader/(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Date Signed: 12/23/2010
`Signatory's Name: Howard Bader
`Signatory's Position: Attorney of record, NY bar member
`
`

`

`RAM Sale Number: 3301
`RAM Accounting Date: 12/27/2010
`
`Serial Number: 78949122
`Internet Transmission Date: Thu Dec 23 16:11:35 EST 2010
`TEAS Stamp: USPTO/SOU-XXX.XX.XXX.XXX-201012231611355
`71733-78949122-4703fc32e339a445fb6bee426
`16551953-CC-3301-20101223154315473388
`
`

`

`

`

`FEE RECORD SHEET
`
`Serial Number:
`
`78949122
`
`RAM Sale Number: 3301
`
`Total Fees:
`
`$100
`
`RAM Accounting Date: 20101227
`
`Transaction
`
`Transaction
`Date
`
`Fee per
`Class
`
`Total
`Number
`of Classes @
`
`Statement of Use (SOU)
`
`20101223
`
`$100
`
`$100
`
`Transaction Date:
`
`20101223
`
`