| 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 |
2515251 |
| REGISTRATION DATE |
12/04/2001 |
| SERIAL NUMBER |
76235624 |
| MARK SECTION |
| MARK |
SCRIP |
| ATTORNEY SECTION (current) |
| NAME |
William D. Jackson |
| FIRM NAME |
BRINKS HOFER GILSON & LIONE |
| STREET |
PO BOX 10395 |
| CITY |
CHICAGO |
| STATE |
Illinois |
| POSTAL CODE |
60610-0395 |
| COUNTRY |
United States |
| PHONE |
312/321-4217 |
| EMAIL |
igilson@ brinkshofer.com |
| ATTORNEY SECTION (proposed) |
| NAME |
Kristin J. Achterhof |
| FIRM NAME |
Katten Muchin Rosenman LLP |
| STREET |
525 West Monroe Street |
| CITY |
CHICAGO |
| STATE |
Illinois |
| POSTAL CODE |
60661 |
| COUNTRY |
United States |
| PHONE |
312-902-5200 |
| FAX |
312-577-8994 |
| EMAIL |
deborah.wing@kattenlaw.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
336712-00009 |
| OTHER APPOINTED ATTORNEY |
Floyd A. Mandell, Tanya L. Curtis, Becky A. Williams and all other attorneys of the firm Katten Muchin Rosenman |
| CORRESPONDENCE SECTION (current) |
| NAME |
WILLIAM D. JACKSON |
| FIRM NAME |
BRINKS HOFER GILSON & LIONE |
| STREET |
PO BOX 10395 |
| CITY |
CHICAGO |
| STATE |
Illinois |
| POSTAL CODE |
60610-0395 |
| COUNTRY |
United States |
| PHONE |
312/321-4217 |
| EMAIL |
igilson@ brinkshofer.com |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
Kristin J. Achterhof |
| FIRM NAME |
Katten Muchin Rosenman LLP |
| STREET |
525 West Monroe Street |
| CITY |
CHICAGO |
| STATE |
Illinois |
| POSTAL CODE |
60661 |
| COUNTRY |
United States |
| PHONE |
312-902-5200 |
| FAX |
312-577-8994 |
| EMAIL |
deborah.wing@kattenlaw.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
336712-00009 |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
035 |
| GOODS OR SERVICES |
wholesale distributorships featuring chiropractic supplies |
| SPECIMEN FILE NAME(S) |
| ORIGINAL PDF FILE |
SPN0-387119219-133709563_._SCRIP_SPECIMEN.pdf |
CONVERTED PDF FILE(S)
(5 pages) |
\\TICRS\EXPORT11\IMAGEOUT11\762\356\76235624\xml1\S890002.JPG |
| |
\\TICRS\EXPORT11\IMAGEOUT11\762\356\76235624\xml1\S890003.JPG |
| |
\\TICRS\EXPORT11\IMAGEOUT11\762\356\76235624\xml1\S890004.JPG |
| |
\\TICRS\EXPORT11\IMAGEOUT11\762\356\76235624\xml1\S890005.JPG |
| |
\\TICRS\EXPORT11\IMAGEOUT11\762\356\76235624\xml1\S890006.JPG |
| SPECIMEN DESCRIPTION |
Catalog |
| OWNER SECTION (current) |
| NAME |
Scrip, Inc. |
| STREET |
9005 North Industrial Road |
| CITY |
Peoria |
| STATE |
Illinois |
| ZIP/POSTAL CODE |
61615-1511 |
| COUNTRY |
United States |
| LEGAL ENTITY SECTION (current) |
| TYPE |
corporation |
| STATE/COUNTRY OF INCORPORATION |
Illinois |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
500 |
| GRACE PERIOD |
200 |
| TOTAL FEE PAID |
700 |
| SIGNATURE SECTION |
| SIGNATURE |
/KJA/ |
| SIGNATORY'S NAME |
Kristin J. Achterhof |
| SIGNATORY'S POSITION |
Attorney for Registrant, Illinois bar member |
| DATE SIGNED |
05/24/2012 |
| SIGNATORY'S PHONE NUMBER |
312-902-5200 |
| PAYMENT METHOD |
DA |
| FILING INFORMATION |
| SUBMIT DATE |
Thu May 24 13:51:40 EDT 2012 |
| TEAS STAMP |
USPTO/S08N09-XX.XX.XXX.XX
-20120524135140387982-251
5251-4903113cb2f534952f8b
85f5452383219e2-DA-13271-
20120524133709563176 |
| 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: 2515251
REGISTRATION DATE: 12/04/2001
MARK: SCRIP
The owner, Scrip, Inc., a corporation of Illinois, having an address of
9005 North Industrial Road
Peoria, Illinois 61615-1511
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: wholesale distributorships featuring chiropractic supplies ; 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) Catalog.
Original PDF file:
SPN0-387119219-133709563_._SCRIP_SPECIMEN.pdf
Converted PDF file(s) (5 pages)
Specimen File1
Specimen File2
Specimen File3
Specimen File4
Specimen File5
The registrant's current Attorney Information: William D. Jackson of BRINKS HOFER GILSON & LIONE
PO BOX 10395
CHICAGO, Illinois (IL) 60610-0395
United States
The registrant's proposed Attorney Information: Kristin J. Achterhof of Katten Muchin Rosenman LLP
525 West Monroe Street
CHICAGO, Illinois (IL) 60661
United States
The docket/reference number is 336712-00009.
The Other Appointed Attorney(s): Floyd A. Mandell, Tanya L. Curtis, Becky A. Williams and all other attorneys of the firm Katten Muchin Rosenman.
The phone number is 312-902-5200.
The fax number is 312-577-8994.
The email address is deborah.wing@kattenlaw.com.
The registrant's current Correspondence Information: WILLIAM D. JACKSON of BRINKS HOFER GILSON & LIONE
PO BOX 10395
CHICAGO, Illinois (IL) 60610-0395
United States
The registrant's proposed Correspondence Information: Kristin J. Achterhof of Katten Muchin Rosenman LLP
525 West Monroe Street
CHICAGO, Illinois (IL) 60661
United States
The docket/reference number is 336712-00009.
The phone number is 312-902-5200.
The fax number is 312-577-8994.
The email address is deborah.wing@kattenlaw.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: /KJA/ Date: 05/24/2012
Signatory's Name: Kristin J. Achterhof
Signatory's Position: Attorney for Registrant, Illinois bar member
Signatory's Phone Number: 312-902-5200
Mailing Address
(current):
BRINKS HOFER GILSON & LIONE
PO BOX 10395
CHICAGO, Illinois 60610-0395
Mailing Address
(proposed):
Katten Muchin Rosenman LLP
525 West Monroe Street
CHICAGO, Illinois 60661
Serial Number: 76235624
Internet Transmission Date: Thu May 24 13:51:40 EDT 2012
TEAS Stamp: USPTO/S08N09-XX.XX.XXX.XX-20120524135140
387982-2515251-4903113cb2f534952f8b85f54
52383219e2-DA-13271-20120524133709563176
