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 NUMBER2840719
REGISTRATION DATE05/11/2004
SERIAL NUMBER76221374
MARK SECTION
MARK BLACK BOX
ATTORNEY SECTION (no change)
NAMEGregg C. Yowell
FIRM NAMESanders Warren & Russell LLP
INTERNAL ADDRESSSuite 1250
STREET9401 Indian Creek Parkway
CITYOVERLAND PARK
STATEKansas
POSTAL CODE66210
COUNTRYUnited States
PHONE913-234-6100
FAX913-234-6199
EMAILg.yowell@swrllp.com
AUTHORIZED TO COMMUNICATE VIA E-MAIL Yes
CORRESPONDENCE SECTION (no change)
NAMEGregg C. Yowell
FIRM NAMESanders Warren & Russell LLP
INTERNAL ADDRESSSuite 1250
STREET9401 Indian Creek Parkway
CITYOVERLAND PARK
STATEKansas
POSTAL CODE66210
COUNTRYUnited States
PHONE913-234-6100
FAX913-234-6199
EMAILg.yowell@swrllp.com
AUTHORIZED TO COMMUNICATE VIA E-MAIL Yes
GOODS AND/OR SERVICES SECTION
INTERNATIONAL CLASS 025
GOODS OR SERVICES Footwear
SPECIMEN FILE NAME(S)\\TICRS\EXPORT16\IMAGEOUT 16\762\213\76221374\xml1\ S890002.JPG
SPECIMEN DESCRIPTIONdigital photo of shoe
OWNER SECTION (current)
NAME Rack Room Shoes of Virginia, LLC
STREET Law Department
CITY Charlotte
STATE North Carolina
ZIP/POSTAL CODE 28262
COUNTRY United States
OWNER SECTION (proposed)
NAME Rack Room Shoes of Virginia, LLC
INTERNAL ADDRESS Law Department
STREET 8310 Technology Drive
CITY Charlotte
STATE North Carolina
ZIP/POSTAL CODE 28262
COUNTRY United States
PHONE 704-547-9200
EMAIL XXXX
AUTHORIZED TO COMMUNICATE VIA E-MAIL Yes
LEGAL ENTITY SECTION (current)
TYPE limited liability company
STATE/COUNTRY WHERE LEGALLY ORGANIZED Delaware
LEGAL ENTITY SECTION (proposed)
TYPE limited liability company
STATE/COUNTRY WHERE LEGALLY ORGANIZED Delaware
PAYMENT SECTION
NUMBER OF CLASSES 1
NUMBER OF CLASSES PAID 1
SUBTOTAL AMOUNT 500
GRACE PERIOD 200
TOTAL FEE PAID 700
SIGNATURE SECTION
SIGNATURE /gregg c yowell/
SIGNATORY'S NAME Gregg C Yowell
SIGNATORY'S POSITION Attorney of record, Kansas and Missouri bar member
DATE SIGNED 06/03/2014
SIGNATORY'S PHONE NUMBER 913-234-6141
PAYMENT METHODCC
FILING INFORMATION
SUBMIT DATE Tue Jun 03 11:26:12 EDT 2014
TEAS STAMP USPTO/S08N09-XX.XX.XXX.XX
-20140603112612109999-284
0719-500f115141e9e5a6fb76
751f9456fd56e1be5df48c27f
fd9636d734cdfa153-CC-1101
4-20140603111531950683


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: 2840719
REGISTRATION DATE: 05/11/2004

MARK: BLACK BOX

The owner, Rack Room Shoes of Virginia, LLC, a limited liability company legally organized under the laws of Delaware, having an address of
      Law Department
      8310 Technology Drive
      Charlotte, North Carolina 28262
      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 025, 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: Footwear ; 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) digital photo of shoe.
Specimen File1

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/services identified above, as evidenced by the attached specimen(s) showing the mark as used in commerce.

The signatory being 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 submission, declares that all statements made of his/her own knowledge are true and 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: /gregg c yowell/      Date: 06/03/2014
Signatory's Name: Gregg C Yowell
Signatory's Position: Attorney of record, Kansas and Missouri bar member
Signatory's Phone Number: 913-234-6141

Mailing Address:
   Sanders Warren & Russell LLP
   9401 Indian Creek Parkway
   OVERLAND PARK, Kansas 66210

Serial Number: 76221374
Internet Transmission Date: Tue Jun 03 11:26:12 EDT 2014
TEAS Stamp: USPTO/S08N09-XX.XX.XXX.XX-20140603112612
109999-2840719-500f115141e9e5a6fb76751f9
456fd56e1be5df48c27ffd9636d734cdfa153-CC
-11014-20140603111531950683