| PTO Form 1963 (Rev 5/2006) |
| OMB No. 0651-0055 (Exp 12/31/2011) |
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 |
2510380 |
| REGISTRATION DATE |
11/20/2001 |
| SERIAL NUMBER |
76225644 |
| MARK SECTION |
| MARK |
COBRAGUARD |
| ATTORNEY SECTION (current) |
| NAME |
Gregory M. Kratofil, Jr. |
| FIRM NAME |
POLSINELLI SHALTON FLANIGAN SUELTHAUS PC |
| INTERNAL ADDRESS |
700 WEST 47TH STREET |
| STREET |
SUITE 1000 |
| CITY |
KANSAS CITY |
| STATE |
Missouri |
| POSTAL CODE |
64112 |
| COUNTRY |
United States |
| PHONE |
816-753-1000 |
| FAX |
816-753-1536 |
| EMAIL |
uspt@polsinelli.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| ATTORNEY SECTION (proposed) |
| NAME |
Gregory M. Kratofil, Jr. |
| FIRM NAME |
Polsinelli Shughart PC |
| INTERNAL ADDRESS |
Suite 1000 |
| STREET |
700 West 47th Street |
| CITY |
KANSAS CITY |
| STATE |
Missouri |
| POSTAL CODE |
64112 |
| COUNTRY |
United States |
| PHONE |
816-753-1000 |
| FAX |
816-753-1536 |
| EMAIL |
uspt@polsinelli.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
028030-063039 |
| OTHER APPOINTED ATTORNEY |
Ari M. Bai, Yu Cai, Corey M. Casey, Elton F. Dean, III, Brian B. Diekhoff, Derek D. Donahoe, Kate J. Doty, Gregory P. Durbin, Taryn A.
Elliott, Robert O. Enyard, Jr., Jeffrey E. Fine, Christopher L. Hines, Kimberly A. Honeycutt, Gary E. Hood, S. Wade Johnson, Jeffrey H. Kass, J. Morgan Kirley, Anne L. Kleindienst, Carla M. Lee,
Joshua M. McCaig, Tara A. Nealey, Gregory W. O'Connor, Jay E. Pietig, Andrea M. Porterfield, Rebecca C. Riley-Vargas, Marcia J. Rodgers, Kelley A. Schneiders, Teddy C. Scott, Matthew J. Smith,
Timothy D. Steffens, James M. Stipek, Richard P. Stitt, Karin E. Sullivan, Lawrence A. Swain, Micah D. Trotti, Tracey S. Truitt, Michael A. Williamson and Patrick C. Woolley |
| CORRESPONDENCE SECTION (current) |
| NAME |
GREGORY M. KRATOFIL, JR. |
| FIRM NAME |
POLSINELLI SHALTON FLANIGAN SUELTHAUS PC |
| INTERNAL ADDRESS |
700 WEST 47TH STREET |
| STREET |
SUITE 1000 |
| CITY |
KANSAS CITY |
| STATE |
Missouri |
| POSTAL CODE |
64112 |
| COUNTRY |
United States |
| PHONE |
816-753-1000 |
| FAX |
816-753-1536 |
| EMAIL |
uspt@polsinelli.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
GREGORY M. KRATOFIL, JR. |
| FIRM NAME |
Polsinelli Shughart PC |
| INTERNAL ADDRESS |
Suite 1000 |
| STREET |
700 West 47th Street |
| CITY |
KANSAS CITY |
| STATE |
Missouri |
| POSTAL CODE |
64112 |
| COUNTRY |
United States |
| PHONE |
816-753-1000 |
| FAX |
816-753-1536 |
| EMAIL |
uspt@polsinelli.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
028030-063039 |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
036 |
| GOODS OR SERVICES |
ADMINISTRATION OF EMPLOYEE BENEFIT PLANS; NAMELY, ADMINISTRATION OF COBRA (CONSOLIDATED OMNIBUS BUDGET RECONCILIATION ACT) PLANS |
| SPECIMEN FILE NAME(S) |
| ORIGINAL PDF FILE |
SPN0-676454150-164601955_._COBRAGUARDspecimen.pdf |
CONVERTED PDF FILE(S)
(3 pages) |
\\TICRS\EXPORT11\IMAGEOUT11\762\256\76225644\xml1\S890002.JPG |
| |
\\TICRS\EXPORT11\IMAGEOUT11\762\256\76225644\xml1\S890003.JPG |
| |
\\TICRS\EXPORT11\IMAGEOUT11\762\256\76225644\xml1\S890004.JPG |
| SPECIMEN DESCRIPTION |
Digital image from registrant's web site. |
| OWNER SECTION (current) |
| NAME |
Cobraguard, Inc. |
| STREET |
Suite 508 |
| CITY |
Mission |
| STATE |
Kansas |
| ZIP/POSTAL CODE |
66202 |
| COUNTRY |
United States |
| OWNER SECTION (proposed) |
| NAME |
Cobraguard, Inc. |
| INTERNAL ADDRESS |
Suite 508 |
| STREET |
5700 Broadmoor |
| CITY |
Mission |
| STATE |
Kansas |
| ZIP/POSTAL CODE |
66206 |
| COUNTRY |
United States |
| LEGAL ENTITY SECTION (current) |
| TYPE |
corporation |
| STATE/COUNTRY OF INCORPORATION |
Kansas |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
500 |
| TOTAL FEE PAID |
500 |
| SIGNATURE SECTION |
| SIGNATURE |
/gmk/ |
| SIGNATORY'S NAME |
Gregory M. Kratofil, Jr. |
| SIGNATORY'S POSITION |
Attorney of record, Missouri bar member |
| DATE SIGNED |
11/08/2011 |
| PAYMENT METHOD |
DA |
| FILING INFORMATION |
| SUBMIT DATE |
Tue Nov 08 16:52:47 EST 2011 |
| TEAS STAMP |
USPTO/S08N09-XX.XX.XX.XXX
-20111108165247685884-251
0380-4808239fcff63dba21c5
f65ee8facdd19b2-DA-3716-2
0111108164601955313 |
| PTO Form 1963 (Rev 5/2006) |
| OMB No. 0651-0055 (Exp 12/31/2011) |
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: 2510380
REGISTRATION DATE: 11/20/2001
MARK: COBRAGUARD
The owner, Cobraguard, Inc., a corporation of Kansas, having an address of
Suite 508
5700 Broadmoor
Mission, Kansas 66206
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 036, the mark is in use in commerce on or in connection with
all goods or services listed in the existing registration for this specific class: ADMINISTRATION OF
EMPLOYEE BENEFIT PLANS; NAMELY, ADMINISTRATION OF COBRA (CONSOLIDATED OMNIBUS BUDGET RECONCILIATION ACT) PLANS ; or, the owner is making the listed excusable nonuse claim.
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) Digital image from registrant's web site..
Original PDF file:
SPN0-676454150-164601955_._COBRAGUARDspecimen.pdf
Converted PDF file(s) (3 pages)
Specimen File1
Specimen File2
Specimen File3
The registrant's current Attorney Information: Gregory M. Kratofil, Jr. of POLSINELLI SHALTON FLANIGAN SUELTHAUS PC
700 WEST 47TH STREET
SUITE 1000
KANSAS CITY, Missouri (MO) 64112
United States (USX)
The registrant's proposed Attorney Information: Gregory M. Kratofil, Jr. of Polsinelli Shughart PC
Suite 1000
700 West 47th Street
KANSAS CITY, Missouri (MO) 64112
United States (USX)
The docket/reference number is 028030-063039.
The phone number is 816-753-1000.
The fax number is 816-753-1536.
The email address is uspt@polsinelli.com.
The registrant's current Correspondence Information: GREGORY M. KRATOFIL, JR. of POLSINELLI SHALTON FLANIGAN SUELTHAUS PC
700 WEST 47TH STREET
SUITE 1000
KANSAS CITY, Missouri (MO) 64112
United States (USX)
The registrant's proposed Correspondence Information: GREGORY M. KRATOFIL, JR. of Polsinelli Shughart PC
Suite 1000
700 West 47th Street
KANSAS CITY, Missouri (MO) 64112
United States (USX)
The docket/reference number is 028030-063039.
The phone number is 816-753-1000.
The fax number is 816-753-1536.
The email address is uspt@polsinelli.com.
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 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.
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: /gmk/ Date: 11/08/2011
Signatory's Name: Gregory M. Kratofil, Jr.
Signatory's Position: Attorney of record, Missouri bar member
Mailing Address
(current):
POLSINELLI SHALTON FLANIGAN SUELTHAUS PC
SUITE 1000
KANSAS CITY, Missouri 64112
Mailing Address
(proposed):
Polsinelli Shughart PC
700 West 47th Street
KANSAS CITY, Missouri 64112
Serial Number: 76225644
Internet Transmission Date: Tue Nov 08 16:52:47 EST 2011
TEAS Stamp: USPTO/S08N09-XX.XX.XX.XXX-20111108165247
685884-2510380-4808239fcff63dba21c5f65ee
8facdd19b2-DA-3716-20111108164601955313
