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 |
2940961 |
REGISTRATION DATE |
04/12/2005 |
SERIAL NUMBER |
76508941 |
MARK SECTION |
MARK |
REPLICA |
ATTORNEY SECTION (no change) |
NAME |
Roger H. Stein |
FIRM NAME |
UNGARETTI & HARRIS LLP |
INTERNAL ADDRESS |
70 WEST MADISON STREET |
STREET |
SUITE 3500, ATTN.: IP TM Docket |
CITY |
CHICAGO |
STATE |
Illinois |
POSTAL CODE |
60602-4224 |
COUNTRY |
United States |
PHONE |
312-977-4400 |
FAX |
312-977-4405 |
EMAIL |
ipdocket@uhlaw.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
0052096-8058 |
ATTORNEY SECTION (proposed) |
NAME |
Roger H. Stein |
FIRM NAME |
UNGARETTI & HARRIS LLP |
INTERNAL ADDRESS |
70 WEST MADISON STREET |
STREET |
SUITE 3500, ATTN.: IP TM Docket |
CITY |
CHICAGO |
STATE |
Illinois |
POSTAL CODE |
60602-4224 |
COUNTRY |
United States |
PHONE |
312-977-4400 |
FAX |
312-977-4405 |
EMAIL |
ipdocket@uhlaw.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
0052096-8058 |
OTHER APPOINTED ATTORNEY |
Susan Meyer, James J. Jagoda, Maureen R. Smith |
CORRESPONDENCE SECTION (no change) |
NAME |
Roger H. Stein |
FIRM NAME |
UNGARETTI & HARRIS LLP |
INTERNAL ADDRESS |
70 WEST MADISON STREET |
STREET |
SUITE 3500, ATTN.: IP TM Docket |
CITY |
CHICAGO |
STATE |
Illinois |
POSTAL CODE |
60602-4224 |
COUNTRY |
United States |
PHONE |
312-977-4400 |
FAX |
312-977-4405 |
EMAIL |
ipdocket@uhlaw.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
0052096-8058 |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
010 |
GOODS OR SERVICES |
Artificial teeth for making dentures and partials for the mouth |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\765\089\76508941\xml1\ S890002.JPG |
SPECIMEN DESCRIPTION |
image of the mark as depicted on the packaging for the goods |
OWNER SECTION (current) |
NAME |
FRICKE, LAWRENCE R., JR. |
STREET |
574 Redwood Lane |
CITY |
Lisle |
STATE |
Illinois |
ZIP/POSTAL CODE |
60532 |
COUNTRY |
United States |
OWNER SECTION (proposed) |
NAME |
FRICKE, LAWRENCE R., JR. |
STREET |
574 Redwood Lane |
CITY |
Lisle |
STATE |
Illinois |
ZIP/POSTAL CODE |
60532 |
COUNTRY |
United States |
EMAIL |
XXXX |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
LEGAL ENTITY SECTION (current) |
TYPE |
individual |
COUNTRY OF CITIZENSHIP |
United States |
PAYMENT SECTION |
NUMBER OF CLASSES |
1 |
NUMBER OF CLASSES PAID |
1 |
SUBTOTAL AMOUNT |
500 |
TOTAL FEE PAID |
500 |
SIGNATURE SECTION |
SIGNATURE |
/Roger H. Stein/ |
SIGNATORY'S NAME |
Roger H. Stein |
SIGNATORY'S POSITION |
Attorney of Record, IL Bar Member |
DATE SIGNED |
09/03/2014 |
SIGNATORY'S PHONE NUMBER |
312-977-4373 |
PAYMENT METHOD |
DA |
FILING INFORMATION |
SUBMIT DATE |
Wed Sep 03 11:02:39 EDT 2014 |
TEAS STAMP |
USPTO/S08N09-XX.X.XXX.XX-
20140903110239136051-2940
961-5005438d42a5c6a4061d0
6dbde753a8c98d7b798e6fca3
e6abf27ffe193b46dff13-DA-
8906-20140903105919309340 |
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: 2940961
REGISTRATION DATE: 04/12/2005
MARK: REPLICA
The owner, LAWRENCE R , JR FRICKE, a citizen of United States, having an address of
574 Redwood Lane
Lisle, Illinois 60532
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 010, 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: Artificial teeth for making dentures and partials for the mouth ; 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) image of the mark as depicted on the
packaging for the goods.
Specimen File1
The registrant's current Attorney Information: Roger H. Stein of UNGARETTI & HARRIS LLP
70 WEST MADISON STREET
SUITE 3500, ATTN.: IP TM Docket
CHICAGO, Illinois (IL) 60602-4224
United States
The docket/reference number is 0052096-8058.
The registrant's proposed Attorney Information: Roger H. Stein of UNGARETTI & HARRIS LLP
70 WEST MADISON STREET
SUITE 3500, ATTN.: IP TM Docket
CHICAGO, Illinois (IL) 60602-4224
United States
The docket/reference number is 0052096-8058.
The Other Appointed Attorney(s): Susan Meyer, James J. Jagoda, Maureen R. Smith.
The phone number is 312-977-4400.
The fax number is 312-977-4405.
The email address is ipdocket@uhlaw.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: /Roger H. Stein/ Date: 09/03/2014
Signatory's Name: Roger H. Stein
Signatory's Position: Attorney of Record, IL Bar Member
Signatory's Phone Number: 312-977-4373
Mailing Address
(current):
UNGARETTI & HARRIS LLP
SUITE 3500, ATTN.: IP TM Docket
CHICAGO, Illinois 60602-4224
Mailing Address
(proposed):
UNGARETTI & HARRIS LLP
SUITE 3500, ATTN.: IP TM Docket
CHICAGO, Illinois 60602-4224
Serial Number: 76508941
Internet Transmission Date: Wed Sep 03 11:02:39 EDT 2014
TEAS Stamp: USPTO/S08N09-XX.X.XXX.XX-201409031102391
36051-2940961-5005438d42a5c6a4061d06dbde
753a8c98d7b798e6fca3e6abf27ffe193b46dff1
3-DA-8906-20140903105919309340