| PTO Form 1963 (Rev 5/2006) |
| OMB No. 0651-0055 (Exp 10/31/2008) |
Combined Declaration of Use In Commerce & Application For Renewal of Registration of A Mark Under Sections 8 & 9
The table below presents the data as entered.
Input Field
|
Entered
|
| REGISTRATION NUMBER |
2028133 |
| REGISTRATION DATE |
01/07/1997 |
| SERIAL NUMBER |
74550417 |
| MARK SECTION |
| MARK |
SUGARLOAF |
| OWNER SECTION (current) |
| NAME |
American Coin Merchandising, Inc. |
| STREET |
4870 Sterling Drive |
| CITY |
Boulder |
| STATE |
Colorado |
| ZIP/POSTAL CODE |
80301 |
| COUNTRY |
US |
| OWNER SECTION (proposed) |
| NAME |
American Coin Merchandising, Inc. |
| STREET |
397 South Taylor Avenue |
| CITY |
Louisville |
| STATE |
Colorado |
| ZIP/POSTAL CODE |
80027 |
| COUNTRY |
US |
| ATTORNEY SECTION (current) |
| NAME |
Harold A. Burdick |
| ATTORNEY SECTION (proposed) |
| NAME |
Heidi L. Sachs |
| DOCKET NUMBER |
21382-4000.0033.US004 |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
041 |
| USE ON ALL GOODS OR SERVICES OR EXCUSABLE NON-USE FOR ENTIRE CLASS |
YES |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT\IMAGEOUT\7 45\504\74550417\xml1\S890 002.JPG |
| SPECIMEN DESCRIPTION |
Screenshot from Registrant's website |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
500 |
| TOTAL AMOUNT |
500 |
| SIGNATURE SECTION |
| SIGNATURE |
/Heidi Sachs/ |
| SIGNATORY'S NAME |
Heidi L. Sachs |
| SIGNATORY'S POSITION |
Attorney of Record |
| DATE SIGNED |
01/08/2007 |
| PAYMENT METHOD |
DA |
| FILING INFORMATION |
| SUBMIT DATE |
Mon Jan 08 14:24:09 EST 2007 |
| TEAS STAMP |
USPTO/S08N09-XXX.XX.XXX.X
-20070108142409700442-202
8133-3608f7dca9f3fdad51dc
3b6a7593c44b-DA-2077-2007
0108141933224442 |
| PTO Form 1963 (Rev 5/2006) |
| OMB No. 0651-0055 (Exp 10/31/2008) |
Combined Declaration of Use In Commerce & Application For Renewal of Registration of A Mark Under Sections 8 & 9
To the Commissioner for Trademarks:
REGISTRATION NUMBER: 2028133
REGISTRATION DATE: 01/07/1997
MARK: SUGARLOAF
The owner, American Coin Merchandising, Inc., having an address of 397 South Taylor Avenue, Louisville, Colorado US 80027, is filing a Combined Declaration of Use In Commerce & Application For
Renewal of Registration of A Mark Under Sections 8 & 9.
For International Class 041, the owner, or its related company, is using the mark in commerce on or in connection with all goods or services listed in the existing registration for this class; or,
the owner is claiming excusable non-use for this entire class.
The owner is submitting one specimen showing the mark as used in commerce on or in connection with any item in this class, consisting of a(n) Screenshot from Registrant's website.
Specimen-1
The registrant hereby appoints Heidi L. Sachs to file this Combined Declaration of Use In Commerce & Application For Renewal of Registration of A Mark Under Sections 8 & 9 on behalf of the
registrant. The attorney docket/reference number is 21382-4000.0033.US004.
A fee payment in the amount of $500 will be submitted with the form, representing payment for 1 class(es), plus any additional grace period fee, if necessary.
Declaration
Section 8: Declaration of Use in Commerce
Unless the owner has specifically claimed excusable non-use, the owner, or its related company, is using the mark in commerce on or in connection with the goods and/or services identified above,
as evidenced by the attached specimen(s) showing the mark as used in commerce.
Section 9: Application for Renewal
The registrant requests that the registration be renewed for the goods and/or services identified above.
The undersigned being hereby 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 this document, declares that he/she is properly authorized to execute this document on behalf of the Owner; and 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: /Heidi Sachs/ Date: 01/08/2007
Signatory's Name: Heidi L. Sachs
Signatory's Position: Attorney of Record
Serial Number: 74550417
Internet Transmission Date: Mon Jan 08 14:24:09 EST 2007
TEAS Stamp: USPTO/S08N09-XXX.XX.XXX.X-20070108142409
700442-2028133-3608f7dca9f3fdad51dc3b6a7
593c44b-DA-2077-20070108141933224442
