| 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 |
2029517 |
| REGISTRATION DATE |
01/14/1997 |
| SERIAL NUMBER |
74610508 |
| MARK SECTION |
| MARK |
BELIEVE. (stylized and/or with design) |
| OWNER SECTION (no change) |
| ATTORNEY SECTION (current) |
| NAME |
MICHELE R. JONSON |
| ATTORNEY SECTION (proposed) |
| NAME |
R. William Graham |
| DOCKET NUMBER |
W-00009-002tm |
| DESIGN MARK FILE NAME(S) |
http://tess2.gov.uspto.report/Im ageAgent/ImageAgentProxy? getImage=74610508 |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
016 |
| USE ON ALL GOODS OR SERVICES OR EXCUSABLE NON-USE FOR ENTIRE CLASS |
YES |
| SPECIMEN FILE NAME(S) |
\\TICRS2\EXPORT12\746\105 \74610508\xml1\S890002.JP G |
| SPECIMEN DESCRIPTION |
sticker showing the mark thereon |
| INTERNATIONAL CLASS |
018 |
| USE ON ALL GOODS OR SERVICES OR EXCUSABLE NON-USE FOR ENTIRE CLASS |
YES |
| SPECIMEN FILE NAME(S) |
\\TICRS2\EXPORT12\746\105 \74610508\xml1\S890003.JP G |
| SPECIMEN DESCRIPTION |
wallet showing the mark thereon |
| INTERNATIONAL CLASS |
025 |
| USE ON ALL GOODS OR SERVICES OR EXCUSABLE NON-USE FOR ENTIRE CLASS |
YES |
| SPECIMEN FILE NAME(S) |
\\TICRS2\EXPORT12\746\105 \74610508\xml1\S890004.JP G |
| SPECIMEN DESCRIPTION |
T-shirt showing the mark thereon |
| INTERNATIONAL CLASS |
028 |
| USE ON ALL GOODS OR SERVICES OR EXCUSABLE NON-USE FOR ENTIRE CLASS |
YES |
| SPECIMEN FILE NAME(S) |
\\TICRS2\EXPORT12\746\105 \74610508\xml1\S890005.JP G |
| SPECIMEN DESCRIPTION |
skateboard deckshowing the mark thereon |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
4 |
| NUMBER OF CLASSES PAID |
4 |
| SUBTOTAL AMOUNT |
2000 |
| TOTAL AMOUNT |
2000 |
| SIGNATURE SECTION |
| SIGNATURE |
/R. William Graham/ |
| SIGNATORY'S NAME |
R. William Graham |
| SIGNATORY'S POSITION |
attorney |
| DATE SIGNED |
01/10/2007 |
| PAYMENT METHOD |
CC |
| FILING INFORMATION |
| SUBMIT DATE |
Wed Jan 10 15:45:34 EST 2007 |
| TEAS STAMP |
USPTO/S08N09-XX.XXX.XXX.X
X-20070110154534212052-20
29517-3609e22e091d252ab78
7cf7b3ccea1df080-CC-275-2
0070110153746247489 |
| 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: 2029517
REGISTRATION DATE: 01/14/1997
MARK: BELIEVE. (stylized and/or with design)
The owner, WORMTRAP, INC., having an address of 2947 BOULDER AVENUE, Dayton, Ohio US 45414, is filing a Combined Declaration of Use In Commerce & Application For Renewal of Registration of A Mark
Under Sections 8 & 9.
For International Class 016, 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) sticker showing the mark thereon.
Specimen-1
For International Class 018, 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) wallet showing the mark thereon.
Specimen-1
For International Class 025, 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) T-shirt showing the mark thereon.
Specimen-1
For International Class 028, 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) skateboard deckshowing the mark thereon.
Specimen-1
The registrant hereby appoints R. William Graham 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 W-00009-002tm.
A fee payment in the amount of $2000 will be submitted with the form, representing payment for 4 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: /R. William Graham/ Date: 01/10/2007
Signatory's Name: R. William Graham
Signatory's Position: attorney
Serial Number: 74610508
Internet Transmission Date: Wed Jan 10 15:45:34 EST 2007
TEAS Stamp: USPTO/S08N09-XX.XXX.XXX.XX-2007011015453
4212052-2029517-3609e22e091d252ab787cf7b
3ccea1df080-CC-275-20070110153746247489
