| 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 |
2509317 |
| REGISTRATION DATE |
11/20/2001 |
| SERIAL NUMBER |
76081906 |
| MARK SECTION |
| MARK |
PIXY WORK |
| CORRESPONDENCE SECTION (current) |
| NAME |
DANA J. SMITH |
| FIRM NAME |
553 DONN COURT |
| CITY |
BOULDER |
| STATE |
Colorado |
| POSTAL CODE |
80303 |
| COUNTRY |
United States |
| EMAIL |
pixywork@mac.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
Smith, Dana J. |
| STREET |
553 Donn Court |
| CITY |
BOULDER |
| STATE |
Colorado |
| POSTAL CODE |
80303 |
| COUNTRY |
United States |
| PHONE |
303-440-7015 |
| EMAIL |
pixywork@mac.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
016 |
| GOODS OR SERVICES |
PAPER GOODS AND PRINTED MATTER, NAMELY, GREETING AND ART CARDS, ART PRINTS, STICKERS, BOOKMARKS, STATIONARY, BOOKS AND BOOKLETS FEATURING ART,
POETRY OR BLANK PAGES, CALENDARS, COLORING BOOKS AND SCRAP BOOK INSERT PAGES |
| SPECIMEN FILE NAME(S) |
| ORIGINAL PDF FILE |
SPN0-67190118137-173357794_._Pixy_Work_Calendar.pdf |
CONVERTED PDF FILE(S)
(1 page) |
\\TICRS\EXPORT11\IMAGEOUT11\760\819\76081906\xml2\S890002.JPG |
| SPECIMEN DESCRIPTION |
Back of 2011 Calendar showing thumbnail images of each month, the word mark Pixy Work and image mark and price. |
| OWNER SECTION (current) |
| NAME |
Smith, Dana J. |
| STREET |
553 Donn Court |
| CITY |
Boulder |
| STATE |
Colorado |
| ZIP/POSTAL CODE |
80303 |
| COUNTRY |
United States |
| OWNER SECTION (proposed) |
| NAME |
Smith, Dana J. |
| STREET |
553 Donn Court |
| CITY |
Boulder |
| STATE |
Colorado |
| ZIP/POSTAL CODE |
80303 |
| COUNTRY |
United States |
| PHONE |
303-440-7015 |
| EMAIL |
XXXX |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| LEGAL ENTITY SECTION (current) |
| TYPE |
individual |
| COUNTRY OF CITIZENSHIP |
United States |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
500 |
| GRACE PERIOD |
200 |
| TOTAL FEE PAID |
700 |
| SIGNATURE SECTION |
| SIGNATURE |
/Dana Smith/ |
| SIGNATORY'S NAME |
Dana Smith |
| SIGNATORY'S POSITION |
Owner |
| DATE SIGNED |
01/02/2012 |
| SIGNATORY'S PHONE NUMBER |
303-440-7015 |
| PAYMENT METHOD |
CC |
| FILING INFORMATION |
| SUBMIT DATE |
Mon Jan 02 17:49:41 EST 2012 |
| TEAS STAMP |
USPTO/S08N09-XX.XXX.XXX.X
XX-20120102174941217811-2
509317-490a6375edbd092f3d
28cf27023bc9f89fe-CC-6683
-20120102173357794582 |
| 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: 2509317
REGISTRATION DATE: 11/20/2001
MARK: PIXY WORK
The owner, Dana J Smith, a citizen of United States, having an address of
553 Donn Court
Boulder, Colorado 80303
United States
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 016, 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: PAPER GOODS AND PRINTED MATTER, NAMELY, GREETING AND ART CARDS, ART PRINTS, STICKERS, BOOKMARKS, STATIONARY, BOOKS AND BOOKLETS FEATURING ART, POETRY OR
BLANK PAGES, CALENDARS, COLORING BOOKS AND SCRAP BOOK INSERT PAGES ; 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) Back of 2011 Calendar showing thumbnail
images of each month, the word mark Pixy Work and image mark and price..
Original PDF file:
SPN0-67190118137-173357794_._Pixy_Work_Calendar.pdf
Converted PDF file(s) (1 page)
Specimen File1
The registrant's current Correspondence Information: DANA J. SMITH of 553 DONN COURT
BOULDER, Colorado (CO) 80303
United States
The registrant's proposed Correspondence Information: Smith, Dana J.
553 Donn Court
BOULDER, Colorado (CO) 80303
United States
The phone number is 303-440-7015.
The email address is pixywork@mac.com.
A fee payment in the amount of $700 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: /Dana Smith/ Date: 01/02/2012
Signatory's Name: Dana Smith
Signatory's Position: Owner
Signatory's Phone Number: 303-440-7015
Serial Number: 76081906
Internet Transmission Date: Mon Jan 02 17:49:41 EST 2012
TEAS Stamp: USPTO/S08N09-XX.XXX.XXX.XXX-201201021749
41217811-2509317-490a6375edbd092f3d28cf2
7023bc9f89fe-CC-6683-2012010217335779458
2
