78692490 Angel Moms mark.jpg 20050815 045 Organizing and conducting support groups in the field of Mothers who have lost children Y 20010116 20010116 045 spec-6811218456-125804678_._amlogo2.jpg Pair of angel wings and a halo with the name Angel Moms across the wings, the slogan "surviving together" and our website: www.angelmoms.com 1a Organizing and conducting support groups in the field of Mothers who have lost children 1 Organizing and conducting support groups in the field of {indicate field or subject matter} Mothers who have lost children 20010116 20010116 045 spec-6811218456-125804678_._amlogo2.jpg Pair of angel wings and a halo with the name Angel Moms across the wings, the slogan "surviving together" and our website: www.angelmoms.com 01 Wendt, Loni 608 N Madison St Waupun Wisconsin (WI) 53963 United States (USX) slwendt@charter.net 920-210-8522 United States (USX) 01 Walker, Judi 33207 LA Hwy. 16 Denham Springs Louisiana (LA) 70706 United States (USX) slwendt@charter.net 225-665-1306 United States (USX) 01 Debbie Ruttencutter 1405 Kay View Dr. Sevierville Tennessee (TN) 37876 United States (USX) slwendt@charter.net 865-908-4824 United States (USX) ftk c Wendt, Loni 608 N Madison St Waupun Wisconsin (WI) 53963 United States (USX) 920-210-8522 slwendt@charter.net DIRECT D 1 /Loni Wendt/ 20050815 Loni Wendt Owner DIRECT D 2 /Judi Walker/ 20050815 Judi Walker Owner DIRECT D 3 /Debbie Ruttencutter/ 20050815 Debbie Ruttencutter Owner 7007 1 1 275 275 1379 20050815 CC DECLARATION.APP TEAS Trademark/Service Mark 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). EMAIL.1 Email Authorization Statement Applicant authorizes the USPTO to communicate with the applicant or its representative via e-mail. NOTE: While the application may list an e-mail address for the applicant, applicant's attorney, and/or applicant's domestic representative, only one e-mail address may be used for correspondence, in accordance with Office policy. The applicant must keep this address current in the Office's records. MARK Statement for Mark The mark is presented in standard character format without claim to any particular font style, size or color. GOODSSERVICES.1A Section 1a Statement Use in Commerce: The applicant is using the mark in commerce, or the applicant's related company or licensee is using the mark in commerce, or the applicant's predecessor in interest used the mark in commerce, on or in connection with the identified goods and/or services. 15 U.S.C. Section 1051(a), as amended. EMAIL.2 Email Authorization Statement Applicant authorizes the USPTO to communicate with the applicant at the listed e-mail address. NOTE: Only one e-mail address may be used for correspondence. SIGNATURE.APPLICATION Application Signature Statement 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, and the like, may jeopardize the validity of the application or any resulting registration, declares that he/she is properly authorized to execute this application 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 application is being filed under 15 U.S.C. Section 1051(b), 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. 20050815125804678648-78692490 20050815 13:01:06 Mon Aug 15 13:02:52 EDT 2005 USPTO/FTK-68.112.184.56-20050815130252586937-78692490-300d4cc9b3d9b79e5ed3f3f8a8cc814b45b-CC-1379-20050815125804678648 Trademark/Service Mark Application, Principal Register LONI WENDT slwendt@charter.net;AngelShanesMom@aol.com;MsBBSITTER@aol.com

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