PR-Section 8 and 9

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)

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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: 3454399
REGISTRATION DATE: 06/24/2008

MARK: COMPLETE

The owner, Skookum Creek Tobacco Co., Inc., A WHOLLY OWNED ENTERPRISE OF THE SQUAXIN ISLAND TRIBE, A FEDERALLY RECOGNIZED TRIBE, INCORPORATED UNDER TRIBAL LAW legally organized under the laws of United States, having an address of
      1041 State Route 108
      Shelton, Washington 98584
      United States
      360-426-3442
      360-427-6547
      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 034, 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: Cigarettes ; 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) Mark "Complete" on goods at point of sale.
Specimen File1
The registrant's current Attorney Information: Kevin Lyon of  SQUAXIN ISLAND LEGAL DEPARTMENT
      3711 SE OLD OLYMPIC HWY
      SHELTON, Washington 98584
      United States
The phone number is 3604321771.
The fax number is 3604323699.
The email address is nschreiner@squaxin.us. (authorized)

The registrant's proposed Attorney Information: Nathan Schreiner of  SQUAXIN ISLAND LEGAL DEPARTMENT
      3711 SE OLD OLYMPIC HWY
      SHELTON, Washington 98584
      United States
The phone number is 3604321771.
The fax number is 3604323699.
The email address is nschreiner@squaxin.us. (authorized)
The registrant's current Correspondence Information: Kevin Lyon of  SQUAXIN ISLAND LEGAL DEPARTMENT
      3711 SE OLD OLYMPIC HWY
      SHELTON, Washington 98584
      United States
The phone number is 3604321771.
The fax number is 3604323699.
The email address is nschreiner@squaxin.us. (authorized)

The registrant's proposed Correspondence Information: Nathan Schreiner of  SQUAXIN ISLAND LEGAL DEPARTMENT
      3711 SE OLD OLYMPIC HWY
      SHELTON, Washington 98584
      United States
The phone number is 3604321771.
The fax number is 3604323699.
The email address is nschreiner@squaxin.us. (authorized)

A fee payment in the amount of $425 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 or to indicate membership in the collective membership organization identified above, as evidenced by the attached specimen(s).
	Unless the owner has specifically claimed excusable nonuse, the specimen(s) shows the mark as currently used in commerce on or in connection with the goods/services/collective membership organization.
	The registrant requests that the registration be renewed for the goods/services/collective organization identified above.
	To the best of the signatory's knowledge, information, and belief, formed after an inquiry reasonable under the circumstances, the allegations and other factual contentions made above have evidentiary support.
	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 and the registration, 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: /nes/    Date: 06/29/2017
Signatory's Name: Nathan Schreiner
Signatory's Position: Attorney of Record, Washington St. bar member
Signatory's Phone: 360-432-1771

Mailing Address (current):
   SQUAXIN ISLAND LEGAL DEPARTMENT
   3711 SE OLD OLYMPIC HWY
   SHELTON, Washington 98584

Mailing Address (proposed):
   SQUAXIN ISLAND LEGAL DEPARTMENT
   3711 SE OLD OLYMPIC HWY
   SHELTON, Washington 98584

Serial Number: 77035001
Internet Transmission Date: Thu Jun 29 11:26:06 EDT 2017
TEAS Stamp: USPTO/S08N09-XXX.XXX.XXX.XXX-20170629112
606436256-3454399-5903a27798bd6e248dfc28
158feeb3d4de354877a833d65ed5e884220681e9
3b75a-CC-11945-20170629112149417426