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 |
2779066 |
REGISTRATION DATE |
11/04/2003 |
SERIAL NUMBER |
76375847 |
MARK SECTION |
MARK |
NISSAN (stylized and/or with design) |
ATTORNEY SECTION (current) |
NAME |
Micol Cecchi |
FIRM NAME |
Nissan North America, Inc. |
STREET |
P.O. Box 685001 |
CITY |
Franklin |
STATE |
Tennessee |
POSTAL CODE |
37068-5001 |
COUNTRY |
United States |
PHONE |
615-725-1669 |
EMAIL |
trademarks@nissan-usa.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
W-04-0197 |
ATTORNEY SECTION (proposed) |
NAME |
Micol Cecchi |
FIRM NAME |
Nissan North America, Inc. |
INTERNAL ADDRESS |
Legal Dept. Mail Stop A-5-C |
STREET |
P.O. Box 685001 |
CITY |
Franklin |
STATE |
Tennessee |
POSTAL CODE |
37068-5001 |
COUNTRY |
United States |
PHONE |
615-725-1669 |
EMAIL |
trademarks@nissan-usa.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
W-04-0197 |
CORRESPONDENCE SECTION (current) |
NAME |
Micol Cecchi |
FIRM NAME |
Nissan North America, Inc. |
STREET |
P.O. Box 685001 |
CITY |
Franklin |
STATE |
Tennessee |
POSTAL CODE |
37068-5001 |
COUNTRY |
United States |
PHONE |
615-725-1669 |
EMAIL |
trademarks@nissan-usa.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
W-04-0197 |
CORRESPONDENCE SECTION (proposed) |
NAME |
Micol Cecchi |
FIRM NAME |
Nissan North America, Inc. |
INTERNAL ADDRESS |
Legal Dept. Mail Stop A-5-C |
STREET |
P.O. Box 685001 |
CITY |
Franklin |
STATE |
Tennessee |
POSTAL CODE |
37068-5001 |
COUNTRY |
United States |
PHONE |
615-725-1669 |
EMAIL |
trademarks@nissan-usa.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
W-04-0197 |
DOMESTIC REPRESENTATIVE SECTION (new) |
NAME |
Micol Cecchi |
INTERNAL ADDRESS |
Legal Dept. Mail Stop A-5-C |
STREET |
P.O. Box 685001 |
CITY |
Franklin |
STATE |
Tennessee |
POSTAL CODE |
37068-5001 |
COUNTRY |
United States |
PHONE |
615-725-1669 |
EMAIL |
trademarks@nissan-usa.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
W-04-0197 |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
035 |
GOODS OR SERVICES |
Motor vehicle dealership services |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\763\758\76375847\xml1\ S890002.JPG |
SPECIMEN DESCRIPTION |
photo of sign |
INTERNATIONAL CLASS |
037 |
GOODS OR SERVICES |
Motor vehicle repair and maintenance services |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\763\758\76375847\xml1\ S890003.JPG |
SPECIMEN DESCRIPTION |
photo of sign |
OWNER SECTION (current) |
NAME |
NISSAN JIDOSHA KABUSHIKI KAISHA |
STREET |
No. 2 Takaracho, Kanagawa-ku |
CITY |
Yokohama-shi, Kanagawa |
ZIP/POSTAL CODE |
2208623 |
COUNTRY |
Japan |
LEGAL ENTITY SECTION (current) |
TYPE |
corporation |
LEGAL ENTITY SECTION (proposed) |
TYPE |
corporation |
STATE/COUNTRY OF INCORPORATION |
Japan |
PAYMENT SECTION |
NUMBER OF CLASSES |
2 |
NUMBER OF CLASSES PAID |
2 |
SUBTOTAL AMOUNT |
1000 |
TOTAL FEE PAID |
1000 |
SIGNATURE SECTION |
SIGNATURE |
/Toshiyuki Yariwake/ |
SIGNATORY'S NAME |
Toshiyuki Yariwake |
SIGNATORY'S POSITION |
Manager, Intellectual Property |
DATE SIGNED |
10/11/2013 |
SIGNATORY'S PHONE NUMBER |
615-725-1000 |
PAYMENT METHOD |
DA |
FILING INFORMATION |
SUBMIT DATE |
Fri Oct 11 10:34:40 EDT 2013 |
TEAS STAMP |
USPTO/S08N09-XXX.XXX.XX.X
-20131011103440407820-277
9066-5005943a847e01c2aae5
d9f8ec2839692983ae2794261
803b14f336442fb724-DA-923
9-20131010171308490734 |
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: 2779066
REGISTRATION DATE: 11/04/2003
MARK: (Stylized and/or with Design, NISSAN)
The owner, NISSAN JIDOSHA KABUSHIKI KAISHA, TA NISSAN MOTOR CO., LTD., a corporation of Japan, having an address of
No. 2 Takaracho, Kanagawa-ku
Yokohama-shi, Kanagawa, 2208623
Japan
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 035, 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: Motor vehicle dealership services ; 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 sign.
Specimen File1
For International Class 037, 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: Motor vehicle repair and maintenance services ; 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 sign.
Specimen File1
The registrant's current Attorney Information: Micol Cecchi of Nissan North America, Inc.
P.O. Box 685001
Franklin, Tennessee (TN) 37068-5001
United States
The docket/reference number is W-04-0197.
The registrant's proposed Attorney Information: Micol Cecchi of Nissan North America, Inc.
Legal Dept. Mail Stop A-5-C
P.O. Box 685001
Franklin, Tennessee (TN) 37068-5001
United States
The docket/reference number is W-04-0197.
The phone number is 615-725-1669.
The email address is trademarks@nissan-usa.com.
The registrant's current Correspondence Information: Micol Cecchi of Nissan North America, Inc.
P.O. Box 685001
Franklin, Tennessee (TN) 37068-5001
United States
The docket/reference number is W-04-0197.
The registrant's proposed Correspondence Information: Micol Cecchi of Nissan North America, Inc.
Legal Dept. Mail Stop A-5-C
P.O. Box 685001
Franklin, Tennessee (TN) 37068-5001
United States
The docket/reference number is W-04-0197.
The phone number is 615-725-1669.
The email address is trademarks@nissan-usa.com.
The registrant hereby appoints Micol Cecchi, Legal Dept. Mail Stop A-5-C, P.O. Box 685001, Franklin, Tennessee (TN) United States (USX) 37068-5001 as registrant's representative upon whom notice or
process in the proceedings affecting the mark may be served.
The phone number is 615-725-1669.
The email address is trademarks@nissan-usa.com.
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 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: /Toshiyuki Yariwake/ Date: 10/11/2013
Signatory's Name: Toshiyuki Yariwake
Signatory's Position: Manager, Intellectual Property
Signatory's Phone Number: 615-725-1000
Mailing Address
(current):
Nissan North America, Inc.
P.O. Box 685001
Franklin, Tennessee 37068-5001
Mailing Address
(proposed):
Nissan North America, Inc.
P.O. Box 685001
Franklin, Tennessee 37068-5001
Serial Number: 76375847
Internet Transmission Date: Fri Oct 11 10:34:40 EDT 2013
TEAS Stamp: USPTO/S08N09-XXX.XXX.XX.X-20131011103440
407820-2779066-5005943a847e01c2aae5d9f8e
c2839692983ae2794261803b14f336442fb724-D
A-9239-20131010171308490734