Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid OMB control number.
PTO Form 1963 (Rev 05/2006) |
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 |
3087132 |
REGISTRATION DATE |
05/02/2006 |
SERIAL NUMBER |
76644476 |
MARK SECTION |
MARK |
WAL-FINATE |
ATTORNEY SECTION (current) |
NAME |
Francis C. Kowalilk |
FIRM NAME |
WALGREEN CO |
STREET |
104 WILMOT RD |
CITY |
DEERFIELD |
STATE |
Illinois |
POSTAL CODE |
60015 |
COUNTRY |
United States |
PHONE |
(847) 315-4640 |
ATTORNEY SECTION (proposed) |
NAME |
Francis C. Kowalilk, Senior Counsel, 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) 315-4640 |
EMAIL |
ipdocket@walgreens.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
TM.0282 |
OTHER APPOINTED ATTORNEY |
Cary M. Pumphrey, Director, Intellectual Property |
CORRESPONDENCE SECTION (current) |
NAME |
FRANCIS C KOWALILK |
FIRM NAME |
WALGREEN CO |
STREET |
104 WILMOT RD |
CITY |
DEERFIELD |
STATE |
Illinois |
POSTAL CODE |
60015 |
COUNTRY |
United States |
PHONE |
(847) 315-4640 |
CORRESPONDENCE SECTION (proposed) |
NAME |
Francis C. Kowalilk, Senior Counsel, 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) 315-4640 |
EMAIL |
ipdocket@walgreens.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
TM.0282 |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
005 |
GOODS OR SERVICES |
antihistamine and allergy relief medication |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\766\444\76644476\xml1\ S890002.JPG |
SPECIMEN DESCRIPTION |
Copy of Registrant's product depicting the mark as currently used in International Class 5 |
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 |
400 |
TOTAL FEE PAID |
400 |
SIGNATURE SECTION |
SIGNATURE |
/francisckowalik/ |
SIGNATORY'S NAME |
Francis C. Kowalik |
SIGNATORY'S POSITION |
Senior Counsel, Intellectual Property, Walgreen Co. |
DATE SIGNED |
02/12/2016 |
SIGNATORY'S PHONE NUMBER |
847-315-4640 |
PAYMENT METHOD |
CC |
FILING INFORMATION |
SUBMIT DATE |
Fri Feb 12 10:18:29 EST 2016 |
TEAS STAMP |
USPTO/S08N09-XX.XX.XXX.XX
-20160212101829809988-308
7132-5503ae9947ae154c5c3d
ffa751596825b443703ce3212
6bade34f7bba9a0ae-CC-7626
-20160211170616118719 |
Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid OMB control number.
PTO Form 1963 (Rev 05/2006) |
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: 3087132
REGISTRATION DATE: 05/02/2006
MARK: WAL-FINATE (see, )
The owner, WALGREEN CO., a corporation of Illinois, having an address of
200 Wilmot Road
Deerfield, Illinois 60015
United States
XXXX (authorized)
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 005, 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: antihistamine and allergy relief medication ; 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) Copy of Registrant's product depicting the
mark as currently used in International Class 5.
Specimen File1
The registrant's current Attorney Information: Francis C. Kowalilk of WALGREEN CO
104 WILMOT RD
DEERFIELD, Illinois 60015
United States
The registrant's proposed Attorney Information: Francis C. Kowalilk, Senior Counsel, Intellectual Property of Walgreen Co.
MS1430 - Third Floor
104 Wilmot Road
DEERFIELD, Illinois 60015
United States
The docket/reference number is TM.0282.
The Other Appointed Attorney(s): Cary M. Pumphrey, Director, Intellectual Property.
The phone number is (847) 315-4640.
The email address is ipdocket@walgreens.com.
The registrant's current Correspondence Information: FRANCIS C KOWALILK of WALGREEN CO
104 WILMOT RD
DEERFIELD, Illinois 60015
United States
The registrant's proposed Correspondence Information: Francis C. Kowalilk, Senior Counsel, Intellectual Property of Walgreen Co.
MS1430 - Third Floor
104 Wilmot Road
DEERFIELD, Illinois 60015
United States
The docket/reference number is TM.0282.
The phone number is (847) 315-4640.
The email address is ipdocket@walgreens.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: /francisckowalik/ Date: 02/12/2016
Signatory's Name: Francis C. Kowalik
Signatory's Position: Senior Counsel, Intellectual Property, Walgreen Co.
Signatory's Phone Number: 847-315-4640
Mailing Address
(current):
WALGREEN CO
104 WILMOT RD
DEERFIELD, Illinois 60015
Mailing Address
(proposed):
Walgreen Co.
104 Wilmot Road
DEERFIELD, Illinois 60015
Serial Number: 76644476
Internet Transmission Date: Fri Feb 12 10:18:29 EST 2016
TEAS Stamp: USPTO/S08N09-XX.XX.XXX.XX-20160212101829
809988-3087132-5503ae9947ae154c5c3dffa75
1596825b443703ce32126bade34f7bba9a0ae-CC
-7626-20160211170616118719