| 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 |
2726452 |
| REGISTRATION DATE |
06/17/2003 |
| SERIAL NUMBER |
76248779 |
| MARK SECTION |
| MARK |
CHAMBERLAIN |
| ATTORNEY SECTION (current) |
| NAME |
Laura J. Hein, Esq. |
| FIRM NAME |
GRAY, PLANT, MOOTY, MOOTY & BENNETT, PA |
| STREET |
P.O. BOX 2906 |
| CITY |
MINNEAPOLIS |
| STATE |
Minnesota |
| POSTAL CODE |
55402-0906 |
| COUNTRY |
United States |
| PHONE |
612-632-3000 |
| FAX |
612-632-4444 |
| EMAIL |
trademark@gpmlaw.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| ATTORNEY SECTION (proposed) |
| NAME |
Jennifer C. Debrow |
| FIRM NAME |
GRAY, PLANT, MOOTY, MOOTY & BENNETT, PA |
| STREET |
P.O. BOX 2906 |
| CITY |
MINNEAPOLIS |
| STATE |
Minnesota |
| POSTAL CODE |
55402-0906 |
| COUNTRY |
United States |
| PHONE |
612-632-3357 |
| FAX |
612-632-4357 |
| EMAIL |
trademark@gpmlaw.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
85954-US-001 |
| OTHER APPOINTED ATTORNEY |
all other attorneys at Gray Plant Mooty Mooty & Bennett |
| CORRESPONDENCE SECTION (current) |
| NAME |
LAURA J. HEIN, ESQ. |
| FIRM NAME |
GRAY, PLANT, MOOTY, MOOTY & BENNETT, PA |
| STREET |
P.O. BOX 2906 |
| CITY |
MINNEAPOLIS |
| STATE |
Minnesota |
| POSTAL CODE |
55402-0906 |
| COUNTRY |
United States |
| PHONE |
612-632-3000 |
| FAX |
612-632-4444 |
| EMAIL |
trademark@gpmlaw.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
Jennifer C. Debrow |
| FIRM NAME |
GRAY, PLANT, MOOTY, MOOTY & BENNETT, PA |
| STREET |
P.O. BOX 2906 |
| CITY |
MINNEAPOLIS |
| STATE |
Minnesota |
| POSTAL CODE |
55402-0906 |
| COUNTRY |
United States |
| PHONE |
612-632-3357 |
| FAX |
612-632-4357 |
| EMAIL |
trademark@gpmlaw.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
85954-US-001 |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
016 |
| GOODS OR SERVICES |
Writing instruments, namely pens |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\762\487\76248779\xml1\ S890002.JPG |
| SPECIMEN DESCRIPTION |
screen copy of website where product can be purcahsed |
| OWNER SECTION (current) |
| NAME |
HOLLAND USA, INC. |
| STREET |
1725 ROE CREST DRIVE |
| CITY |
NORTH MANKATO |
| STATE |
Minnesota |
| ZIP/POSTAL CODE |
56002-3728 |
| COUNTRY |
United States |
| LEGAL ENTITY SECTION (current) |
| TYPE |
corporation |
| STATE/COUNTRY OF INCORPORATION |
Minnesota |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
500 |
| TOTAL FEE PAID |
500 |
| SIGNATURE SECTION |
| SIGNATURE |
/s/ Brian A. Mayer |
| SIGNATORY'S NAME |
Brian A. Mayer |
| SIGNATORY'S POSITION |
Senior Corporate Counsel |
| DATE SIGNED |
07/17/2012 |
| PAYMENT METHOD |
DA |
| FILING INFORMATION |
| SUBMIT DATE |
Tue Jul 17 12:33:56 EDT 2012 |
| TEAS STAMP |
USPTO/S08N09-XX.XXX.XXX.X
X-20120717123356007121-27
26452-49091e847d13fe49d24
a931def82578de75-DA-10951
-20120716185132962037 |
| 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: 2726452
REGISTRATION DATE: 06/17/2003
MARK: CHAMBERLAIN
The owner, HOLLAND USA, INC., a corporation of Minnesota, having an address of
1725 ROE CREST DRIVE
NORTH MANKATO, Minnesota 56002-3728
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: Writing instruments, namely pens ; 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) screen copy of website where product can be
purcahsed.
Specimen File1
The registrant's current Attorney Information: Laura J. Hein, Esq. of GRAY, PLANT, MOOTY, MOOTY & BENNETT, PA
P.O. BOX 2906
MINNEAPOLIS, Minnesota (MN) 55402-0906
United States
The registrant's proposed Attorney Information: Jennifer C. Debrow of GRAY, PLANT, MOOTY, MOOTY & BENNETT, PA
P.O. BOX 2906
MINNEAPOLIS, Minnesota (MN) 55402-0906
United States
The docket/reference number is 85954-US-001.
The Other Appointed Attorney(s): all other attorneys at Gray Plant Mooty Mooty & Bennett.
The phone number is 612-632-3357.
The fax number is 612-632-4357.
The email address is trademark@gpmlaw.com.
The registrant's current Correspondence Information: LAURA J. HEIN, ESQ. of GRAY, PLANT, MOOTY, MOOTY & BENNETT, PA
P.O. BOX 2906
MINNEAPOLIS, Minnesota (MN) 55402-0906
United States
The registrant's proposed Correspondence Information: Jennifer C. Debrow of GRAY, PLANT, MOOTY, MOOTY & BENNETT, PA
P.O. BOX 2906
MINNEAPOLIS, Minnesota (MN) 55402-0906
United States
The docket/reference number is 85954-US-001.
The phone number is 612-632-3357.
The fax number is 612-632-4357.
The email address is trademark@gpmlaw.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 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: /s/ Brian A. Mayer Date: 07/17/2012
Signatory's Name: Brian A. Mayer
Signatory's Position: Senior Corporate Counsel
Mailing Address
(current):
GRAY, PLANT, MOOTY, MOOTY & BENNETT, PA
P.O. BOX 2906
MINNEAPOLIS, Minnesota 55402-0906
Mailing Address
(proposed):
GRAY, PLANT, MOOTY, MOOTY & BENNETT, PA
P.O. BOX 2906
MINNEAPOLIS, Minnesota 55402-0906
Serial Number: 76248779
Internet Transmission Date: Tue Jul 17 12:33:56 EDT 2012
TEAS Stamp: USPTO/S08N09-XX.XXX.XXX.XX-2012071712335
6007121-2726452-49091e847d13fe49d24a931d
ef82578de75-DA-10951-2012071618513296203
7
