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 |
2852660 |
REGISTRATION DATE |
06/15/2004 |
SERIAL NUMBER |
76467500 |
MARK SECTION |
MARK |
W (stylized and/or with design) |
ATTORNEY SECTION (current) |
NAME |
Brian Vaughan |
FIRM NAME |
UNIVERSITY OF WISCONSIN MADISON |
STREET |
361 BASCOM HALL 500 LINCOLN DRIVE |
CITY |
MADISON |
STATE |
Wisconsin |
POSTAL CODE |
53706-1380 |
COUNTRY |
United States |
PHONE |
(608) 263-7400 |
FAX |
608/263-4725 |
EMAIL |
bvaughan@vc.wisc.edu |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
CORRESPONDENCE SECTION (current) |
NAME |
Brian Vaughan |
FIRM NAME |
UNIVERSITY OF WISCONSIN MADISON |
STREET |
361 BASCOM HALL 500 LINCOLN DRIVE |
CITY |
MADISON |
STATE |
Wisconsin |
POSTAL CODE |
53706-1380 |
COUNTRY |
United States |
PHONE |
(608) 263-7400 |
FAX |
608/263-4725 |
EMAIL |
bvaughan@vc.wisc.edu |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
CORRESPONDENCE SECTION (proposed) |
NAME |
Brian Vaughan |
FIRM NAME |
UNIVERSITY OF WISCONSIN MADISON |
STREET |
361 BASCOM HALL 500 LINCOLN DRIVE |
CITY |
MADISON |
STATE |
Wisconsin |
POSTAL CODE |
53706-1380 |
COUNTRY |
United States |
PHONE |
(608) 263-7400 |
FAX |
608/263-4725 |
EMAIL |
bvaughan@vc.wisc.edu;spaliwal@vc.wisc.edu |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
029 |
GOODS OR SERVICES |
Aged cheddar, mild cheddar, medium cheddar, smoked cheddar, caraway cheddar, jalapeno pepper cheddar, sharp cheddar, Colby jack, Colby, baby
Swiss, brick, Monterey jack, gouda, dill Havarti, pesto Havarti, Wisconsin style Havarti, and old Amsterdam cheese |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\764\675\76467500\xml2\ S890002.JPG |
SPECIMEN DESCRIPTION |
The outer label of the shipping container used to package cheese sold commercially by the university's dairy store. |
OWNER SECTION (current) |
NAME |
Board of Regents of the University of Wisconsin |
STREET |
361 Bascom Hall |
CITY |
Madison |
STATE |
Wisconsin |
ZIP/POSTAL CODE |
53706 |
COUNTRY |
United States |
PHONE |
608-263-7400 |
OWNER SECTION (proposed) |
NAME |
Board of Regents of the University of Wisconsin |
STREET |
361 Bascom Hall |
CITY |
Madison |
STATE |
Wisconsin |
ZIP/POSTAL CODE |
53706 |
COUNTRY |
United States |
PHONE |
608-263-7400 |
EMAIL |
XXXX |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
LEGAL ENTITY SECTION (current) |
TYPE |
corporation |
STATE/COUNTRY OF INCORPORATION |
Wisconsin |
PAYMENT SECTION |
NUMBER OF CLASSES |
1 |
NUMBER OF CLASSES PAID |
1 |
SUBTOTAL AMOUNT |
500 |
TOTAL FEE PAID |
500 |
SIGNATURE SECTION |
SIGNATURE |
/Brian Vaughan/ |
SIGNATORY'S NAME |
Brian Vaughan |
SIGNATORY'S POSITION |
Senior University Legal Counsel |
DATE SIGNED |
06/02/2014 |
PAYMENT METHOD |
DA |
FILING INFORMATION |
SUBMIT DATE |
Mon Jun 02 15:13:58 EDT 2014 |
TEAS STAMP |
USPTO/S08N09-XXX.XXX.XX.X
XX-20140602151358236687-2
852660-500fe39ef639e58d0d
6afe21bbcb3abacfc1a2b192d
19452d85cca15bb1ee29d763-
DA-1584-20140602145837132
979 |
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: 2852660
REGISTRATION DATE: 06/15/2004
MARK: (Stylized and/or with Design, W)
The owner, Board of Regents of the University of Wisconsin, a corporation of Wisconsin, having an address of
361 Bascom Hall
Madison, Wisconsin 53706
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 029, 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: Aged cheddar, mild cheddar, medium cheddar, smoked cheddar, caraway cheddar, jalapeno pepper cheddar, sharp cheddar, Colby jack, Colby, baby Swiss,
brick, Monterey jack, gouda, dill Havarti, pesto Havarti, Wisconsin style Havarti, and old Amsterdam cheese ; 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) The outer label of the shipping container
used to package cheese sold commercially by the university's dairy store..
Specimen File1
The registrant's current Correspondence Information: Brian Vaughan of UNIVERSITY OF WISCONSIN MADISON
361 BASCOM HALL 500 LINCOLN DRIVE
MADISON, Wisconsin (WI) 53706-1380
United States
The registrant's proposed Correspondence Information: Brian Vaughan of UNIVERSITY OF WISCONSIN MADISON
361 BASCOM HALL 500 LINCOLN DRIVE
MADISON, Wisconsin (WI) 53706-1380
United States
The phone number is (608) 263-7400.
The fax number is 608/263-4725.
The email address is bvaughan@vc.wisc.edu;spaliwal@vc.wisc.edu.
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/services identified above, as evidenced by the attached specimen(s)
showing the mark as used in commerce.
The signatory being 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 submission, declares that all statements made of his/her own knowledge are true and 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: /Brian Vaughan/ Date: 06/02/2014
Signatory's Name: Brian Vaughan
Signatory's Position: Senior University Legal Counsel
Mailing Address:
UNIVERSITY OF WISCONSIN MADISON
361 BASCOM HALL 500 LINCOLN DRIVE
MADISON, Wisconsin 53706-1380
Serial Number: 76467500
Internet Transmission Date: Mon Jun 02 15:13:58 EDT 2014
TEAS Stamp: USPTO/S08N09-XXX.XXX.XX.XXX-201406021513
58236687-2852660-500fe39ef639e58d0d6afe2
1bbcb3abacfc1a2b192d19452d85cca15bb1ee29
d763-DA-1584-20140602145837132979