| 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 |
2753899 |
| REGISTRATION DATE |
08/19/2003 |
| SERIAL NUMBER |
76286538 |
| MARK SECTION |
| MARK |
INSULAYMENT |
| ATTORNEY SECTION (no change) |
| NAME |
Tracy L. Deutmeyer |
| FIRM NAME |
MCGRATH NORTH MULLIN & KRATZ, PC LLO |
| INTERNAL ADDRESS |
FIRST NATIONAL TOWER, SUITE 3700 |
| STREET |
1601 DODGE STREET |
| CITY |
OMAHA |
| STATE |
Nebraska |
| POSTAL CODE |
68102 |
| COUNTRY |
United States |
| PHONE |
(402) 341-3070 |
| FAX |
(402) 952-6870 |
| EMAIL |
trademark@mcgrathnorth.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| CORRESPONDENCE SECTION (no change) |
| NAME |
TRACY L. DEUTMEYER |
| FIRM NAME |
MCGRATH NORTH MULLIN & KRATZ, PC LLO |
| INTERNAL ADDRESS |
FIRST NATIONAL TOWER, SUITE 3700 |
| STREET |
1601 DODGE STREET |
| CITY |
OMAHA |
| STATE |
Nebraska |
| POSTAL CODE |
68102 |
| COUNTRY |
United States |
| PHONE |
(402) 341-3070 |
| FAX |
(402) 952-6870 |
| EMAIL |
trademark@mcgrathnorth.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
027 |
| GOODS OR SERVICES |
Underlayment pad for wood and laminate flooring |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\762\865\76286538\xml1\ S890002.JPG |
| SPECIMEN DESCRIPTION |
image of an on-line retail store webpage displaying a picture of the goods, the mark and a means for ordering the goods |
| OWNER SECTION (current) |
| NAME |
MP GLOBAL PRODUCTS, LLC |
| STREET |
2500 OLD HADAR ROAD |
| CITY |
NORFOLK |
| STATE |
Nebraska |
| ZIP/POSTAL CODE |
68702-2283 |
| COUNTRY |
United States |
| LEGAL ENTITY SECTION (current) |
| TYPE |
LLC |
| STATE/COUNTRY WHERE LEGALLY ORGANIZED |
Nebraska |
| LEGAL ENTITY SECTION (proposed) |
| TYPE |
limited liability company |
| STATE/COUNTRY WHERE LEGALLY ORGANIZED |
Nebraska |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
500 |
| TOTAL FEE PAID |
500 |
| SIGNATURE SECTION |
| SIGNATURE |
/Jack Boesch/ |
| SIGNATORY'S NAME |
Jack Boesch |
| SIGNATORY'S POSITION |
Director of Marketing |
| DATE SIGNED |
06/12/2013 |
| SIGNATORY'S PHONE NUMBER |
402-341-3070 |
| PAYMENT METHOD |
CC |
| FILING INFORMATION |
| SUBMIT DATE |
Wed Jun 12 14:10:53 EDT 2013 |
| TEAS STAMP |
USPTO/S08N09-XX.XX.XXX.X-
20130612141053107121-2753
899-500addd325af269fbe07e
c88c8ed2e2a8231d5b3523ada
9e67d71af0cfc0a62889-CC-4
29-20130612115829665565 |
| 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: 2753899
REGISTRATION DATE: 08/19/2003
MARK: INSULAYMENT
The owner, MP GLOBAL PRODUCTS, LLC, a limited liability company legally organized under the laws of Nebraska, having an address of
2500 OLD HADAR ROAD
NORFOLK, Nebraska 68702-2283
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 027, 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: Underlayment pad for wood and laminate flooring ; 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) image of an on-line retail store webpage
displaying a picture of the goods, the mark and a means for ordering the goods.
Specimen File1
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: /Jack Boesch/ Date: 06/12/2013
Signatory's Name: Jack Boesch
Signatory's Position: Director of Marketing
Signatory's Phone Number: 402-341-3070
Mailing Address:
MCGRATH NORTH MULLIN & KRATZ, PC LLO
1601 DODGE STREET
OMAHA, Nebraska 68102
Serial Number: 76286538
Internet Transmission Date: Wed Jun 12 14:10:53 EDT 2013
TEAS Stamp: USPTO/S08N09-XX.XX.XXX.X-201306121410531
07121-2753899-500addd325af269fbe07ec88c8
ed2e2a8231d5b3523ada9e67d71af0cfc0a62889
-CC-429-20130612115829665565
