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 |
2896092 |
REGISTRATION DATE |
10/19/2004 |
SERIAL NUMBER |
76312126 |
MARK SECTION |
MARK |
EZ-SCREEN |
ATTORNEY SECTION (current) |
NAME |
Gregory C. Golla |
FIRM NAME |
MERCHANT & GOULD P.C. |
STREET |
P.O. BOX 2910 |
CITY |
MINNEAPOLIS |
STATE |
Minnesota |
POSTAL CODE |
55402-0910 |
COUNTRY |
United States |
PHONE |
612-332-5300 |
FAX |
612-332-9081 |
DOCKET/REFERENCE NUMBER |
1684.145US01 |
ATTORNEY SECTION (proposed) |
NAME |
Gregory C. Golla |
FIRM NAME |
MERCHANT & GOULD P.C. |
STREET |
P.O. BOX 2910 |
CITY |
MINNEAPOLIS |
STATE |
Minnesota |
POSTAL CODE |
55402-0910 |
COUNTRY |
United States |
PHONE |
612-332-5300 |
FAX |
612-332-9081 |
EMAIL |
dockmpls@merchantgould.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
1684.145US01 |
OTHER APPOINTED ATTORNEY |
John Clifford; Andrew Ehard; Scott Johnston; Dana Josefczyk; Danielle Mattessich; Brent Routman and Christopher Schulte |
CORRESPONDENCE SECTION (current) |
NAME |
Gregory C. Golla |
FIRM NAME |
MERCHANT & GOULD P.C. |
STREET |
P.O. BOX 2910 |
CITY |
MINNEAPOLIS |
STATE |
Minnesota |
POSTAL CODE |
55402-0910 |
COUNTRY |
United States |
PHONE |
612-332-5300 |
FAX |
612-332-9081 |
DOCKET/REFERENCE NUMBER |
1684.145US01 |
CORRESPONDENCE SECTION (proposed) |
NAME |
Gregory C. Golla |
FIRM NAME |
MERCHANT & GOULD P.C. |
STREET |
P.O. BOX 2910 |
CITY |
MINNEAPOLIS |
STATE |
Minnesota |
POSTAL CODE |
55402-0910 |
COUNTRY |
United States |
PHONE |
612-332-5300 |
FAX |
612-332-9081 |
EMAIL |
dockmpls@merchantgould.com;ggolla@merchantgould.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
1684.145US01 |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
009 |
GOODS OR SERVICES |
photoelectric sensor systems used for personal safety applications |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\763\121\76312126\xml1\ S890002.JPG |
SPECIMEN DESCRIPTION |
photo of mark as applied to product |
OWNER SECTION (current) |
NAME |
Banner Engineering Corporation |
STREET |
9714 10th Avenue North |
CITY |
Minneapolis |
STATE |
Minnesota |
ZIP/POSTAL CODE |
55441 |
COUNTRY |
United States |
OWNER SECTION (proposed) |
NAME |
Banner Engineering Corporation |
STREET |
9714 10th Avenue North |
CITY |
Minneapolis |
STATE |
Minnesota |
ZIP/POSTAL CODE |
55441 |
COUNTRY |
United States |
EMAIL |
XXXX |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
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 |
/gcg/ |
SIGNATORY'S NAME |
Gregory C. Golla |
SIGNATORY'S POSITION |
Attorney of Record, Minnesota Bar member |
DATE SIGNED |
02/13/2014 |
SIGNATORY'S PHONE NUMBER |
612/371-5395 |
PAYMENT METHOD |
CC |
FILING INFORMATION |
SUBMIT DATE |
Thu Feb 13 10:52:43 EST 2014 |
TEAS STAMP |
USPTO/S08N09-XXX.XXX.XXX.
XX-20140213105243049751-2
896092-5002a74159e54c4754
4bdb6bde666a9d37c5922f798
8a921a82520e8b213569caa-C
C-10311-20140213102426100
578 |
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: 2896092
REGISTRATION DATE: 10/19/2004
MARK: EZ-SCREEN
The owner, Banner Engineering Corporation, a corporation of Minnesota, having an address of
9714 10th Avenue North
Minneapolis, Minnesota 55441
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 009, 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: photoelectric sensor systems used for personal safety applications ; 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) photo of mark as applied to product.
Specimen File1
The registrant's current Attorney Information: Gregory C. Golla of MERCHANT & GOULD P.C.
P.O. BOX 2910
MINNEAPOLIS, Minnesota (MN) 55402-0910
United States
The docket/reference number is 1684.145US01.
The registrant's proposed Attorney Information: Gregory C. Golla of MERCHANT & GOULD P.C.
P.O. BOX 2910
MINNEAPOLIS, Minnesota (MN) 55402-0910
United States
The docket/reference number is 1684.145US01.
The Other Appointed Attorney(s): John Clifford; Andrew Ehard; Scott Johnston; Dana Josefczyk; Danielle Mattessich; Brent Routman and Christopher Schulte.
The phone number is 612-332-5300.
The fax number is 612-332-9081.
The email address is dockmpls@merchantgould.com.
The registrant's current Correspondence Information: Gregory C. Golla of MERCHANT & GOULD P.C.
P.O. BOX 2910
MINNEAPOLIS, Minnesota (MN) 55402-0910
United States
The docket/reference number is 1684.145US01.
The registrant's proposed Correspondence Information: Gregory C. Golla of MERCHANT & GOULD P.C.
P.O. BOX 2910
MINNEAPOLIS, Minnesota (MN) 55402-0910
United States
The docket/reference number is 1684.145US01.
The phone number is 612-332-5300.
The fax number is 612-332-9081.
The email address is dockmpls@merchantgould.com;ggolla@merchantgould.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: /gcg/ Date: 02/13/2014
Signatory's Name: Gregory C. Golla
Signatory's Position: Attorney of Record, Minnesota Bar member
Signatory's Phone Number: 612/371-5395
Mailing Address
(current):
MERCHANT & GOULD P.C.
P.O. BOX 2910
MINNEAPOLIS, Minnesota 55402-0910
Mailing Address
(proposed):
MERCHANT & GOULD P.C.
P.O. BOX 2910
MINNEAPOLIS, Minnesota 55402-0910
Serial Number: 76312126
Internet Transmission Date: Thu Feb 13 10:52:43 EST 2014
TEAS Stamp: USPTO/S08N09-XXX.XXX.XXX.XX-201402131052
43049751-2896092-5002a74159e54c47544bdb6
bde666a9d37c5922f7988a921a82520e8b213569
caa-CC-10311-20140213102426100578