PTO Form 1963 (Rev 5/2006) |
OMB No. 0651-0055 (Exp 12/31/2011) |
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 |
2601002 |
REGISTRATION DATE |
07/30/2002 |
SERIAL NUMBER |
76325716 |
MARK SECTION |
MARK |
EROWID |
CORRESPONDENCE SECTION (current) |
NAME |
SUSAN L. SMITH |
FIRM NAME |
ORRICK, HERRINGTON & SUTCLIFFE LLP |
STREET |
1000 MARSH RD |
CITY |
MENLO PARK |
STATE |
California |
POSTAL CODE |
94025 |
COUNTRY |
United States |
PHONE |
(650) 614-7400 |
FAX |
(650) 614-7401 |
CORRESPONDENCE SECTION (proposed) |
NAME |
Erowid |
STREET |
PO Box 1116 |
CITY |
Grass Valley |
STATE |
California |
POSTAL CODE |
95945 |
COUNTRY |
United States |
EMAIL |
admin-trademark@erowid.org |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
041 |
GOODS OR SERVICES |
Development and dissemination of education materials regarding psychoactive plants and chemicals and related topics in the field of
spirituality, religion, politics, art and science; Publication of articles, books, pamphlets and newsletters regarding psychoactive plants and chemicals and related topics in the field of
spirituality, religion, politics, art and science |
SPECIMEN FILE NAME(S) |
ORIGINAL PDF FILE |
SPN0-6714216626-184402135_._erowid_extracts__20-1.pdf |
CONVERTED PDF FILE(S)
(1 page) |
\\TICRS\EXPORT11\IMAGEOUT11\763\257\76325716\xml1\S890002.JPG |
ORIGINAL PDF FILE |
SPN0-6714216626-184402135_._erowid_extracts__20-2.pdf |
CONVERTED PDF FILE(S)
(1 page) |
\\TICRS\EXPORT11\IMAGEOUT11\763\257\76325716\xml1\S890003.JPG |
SPECIMEN DESCRIPTION |
1) Front cover of our print magazine/newsletter showing mark in use. 2) Masthead of print magazine showing trademark declaration. |
INTERNATIONAL CLASS |
042 |
GOODS OR SERVICES |
Providing information and promoting public awareness about psychoactive plants and chemicals and related topics in the field of spirituality,
religion, politics, art and science through a global computer information network |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT11\IMAGEOUT 11\763\257\76325716\xml1\ S890004.JPG |
|
\\TICRS\EXPORT11\IMAGEOUT 11\763\257\76325716\xml1\ S890005.JPG |
SPECIMEN DESCRIPTION |
1) Screenshot of Erowid.org showing mark in use (it is used on all pages of the site). 2) Screenshot of page on Erowid.org showing
trademark declaration. |
MISCELLANEOUS STATEMENT |
Free text not entered by the applicant. |
ORIGINAL PDF FILE |
MISC-6714216626-184402135_._erowid_extracts__20_1.pdf |
|
\\TICRS\EXPORT11\IMAGEOUT 11\763\257\76325716\xml1\ S890006.JPG |
ORIGINAL PDF FILE |
MISC-6714216626-184402135_._erowid_extracts__20_3.pdf |
|
\\TICRS\EXPORT11\IMAGEOUT 11\763\257\76325716\xml1\ S890007.JPG |
OWNER SECTION (current) |
NAME |
Erowid |
STREET |
PO Box 1116 |
CITY |
Grass Valley |
STATE |
California |
ZIP/POSTAL CODE |
95945 |
COUNTRY |
United States |
OWNER SECTION (proposed) |
NAME |
Erowid |
STREET |
PO Box 1116 |
CITY |
Grass Valley |
STATE |
California |
ZIP/POSTAL CODE |
95945 |
COUNTRY |
United States |
EMAIL |
XXXX |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
LEGAL ENTITY SECTION (current) |
TYPE |
sole proprietorship |
STATE/COUNTRY WHERE LEGALLY ORGANIZED |
California |
LEGAL ENTITY SECTION (proposed) |
TYPE |
sole proprietorship |
STATE/COUNTRY WHERE LEGALLY ORGANIZED |
California |
NAME OF ALL GENERAL PARTNERS, ACTIVE MEMBERS, INDIVIDUAL, TRUSTEES, OR EXECUTORS, AND CITIZENSHIP/ INCORPORATION |
Chris Blomquist, USA |
PAYMENT SECTION |
NUMBER OF CLASSES |
2 |
NUMBER OF CLASSES PAID |
2 |
SUBTOTAL AMOUNT |
1000 |
TOTAL FEE PAID |
1000 |
SIGNATURE SECTION |
SIGNATURE |
/C. Blomquist/ |
SIGNATORY'S NAME |
Chris Blomquist |
SIGNATORY'S POSITION |
Owner |
DATE SIGNED |
09/11/2011 |
PAYMENT METHOD |
CC |
FILING INFORMATION |
SUBMIT DATE |
Sun Sep 11 20:08:25 EDT 2011 |
TEAS STAMP |
USPTO/S08N09-XX.XXX.XXX.X
X-20110911200825342070-26
01002-4809392a5615dbd2835
a0c790928888bdf5-CC-8039-
20110911184402135743 |
PTO Form 1963 (Rev 5/2006) |
OMB No. 0651-0055 (Exp 12/31/2011) |
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: 2601002
REGISTRATION DATE: 07/30/2002
MARK: EROWID
The owner, Erowid, a sole proprietorship legally organized under the laws of California, comprising of Chris Blomquist, USA, having an address of
PO Box 1116
Grass Valley, California 95945
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 041, the mark is in use in commerce on or in connection with
all goods or services listed in the existing registration for this specific class: Development and
dissemination of education materials regarding psychoactive plants and chemicals and related topics in the field of spirituality, religion, politics, art and science; Publication of articles, books,
pamphlets and newsletters regarding psychoactive plants and chemicals and related topics in the field of spirituality, religion, politics, art and science ; or, the owner is making the listed
excusable nonuse claim.
The owner is submitting one specimen showing the mark as used in commerce on or in connection with any item in this class, consisting of a(n) 1) Front cover of our print magazine/newsletter showing
mark in use. 2) Masthead of print magazine showing trademark declaration..
Original PDF file:
SPN0-6714216626-184402135_._erowid_extracts__20-1.pdf
Converted PDF file(s) (1 page)
Specimen File1
Original PDF file:
SPN0-6714216626-184402135_._erowid_extracts__20-2.pdf
Converted PDF file(s) (1 page)
Specimen File1
For International Class 042, the mark is in use in commerce on or in connection with
all goods or services listed in the existing registration for this specific class: Providing information
and promoting public awareness about psychoactive plants and chemicals and related topics in the field of spirituality, religion, politics, art and science through a global computer information
network ; or, the owner is making the listed excusable nonuse claim.
The owner is submitting one specimen showing the mark as used in commerce on or in connection with any item in this class, consisting of a(n) 1) Screenshot of Erowid.org showing mark in use (it is
used on all pages of the site). 2) Screenshot of page on Erowid.org showing trademark declaration..
Specimen File1
Specimen File2
MISCELLANEOUS STATEMENTS
Free text not entered by the applicant.
Original PDF file:
MISC-6714216626-184402135_._erowid_extracts__20_1.pdf
Converted PDF file(s) (1 page)
Miscellaneous File1
Original PDF file:
MISC-6714216626-184402135_._erowid_extracts__20_3.pdf
Converted PDF file(s) (1 page)
Miscellaneous File1
The registrant's current Correspondence Information: SUSAN L. SMITH of ORRICK, HERRINGTON & SUTCLIFFE LLP
1000 MARSH RD
MENLO PARK, California (CA) 94025
United States (USX)
The registrant's proposed Correspondence Information: Erowid
PO Box 1116
Grass Valley, California (CA) 95945
United States (USX)
The email address is admin-trademark@erowid.org.
A fee payment in the amount of $1000 will be submitted with the form, representing payment for 2 class(es), plus any additional grace period fee, if necessary.
Declaration
Section 8: Declaration of Use 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.
Section 9: Application for Renewal
The registrant requests that the registration be renewed for the goods and/or services identified above.
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.
Signature: /C. Blomquist/ Date: 09/11/2011
Signatory's Name: Chris Blomquist
Signatory's Position: Owner
Serial Number: 76325716
Internet Transmission Date: Sun Sep 11 20:08:25 EDT 2011
TEAS Stamp: USPTO/S08N09-XX.XXX.XXX.XX-2011091120082
5342070-2601002-4809392a5615dbd2835a0c79
0928888bdf5-CC-8039-20110911184402135743