PTO Form 1553 (Rev 9/2005)
`
`OMB No. 0651-0054 (Exp. 10/31/2017)
`
`Trademark/Service Mark Request to Divide
`
`Input Field
`
`SERIAL NUMBER
`
`LAW OFFICE ASSIGNED
`
`EXTENSION OF USE
`
`MARK SECTION
`
`MARK
`
`REQUEST TO DIVIDE
`
`The table below presents the data as entered.
`
`Entered
`
`85690637
`
`LAW OFFICE 116
`
`NO
`
`WORDS WITH FRIENDS
`
`YES
`
`GOOD(S)/SERVICE(S) IN USE
`
`Clothing, namely, tops, t-shirts (Class 25); Board games (Class 28)
`
`GOOD(S)/SERVICES INTENT TO USE
`
`Class 9; Sweatshirts, hooded pullovers, bottoms, headwear, baseball caps
`and hats (Class 25); Puzzles; card games (Class 28)
`
`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]
`
`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
`
`/Frank Goldberg/
`
`Frank Goldberg
`
`Associate General Counsel, Intellectual Property
`
`11/10/2015
`
`/JJR/
`
`Joshua J. Richman
`
`Attorney of record, CA bar member
`
`11/10/2015
`
`YES
`
`2
`
`200
`
`100
`
`2
`
`650
`
`950
`
`CC
`
`Wed Nov 11 12:04:07 EST 2015
`
`USPTO/SOU-XXX.XXX.XXX.XXX
`-20151111120407541565-856
`90637-54010cf9cbf5cba4bfd
`
`

`

`6aebe4e12d4dfdcdeb6ad6dd6
`e5 da7520d79f55cbdd— CC—873
`4—20151110162901855420
`
`6aebe4e12d4dfdcdeb6ad6dd6
`e5da7520d79f55cbdd-CC-873
`4-20151110162901855420
`
`

`

`PTO Form 1553 (Rev 9/2005)
`
`OMB No. 0651-0054 (Exp. 10/31/2017)
`
`To the Commissioner for Trademarks:
`
`MARK:(cid:160)WORDS WITH FRIENDS
`SERIAL NUMBER:(cid:160)85690637
`
`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: Clothing, namely, tops, t-shirts (Class 25); Board games (Class 28)
`The following good(s) or service(s) remain(s) under the Section 1(b), intent to use basis: Class 9; Sweatshirts, hooded pullovers, bottoms,
`headwear, baseball caps and hats (Class 25); Puzzles; card games (Class 28)
`
`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 $650 will be submitted with the form, representing payment for the new application fee for 2 classes.
`
`

`

`Declaration
`
`STATEMENTS: The signatory believes that: if the applicant is filing the amendment to allege use under 15 U.S.C. §1051(c) or a statement of
`use under 15 U.S.C. §1051(d), the applicant is the owner of the mark sought to be registered; the mark is in use in commerce; <b>for a trademark
`or service mark application</b>, the applicant is using the mark in commerce on or in connection with all the goods/services in the application or
`notice of allowance, or as subsequently modified; <b>for a collective trademark, collective service mark, collective membership mark
`application</b>, the applicant is exercising legitimate control over the use of the mark in commerce by members on or in connection with all the
`goods/services/collective membership organization in the application or notice of allowance, or as subsequently modified; <b>for a certification
`mark application</b>, the applicant is exercising legitimate control over the use of the mark in commerce by authorized users on or in connection
`with the all goods/services in the application or notice of allowance, or as subsequently modified, and the applicant is not engaged in the
`production or marketing of the goods/services to which the mark is applied, except to advertise or promote recognition of the certification
`program or of the goods/services that meet the certification standards of the applicant; that to the best of the signatory's knowledge and belief, no
`other persons, except, if applicable, authorized users, members, and/or concurrent users, have the right to use the mark in commerce, either in the
`identical form or in such near resemblance as to be likely, when used on or in connection with the goods/services/collective membership
`organization of such other persons, to cause confusion or mistake, or to deceive; and the specimen(s) shows the mark as used on or in connection
`with the goods/services/collective membership organization in commerce.
`
`DECLARATION: The signatory being warned that willful false statements and the like are punishable by fine or imprisonment, or both, under
`18 U.S.C. §1001, and that such willful false statements and the like may jeopardize the validity of the application or submission or any
`registration resulting therefrom, declares 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: /Frank Goldberg/(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Date Signed: 11/10/2015
`Signatory's Name: Frank Goldberg
`Signatory's Position: Associate General Counsel, Intellectual Property
`
`Request to Divide Signature:
`
`Signature: /JJR/(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Date Signed: 11/10/2015
`Signatory's Name: Joshua J. Richman
`Signatory's Position: Attorney of record, CA bar member
`
`Serial Number: 85690637
`Internet Transmission Date: Wed Nov 11 12:04:07 EST 2015
`TEAS Stamp: USPTO/SOU-XXX.XXX.XXX.XXX-20151111120407
`541565-85690637-54010cf9cbf5cba4bfd6aebe
`4e12d4dfdcdeb6ad6dd6e5da7520d79f55cbdd-C
`C-8734-20151110162901855420
`
`

`

`FEE RECORD SHEET
`
`Serial Number:
`
`85690637
`
`RAM Sale Number: 85690637
`
`Total Fees.
`
`$950
`
`RAM Accounting Date: 20151112
`
`Transaction
`
`Transaction
`Date
`
`Fee per
`Class
`
`Number
`of Classes
`
`Statement of Use (SOU)
`Request to Divide (per new app.)
`New Application
`
`20151111
`20151111
`20151111
`
`$100
`
`$325
`
`Transaction Date:
`
`20151111
`
`