| 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 |
2800385 |
| REGISTRATION DATE |
12/30/2003 |
| SERIAL NUMBER |
78196093 |
| MARK SECTION |
| MARK |
PLAN 4 MOST (stylized and/or with design) |
| ATTORNEY SECTION (current) |
| NAME |
Claude J. Krawczyk |
| FIRM NAME |
O'NEIL, CANNON, HOLLMAN, DEJONG S.C. |
| INTERNAL ADDRESS |
111 EAST WISCONSIN AVENUE |
| STREET |
SUITE 1400 |
| CITY |
MILWAUKEE |
| STATE |
Wisconsin |
| POSTAL CODE |
53202 |
| COUNTRY |
United States |
| PHONE |
(414) 276-5000 |
| FAX |
(414) 276-6581 |
| EMAIL |
Claude.Krawczyk@WILAW.COM |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| ATTORNEY SECTION (proposed) |
| NAME |
Claude J. Krawczyk |
| FIRM NAME |
O'NEIL, CANNON, HOLLMAN, DEJONG & LAING S.C. |
| INTERNAL ADDRESS |
111 EAST WISCONSIN AVENUE |
| STREET |
SUITE 1400 |
| CITY |
MILWAUKEE |
| STATE |
Wisconsin |
| POSTAL CODE |
53202 |
| COUNTRY |
United States |
| PHONE |
(414) 276-5000 |
| FAX |
(414) 276-6581 |
| EMAIL |
Claude.Krawczyk@WILAW.COM |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| CORRESPONDENCE SECTION (current) |
| NAME |
CLAUDE J. KRAWCZYK |
| FIRM NAME |
O'NEIL, CANNON, HOLLMAN, DEJONG S.C. |
| INTERNAL ADDRESS |
111 EAST WISCONSIN AVENUE |
| STREET |
SUITE 1400 |
| CITY |
MILWAUKEE |
| STATE |
Wisconsin |
| POSTAL CODE |
53202 |
| COUNTRY |
United States |
| PHONE |
(414) 276-5000 |
| FAX |
(414) 276-6581 |
| EMAIL |
Claude.Krawczyk@WILAW.COM |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
CLAUDE J. KRAWCZYK |
| FIRM NAME |
O'NEIL, CANNON, HOLLMAN, DEJONG & LAING S.C. |
| INTERNAL ADDRESS |
111 EAST WISCONSIN AVENUE |
| STREET |
SUITE 1400 |
| CITY |
MILWAUKEE |
| STATE |
Wisconsin |
| POSTAL CODE |
53202 |
| COUNTRY |
United States |
| PHONE |
(414) 276-5000 |
| FAX |
(414) 276-6581 |
| EMAIL |
Claude.Krawczyk@WILAW.COM |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
036 |
| GOODS OR SERVICES |
administration of employee benefit plans |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\781\960\78196093\xml1\ S890002.JPG |
| |
\\TICRS\EXPORT16\IMAGEOUT 16\781\960\78196093\xml1\ S890003.JPG |
| SPECIMEN DESCRIPTION |
Marketing Sheets |
| OWNER SECTION (current) |
| NAME |
Plan Administrators, Inc. |
| STREET |
1300 Enterprise Avenue |
| CITY |
DePere |
| STATE |
Wisconsin |
| ZIP/POSTAL CODE |
54115 |
| COUNTRY |
United States |
| PHONE |
(920) 337-9906 |
| FAX |
(920) 337-9978 |
| LEGAL ENTITY SECTION (current) |
| TYPE |
corporation |
| STATE/COUNTRY OF INCORPORATION |
Wisconsin |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
500 |
| TOTAL FEE PAID |
500 |
| SIGNATURE SECTION |
| SIGNATORY FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\781\960\78196093\xml1\ S890004.JPG |
| SIGNATORY'S NAME |
Michael P. Kiley |
| SIGNATORY'S POSITION |
President |
| SIGNATORY'S PHONE NUMBER |
(800) 236-7400 |
| PAYMENT METHOD |
CC |
| FILING INFORMATION |
| SUBMIT DATE |
Fri Feb 15 17:42:10 EST 2013 |
| TEAS STAMP |
USPTO/S08N09-XX.XXX.XXX.X
X-20130215174210050752-28
00385-500b65da6bd2adbf0f8
cde26e3cd8c476a9faa88d352
c1f73dc96e467f7303e8a-CC-
4882-20130215173543481635 |
| 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: 2800385
REGISTRATION DATE: 12/30/2003
MARK: (Stylized and/or with Design, PLAN 4 MOST)
The owner, Plan Administrators, Inc., a corporation of Wisconsin, having an address of
1300 Enterprise Avenue
DePere, Wisconsin 54115
United States
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 036, 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: administration of employee benefit plans ; 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) Marketing Sheets.
Specimen File1
Specimen File2
The registrant's current Attorney Information: Claude J. Krawczyk of O'NEIL, CANNON, HOLLMAN, DEJONG S.C.
111 EAST WISCONSIN AVENUE
SUITE 1400
MILWAUKEE, Wisconsin (WI) 53202
United States
The registrant's proposed Attorney Information: Claude J. Krawczyk of O'NEIL, CANNON, HOLLMAN, DEJONG & LAING S.C.
111 EAST WISCONSIN AVENUE
SUITE 1400
MILWAUKEE, Wisconsin (WI) 53202
United States
The phone number is (414) 276-5000.
The fax number is (414) 276-6581.
The email address is Claude.Krawczyk@WILAW.COM.
The registrant's current Correspondence Information: CLAUDE J. KRAWCZYK of O'NEIL, CANNON, HOLLMAN, DEJONG S.C.
111 EAST WISCONSIN AVENUE
SUITE 1400
MILWAUKEE, Wisconsin (WI) 53202
United States
The registrant's proposed Correspondence Information: CLAUDE J. KRAWCZYK of O'NEIL, CANNON, HOLLMAN, DEJONG & LAING S.C.
111 EAST WISCONSIN AVENUE
SUITE 1400
MILWAUKEE, Wisconsin (WI) 53202
United States
The phone number is (414) 276-5000.
The fax number is (414) 276-6581.
The email address is Claude.Krawczyk@WILAW.COM.
A fee payment in the amount of $500 will be submitted with the form, representing payment for 1 class(es), plus any additional grace period fee, if necessary.
Declaration
Signature
Signatory's Name: Michael P. Kiley
Signatory's Position: President
Signatory's Phone Number: (800) 236-7400
Mailing Address
(current):
O'NEIL, CANNON, HOLLMAN, DEJONG S.C.
SUITE 1400
MILWAUKEE, Wisconsin 53202
Mailing Address
(proposed):
O'NEIL, CANNON, HOLLMAN, DEJONG & LAING S.C.
SUITE 1400
MILWAUKEE, Wisconsin 53202
Serial Number: 78196093
Internet Transmission Date: Fri Feb 15 17:42:10 EST 2013
TEAS Stamp: USPTO/S08N09-XX.XXX.XXX.XX-2013021517421
0050752-2800385-500b65da6bd2adbf0f8cde26
e3cd8c476a9faa88d352c1f73dc96e467f7303e8
a-CC-4882-20130215173543481635
