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 |
2705559 |
REGISTRATION DATE |
04/08/2003 |
SERIAL NUMBER |
76331072 |
MARK SECTION |
MARK |
MILLER |
ATTORNEY SECTION (current) |
NAME |
Gerald T. Shekleton |
FIRM NAME |
WELSH & KATZ, LTD. |
INTERNAL ADDRESS |
120 S RIVERSIDE PLZ FL 22 |
STREET |
120 SOUTH RIVERSIDE PLAZA, 22ND FLOOR |
CITY |
CHICAGO |
STATE |
Illinois |
POSTAL CODE |
60606 |
COUNTRY |
United States |
PHONE |
(312) 655-1500 |
FAX |
312-655-1501 |
EMAIL |
gtsdocket@welshkatz.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
ATTORNEY SECTION (proposed) |
NAME |
Gerald T. Shekleton |
FIRM NAME |
Husch Blackwell LLP |
INTERNAL ADDRESS |
120 S RIVERSIDE PLZ FL 22 |
STREET |
120 SOUTH RIVERSIDE PLAZA, 22ND FLOOR |
CITY |
CHICAGO |
STATE |
Illinois |
POSTAL CODE |
60606 |
COUNTRY |
United States |
PHONE |
(312) 655-1500 |
FAX |
312-655-1501 |
EMAIL |
pto-chi@huschblackwell.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
83179 (301307-9) |
OTHER APPOINTED ATTORNEY |
Kathleen A. Rheintgen and Joseph R. Marcus |
CORRESPONDENCE SECTION (current) |
NAME |
GERALD T. SHEKLETON |
FIRM NAME |
WELSH & KATZ, LTD. |
INTERNAL ADDRESS |
120 S RIVERSIDE PLZ FL 22 |
STREET |
120 SOUTH RIVERSIDE PLAZA, 22ND FLOOR |
CITY |
CHICAGO |
STATE |
Illinois |
POSTAL CODE |
60606 |
COUNTRY |
United States |
PHONE |
(312) 655-1500 |
FAX |
312-655-1501 |
EMAIL |
gtsdocket@welshkatz.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
CORRESPONDENCE SECTION (proposed) |
NAME |
GERALD T. SHEKLETON |
FIRM NAME |
Husch Blackwell LLP |
INTERNAL ADDRESS |
120 S RIVERSIDE PLZ FL 22 |
STREET |
120 SOUTH RIVERSIDE PLAZA, 22ND FLOOR |
CITY |
CHICAGO |
STATE |
Illinois |
POSTAL CODE |
60606 |
COUNTRY |
United States |
PHONE |
(312) 655-1500 |
FAX |
312-655-1501 |
EMAIL |
pto-chi@huschblackwell.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
83179 (301307-9) |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
020 |
GOODS OR SERVICES |
non metallic dowels |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT11\IMAGEOUT 11\763\310\76331072\xml1\ S890002.JPG |
SPECIMEN DESCRIPTION |
packaging |
OWNER SECTION (current) |
NAME |
Miller Dowel Company |
STREET |
515 Glen Avenue |
CITY |
Lake Bluff |
STATE |
Illinois |
ZIP/POSTAL CODE |
60093 |
COUNTRY |
United States |
OWNER SECTION (proposed) |
NAME |
Miller Dowel Company |
STREET |
1000 Skokie Blvd., Suite 210 |
CITY |
Wilmette |
STATE |
Illinois |
ZIP/POSTAL CODE |
60091 |
COUNTRY |
United States |
LEGAL ENTITY SECTION (current) |
TYPE |
corporation |
STATE/COUNTRY OF INCORPORATION |
Illinois |
PAYMENT SECTION |
NUMBER OF CLASSES |
1 |
NUMBER OF CLASSES PAID |
1 |
SUBTOTAL AMOUNT |
500 |
TOTAL FEE PAID |
500 |
SIGNATURE SECTION |
SIGNATURE |
/Gerald T. Shekleton/ |
SIGNATORY'S NAME |
Gerald T. Shekleton |
SIGNATORY'S POSITION |
Attorney for Registrant, Illinois Bar Member |
DATE SIGNED |
04/30/2012 |
SIGNATORY'S PHONE NUMBER |
312-655-1500 |
PAYMENT METHOD |
DA |
FILING INFORMATION |
SUBMIT DATE |
Mon Apr 30 16:30:20 EDT 2012 |
TEAS STAMP |
USPTO/S08N09-XX.XXX.XXX.X
XX-20120430163020696357-2
705559-4909f80eeeb7d8ae8d
d742d1dc461ba28a6-DA-3993
-20120430162647254431 |
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: 2705559
REGISTRATION DATE: 04/08/2003
MARK: MILLER
The owner, Miller Dowel Company, a corporation of Illinois, having an address of
1000 Skokie Blvd., Suite 210
Wilmette, Illinois 60091
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 020, 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: non metallic dowels ; 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) packaging.
Specimen File1
The registrant's current Attorney Information: Gerald T. Shekleton of WELSH & KATZ, LTD.
120 S RIVERSIDE PLZ FL 22
120 SOUTH RIVERSIDE PLAZA, 22ND FLOOR
CHICAGO, Illinois (IL) 60606
United States
The registrant's proposed Attorney Information: Gerald T. Shekleton of Husch Blackwell LLP
120 S RIVERSIDE PLZ FL 22
120 SOUTH RIVERSIDE PLAZA, 22ND FLOOR
CHICAGO, Illinois (IL) 60606
United States
The docket/reference number is 83179 (301307-9).
The Other Appointed Attorney(s): Kathleen A. Rheintgen and Joseph R. Marcus.
The phone number is (312) 655-1500.
The fax number is 312-655-1501.
The email address is pto-chi@huschblackwell.com.
The registrant's current Correspondence Information: GERALD T. SHEKLETON of WELSH & KATZ, LTD.
120 S RIVERSIDE PLZ FL 22
120 SOUTH RIVERSIDE PLAZA, 22ND FLOOR
CHICAGO, Illinois (IL) 60606
United States
The registrant's proposed Correspondence Information: GERALD T. SHEKLETON of Husch Blackwell LLP
120 S RIVERSIDE PLZ FL 22
120 SOUTH RIVERSIDE PLAZA, 22ND FLOOR
CHICAGO, Illinois (IL) 60606
United States
The docket/reference number is 83179 (301307-9).
The phone number is (312) 655-1500.
The fax number is 312-655-1501.
The email address is pto-chi@huschblackwell.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: /Gerald T. Shekleton/ Date: 04/30/2012
Signatory's Name: Gerald T. Shekleton
Signatory's Position: Attorney for Registrant, Illinois Bar Member
Signatory's Phone Number: 312-655-1500
Mailing Address
(current):
WELSH & KATZ, LTD.
120 SOUTH RIVERSIDE PLAZA, 22ND FLOOR
CHICAGO, Illinois 60606
Mailing Address
(proposed):
Husch Blackwell LLP
120 SOUTH RIVERSIDE PLAZA, 22ND FLOOR
CHICAGO, Illinois 60606
Serial Number: 76331072
Internet Transmission Date: Mon Apr 30 16:30:20 EDT 2012
TEAS Stamp: USPTO/S08N09-XX.XXX.XXX.XXX-201204301630
20696357-2705559-4909f80eeeb7d8ae8dd742d
1dc461ba28a6-DA-3993-2012043016264725443
1