| 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 |
2717471 |
| REGISTRATION DATE |
05/20/2003 |
| SERIAL NUMBER |
76438887 |
| MARK SECTION |
| MARK |
QP (stylized and/or with design) |
| ATTORNEY SECTION (no change) |
| NAME |
Julia C. Archer |
| FIRM NAME |
ENNS & ARCHER LLP |
| STREET |
939 BURKE STREET |
| CITY |
WINSTON-SALEM NORTH |
| STATE |
North Carolina |
| POSTAL CODE |
27101 |
| COUNTRY |
United States |
| PHONE |
(336) 723.5180 |
| FAX |
(336) 723.5181 |
| EMAIL |
jarcher@ennsandarcher.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| CORRESPONDENCE SECTION (no change) |
| NAME |
JULIA C. ARCHER |
| FIRM NAME |
ENNS & ARCHER LLP |
| STREET |
939 BURKE STREET |
| CITY |
WINSTON-SALEM NORTH |
| STATE |
North Carolina |
| POSTAL CODE |
27101 |
| COUNTRY |
United States |
| PHONE |
(336) 723.5180 |
| FAX |
(336) 723.5181 |
| EMAIL |
jarcher@ennsandarcher.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
035 |
| GOODS OR SERVICES |
Retail store services featuring convenience store items and gasoline |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\764\388\76438887\xml1\ S890002.JPG |
| |
\\TICRS\EXPORT16\IMAGEOUT 16\764\388\76438887\xml1\ S890003.JPG |
| SPECIMEN DESCRIPTION |
Photo showing use of the mark at a retail store |
| OWNER SECTION (current) |
| NAME |
Quality Oil Company, LLC |
| STREET |
1540 Silas Creek Parkway |
| CITY |
Winston-Salem |
| STATE |
North Carolina |
| ZIP/POSTAL CODE |
27127 |
| COUNTRY |
United States |
| PHONE |
(336) 721-9514 |
| LEGAL ENTITY SECTION (current) |
| TYPE |
limited liability company |
| STATE/COUNTRY WHERE LEGALLY ORGANIZED |
North Carolina |
| LEGAL ENTITY SECTION (proposed) |
| TYPE |
limited liability company |
| STATE/COUNTRY WHERE LEGALLY ORGANIZED |
North Carolina |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
500 |
| TOTAL FEE PAID |
500 |
| SIGNATURE SECTION |
| SIGNATURE |
/Graham F. Bennett/ |
| SIGNATORY'S NAME |
Graham F. Bennett |
| SIGNATORY'S POSITION |
President |
| DATE SIGNED |
03/21/2013 |
| PAYMENT METHOD |
DA |
| FILING INFORMATION |
| SUBMIT DATE |
Fri Mar 22 10:21:14 EDT 2013 |
| TEAS STAMP |
USPTO/S08N09-XX.XX.XXX.XX
X-20130322102114384353-27
17471-500fa432632d88cacce
8ae21155f937ee4402132c967
ac1a93aa6395b98485024-DA-
7682-20130320143713824502 |
| 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: 2717471
REGISTRATION DATE: 05/20/2003
MARK: (Stylized and/or with Design, QP)
The owner, Quality Oil Company, LLC, a limited liability company legally organized under the laws of North Carolina, having an address of
1540 Silas Creek Parkway
Winston-Salem, North Carolina 27127
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 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: Retail store services featuring convenience store items and gasoline ; 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 showing use of the mark at a retail
store.
Specimen File1
Specimen File2
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: /Graham F. Bennett/ Date: 03/21/2013
Signatory's Name: Graham F. Bennett
Signatory's Position: President
Mailing Address:
ENNS & ARCHER LLP
939 BURKE STREET
WINSTON-SALEM NORTH, North Carolina 27101
Serial Number: 76438887
Internet Transmission Date: Fri Mar 22 10:21:14 EDT 2013
TEAS Stamp: USPTO/S08N09-XX.XX.XXX.XXX-2013032210211
4384353-2717471-500fa432632d88cacce8ae21
155f937ee4402132c967ac1a93aa6395b9848502
4-DA-7682-20130320143713824502
