| 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 |
2711268 |
| REGISTRATION DATE |
04/29/2003 |
| SERIAL NUMBER |
76429276 |
| MARK SECTION |
| MARK |
PRIMROSE |
| ATTORNEY SECTION (current) |
| NAME |
Troy Leonard |
| FIRM NAME |
WOODS FULLER SHULTZ & SMITH, P.C. |
| STREET |
300 SOUTH PHILLIPS AVENUE, SUITE 300 |
| CITY |
SIOUX FALLS |
| STATE |
South Dakota |
| POSTAL CODE |
57104-6322 |
| COUNTRY |
United States |
| PHONE |
605.336.3890 |
| FAX |
605.339.3357 |
| EMAIL |
Troy.Leonard@woodsfuller.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| ATTORNEY SECTION (proposed) |
| NAME |
Troy Leonard |
| FIRM NAME |
WOODS FULLER SHULTZ & SMITH, P.C. |
| STREET |
300 S. PHILLIPS AVENUE, SUITE 300 |
| CITY |
SIOUX FALLS |
| STATE |
South Dakota |
| POSTAL CODE |
57104-6322 |
| COUNTRY |
United States |
| PHONE |
605.336.3890 |
| FAX |
605.339.3357 |
| EMAIL |
Troy.Leonard@woodsfuller.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
9825-34023 |
| CORRESPONDENCE SECTION (current) |
| NAME |
TROY LEONARD |
| FIRM NAME |
WOODS FULLER SHULTZ & SMITH, P.C. |
| STREET |
300 SOUTH PHILLIPS AVENUE, SUITE 300 |
| CITY |
SIOUX FALLS |
| STATE |
South Dakota |
| POSTAL CODE |
57104-6322 |
| COUNTRY |
United States |
| PHONE |
605.336.3890 |
| FAX |
605.339.3357 |
| EMAIL |
Troy.Leonard@woodsfuller.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
TROY LEONARD |
| FIRM NAME |
WOODS FULLER SHULTZ & SMITH, P.C. |
| STREET |
300 S. PHILLIPS AVENUE, SUITE 300 |
| CITY |
SIOUX FALLS |
| STATE |
South Dakota |
| POSTAL CODE |
57104-6322 |
| COUNTRY |
United States |
| PHONE |
605.336.3890 |
| FAX |
605.339.3357 |
| EMAIL |
Troy.Leonard@woodsfuller.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
9825-34023 |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
043 |
| GOODS OR SERVICES |
Providing congregate, independent, and assisted living facilities |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT11\IMAGEOUT 11\764\292\76429276\xml1\ S890002.JPG |
| |
\\TICRS\EXPORT11\IMAGEOUT 11\764\292\76429276\xml1\ S890003.JPG |
| SPECIMEN DESCRIPTION |
Screenprints from Registrant's website |
| OWNER SECTION (current) |
| NAME |
PRIMROSE RETIREMENT COMMUNITIES, LLC |
| STREET |
815 NORTH SECOND STREET |
| CITY |
ABERDEEN |
| STATE |
South Dakota |
| ZIP/POSTAL CODE |
57402 |
| COUNTRY |
United States |
| LEGAL ENTITY SECTION (current) |
| TYPE |
limited liability company |
| STATE/COUNTRY WHERE LEGALLY ORGANIZED |
South Dakota |
| LEGAL ENTITY SECTION (proposed) |
| TYPE |
limited liability company |
| STATE/COUNTRY WHERE LEGALLY ORGANIZED |
South Dakota |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
500 |
| TOTAL FEE PAID |
500 |
| SIGNATURE SECTION |
| SIGNATURE |
/troy leonard/ |
| SIGNATORY'S NAME |
Troy Leonard |
| SIGNATORY'S POSITION |
Attorney of Record, South Dakota bar member |
| DATE SIGNED |
05/03/2012 |
| SIGNATORY'S PHONE NUMBER |
6053363890 |
| PAYMENT METHOD |
CC |
| FILING INFORMATION |
| SUBMIT DATE |
Thu May 03 12:32:58 EDT 2012 |
| TEAS STAMP |
USPTO/S08N09-XX.XX.XXX.XX
X-20120503123258741369-27
11268-49078d7422cf6b87cc1
3fe4c3ea01b37dd-CC-12296-
20120503122348086927 |
| 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: 2711268
REGISTRATION DATE: 04/29/2003
MARK: PRIMROSE
The owner, PRIMROSE RETIREMENT COMMUNITIES, LLC, a limited liability company legally organized under the laws of South Dakota, having an address of
815 NORTH SECOND STREET
ABERDEEN, South Dakota 57402
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 043, 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: Providing congregate, independent, and assisted living facilities ; 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) Screenprints from Registrant's website.
Specimen File1
Specimen File2
The registrant's current Attorney Information: Troy Leonard of WOODS FULLER SHULTZ & SMITH, P.C.
300 SOUTH PHILLIPS AVENUE, SUITE 300
SIOUX FALLS, South Dakota (SD) 57104-6322
United States
The registrant's proposed Attorney Information: Troy Leonard of WOODS FULLER SHULTZ & SMITH, P.C.
300 S. PHILLIPS AVENUE, SUITE 300
SIOUX FALLS, South Dakota (SD) 57104-6322
United States
The docket/reference number is 9825-34023.
The phone number is 605.336.3890.
The fax number is 605.339.3357.
The email address is Troy.Leonard@woodsfuller.com.
The registrant's current Correspondence Information: TROY LEONARD of WOODS FULLER SHULTZ & SMITH, P.C.
300 SOUTH PHILLIPS AVENUE, SUITE 300
SIOUX FALLS, South Dakota (SD) 57104-6322
United States
The registrant's proposed Correspondence Information: TROY LEONARD of WOODS FULLER SHULTZ & SMITH, P.C.
300 S. PHILLIPS AVENUE, SUITE 300
SIOUX FALLS, South Dakota (SD) 57104-6322
United States
The docket/reference number is 9825-34023.
The phone number is 605.336.3890.
The fax number is 605.339.3357.
The email address is Troy.Leonard@woodsfuller.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: /troy leonard/ Date: 05/03/2012
Signatory's Name: Troy Leonard
Signatory's Position: Attorney of Record, South Dakota bar member
Signatory's Phone Number: 6053363890
Mailing Address
(current):
WOODS FULLER SHULTZ & SMITH, P.C.
300 SOUTH PHILLIPS AVENUE, SUITE 300
SIOUX FALLS, South Dakota 57104-6322
Mailing Address
(proposed):
WOODS FULLER SHULTZ & SMITH, P.C.
300 S. PHILLIPS AVENUE, SUITE 300
SIOUX FALLS, South Dakota 57104-6322
Serial Number: 76429276
Internet Transmission Date: Thu May 03 12:32:58 EDT 2012
TEAS Stamp: USPTO/S08N09-XX.XX.XXX.XXX-2012050312325
8741369-2711268-49078d7422cf6b87cc13fe4c
3ea01b37dd-CC-12296-20120503122348086927
