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 |
2696283 |
REGISTRATION DATE |
03/11/2003 |
SERIAL NUMBER |
76091396 |
MARK SECTION |
MARK |
Miscellaneous Mark (stylized and/or with design) |
ATTORNEY SECTION (current) |
NAME |
Charles Lee |
FIRM NAME |
ESURANCE INSURANCE SERVICES, INC. |
STREET |
650 DAVIS STREET |
CITY |
SAN FRANCISCO |
STATE |
California |
POSTAL CODE |
94111 |
COUNTRY |
United States |
PHONE |
415-875-4772 |
FAX |
415-875-4680 |
EMAIL |
clee@esurance.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
ATTORNEY SECTION (proposed) |
NAME |
Charles Lee |
FIRM NAME |
ESURANCE INSURANCE SERVICES, INC. |
STREET |
650 DAVIS STREET |
CITY |
SAN FRANCISCO |
STATE |
California |
POSTAL CODE |
94111 |
COUNTRY |
United States |
PHONE |
415-875-4772 |
FAX |
415-875-4680 |
EMAIL |
clee@esurance.com;trademark@edwardswildman.com;jgekas@edwardswildman.com;tmiari@edwardswildman.com;aschrieffer@edwardswildman.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
OTHER APPOINTED ATTORNEY |
Waqas Durrani; Ali Ezzatyar; Anne-Kathrin Kroemer; Crissy Solh; Joy Su; Karen Locher; Paul Tokarz |
CORRESPONDENCE SECTION (current) |
NAME |
CHARLES LEE |
FIRM NAME |
ESURANCE INSURANCE SERVICES, INC. |
STREET |
650 DAVIS STREET |
CITY |
SAN FRANCISCO |
STATE |
California |
POSTAL CODE |
94111 |
COUNTRY |
United States |
PHONE |
415-875-4772 |
FAX |
415-875-4680 |
EMAIL |
clee@esurance.com;trademark@edwardswildman.com;awong2@esurance.com;wdurrani@esurance.com;csolh@esurance.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
CORRESPONDENCE SECTION (proposed) |
NAME |
CHARLES LEE |
FIRM NAME |
ESURANCE INSURANCE SERVICES, INC. |
STREET |
650 DAVIS STREET |
CITY |
SAN FRANCISCO |
STATE |
California |
POSTAL CODE |
94111 |
COUNTRY |
United States |
PHONE |
415-875-4772 |
FAX |
415-875-4680 |
EMAIL |
clee@esurance.com;trademark@edwardswildman.com; csolh@esurance.com; awong2@esurance.com; wdurrani@esurance.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
035 |
GOODS OR SERVICES |
Inspection and examination referral services in the field of insurance, and customer needs assessment |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\760\913\76091396\xml3\ S890002.JPG |
SPECIMEN DESCRIPTION |
a screen shot from Applicant's social media page promoting services and bearing the mark |
INTERNATIONAL CLASS |
042 |
GOODS OR SERVICES |
PRODUCT EVALUATION IN THE FIELD OF INSURANCE |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\760\913\76091396\xml3\ S890003.JPG |
SPECIMEN DESCRIPTION |
a screen shot from Applicant's social media page promoting services and bearing the mark |
OWNER SECTION (current) |
NAME |
ESURANCE INSURANCE SERVICES, INC. |
STREET |
650 DAVIS STREET |
CITY |
SAN FRANCISCO |
STATE |
California |
ZIP/POSTAL CODE |
94111 |
COUNTRY |
United States |
OWNER SECTION (proposed) |
NAME |
ESURANCE INSURANCE SERVICES, INC. |
STREET |
650 DAVIS STREET |
CITY |
SAN FRANCISCO |
STATE |
California |
ZIP/POSTAL CODE |
94111 |
COUNTRY |
United States |
EMAIL |
XXXX |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
LEGAL ENTITY SECTION (current) |
TYPE |
corporation |
STATE/COUNTRY OF INCORPORATION |
Delaware |
PAYMENT SECTION |
NUMBER OF CLASSES |
2 |
NUMBER OF CLASSES PAID |
2 |
SUBTOTAL AMOUNT |
1000 |
GRACE PERIOD |
400 |
TOTAL FEE PAID |
1400 |
SIGNATURE SECTION |
SIGNATURE |
/Waqas Durrani/ |
SIGNATORY'S NAME |
Waqas Durrani |
SIGNATORY'S POSITION |
Associate General Counsel for Esurance, IL Bar Member |
DATE SIGNED |
07/01/2013 |
SIGNATORY'S PHONE NUMBER |
415-875-4798 |
PAYMENT METHOD |
CC |
FILING INFORMATION |
SUBMIT DATE |
Mon Jul 01 19:18:43 EDT 2013 |
TEAS STAMP |
USPTO/S08N09-XX.XXX.XXX.X
-20130701191843176743-269
6283-50015e793205258b1994
ef3dca0ac275ae74df4011798
27f18498ef77f143f22f-CC-7
282-20130701172753688111 |
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: 2696283
REGISTRATION DATE: 03/11/2003
MARK: (Stylized and/or with Design, Miscellaneous Mark)
The owner, ESURANCE INSURANCE SERVICES, INC., a corporation of Delaware, having an address of
650 DAVIS STREET
SAN FRANCISCO, California 94111
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 035, 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: Inspection and examination referral services in the field of insurance, and customer needs assessment ; 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) a screen shot from Applicant's social media
page promoting services and bearing the mark.
Specimen File1
For International Class 042, 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: PRODUCT EVALUATION IN THE FIELD OF INSURANCE ; 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) a screen shot from Applicant's social media
page promoting services and bearing the mark.
Specimen File1
The registrant's current Attorney Information: Charles Lee of ESURANCE INSURANCE SERVICES, INC.
650 DAVIS STREET
SAN FRANCISCO, California (CA) 94111
United States
The registrant's proposed Attorney Information: Charles Lee of ESURANCE INSURANCE SERVICES, INC.
650 DAVIS STREET
SAN FRANCISCO, California (CA) 94111
United States
The Other Appointed Attorney(s): Waqas Durrani; Ali Ezzatyar; Anne-Kathrin Kroemer; Crissy Solh; Joy Su; Karen Locher; Paul Tokarz.
The phone number is 415-875-4772.
The fax number is 415-875-4680.
The email address is clee@esurance.com;trademark@edwardswildman.com;jgekas@edwardswildman.com;tmiari@edwardswildman.com;aschrieffer@edwardswildman.com.
The registrant's current Correspondence Information: CHARLES LEE of ESURANCE INSURANCE SERVICES, INC.
650 DAVIS STREET
SAN FRANCISCO, California (CA) 94111
United States
The registrant's proposed Correspondence Information: CHARLES LEE of ESURANCE INSURANCE SERVICES, INC.
650 DAVIS STREET
SAN FRANCISCO, California (CA) 94111
United States
The phone number is 415-875-4772.
The fax number is 415-875-4680.
The email address is clee@esurance.com;trademark@edwardswildman.com; csolh@esurance.com; awong2@esurance.com; wdurrani@esurance.com.
A fee payment in the amount of $1400 will be submitted with the form, representing payment for 2 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: /Waqas Durrani/ Date: 07/01/2013
Signatory's Name: Waqas Durrani
Signatory's Position: Associate General Counsel for Esurance, IL Bar Member
Signatory's Phone Number: 415-875-4798
Mailing Address
(current):
ESURANCE INSURANCE SERVICES, INC.
650 DAVIS STREET
SAN FRANCISCO, California 94111
Mailing Address
(proposed):
ESURANCE INSURANCE SERVICES, INC.
650 DAVIS STREET
SAN FRANCISCO, California 94111
Serial Number: 76091396
Internet Transmission Date: Mon Jul 01 19:18:43 EDT 2013
TEAS Stamp: USPTO/S08N09-XX.XXX.XXX.X-20130701191843
176743-2696283-50015e793205258b1994ef3dc
a0ac275ae74df401179827f18498ef77f143f22f
-CC-7282-20130701172753688111