| 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 |
3548663 |
| REGISTRATION DATE |
12/23/2008 |
| SERIAL NUMBER |
76688723 |
| MARK SECTION |
| MARK |
Design only |
| CORRESPONDENCE SECTION (current) |
| NAME |
KEITH BASSETT |
| STREET |
PO BOX 751 |
| CITY |
KILA |
| STATE |
Montana |
| POSTAL CODE |
59920-0751 |
| COUNTRY |
United States |
| PHONE |
406 755 4237 |
| FAX |
406 755 0703 |
| EMAIL |
donald669@centurytel.net |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
Bassett, Keith |
| STREET |
PO BOX 751 |
| CITY |
KILA |
| STATE |
Montana |
| POSTAL CODE |
59920 |
| COUNTRY |
United States |
| PHONE |
406 755 4237 |
| FAX |
406 755 07 |
| EMAIL |
woods0620@gmail.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
028 |
| GOODS OR SERVICES |
Board Game |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\766\887\76688723\xml2\ S080002.JPG |
| SPECIMEN DESCRIPTION |
brochure |
| OWNER SECTION (1st owner)(current) |
| NAME |
Bassett, Keith |
| STREET |
PO Box 751 |
| CITY |
Kila |
| STATE |
Montana |
| ZIP/POSTAL CODE |
59920 |
| COUNTRY |
United States |
| PHONE |
406 755 4237 |
| FAX |
406 755 07 |
| EMAIL |
XXXX |
| OWNER SECTION (1st owner)(proposed) |
| NAME |
Bassett, Keith |
| STREET |
PO Box 751 |
| CITY |
Kila |
| STATE |
Montana |
| ZIP/POSTAL CODE |
59920 |
| COUNTRY |
United States |
| PHONE |
406 755 4237 |
| FAX |
406 755 07 |
| EMAIL |
XXXX |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| LEGAL ENTITY SECTION (1st owner)(current) |
| TYPE |
individual |
| COUNTRY OF CITIZENSHIP |
United States |
| OWNER SECTION (2nd owner)(current) |
| NAME |
Robinson, Don |
| STREET |
PO Box 751 |
| CITY |
Kila |
| STATE |
Montana |
| ZIP/POSTAL CODE |
59920 |
| COUNTRY |
United States |
| PHONE |
406 755 4237 |
| FAX |
406 755 07 |
| EMAIL |
XXXX |
| LEGAL ENTITY SECTION (2nd owner)(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 |
/Jeffrey Woods/ |
| SIGNATORY'S NAME |
Jeffrey Woods |
| SIGNATORY'S POSITION |
Representative |
| DATE SIGNED |
08/27/2014 |
| PAYMENT METHOD |
CC |
| FILING INFORMATION |
| SUBMIT DATE |
Wed Aug 27 10:01:34 EDT 2014 |
| TEAS STAMP |
USPTO/SECT08-XXX.XXX.X.XX
X-20140827100134867524-35
48663-5001d0e3522c6c8bda2
cbcf5102945d14c2b7042ecac
78d4cedff0e23aeff6-CC-121
59-20140827095833244422 |
| 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: 3548663
REGISTRATION DATE: 12/23/2008
MARK: (Stylized and/or with Design)
The owners, Keith Bassett, a citizen of United States, having an address of
PO Box 751
Kila, Montana 59920
United States
Don Robinson, a citizen of United States, having an address of
PO Box 751
Kila, Montana 59920
United States
are filing a Declaration of Use and/or Excusable Nonuse of Mark in Commerce under Section 8.
For International Class 028, 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: Board Game ; or, the owner is making the listed excusable nonuse claim.
The owners are 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) brochure.
Specimen File1
The registrants current Correspondence Information: KEITH BASSETT
PO BOX 751
KILA, Montana (MT) 59920-0751
United States
The registrants proposed Correspondence Information: Bassett, Keith
PO BOX 751
KILA, Montana (MT) 59920
United States
The phone number is 406 755 4237.
The fax number is 406 755 07.
The email address is woods0620@gmail.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: /Jeffrey Woods/ Date: 08/27/2014
Signatory's Name: Jeffrey Woods
Signatory's Position: Representative
Serial Number: 76688723
Internet Transmission Date: Wed Aug 27 10:01:34 EDT 2014
TEAS Stamp: USPTO/SECT08-XXX.XXX.X.XXX-2014082710013
4867524-3548663-5001d0e3522c6c8bda2cbcf5
102945d14c2b7042ecac78d4cedff0e23aeff6-C
C-12159-20140827095833244422
