| 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 |
2710019 |
| REGISTRATION DATE |
04/22/2003 |
| SERIAL NUMBER |
76311311 |
| MARK SECTION |
| MARK |
DOUBLE PLAY |
| ATTORNEY SECTION (current) |
| NAME |
Michael M. Zadrozny |
| FIRM NAME |
SHLESINGER, ARKWRIGHT & GARVEY LLP |
| STREET |
1420 KING STREET, SUITE 600 |
| CITY |
ALEXANDRIA |
| STATE |
Virginia |
| POSTAL CODE |
22314 |
| COUNTRY |
United States |
| PHONE |
(703) 684-5600 |
| FAX |
(703) 836-5288 |
| ATTORNEY SECTION (proposed) |
| NAME |
Michael M. Zadrozny |
| FIRM NAME |
SHLESINGER, ARKWRIGHT & GARVEY LLP |
| STREET |
5845 RICHMOND HIGHWAY, SUITE 415 |
| CITY |
ALEXANDRIA |
| STATE |
Virginia |
| POSTAL CODE |
22303 |
| COUNTRY |
United States |
| PHONE |
(703) 684-5600 |
| FAX |
(703) 836-5288 |
| DOCKET/REFERENCE NUMBER |
R4603 |
| CORRESPONDENCE SECTION (current) |
| NAME |
MICHAEL M. ZADROZNY |
| FIRM NAME |
SHLESINGER, ARKWRIGHT & GARVEY LLP |
| STREET |
1420 KING STREET, SUITE 600 |
| CITY |
ALEXANDRIA |
| STATE |
Virginia |
| POSTAL CODE |
22314 |
| COUNTRY |
United States |
| PHONE |
(703) 684-5600 |
| FAX |
(703) 836-5288 |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
MICHAEL M. ZADROZNY |
| FIRM NAME |
SHLESINGER, ARKWRIGHT & GARVEY LLP |
| STREET |
5845 RICHMOND HIGHWAY, SUITE 415 |
| CITY |
ALEXANDRIA |
| STATE |
Virginia |
| POSTAL CODE |
22303 |
| COUNTRY |
United States |
| PHONE |
(703) 684-5600 |
| FAX |
(703) 836-5288 |
| DOCKET/REFERENCE NUMBER |
R4603 |
| DOMESTIC REPRESENTATIVE SECTION (new) |
| NAME |
Michael M. Zadrozny |
| STREET |
5845 RICHMOND HIGHWAY, SUITE 415 |
| CITY |
ALEXANDRIA |
| STATE |
Virginia |
| POSTAL CODE |
22303 |
| COUNTRY |
United States |
| PHONE |
(703) 684-5600 |
| FAX |
(703) 836-5288 |
| DOCKET/REFERENCE NUMBER |
R4603 |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
028 |
| GOODS OR SERVICES |
DISPOSABLE TICKETS SETS FOR PLAYING GAMES OF CHANCE |
| SPECIMEN FILE NAME(S) |
| ORIGINAL PDF FILE |
SPN0-20825067186-115442635_._DOUBLE_PLAY_SPECIMEN.pdf |
CONVERTED PDF FILE(S)
(1 page) |
\\TICRS\EXPORT16\IMAGEOUT16\763\113\76311311\xml1\S890002.JPG |
| SPECIMEN DESCRIPTION |
IMAGE OF THE GOODS |
| OWNER SECTION (current) |
| NAME |
POLLARD BANKNOTE LIMITED PARTNERSHIP |
| STREET |
1499 BUFFALO PLACE |
| CITY |
WINNIPEG, MANITOBA |
| ZIP/POSTAL CODE |
R3T 1L7 |
| COUNTRY |
Canada |
| LEGAL ENTITY SECTION (current) |
| TYPE |
limited partnership |
| LEGAL ENTITY SECTION (proposed) |
| TYPE |
limited partnership |
| STATE/COUNTRY WHERE LEGALLY ORGANIZED |
Canada |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
500 |
| TOTAL FEE PAID |
500 |
| SIGNATURE SECTION |
| SIGNATURE |
/mmz/ |
| SIGNATORY'S NAME |
Michael M. Zadrozny |
| SIGNATORY'S POSITION |
Attorney of Record, Maryland Bar Member and Agent |
| DATE SIGNED |
12/20/2012 |
| PAYMENT METHOD |
DA |
| FILING INFORMATION |
| SUBMIT DATE |
Thu Dec 20 12:01:04 EST 2012 |
| TEAS STAMP |
USPTO/S08N09-XXX.XXX.XX.X
XX-20121220120104829934-2
710019-4901a3225de0ba75d6
728821dc05e8211-DA-17188-
20121220115442635178 |
| 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: 2710019
REGISTRATION DATE: 04/22/2003
MARK: DOUBLE PLAY
The owner, POLLARD BANKNOTE LIMITED PARTNERSHIP, a limited partnership legally organized under the laws of Canada, having an address of
1499 BUFFALO PLACE
WINNIPEG, MANITOBA, R3T 1L7
Canada
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 028, 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: DISPOSABLE TICKETS SETS FOR PLAYING GAMES OF CHANCE ; 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 THE GOODS.
Original PDF file:
SPN0-20825067186-115442635_._DOUBLE_PLAY_SPECIMEN.pdf
Converted PDF file(s) (1 page)
Specimen File1
The registrant's current Attorney Information: Michael M. Zadrozny of SHLESINGER, ARKWRIGHT & GARVEY LLP
1420 KING STREET, SUITE 600
ALEXANDRIA, Virginia (VA) 22314
United States
The registrant's proposed Attorney Information: Michael M. Zadrozny of SHLESINGER, ARKWRIGHT & GARVEY LLP
5845 RICHMOND HIGHWAY, SUITE 415
ALEXANDRIA, Virginia (VA) 22303
United States
The docket/reference number is R4603.
The phone number is (703) 684-5600.
The fax number is (703) 836-5288.
The registrant's current Correspondence Information: MICHAEL M. ZADROZNY of SHLESINGER, ARKWRIGHT & GARVEY LLP
1420 KING STREET, SUITE 600
ALEXANDRIA, Virginia (VA) 22314
United States
The registrant's proposed Correspondence Information: MICHAEL M. ZADROZNY of SHLESINGER, ARKWRIGHT & GARVEY LLP
5845 RICHMOND HIGHWAY, SUITE 415
ALEXANDRIA, Virginia (VA) 22303
United States
The docket/reference number is R4603.
The phone number is (703) 684-5600.
The fax number is (703) 836-5288.
The registrant hereby appoints Michael M. Zadrozny, 5845 RICHMOND HIGHWAY, SUITE 415, ALEXANDRIA, Virginia (VA) United States (USX) 22303 as registrant's representative upon whom notice or process in
the proceedings affecting the mark may be served.
The phone number is (703) 684-5600.
The fax number is (703) 836-5288.
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: /mmz/ Date: 12/20/2012
Signatory's Name: Michael M. Zadrozny
Signatory's Position: Attorney of Record, Maryland Bar Member and Agent
Mailing Address
(current):
SHLESINGER, ARKWRIGHT & GARVEY LLP
1420 KING STREET, SUITE 600
ALEXANDRIA, Virginia 22314
Mailing Address
(proposed):
SHLESINGER, ARKWRIGHT & GARVEY LLP
5845 RICHMOND HIGHWAY, SUITE 415
ALEXANDRIA, Virginia 22303
Serial Number: 76311311
Internet Transmission Date: Thu Dec 20 12:01:04 EST 2012
TEAS Stamp: USPTO/S08N09-XXX.XXX.XX.XXX-201212201201
04829934-2710019-4901a3225de0ba75d672882
1dc05e8211-DA-17188-20121220115442635178
