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 |
2680460 |
REGISTRATION DATE |
01/28/2003 |
SERIAL NUMBER |
76363159 |
MARK SECTION |
MARK |
KANDIYOHI |
ATTORNEY SECTION (current) |
NAME |
Elizabeth C. Buckingham |
FIRM NAME |
DORSEY & WHITNEY LLP |
INTERNAL ADDRESS |
SUITE 1500 |
STREET |
50 SOUTH SIXTH STREET |
CITY |
MINNEAPOLIS |
STATE |
Minnesota |
POSTAL CODE |
55402-1498 |
COUNTRY |
United States |
PHONE |
(612) 343-2178 |
FAX |
(612) 340-8856 |
EMAIL |
ip.docket@dorsey.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
ATTORNEY SECTION (proposed) |
NAME |
Elizabeth C. Buckingham |
FIRM NAME |
DORSEY & WHITNEY LLP |
INTERNAL ADDRESS |
SUITE 1500 |
STREET |
50 SOUTH SIXTH STREET |
CITY |
MINNEAPOLIS |
STATE |
Minnesota |
POSTAL CODE |
55402-1498 |
COUNTRY |
United States |
PHONE |
(612) 343-2178 |
FAX |
(612) 340-8856 |
EMAIL |
ip.docket@dorsey.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
T017572.US.01 |
OTHER APPOINTED ATTORNEY |
Stuart R. Hemphill, Jamie Nafziger, Patchen M. Haggerty, Kari B. Frank, Jeffrey R. Cadwell, and Mark D. Wagner |
CORRESPONDENCE SECTION (current) |
NAME |
ELIZABETH C. BUCKINGHAM |
FIRM NAME |
DORSEY & WHITNEY LLP |
INTERNAL ADDRESS |
SUITE 1500 |
STREET |
50 SOUTH SIXTH STREET |
CITY |
MINNEAPOLIS |
STATE |
Minnesota |
POSTAL CODE |
55402-1498 |
COUNTRY |
United States |
PHONE |
(612) 343-2178 |
FAX |
(612) 340-8856 |
EMAIL |
ip.docket@dorsey.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
CORRESPONDENCE SECTION (proposed) |
NAME |
ELIZABETH C. BUCKINGHAM |
FIRM NAME |
DORSEY & WHITNEY LLP |
INTERNAL ADDRESS |
SUITE 1500 |
STREET |
50 SOUTH SIXTH STREET |
CITY |
MINNEAPOLIS |
STATE |
Minnesota |
POSTAL CODE |
55402-1498 |
COUNTRY |
United States |
PHONE |
(612) 343-2178 |
FAX |
(612) 340-8856 |
EMAIL |
ip.docket@dorsey.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
T017572.US.01 |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
032 |
GOODS OR SERVICES |
Non-Alcoholic Beverages, Namely, Bottled Drinking Water |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT11\IMAGEOUT 11\763\631\76363159\xml1\ S890002.JPG |
SPECIMEN DESCRIPTION |
image of Registrant's product packaging bearing mark |
OWNER SECTION (current) |
NAME |
Premium Waters, Inc. |
STREET |
Suite 100 |
CITY |
Minneapolis |
STATE |
Minnesota |
ZIP/POSTAL CODE |
55413 |
COUNTRY |
United States |
OWNER SECTION (proposed) |
NAME |
Premium Waters, Inc. |
INTERNAL ADDRESS |
Suite 100 |
STREET |
2100 Summer Street |
CITY |
Minneapolis |
STATE |
Minnesota |
ZIP/POSTAL CODE |
55413 |
COUNTRY |
United States |
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 |
/Gary W Meyer/ |
SIGNATORY'S NAME |
Gary Meyer |
SIGNATORY'S POSITION |
Senior Vice President of Finance |
DATE SIGNED |
02/17/2012 |
SIGNATORY'S PHONE NUMBER |
XXXXXXXXXX |
PAYMENT METHOD |
DA |
FILING INFORMATION |
SUBMIT DATE |
Fri Feb 17 14:22:12 EST 2012 |
TEAS STAMP |
USPTO/S08N09-XXX.XXX.X.XX
X-20120217142212106997-26
80460-490d2306171a31481c5
d831443c49a7430-DA-669-20
120216151617579777 |
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: 2680460
REGISTRATION DATE: 01/28/2003
MARK: KANDIYOHI
The owner, Premium Waters, Inc., a corporation of Minnesota, having an address of
Suite 100
2100 Summer Street
Minneapolis, Minnesota 55413
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 032, 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-Alcoholic Beverages, Namely, Bottled Drinking Water ; 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 Registrant's product packaging
bearing mark.
Specimen File1
The registrant's current Attorney Information: Elizabeth C. Buckingham of DORSEY & WHITNEY LLP
SUITE 1500
50 SOUTH SIXTH STREET
MINNEAPOLIS, Minnesota (MN) 55402-1498
United States
The registrant's proposed Attorney Information: Elizabeth C. Buckingham of DORSEY & WHITNEY LLP
SUITE 1500
50 SOUTH SIXTH STREET
MINNEAPOLIS, Minnesota (MN) 55402-1498
United States
The docket/reference number is T017572.US.01.
The Other Appointed Attorney(s): Stuart R. Hemphill, Jamie Nafziger, Patchen M. Haggerty, Kari B. Frank, Jeffrey R. Cadwell, and Mark D. Wagner.
The phone number is (612) 343-2178.
The fax number is (612) 340-8856.
The email address is ip.docket@dorsey.com.
The registrant's current Correspondence Information: ELIZABETH C. BUCKINGHAM of DORSEY & WHITNEY LLP
SUITE 1500
50 SOUTH SIXTH STREET
MINNEAPOLIS, Minnesota (MN) 55402-1498
United States
The registrant's proposed Correspondence Information: ELIZABETH C. BUCKINGHAM of DORSEY & WHITNEY LLP
SUITE 1500
50 SOUTH SIXTH STREET
MINNEAPOLIS, Minnesota (MN) 55402-1498
United States
The docket/reference number is T017572.US.01.
The phone number is (612) 343-2178.
The fax number is (612) 340-8856.
The email address is ip.docket@dorsey.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: /Gary W Meyer/ Date: 02/17/2012
Signatory's Name: Gary Meyer
Signatory's Position: Senior Vice President of Finance
Signatory's Phone Number: XXXXXXXXXX
Mailing Address
(current):
DORSEY & WHITNEY LLP
50 SOUTH SIXTH STREET
MINNEAPOLIS, Minnesota 55402-1498
Mailing Address
(proposed):
DORSEY & WHITNEY LLP
50 SOUTH SIXTH STREET
MINNEAPOLIS, Minnesota 55402-1498
Serial Number: 76363159
Internet Transmission Date: Fri Feb 17 14:22:12 EST 2012
TEAS Stamp: USPTO/S08N09-XXX.XXX.X.XXX-2012021714221
2106997-2680460-490d2306171a31481c5d8314
43c49a7430-DA-669-20120216151617579777