| PTO Form 1563 (Rev 5/2006) |
| OMB No. 0651-0055 (Exp 07/31/2018) |
Declaration of Use and/or Excusable Nonuse of Mark in Commerce under Section 8
The table below presents the data as entered.
Input Field
|
Entered
|
| REGISTRATION NUMBER |
3676820 |
| REGISTRATION DATE |
09/01/2009 |
| SERIAL NUMBER |
76684485 |
| MARK SECTION |
| MARK |
LANCER (stylized and/or with design) |
| CORRESPONDENCE SECTION (current) |
| NAME |
Broomall, Marcelle |
| STREET |
5313 Waldo Place |
| CITY |
Los Angeles |
| STATE |
California |
| POSTAL CODE |
90041 |
| COUNTRY |
United States |
| PHONE |
323-257-7778 |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
Broomall, Marcelle |
| STREET |
844 Colorado Boulevard, Suite 202 |
| CITY |
Los Angeles |
| STATE |
California |
| POSTAL CODE |
90041 |
| COUNTRY |
United States |
| PHONE |
323-257-7778 |
| EMAIL |
mbroomall@aol.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
025 |
| GOODS OR SERVICES |
Socks |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\766\844\76684485\xml2\ S080002.JPG |
| SPECIMEN DESCRIPTION |
digital image of product packaging currently used in commerce |
| OWNER SECTION (current) |
| NAME |
Broomall, Marcelle |
| STREET |
844 Colorado Boulevard, Suite 202 |
| CITY |
Los Angeles |
| STATE |
California |
| ZIP/POSTAL CODE |
90041 |
| COUNTRY |
United States |
| OWNER SECTION (proposed) |
| NAME |
Broomall, Marcelle |
| STREET |
844 Colorado Boulevard, Suite 202 |
| CITY |
Los Angeles |
| STATE |
California |
| ZIP/POSTAL CODE |
90041 |
| COUNTRY |
United States |
| PHONE |
323-257-7778 |
| 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 |
100 |
| TOTAL FEE PAID |
100 |
| SIGNATURE SECTION |
| SIGNATURE |
/marcelle broomall/;and /123-4567 |
| SIGNATORY'S NAME |
Marcelle Broomall |
| SIGNATORY'S POSITION |
Owner |
| DATE SIGNED |
05/26/2015 |
| SIGNATORY'S PHONE NUMBER |
323-257-7778 |
| PAYMENT METHOD |
DA |
| FILING INFORMATION |
| SUBMIT DATE |
Wed May 27 09:27:12 EDT 2015 |
| TEAS STAMP |
USPTO/SECT08-XX.XXX.XXX.X
XX-20150527092712053869-3
676820-53094179c52b254e58
9ee5290ac4ba110192271c323
3afa8f4bf4f73c26218551a9-
DA-15372-2015052616470039
7185 |
| PTO Form 1563 (Rev 5/2006) |
| OMB No. 0651-0055 (Exp 07/31/2018) |
Declaration of Use and/or Excusable Nonuse of Mark in Commerce under Section 8
To the Commissioner for Trademarks:
REGISTRATION NUMBER: 3676820
REGISTRATION DATE: 09/01/2009
MARK: (Stylized and/or with Design, LANCER)
The owner, Marcelle Broomall, a citizen of United States, having an address of
844 Colorado Boulevard, Suite 202
Los Angeles, California 90041
United States
is filing a Declaration of Use and/or Excusable Nonuse of Mark in Commerce under Section 8.
For International Class 025, 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: Socks ; 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) digital image of product packaging currently
used in commerce.
Specimen File1
The registrant's current Correspondence Information: Broomall, Marcelle
5313 Waldo Place
Los Angeles, California (CA) 90041
United States
The registrant's proposed Correspondence Information: Broomall, Marcelle
844 Colorado Boulevard, Suite 202
Los Angeles, California (CA) 90041
United States
The phone number is 323-257-7778.
The email address is mbroomall@aol.com.
A fee payment in the amount of $100 will be submitted with the form, representing payment for 1 class(es), plus any additional grace period fee, if necessary.
Declaration
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.
Signature: /marcelle broomall/;and /123-4567 Date: 05/26/2015
Signatory's Name: Marcelle Broomall
Signatory's Position: Owner
Signatory's Phone Number: 323-257-7778
Serial Number: 76684485
Internet Transmission Date: Wed May 27 09:27:12 EDT 2015
TEAS Stamp: USPTO/SECT08-XX.XXX.XXX.XXX-201505270927
12053869-3676820-53094179c52b254e589ee52
90ac4ba110192271c3233afa8f4bf4f73c262185
51a9-DA-15372-20150526164700397185
