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 |
2988741 |
REGISTRATION DATE |
08/30/2005 |
SERIAL NUMBER |
76599262 |
MARK SECTION |
MARK |
A MIRACLE OF NATURE |
ATTORNEY SECTION (current) |
NAME |
Stephanie K. Wade |
FIRM NAME |
DICKSTEIN SHAPIRO LLP |
STREET |
1825 EYE STREET, NW |
CITY |
WASHINGTON |
STATE |
District of Columbia |
POSTAL CODE |
20006-5403 |
COUNTRY |
United States |
PHONE |
202-420-2200 |
FAX |
202-420-2201 |
EMAIL |
ipdocketing-dc@dicksteinshapiro.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
T3300.0003 |
ATTORNEY SECTION (proposed) |
NAME |
GABRIELLE S. ROTH |
FIRM NAME |
SUGHRUE MION, PLLC |
STREET |
2100 PENNSYLVANIA AVENUE, N.W. |
CITY |
WASHINGTON |
STATE |
District of Columbia |
POSTAL CODE |
20037 |
COUNTRY |
United States |
PHONE |
202.293.7060 |
FAX |
202.293.7860 |
EMAIL |
tm@sughrue.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
S0290030 |
OTHER APPOINTED ATTORNEY |
Gary D. Krugman, Kevin G. Smith, Leigh Ann Lindquist, Jody H. Drake, Stephanie K. Wade and Shahrzad Poormosleh |
CORRESPONDENCE SECTION (current) |
NAME |
Stephanie K. Wade |
FIRM NAME |
DICKSTEIN SHAPIRO LLP |
STREET |
1825 EYE STREET, NW |
CITY |
WASHINGTON |
STATE |
District of Columbia |
POSTAL CODE |
20006-5403 |
COUNTRY |
United States |
PHONE |
202-420-2200 |
FAX |
202-420-2201 |
EMAIL |
ipdocketing-dc@dicksteinshapiro.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
T3300.0003 |
CORRESPONDENCE SECTION (proposed) |
NAME |
GABRIELLE S. ROTH |
FIRM NAME |
SUGHRUE MION, PLLC |
STREET |
2100 PENNSYLVANIA AVENUE, N.W. |
CITY |
WASHINGTON |
STATE |
District of Columbia |
POSTAL CODE |
20037 |
COUNTRY |
United States |
PHONE |
202.293.7060 |
FAX |
202.293.7860 |
EMAIL |
tm@sughrue.com;groth@sughrue.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
S0290030 |
DOMESTIC REPRESENTATIVE SECTION (new) |
NAME |
GABRIELLE S. ROTH |
STREET |
2100 PENNSYLVANIA AVENUE, N.W. |
CITY |
WASHINGTON |
STATE |
District of Columbia |
POSTAL CODE |
20037 |
COUNTRY |
United States |
PHONE |
202.293.7060 |
FAX |
202.293.7860 |
EMAIL |
tm@sughrue.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
S0290030 |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
032 |
GOODS OR SERVICES |
mineral water |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\765\992\76599262\xml1\ S890002.JPG |
SPECIMEN DESCRIPTION |
image of label displaying the mark and affixed to the goods |
OWNER SECTION (current) |
NAME |
The Tesalia Springs Holding Corp. |
INTERNAL ADDRESS |
Plaza 2000 Building, 19th Floor |
STREET |
50th Street |
CITY |
Panama City |
COUNTRY |
Panama |
LEGAL ENTITY SECTION (current) |
TYPE |
corporation |
STATE/COUNTRY OF INCORPORATION |
Panama |
PAYMENT SECTION |
NUMBER OF CLASSES |
1 |
NUMBER OF CLASSES PAID |
1 |
SUBTOTAL AMOUNT |
400 |
TOTAL FEE PAID |
400 |
SIGNATURE SECTION |
SIGNATURE |
/Gabrielle S. Roth/ |
SIGNATORY'S NAME |
Gabrielle S. Roth |
SIGNATORY'S POSITION |
Attorney of record - DC Bar Member |
DATE SIGNED |
08/27/2015 |
SIGNATORY'S PHONE NUMBER |
202.293.7060 |
PAYMENT METHOD |
CC |
FILING INFORMATION |
SUBMIT DATE |
Thu Aug 27 09:20:35 EDT 2015 |
TEAS STAMP |
USPTO/S08N09-XX.X.XXX.XX-
20150827092035303713-2988
741-540a13ad9bd48ac88b214
b165f759755a5db32e1c32457
96ffff1cde858eef2-CC-9222
-20150827091643470675 |
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: 2988741
REGISTRATION DATE: 08/30/2005
MARK: A MIRACLE OF NATURE
The owner, The Tesalia Springs Holding Corp., a corporation of Panama, having an address of
Plaza 2000 Building, 19th Floor
50th Street
Panama City,
Panama
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 032, 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: mineral water ; 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 label displaying the mark and
affixed to the goods.
Specimen File1
The registrant's current Attorney Information: Stephanie K. Wade of DICKSTEIN SHAPIRO LLP
1825 EYE STREET, NW
WASHINGTON, District of Columbia (DC) 20006-5403
United States
The docket/reference number is T3300.0003.
The registrant's proposed Attorney Information: GABRIELLE S. ROTH of SUGHRUE MION, PLLC
2100 PENNSYLVANIA AVENUE, N.W.
WASHINGTON, District of Columbia (DC) 20037
United States
The docket/reference number is S0290030.
The Other Appointed Attorney(s): Gary D. Krugman, Kevin G. Smith, Leigh Ann Lindquist, Jody H. Drake, Stephanie K. Wade and Shahrzad Poormosleh.
The phone number is 202.293.7060.
The fax number is 202.293.7860.
The email address is tm@sughrue.com.
The registrant's current Correspondence Information: Stephanie K. Wade of DICKSTEIN SHAPIRO LLP
1825 EYE STREET, NW
WASHINGTON, District of Columbia (DC) 20006-5403
United States
The docket/reference number is T3300.0003.
The registrant's proposed Correspondence Information: GABRIELLE S. ROTH of SUGHRUE MION, PLLC
2100 PENNSYLVANIA AVENUE, N.W.
WASHINGTON, District of Columbia (DC) 20037
United States
The docket/reference number is S0290030.
The phone number is 202.293.7060.
The fax number is 202.293.7860.
The email address is tm@sughrue.com;groth@sughrue.com.
The registrant hereby appoints GABRIELLE S. ROTH, 2100 PENNSYLVANIA AVENUE, N.W., WASHINGTON, District of Columbia (DC) United States (USX) 20037 as registrant's representative upon whom notice or
process in the proceedings affecting the mark may be served.
The phone number is 202.293.7060.
The fax number is 202.293.7860.
The email address is tm@sughrue.com.
A fee payment in the amount of $400 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, or to indicate membership in the collective membership
organization 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. § 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: /Gabrielle S. Roth/ Date: 08/27/2015
Signatory's Name: Gabrielle S. Roth
Signatory's Position: Attorney of record - DC Bar Member
Signatory's Phone Number: 202.293.7060
Mailing Address
(current):
DICKSTEIN SHAPIRO LLP
1825 EYE STREET, NW
WASHINGTON, District of Columbia 20006-5403
Mailing Address
(proposed):
SUGHRUE MION, PLLC
2100 PENNSYLVANIA AVENUE, N.W.
WASHINGTON, District of Columbia 20037
Serial Number: 76599262
Internet Transmission Date: Thu Aug 27 09:20:35 EDT 2015
TEAS Stamp: USPTO/S08N09-XX.X.XXX.XX-201508270920353
03713-2988741-540a13ad9bd48ac88b214b165f
759755a5db32e1c3245796ffff1cde858eef2-CC
-9222-20150827091643470675