| 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 |
2876500 |
| REGISTRATION DATE |
08/24/2004 |
| SERIAL NUMBER |
76509639 |
| MARK SECTION |
| MARK |
WALGREENS (stylized and/or with design) |
| ATTORNEY SECTION (current) |
| NAME |
Cary M. Pumphrey, Senior Attorney, Intellectual Property |
| FIRM NAME |
Walgreen Co. |
| INTERNAL ADDRESS |
MS #1425 |
| STREET |
104 Wilmot Road |
| CITY |
Deerfield |
| STATE |
Illinois |
| POSTAL CODE |
60015 |
| COUNTRY |
United States |
| PHONE |
847-315-3582 or 847-315-4 |
| FAX |
847-315-4826 |
| DOCKET/REFERENCE NUMBER |
WALGREENS an |
| ATTORNEY SECTION (proposed) |
| NAME |
Cary M. Pumphrey, Director, Intellectual Property |
| FIRM NAME |
Walgreen Co. |
| INTERNAL ADDRESS |
MS1430 - Third Floor |
| STREET |
104 Wilmot Road |
| CITY |
Deerfield |
| STATE |
Illinois |
| POSTAL CODE |
60015 |
| COUNTRY |
United States |
| PHONE |
847-315-4582 |
| FAX |
847-315-4660 |
| EMAIL |
ipdocket@walgreens.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
TM.0285.006 |
| OTHER APPOINTED ATTORNEY |
Francis C. Kowalik, Senior Counsel, Intellectual Property |
| CORRESPONDENCE SECTION (current) |
| NAME |
Cary M. Pumphrey, Senior Attorney, Intellectual Pr |
| FIRM NAME |
Walgreen Co. |
| INTERNAL ADDRESS |
MS #1425 |
| STREET |
104 Wilmot Road |
| CITY |
Deerfield |
| STATE |
Illinois |
| POSTAL CODE |
60015 |
| COUNTRY |
United States |
| PHONE |
847-315-3582 or 847-315-4 |
| FAX |
847-315-4826 |
| DOCKET/REFERENCE NUMBER |
WALGREENS an |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
Cary M. Pumphrey, Director, Intellectual Property |
| FIRM NAME |
Walgreen Co. |
| INTERNAL ADDRESS |
MS1430 - Third Floor |
| STREET |
104 Wilmot Road |
| CITY |
Deerfield |
| STATE |
Illinois |
| POSTAL CODE |
60015 |
| COUNTRY |
United States |
| PHONE |
847-315-4582 |
| FAX |
847-315-4660 |
| EMAIL |
ipdocket@walgreens.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
TM.0285.006 |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
035 |
| GOODS OR SERVICES |
pharmacy, retail drug store and general merchandise store services |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\765\096\76509639\xml1\ S890002.JPG |
| SPECIMEN DESCRIPTION |
A photograph of Registrant's depicting the mark as currently used in International Class 35 |
| OWNER SECTION (current) |
| NAME |
WALGREEN CO. |
| STREET |
200 Wilmot Road |
| CITY |
Deerfield |
| STATE |
Illinois |
| ZIP/POSTAL CODE |
60015 |
| COUNTRY |
United States |
| OWNER SECTION (proposed) |
| NAME |
WALGREEN CO. |
| STREET |
200 Wilmot Road |
| CITY |
Deerfield |
| STATE |
Illinois |
| ZIP/POSTAL CODE |
60015 |
| COUNTRY |
United States |
| EMAIL |
XXXX |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| LEGAL ENTITY SECTION (current) |
| TYPE |
corporation |
| STATE/COUNTRY OF INCORPORATION |
Illinois |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
500 |
| TOTAL FEE PAID |
500 |
| SIGNATURE SECTION |
| SIGNATURE |
/carympumphrey/ |
| SIGNATORY'S NAME |
Cary M. Pumphrey |
| SIGNATORY'S POSITION |
Director, Intellectual Property, Walgreen Co. |
| DATE SIGNED |
07/25/2014 |
| SIGNATORY'S PHONE NUMBER |
847-315-4582 |
| PAYMENT METHOD |
CC |
| FILING INFORMATION |
| SUBMIT DATE |
Fri Jul 25 15:14:00 EDT 2014 |
| TEAS STAMP |
USPTO/S08N09-XX.XX.XXX.XX
-20140725151400922593-287
6500-50013bea345e7fb5f273
bee9ba97a43a2e175686bbba8
30c9bd62af1bcff94fd0-CC-1
537-20140725124424069953 |
| 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: 2876500
REGISTRATION DATE: 08/24/2004
MARK: (Stylized and/or with Design, WALGREENS)
The owner, WALGREEN CO., a corporation of Illinois, having an address of
200 Wilmot Road
Deerfield, Illinois 60015
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: pharmacy, retail drug store and general merchandise store services ; 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 photograph of Registrant's depicting the
mark as currently used in International Class 35.
Specimen File1
The registrant's current Attorney Information: Cary M. Pumphrey, Senior Attorney, Intellectual Property of Walgreen Co.
MS #1425
104 Wilmot Road
Deerfield, Illinois (IL) 60015
United States
The docket/reference number is WALGREENS an.
The registrant's proposed Attorney Information: Cary M. Pumphrey, Director, Intellectual Property of Walgreen Co.
MS1430 - Third Floor
104 Wilmot Road
Deerfield, Illinois (IL) 60015
United States
The docket/reference number is TM.0285.006.
The Other Appointed Attorney(s): Francis C. Kowalik, Senior Counsel, Intellectual Property.
The phone number is 847-315-4582.
The fax number is 847-315-4660.
The email address is ipdocket@walgreens.com.
The registrant's current Correspondence Information: Cary M. Pumphrey, Senior Attorney, Intellectual Pr of Walgreen Co.
MS #1425
104 Wilmot Road
Deerfield, Illinois (IL) 60015
United States
The docket/reference number is WALGREENS an.
The registrant's proposed Correspondence Information: Cary M. Pumphrey, Director, Intellectual Property of Walgreen Co.
MS1430 - Third Floor
104 Wilmot Road
Deerfield, Illinois (IL) 60015
United States
The docket/reference number is TM.0285.006.
The phone number is 847-315-4582.
The fax number is 847-315-4660.
The email address is ipdocket@walgreens.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: /carympumphrey/ Date: 07/25/2014
Signatory's Name: Cary M. Pumphrey
Signatory's Position: Director, Intellectual Property, Walgreen Co.
Signatory's Phone Number: 847-315-4582
Mailing Address
(current):
Walgreen Co.
104 Wilmot Road
Deerfield, Illinois 60015
Mailing Address
(proposed):
Walgreen Co.
104 Wilmot Road
Deerfield, Illinois 60015
Serial Number: 76509639
Internet Transmission Date: Fri Jul 25 15:14:00 EDT 2014
TEAS Stamp: USPTO/S08N09-XX.XX.XXX.XX-20140725151400
922593-2876500-50013bea345e7fb5f273bee9b
a97a43a2e175686bbba830c9bd62af1bcff94fd0
-CC-1537-20140725124424069953
