PTO Form 1553 (Rev 9/2005)
`
`OMB No. 0651-0054 (Exp. 10/31/2017)
`
`Trademark/Service Mark Statement of Use
`(15 U.S.C. Section 1051(d))
`
`The table below presents the data as entered.
`
`Input Field
`
`Entered
`
`SERIAL NUMBER
`
`85182030
`
`LAW OFFICE ASSIGNED
`
`LAW OFFICE 113
`
`EXTENSION OF USE
`
`MARK SECTION
`
`MARK
`
`LITERAL ELEMENT
`
`STANDARD CHARACTERS
`
`USPTO-GENERATED IMAGE
`
`MARK STATEMENT
`
`OWNER SECTION (current)
`
`NAME
`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`EMAIL
`
`OWNER SECTION (proposed)
`
`NAME
`
`INTERNAL ADDRESS
`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`EMAIL
`
`YES
`
`http://tess2.uspto.gov/ImageAgent/ImageAgentProxy?getImage=85182030
`
`SALT LIFE
`
`YES
`
`YES
`
`The mark consists of standard characters, without claim to any particular font
`style, size or color.
`
`Salt Life Holdings, LLC
`
`Suite 300
`
`Jacksonville
`
`Florida
`
`32246
`
`United States
`
`904-598-6112
`
`904-598-6212
`
`krowe@sgrlaw.com
`
`Salt Life Holdings, LLC
`
`Suite 300
`
`13051 Beach Boulevard
`
`Jacksonville
`
`Florida
`
`32246
`
`United States
`
`904-598-6112
`
`904-598-6212
`
`krowe@sgrlaw.com
`
`

`

`GOODS AND/OR SERVICES SECTION
`
`INTERNATIONAL CLASS
`
`012
`
`CURRENT IDENTIFICATION
`
`License plate frames; license plate holders
`
`GOODS OR SERVICES
`
`INTERNATIONAL CLASS
`
`DELETE ALL ITU GOODS/SERVICES IN THIS CLASS
`
`021
`
`CURRENT IDENTIFICATION
`
`Insulating sleeve holders for beverage cups, cans, and bottles
`
`GOODS OR SERVICES DELETED FROM THE
`APPLICATION
`
`cups
`
`GOODS OR SERVICES IN USE IN COMMERCE
`
`Insulating sleeve holders for beverage cans and bottles
`
`FIRST USE ANYWHERE DATE
`
`FIRST USE IN COMMERCE DATE
`
`03/08/2010
`
`03/08/2010
`
`SPECIMEN FILE NAME(S)
`
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)ORIGINAL PDF FILE
`
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)CONVERTED PDF FILE(S)
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(2 pages)
`
`SPECIMEN DESCRIPTION
`
`REQUEST TO DIVIDE
`
`PAYMENT SECTION
`
`NUMBER OF CLASSES IN USE
`
`SUBTOTAL AMOUNT [ALLEGATION OF USE
`FEE]
`
`TOTAL AMOUNT
`
`SIGNATURE SECTION
`
`SIGNATORY FILE NAME(S)
`
`SIGNATORY'S NAME
`
`SIGNATORY'S POSITION
`
`SIGNATORY'S PHONE NUMBER
`
`FILING INFORMATION
`
`SUBMIT DATE
`
`TEAS STAMP
`
`SPN1-1991925062-145856631_._SALT_LIFE_21_sample.pdf
`
`\\TICRS\EXPORT16\IMAGEOUT16\851\820\85182030\xml2\SOU0002.JPG
`
`\\TICRS\EXPORT16\IMAGEOUT16\851\820\85182030\xml2\SOU0003.JPG
`
`website printouts showing a means for ordering the goods
`
`NO
`
`1
`
`100
`
`100
`
`\\TICRS\EXPORT16\IMAGEOUT 16\851\820\85182030\xml2\
`SOU0004.JPG
`
`Keith T. Combs
`
`Managing Director
`
`904-476-0670
`
`Tue Oct 09 08:47:15 EDT 2012
`
`USPTO/SOU-XXX.XX.XXX.XX-2
`0121009084715924679-85182
`030-490c1af82593cbf7d953d
`bad184eac493f8-CC-22816-2
`0121009084424985935
`
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)
`

`

`PTO Form 1553 (Rev 9/2005)
`
`OMB No. 0651-0054 (Exp. 10/31/2017)
`
`Trademark/Service Mark Statement of Use
`(15 U.S.C. Section 1051(d))
`
`To the Commissioner for Trademarks:
`MARK:(cid:160)SALT LIFE(Standard Characters, see http://tess2.uspto.gov/ImageAgent/ImageAgentProxy?getImage=85182030)
`SERIAL NUMBER:(cid:160)85182030
`An Extension of Time form is being filed with the Allegation of Use.
`
`The applicant, Salt Life Holdings, LLC, having an address of
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Suite 300
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)13051 Beach Boulevard
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Jacksonville, Florida 32246
`(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 012:
`Current identification: License plate frames; license plate holders
`
`All ITU goods/services in this class are to be deleted
`
`For International Class 021:
`Current identification: Insulating sleeve holders for beverage cups, cans, and bottles
`
`This allegation of use does NOT cover the following goods/services listed in either the application or Notice of Allowance or as subsequently
`modified for this specific class; these goods/services are permanently deleted: cups
`
`The mark is in use in commerce on or in connection with the following goods/services listed in either the application or Notice of Allowance or
`as subsequently modified for this specific class: Insulating sleeve holders for beverage cans and bottles
`The mark was first used by the applicant, or the applicant's related company, licensee, or predecessor in interest at least as early as 03/08/2010,
`and first used in commerce at least as early as 03/08/2010, 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) website printouts showing a means
`for ordering the goods.
`
`Original PDF file:
`SPN1-1991925062-145856631_._SALT_LIFE_21_sample.pdf
`Converted PDF file(s) (2 pages)
`Specimen File1
`Specimen File2
`
`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
`
`Signature
`
`Signatory's Name: Keith T. Combs
`Signatory's Position: Managing Director
`
`

`

`Signatory's Phone: 904-476-0670
`
`RAM Sale Number: 22816
`RAM Accounting Date: 10/09/2012
`
`Serial Number: 85182030
`Internet Transmission Date: Tue Oct 09 08:47:15 EDT 2012
`TEAS Stamp: USPTO/SOU-XXX.XX.XXX.XX-2012100908471592
`4679-85182030-490c1af82593cbf7d953dbad18
`4eac493f8-CC-22816-20121009084424985935
`
`

`

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`

`

`Salt Life - Koozies
`
`Page 1 of 1
`
`SHOP FISH
`
`DIVE
`
`SURF
`
`BEACH
`
`TEAM
`
`SALT LIFE GIRLS
`
`"Q
`
`JOIN EMAIL CONTACT US MYACCOUNT WISHLIST
`
`‘L113.’ CM“
`
`Home > Koozies
`
`Style-#: SAK900
`Heart Lilo can Kuozlo
`«.00
`
`Sfyrelt: SAQU1
`Marlin Can Kaazia
`ss.uu
`
`Slyleli: SA460
`Skull 5. Poles Bottle Koozlo
`$5.00
`
`Styleflz SA461
`Skull Bx Poles Bottle Koozy - Dup
`Blue
`Sana
`
`Sf]/le#.' SA462
`Signature Bottle Koozio
`$8.00
`
`S!yIe#' SA-165'
`Signature Bottle Koozlo
`$8.00
`
`Slylefl: SA464
`signature Btmle Koctzlo
`$3.00
`
`Style?!’ SA465
`Signature Bottle Koozie
`$8.00
`
`Slyfeit: 3A466
`Signature Botlln Koozlo
`$8.00
`
`Styled: SA470
`Slgnahure Boltlu Koozin
`$8.00
`
`Sryleil,‘ SAQIID
`Signnturu Gan Koozia
`$3.00
`
`ALTLIFE 21 E
`
`E.c M
`
`SIGN UP TO GET sPEcIAL UPDATES AND OFFERS
`
`@2012 Salt Lit: | About Us| Contact Us| FAQ | store Loeator | site Map | Privacy Policy | Ruum Policy | shipping Ratos | Arrilims
`
`I} [Q Q
`
`http://www.sa1t1ife.com/webapp/wcs/stores/servlet/CategoryDisp1ay?1angId=-1&storeId=10001&cata1ogI...
`
`10/8/2012
`
`

`

`Declaration
`
`Page 2 of3
`
`Applicant requests registration of the above—identiiied 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 marl: in commerce on or in
`connection with the gooclsfservices 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 staternents may jeopardize the vaiidity
`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 Sec
`Signature:
`'gl_/kl E
`
`Signatory's Name: Keith T. Combs
`Si gnatory's Position: Managing Director
`
`55‘ ' 9 -I '1-
`Date Signed:
`Signatory's Phone: 904-476-0670
`
`NOTE '[‘O APPLICANT: When filed as part of the electronic form (i.e., scanned and attached as an image file}, the
`signature page must include both the signature information and the boilerplate declaration language. Do not include
`the entire application, but do ensure that the boilerplate declaration language actually appears; a signature by itselfwill
`not be acceptable. If, due to browser limitations, the boilerplate declaration language appears on a previous page when
`printed, you must "merge" the declaration and signature block onto 3, single page prior to signing, so that the one
`complete page can be scanned to create an acceptable image file. It is recommended that you copy-and-paste the entire
`text form into another document, manipulate the spacing there to move the declaration and signature section to a
`separate page, and then print this new version of the text form to send to the signatory.
`
`http:/fetcas. uspto .goviaoufxslt service?xsi=hsign
`
`'l0i8/2012
`
`

`

`FEE RECORD SHEET
`
`Serial Number:
`
`85182030
`
`RAM Sale Number: 22816
`
`Total Fees:
`
`$100
`
`RAM Accounting Date: 20121009
`
`Transaction
`
`Transaction
`Date
`
`Fee per
`Class
`
`Total
`Number
`of Classes @
`
`Statement of Use (SOU)
`
`20121009
`
`$100
`
`$100
`
`Transaction Date:
`
`20121009
`
`