| 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 |
2919558 |
| REGISTRATION DATE |
01/18/2005 |
| SERIAL NUMBER |
76507201 |
| MARK SECTION |
| MARK |
ILLUMINA |
| ATTORNEY SECTION (current) |
| NAME |
Marsha Stolt |
| FIRM NAME |
MARSHA STOLT, MOSS & BARNETT PA |
| STREET |
4800 WELLS FARGO CT 90 S 7TH ST |
| CITY |
MINNEAPOLIS |
| STATE |
Minnesota |
| POSTAL CODE |
55402 |
| COUNTRY |
United States |
| PHONE |
(612) 347-0443 |
| FAX |
(612) 339-6686 |
| DOCKET/REFERENCE NUMBER |
11857/130001 |
| ATTORNEY SECTION (proposed) |
| NAME |
Marsha Stolt |
| FIRM NAME |
MOSS & BARNETT PA |
| INTERNAL ADDRESS |
Suite 1200 |
| STREET |
150 South Fifth Street |
| CITY |
MINNEAPOLIS |
| STATE |
Minnesota |
| POSTAL CODE |
55402 |
| COUNTRY |
United States |
| PHONE |
(612) 877-5443 |
| FAX |
(612) 877-5999 |
| EMAIL |
ipmsd@lawmoss.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
51857.130001 |
| CORRESPONDENCE SECTION (current) |
| FIRM NAME |
MARSHA STOLT, MOSS & BARNETT PA |
| STREET |
4800 WELLS FARGO CT 90 S 7TH ST |
| CITY |
MINNEAPOLIS |
| STATE |
Minnesota |
| POSTAL CODE |
55402 |
| COUNTRY |
United States |
| PHONE |
(612) 347-0443 |
| FAX |
(612) 339-6686 |
| DOCKET/REFERENCE NUMBER |
11857/130001 |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
Marsha Stolt |
| FIRM NAME |
MOSS & BARNETT PA |
| INTERNAL ADDRESS |
Suite 1200 |
| STREET |
150 South Fifth Street |
| CITY |
MINNEAPOLIS |
| STATE |
Minnesota |
| POSTAL CODE |
55402 |
| COUNTRY |
United States |
| PHONE |
(612) 877-5443 |
| FAX |
(612) 877-5999 |
| EMAIL |
ipmsd@lawmoss.com;ipmsd@moss-barnett.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
51857.130001 |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
009 |
| GOODS OR SERVICES |
Ophthalmic Lenses for Eyeglasses |
| SPECIMEN FILE NAME(S) |
| ORIGINAL PDF FILE |
SPN0-20923185114-20150108144321740102_._ILLUMINA_-_2015.pdf |
CONVERTED PDF FILE(S)
(1 page) |
\\TICRS\EXPORT16\IMAGEOUT16\765\072\76507201\xml1\S890002.JPG |
| SPECIMEN DESCRIPTION |
a photo of a product package bearing the mark |
| OWNER SECTION (current) |
| NAME |
INSIGHT EQUITY A.P. X, LP |
| STREET |
1400 CIVIC PLACE |
| CITY |
SOUTHLAKE |
| STATE |
Texas |
| ZIP/POSTAL CODE |
76092 |
| COUNTRY |
United States |
| OWNER SECTION (proposed) |
| NAME |
INSIGHT EQUITY A.P. X, LP |
| STREET |
7000 Sunwood Drive NW |
| CITY |
Ramsey |
| STATE |
Minnesota |
| ZIP/POSTAL CODE |
55303 |
| COUNTRY |
United States |
| LEGAL ENTITY SECTION (current) |
| TYPE |
limited partnership |
| STATE/COUNTRY WHERE LEGALLY ORGANIZED |
Texas |
| LEGAL ENTITY SECTION (proposed) |
| TYPE |
limited partnership |
| STATE/COUNTRY WHERE LEGALLY ORGANIZED |
Texas |
| NAME OF ALL GENERAL PARTNERS, ACTIVE MEMBERS, INDIVIDUAL, TRUSTEES, OR EXECUTORS, AND CITIZENSHIP/ INCORPORATION |
Vision Ease GP, LLC, a Delaware limited liability company |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
500 |
| TOTAL FEE PAID |
500 |
| SIGNATURE SECTION |
| SIGNATURE |
/MS/ |
| SIGNATORY'S NAME |
Marsha Stolt |
| SIGNATORY'S POSITION |
Attorney of Record, Minnesota bar member |
| DATE SIGNED |
01/08/2015 |
| SIGNATORY'S PHONE NUMBER |
612-877-5443 |
| PAYMENT METHOD |
DA |
| FILING INFORMATION |
| SUBMIT DATE |
Thu Jan 08 14:52:50 EST 2015 |
| TEAS STAMP |
USPTO/S08N09-XXX.XX.XXX.X
XX-20150108145250150531-2
919558-50079339fe3d3fa461
23aa5259e4b331c9ab28cc9e3
6cca6ba481b37c4e629ebae-D
A-1078-201501081443217401
02 |
| 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: 2919558
REGISTRATION DATE: 01/18/2005
MARK: ILLUMINA
The owner, INSIGHT EQUITY A.P. X, LP, a limited partnership legally organized under the laws of Texas, comprising of Vision Ease GP, LLC, a Delaware limited liability company, having an address
of
7000 Sunwood Drive NW
Ramsey, Minnesota 55303
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 009, 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: Ophthalmic Lenses for Eyeglasses ; 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) a photo of a product package bearing the
mark.
Original PDF file:
SPN0-20923185114-20150108144321740102_._ILLUMINA_-_2015.pdf
Converted PDF file(s) (1 page)
Specimen File1
The registrant's current Attorney Information: Marsha Stolt of MARSHA STOLT, MOSS & BARNETT PA
4800 WELLS FARGO CT 90 S 7TH ST
MINNEAPOLIS, Minnesota (MN) 55402
United States
The docket/reference number is 11857/130001.
The registrant's proposed Attorney Information: Marsha Stolt of MOSS & BARNETT PA
Suite 1200
150 South Fifth Street
MINNEAPOLIS, Minnesota (MN) 55402
United States
The docket/reference number is 51857.130001.
The phone number is (612) 877-5443.
The fax number is (612) 877-5999.
The email address is ipmsd@lawmoss.com.
The registrant's current Correspondence Information: of MARSHA STOLT, MOSS & BARNETT PA
4800 WELLS FARGO CT 90 S 7TH ST
MINNEAPOLIS, Minnesota (MN) 55402
United States
The docket/reference number is 11857/130001.
The registrant's proposed Correspondence Information: Marsha Stolt of MOSS & BARNETT PA
Suite 1200
150 South Fifth Street
MINNEAPOLIS, Minnesota (MN) 55402
United States
The docket/reference number is 51857.130001.
The phone number is (612) 877-5443.
The fax number is (612) 877-5999.
The email address is ipmsd@lawmoss.com;ipmsd@moss-barnett.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/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: /MS/ Date: 01/08/2015
Signatory's Name: Marsha Stolt
Signatory's Position: Attorney of Record, Minnesota bar member
Signatory's Phone Number: 612-877-5443
Mailing Address
(current):
MARSHA STOLT, MOSS & BARNETT PA
4800 WELLS FARGO CT 90 S 7TH ST
MINNEAPOLIS, Minnesota 55402
Mailing Address
(proposed):
MOSS & BARNETT PA
150 South Fifth Street
MINNEAPOLIS, Minnesota 55402
Serial Number: 76507201
Internet Transmission Date: Thu Jan 08 14:52:50 EST 2015
TEAS Stamp: USPTO/S08N09-XXX.XX.XXX.XXX-201501081452
50150531-2919558-50079339fe3d3fa46123aa5
259e4b331c9ab28cc9e36cca6ba481b37c4e629e
bae-DA-1078-20150108144321740102
