PTO Form 1553 (Rev 9/2005)
`
`OMB No. 0651-0054 (Exp. 09/30/2011)
`
`Trademark/Service Mark Request to Divide
`
`The table below presents the data as entered.
`
`Input Field
`
`Entered
`
`SERIAL NUMBER
`
`LAW OFFICE ASSIGNED
`
`EXTENSION OF USE
`
`MARK SECTION
`
`STANDARD CHARACTERS
`
`USPTO-GENERATED IMAGE
`
`LITERAL ELEMENT
`
`REQUEST TO DIVIDE
`
`GOOD(S)/SERVICE(S) IN USE
`
`GOOD(S)/SERVICES INTENT TO USE
`
`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]
`
`78979413
`
`LAW OFFICE 113
`
`YES
`
`YES
`
`YES
`
`UFC
`
`YES
`
`Weight lifting gloves; martial arts equipment, namely, bag gloves, shin
`guards, punch mitts, pads, namely, kick pads, target pads and shin pads;
`focus mitts; mouth guards; free standing bags (Class 28); Class 41
`
`Exercise and fitness equipment and accessories, namely, ankle and wrist
`weights; exercise bars; exercise benches; exercise doorway gym bars;
`rowing machines; stair-stepping machines; stationary cycles; abdominal
`boards; chest expanders; chest pulls; exercise platforms; trampolines;
`treadmills; weight cuffs; weights; manually-operated exercise equipment;
`stress relief balls for hand exercise; bar bells for athletic use; weight lifting
`belts; weight lifting benches and bench accessories; elliptical machines;
`jump ropes; fixed-gear stationary bikes; protective pads for cycling;
`stationary bicycles for indoor cycling; group exercise platforms; and hiking
`machines; martial arts equipment, namely, kicking shields, shin guards,
`head guards, female chest protectors, groin cups, pads, namely, karate target
`pads, body shields, thai pads; sparring vests, ankle and hand wraps; jump
`ropes; knee pads, and elbow pads (Class 28); Class 43
`
`/jlm/
`
`Jennifer L. Miremadi
`
`Attorney of record, California bar member
`
`10/02/2009
`
`/jlm/
`
`Jennifer L. Miremadi
`
`Attorney of record, California bar member
`
`10/02/2009
`
`YES
`
`2
`
`200
`
`

`
`REQUEST TO DIVIDE FEE
`
`NUMBER OF CLASSES REQUIRING NEW
`APPLICATION FEE
`
`SUBTOTAL AMOUNT [NEW APPLICATION FEE]
`
`TOTAL AMOUNT
`
`PAYMENT METHOD
`
`FILING INFORMATION
`
`SUBMIT DATE
`
`TEAS STAMP
`
`100
`
`1
`
`325
`
`625
`
`DA
`
`Fri Oct 02 14:00:43 EDT 2009
`
`USPTO/SOU-XX.XX.XXX.XX-20
`091002140043853807-789794
`13-4604439979a82355844cab
`6abd6a89d45e-DA-202-20091
`002134936572286
`
`

`
`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)78979413
`
`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: Weight lifting gloves; martial arts equipment, namely, bag gloves, shin guards, punch
`mitts, pads, namely, kick pads, target pads and shin pads; focus mitts; mouth guards; free standing bags (Class 28); Class 41
`The following good(s) or service(s) remain(s) under the Section 1(b), intent to use basis: Exercise and fitness equipment and accessories, namely,
`ankle and wrist weights; exercise bars; exercise benches; exercise doorway gym bars; rowing machines; stair-stepping machines; stationary
`cycles; abdominal boards; chest expanders; chest pulls; exercise platforms; trampolines; treadmills; weight cuffs; weights; manually-operated
`exercise equipment; stress relief balls for hand exercise; bar bells for athletic use; weight lifting belts; weight lifting benches and bench
`accessories; elliptical machines; jump ropes; fixed-gear stationary bikes; protective pads for cycling; stationary bicycles for indoor cycling; group
`exercise platforms; and hiking machines; martial arts equipment, namely, kicking shields, shin guards, head guards, female chest protectors,
`groin cups, pads, namely, karate target pads, body shields, thai pads; sparring vests, ankle and hand wraps; jump ropes; knee pads, and elbow
`pads (Class 28); Class 43
`
`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.
`
`A fee payment in the amount of $325 will be submitted with the form, representing payment for the new application fee 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, 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: /jlm/(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Date Signed: 10/02/2009
`Signatory's Name: Jennifer L. Miremadi
`Signatory's Position: Attorney of record, California bar member
`Request to Divide Signature:
`Signature: /jlm/(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Date Signed: 10/02/2009
`Signatory's Name: Jennifer L. Miremadi
`Signatory's Position: Attorney of record, California 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: 78979413
`Internet Transmission Date: Fri Oct 02 14:00:43 EDT 2009
`TEAS Stamp: USPTO/SOU-XX.XX.XXX.XX-20091002140043853
`807-78979413-4604439979a82355844cab6abd6
`a89d45e-DA-202-20091002134936572286
`
`

`
`FEE RECORD SHEET
`
`Serial Number:
`
`78979413
`
`RAM Sale Number: 202
`
`Total Fees:
`
`$625
`
`RAM Accounting Date: 20091005
`
`Transaction
`
`Transaction
`Date
`
`Fee per
`Class
`
`Number
`of Classes
`
`Statement of Use (SOU)
`Request to Divide (per new app.)
`New Application
`
`20091002
`20091002
`20091002
`
`$100
`
`$325
`
`Transaction Date:
`
`20091002