`
`OMB No. 0651-0054 (Exp. 10/31/2017)
`
`Request to Divide Application
`
`The table below presents the data as entered.
`
`79043219
`
`Entered
`
`Input Field
`
`SERIAL NUMBER
`
`REGISTRATION NUMBER
`
`FORM TEXT
`
`The Applicant requests that Classes 6, 9, 18, 20, 22, and 28 be divided out into a separate new application and that Class 25 remain in the
`parent application.(cid:160) (cid:160)
`
`PAYMENT SECTION
`
`NUMBER OF New Applications
`
`FEE PER New Application
`
`TOTAL FEES DUE
`
`SIGNATURE SECTION
`
`SUBMISSION SIGNATURE
`
`SIGNATORY'S NAME
`
`SIGNATORY'S POSITION
`
`DATE SIGNED
`
`AUTHORIZED SIGNATORY
`
`FILING INFORMATION SECTION
`
`TEAS STAMP
`
`1
`
`100
`
`100
`
`/Julie B. Seyler/
`
`Julie B. Seyler
`
`Attorney of record
`
`09/06/2011
`
`YES
`
`USPTO/RTD-XX.XXX.XXX.XX-2
`0110906144141529793-79043
`219-20110906143726658414-
`DA-977-201109061437266584
`14
`
`Global Format; No Form Number (Rev 8/2009)
`
`OMB No. 0651-0054 (Exp. 10/31/2017)
`
`To the Commissioner for Trademarks:
`
`Request to Divide Application
`
`The following is submitted for application serial number. 79043219 :
`
`FORM INFORMATION
`
`The Applicant requests that Classes 6, 9, 18, 20, 22, and 28 be divided out into a separate new application and that Class 25 remain in the parent
`application.(cid:160) (cid:160)
`
`FEE(S)
`
`
`
`Fee(s) in the amount of $100 is being submitted.
`
`SIGNATURE(S)
`Submission Signature
`Signature: /Julie B. Seyler/(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Date: 09/06/2011
`Signatory's Name: Julie B. Seyler
`Signatory's Position: Attorney of record
`
`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.
`
`RAM Sale Number: 977
`RAM Accounting Date: 09/07/2011
`
`Serial Number: 79043219
`Internet Transmission Date:
`TEAS Stamp: USPTO/RTD-XX.XXX.XXX.XX-2011090614414152
`9793-79043219-20110906143726658414-DA-97
`7-20110906143726658414
`
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)
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