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
`
`GOOD(S)/SERVICE(S) IN USE
`
`The table below presents the data as entered.
`
`Entered
`
`86116984
`
`LAW OFFICE 112
`
`YES
`
`WEWORK
`
`YES
`
`Computer application software for users to manage membership in a co-
`working facilities service, reserve conference rooms, participate in business
`and social networking, engage in virtual communities, search job listings,
`and sign up and pay for vendor services such as catering, benefits and health
`insurance (Class 009)
`
`GOOD(S)/SERVICES INTENT TO USE
`
`Class 035
`
`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
`
`TOTAL AMOUNT
`
`PAYMENT METHOD
`
`FILING INFORMATION
`
`SUBMIT DATE
`
`TEAS STAMP
`
`/Abraham Safdie/
`
`Abraham Safdie
`
`Deputy General Counsel
`
`07/07/2015
`
`/Allison Strickland Ricketts/
`
`Allison Strickand Ricketts
`
`Attorney for applicant
`
`07/08/2015
`
`YES
`
`1
`
`100
`
`100
`
`200
`
`DA
`
`Wed Jul 08 09:26:12 EDT 2015
`
`USPTO/SOU-XX.XXX.XXX.X-20
`150708092612855516-861169
`84-5303988e790cbe5a63e4e6
`897f6f33c69e47f7b723c2dd2
`
`

`

`0b561 1e2667b3443 8-DA-6553
`-20 1 50707 163 946699289
`
`0b5611e2667b34438-DA-6553
`-20150707163946699289
`
`

`

`PTO Form 1553 (Rev 9/2005)
`
`OMB No. 0651-0054 (Exp. 10/31/2017)
`
`To the Commissioner for Trademarks:
`
`MARK:(cid:160)WEWORK
`SERIAL NUMBER:(cid:160)86116984
`
`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: Computer application software for users to manage membership in a co-working facilities
`service, reserve conference rooms, participate in business and social networking, engage in virtual communities, search job listings, and sign up
`and pay for vendor services such as catering, benefits and health insurance (Class 009)
`The following good(s) or service(s) remain(s) under the Section 1(b), intent to use basis: Class 035
`
`A fee payment in the amount of $100 will be submitted with the form, representing payment for the allegation of use for 1 class.
`
`A fee payment in the amount of $100 will be submitted with the form, representing payment for the request to divide fee.
`
`

`

`Declaration
`
`STATEMENTS: The signatory believes that: if the applicant is filing the amendment to allege use under 15 U.S.C. Section 1051(c) or a
`statement of use under 15 U.S.C. Section 1051(d), the applicant is the owner of the trademark/service mark sought to be registered; the applicant
`or the applicant's related company or licensee 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, and such use by the applicant's related company or licensee inures to the benefit of the
`applicant; that to the best of the signatory's knowledge and belief, no other person has 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 of such other person, 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 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. Section 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: /Abraham Safdie/(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Date Signed: 07/07/2015
`Signatory's Name: Abraham Safdie
`Signatory's Position: Deputy General Counsel
`
`Request to Divide Signature:
`
`Signature: /Allison Strickland Ricketts/(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Date Signed: 07/08/2015
`Signatory's Name: Allison Strickand Ricketts
`Signatory's Position: Attorney for applicant
`
`Serial Number: 86116984
`Internet Transmission Date: Wed Jul 08 09:26:12 EDT 2015
`TEAS Stamp: USPTO/SOU-XX.XXX.XXX.X-20150708092612855
`516-86116984-5303988e790cbe5a63e4e6897f6
`f33c69e47f7b723c2dd20b5611e2667b34438-DA
`-6553-20150707163946699289
`
`

`

`FEE RECORD SHEET
`
`Serial Number:
`
`86116984
`
`RAM Sale Number: 86116984
`
`Total Fees:
`
`$200
`
`RAM Accounting Date: 20150708
`
`Transaction
`
`Transaction
`Date
`
`Fee per
`Class
`
`Number
`of Classes
`
`Statement of Use (SOU)
`Request to Divide (per new app.)
`
`20150708
`20150708
`
`$100
`
`Transaction Date:
`
`20150708
`
`