| PTO Form 1963 (Rev 5/2006) |
| OMB No. 0651-0055 (Exp 07/31/2018) |
Combined Declaration of Use and/or Excusable Nonuse/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 |
2647913 |
| REGISTRATION DATE |
11/12/2002 |
| SERIAL NUMBER |
76005305 |
| MARK SECTION |
| MARK |
MAK (stylized and/or with design) |
| ATTORNEY SECTION (no change) |
| NAME |
J. Scott Gerien |
| FIRM NAME |
DICKENSON PEATMAN & FOGARTY |
| STREET |
1455 FIRST STREET, STE 301 |
| CITY |
NAPA |
| STATE |
California |
| POSTAL CODE |
94559 |
| COUNTRY |
United States |
| PHONE |
707-252-7122 |
| FAX |
707-255-6876 |
| EMAIL |
tmdept@dpf-law.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| CORRESPONDENCE SECTION (no change) |
| NAME |
J. SCOTT GERIEN |
| FIRM NAME |
DICKENSON PEATMAN & FOGARTY |
| STREET |
1455 FIRST STREET, STE 301 |
| CITY |
NAPA |
| STATE |
California |
| POSTAL CODE |
94559 |
| COUNTRY |
United States |
| PHONE |
707-252-7122 |
| FAX |
707-255-6876 |
| EMAIL |
tmdept@dpf-law.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
033 |
| GOODS OR SERVICES |
wine |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\760\053\76005305\xml1\ S890002.JPG |
| SPECIMEN DESCRIPTION |
Photo of product packaging |
| OWNER SECTION (current) |
| NAME |
MAK VINEYARDS PTY LTD. |
| STREET |
311A Maroondah Hwy |
| CITY |
Healesville |
| ZIP/POSTAL CODE |
3777 |
| COUNTRY |
Australia |
| LEGAL ENTITY SECTION (current) |
| TYPE |
AUSTRALIAN CORPORATION |
| LEGAL ENTITY SECTION (proposed) |
| TYPE |
AUSTRALIAN CORPORATION |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
500 |
| TOTAL FEE PAID |
500 |
| SIGNATURE SECTION |
| SIGNATURE |
/J. Scott Gerien/ |
| SIGNATORY'S NAME |
J. Scott Gerien |
| SIGNATORY'S POSITION |
Attorney of record, California bar member |
| DATE SIGNED |
11/13/2012 |
| PAYMENT METHOD |
DA |
| FILING INFORMATION |
| SUBMIT DATE |
Tue Nov 13 18:57:49 EST 2012 |
| TEAS STAMP |
USPTO/S08N09-XXX.X.XX.XX-
20121113185749077982-2647
913-490553e6ecb65a66428b0
d89f71cd897-DA-6887-20121
113165348778635 |
| PTO Form 1963 (Rev 5/2006) |
| OMB No. 0651-0055 (Exp 07/31/2018) |
Combined Declaration of Use and/or Excusable Nonuse/Application for Renewal of Registration of a Mark under Sections 8 & 9
To the Commissioner for Trademarks:
REGISTRATION NUMBER: 2647913
REGISTRATION DATE: 11/12/2002
MARK: (Stylized and/or with Design, MAK)
The owner, MAK VINEYARDS PTY LTD., AUSTRALIAN CORPORATION, having an address of
311A Maroondah Hwy
Healesville, 3777
Australia
is filing a Combined Declaration of Use and/or Excusable Nonuse/Application for Renewal of Registration of a Mark under Sections 8 & 9.
For International Class 033, the mark is in use in commerce on or in connection with
all goods/services, or to indicate membership in the collective membership organization, listed in the
existing registration for this specific class: wine ; or, the owner is making the listed excusable nonuse claim.
The owner is submitting one(or more) specimen(s) showing the mark as used in commerce on or in connection with any item in this class, consisting of a(n) Photo of product packaging.
Specimen File1
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 and/or Excusable Nonuse in Commerce
Unless the owner has specifically claimed excusable nonuse, the mark is in use 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.
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.
Section 9: Application for Renewal
The registrant requests that the registration be renewed for the goods/services/collective organization identified above.
Signature: /J. Scott Gerien/ Date: 11/13/2012
Signatory's Name: J. Scott Gerien
Signatory's Position: Attorney of record, California bar member
Mailing Address:
DICKENSON PEATMAN & FOGARTY
1455 FIRST STREET, STE 301
NAPA, California 94559
Serial Number: 76005305
Internet Transmission Date: Tue Nov 13 18:57:49 EST 2012
TEAS Stamp: USPTO/S08N09-XXX.X.XX.XX-201211131857490
77982-2647913-490553e6ecb65a66428b0d89f7
1cd897-DA-6887-20121113165348778635
