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 |
3204387 |
REGISTRATION DATE |
01/30/2007 |
SERIAL NUMBER |
78352641 |
MARK SECTION |
MARK |
Miscellaneous Mark (stylized and/or with design) |
ATTORNEY SECTION (current) |
NAME |
Nathan Benjamin |
FIRM NAME |
NHS, Inc. |
STREET |
104 Bronson St., #9 |
CITY |
Santa Cruz |
STATE |
California |
POSTAL CODE |
95062 |
COUNTRY |
United States |
PHONE |
831.459.7800 |
FAX |
831.459.7820 |
EMAIL |
trademarks@nhs-inc.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
2066US |
ATTORNEY SECTION (proposed) |
NAME |
Nathan Benjamin |
FIRM NAME |
Law Office of Benjamin Leibrock |
STREET |
340 Soquel Avenue, #205 |
CITY |
Santa Cruz |
STATE |
California |
POSTAL CODE |
95062 |
COUNTRY |
United States |
PHONE |
8316008405 |
FAX |
8317135677 |
EMAIL |
nathan@nbcllaw.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
2066US |
CORRESPONDENCE SECTION (current) |
NAME |
Marie Ricci |
FIRM NAME |
NHS, Inc. |
STREET |
104 Bronson St., #9 |
CITY |
Santa Cruz |
STATE |
California |
POSTAL CODE |
95062 |
COUNTRY |
United States |
PHONE |
831.459.7800 |
FAX |
831.459.7820 |
EMAIL |
trademarks@nhs-inc.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
2066US |
CORRESPONDENCE SECTION (proposed) |
NAME |
Nathan Benjamin |
FIRM NAME |
Law Office of Benjamin Leibrock |
STREET |
340 Soquel Avenue, #205 |
CITY |
Santa Cruz |
STATE |
California |
POSTAL CODE |
95062 |
COUNTRY |
United States |
PHONE |
8316008405 |
FAX |
8317135677 |
EMAIL |
nathan@nbcllaw.com;trademarks@nhs-inc.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
2066US |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
016 |
GOODS OR SERVICES |
STICKERS AND DECALCOMANIAS |
SPECIMEN FILE NAME(S) |
ORIGINAL PDF FILE |
SPN0-5019339217-20161228125118557795_._Independent_Trucks__Cut_Cross_Decal.pdf |
CONVERTED PDF FILE(S)
(4 pages) |
\\TICRS\EXPORT17\IMAGEOUT17\783\526\78352641\xml1\S890002.JPG |
|
\\TICRS\EXPORT17\IMAGEOUT17\783\526\78352641\xml1\S890003.JPG |
|
\\TICRS\EXPORT17\IMAGEOUT17\783\526\78352641\xml1\S890004.JPG |
|
\\TICRS\EXPORT17\IMAGEOUT17\783\526\78352641\xml1\S890005.JPG |
SPECIMEN DESCRIPTION |
website image showing mark being used in commerce |
INTERNATIONAL CLASS |
025 |
GOODS OR SERVICES |
CLOTHING, HEADWEAR, NAMELY, TOPS, SHIRTS, T-SHIRTS, TANK TOPS, SWEATSHIRTS, JACKETS, BOTTOMS, SHORTS, PANTS, JEANS, HATS, BEANIES, BELTS |
SPECIMEN FILE NAME(S) |
JPG FILE(S) |
\\TICRS\EXPORT17\IMAGEOUT 17\783\526\78352641\xml1\ S890019.JPG |
ORIGINAL PDF FILE |
SPN1-5019339217-20161228125118557795_._Independent_Trucks__Bar_Cross_Regular_S_S_Mens.pdf |
CONVERTED PDF FILE(S)
(4 pages) |
\\TICRS\EXPORT17\IMAGEOUT17\783\526\78352641\xml1\S890006.JPG |
|
\\TICRS\EXPORT17\IMAGEOUT17\783\526\78352641\xml1\S890007.JPG |
|
\\TICRS\EXPORT17\IMAGEOUT17\783\526\78352641\xml1\S890008.JPG |
|
\\TICRS\EXPORT17\IMAGEOUT17\783\526\78352641\xml1\S890009.JPG |
ORIGINAL PDF FILE |
SPN1-5019339217-20161228125118557795_._Independent_Trucks__Bar_Cross_Regular_S_S_Youth.pdf |
CONVERTED PDF FILE(S)
(3 pages) |
\\TICRS\EXPORT17\IMAGEOUT17\783\526\78352641\xml1\S890010.JPG |
|
\\TICRS\EXPORT17\IMAGEOUT17\783\526\78352641\xml1\S890011.JPG |
|
\\TICRS\EXPORT17\IMAGEOUT17\783\526\78352641\xml1\S890012.JPG |
ORIGINAL PDF FILE |
SPN1-5019339217-20161228125118557795_._Independent_Trucks__Cross_Crew_Neck_L_S_Mens.pdf |
CONVERTED PDF FILE(S)
(3 pages) |
\\TICRS\EXPORT17\IMAGEOUT17\783\526\78352641\xml1\S890013.JPG |
|
\\TICRS\EXPORT17\IMAGEOUT17\783\526\78352641\xml1\S890014.JPG |
|
\\TICRS\EXPORT17\IMAGEOUT17\783\526\78352641\xml1\S890015.JPG |
ORIGINAL PDF FILE |
SPN1-5019339217-20161228125118557795_._Independent_Trucks__Cross_Ribbed_Long_Shoreman_Beanie.pdf |
CONVERTED PDF FILE(S)
(3 pages) |
\\TICRS\EXPORT17\IMAGEOUT17\783\526\78352641\xml1\S890016.JPG |
|
\\TICRS\EXPORT17\IMAGEOUT17\783\526\78352641\xml1\S890017.JPG |
|
\\TICRS\EXPORT17\IMAGEOUT17\783\526\78352641\xml1\S890018.JPG |
SPECIMEN DESCRIPTION |
website images showing mark being used in commerce |
INTERNATIONAL CLASS |
028 |
GOODS OR SERVICES |
SPORTING GOODS, NAMELY, SKATEBOARD TRUCKS, SKATEBOARD GRIPTAPE, AND SKATEBOARD ACCESSORIES CONSISTING OF RISERS, BEARINGS, AXLES AND MOUNTING
HARDWARE; |
SPECIMEN FILE NAME(S) |
JPG FILE(S) |
\\TICRS\EXPORT17\IMAGEOUT 17\783\526\78352641\xml1\ S890024.JPG |
|
\\TICRS\EXPORT17\IMAGEOUT17\783\526\78352641\xml1\S890025.JPG |
ORIGINAL PDF FILE |
SPN2-5019339217-20161228125118557795_._Independent_Trucks__169_Forged_Titanium_Silver_Standard.pdf |
CONVERTED PDF FILE(S)
(4 pages) |
\\TICRS\EXPORT17\IMAGEOUT17\783\526\78352641\xml1\S890020.JPG |
|
\\TICRS\EXPORT17\IMAGEOUT17\783\526\78352641\xml1\S890021.JPG |
|
\\TICRS\EXPORT17\IMAGEOUT17\783\526\78352641\xml1\S890022.JPG |
|
\\TICRS\EXPORT17\IMAGEOUT17\783\526\78352641\xml1\S890023.JPG |
SPECIMEN DESCRIPTION |
website images showing mark in commerce |
OWNER SECTION (current) |
NAME |
NHS, Inc. |
STREET |
104 Bronson Street, #9 |
CITY |
Santa Cruz |
STATE |
California |
ZIP/POSTAL CODE |
95062 |
COUNTRY |
United States |
LEGAL ENTITY SECTION (current) |
TYPE |
corporation |
STATE/COUNTRY OF INCORPORATION |
California |
PAYMENT SECTION |
NUMBER OF CLASSES |
3 |
NUMBER OF CLASSES PAID |
3 |
SUBTOTAL AMOUNT |
1200 |
TOTAL FEE PAID |
1200 |
SIGNATURE SECTION |
SIGNATURE |
/Robert A. Denike/ |
SIGNATORY'S NAME |
Robert A. Denike |
SIGNATORY'S POSITION |
President and Chief Executive Officer |
DATE SIGNED |
01/02/2017 |
SIGNATORY'S PHONE NUMBER |
Not required |
PAYMENT METHOD |
DA |
FILING INFORMATION |
SUBMIT DATE |
Mon Jan 02 14:29:56 EST 2017 |
TEAS STAMP |
USPTO/S08N09-XX.XXX.XX.XX
X-20170102142956727393-32
04387-570d69516e46ae65696
359cc67d96d343c66e73e16a9
521d90169fadac54e34594-DA
-16521-201612281251185577
95 |
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: 3204387
REGISTRATION DATE: 01/30/2007
MARK: (Stylized and/or with Design, Miscellaneous Mark (see,
mark)
The owner, NHS, Inc., a corporation of California, having an address of
104 Bronson Street, #9
Santa Cruz, California 95062
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 016, 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: STICKERS AND DECALCOMANIAS ; 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) website image showing mark being used in
commerce.
Original PDF file:
SPN0-5019339217-20161228125118557795_._Independent_Trucks__Cut_Cross_Decal.pdf
Converted PDF file(s) (4 pages)
Specimen File1
Specimen File2
Specimen File3
Specimen File4
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: CLOTHING, HEADWEAR, NAMELY, TOPS, SHIRTS, T-SHIRTS, TANK TOPS, SWEATSHIRTS, JACKETS, BOTTOMS, SHORTS, PANTS, JEANS, HATS, BEANIES, BELTS ; 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) website images showing mark being used in
commerce.
JPG file(s):
Specimen File1
Original PDF file:
SPN1-5019339217-20161228125118557795_._Independent_Trucks__Bar_Cross_Regular_S_S_Mens.pdf
Converted PDF file(s) (4 pages)
Specimen File1
Specimen File2
Specimen File3
Specimen File4
Original PDF file:
SPN1-5019339217-20161228125118557795_._Independent_Trucks__Bar_Cross_Regular_S_S_Youth.pdf
Converted PDF file(s) (3 pages)
Specimen File1
Specimen File2
Specimen File3
Original PDF file:
SPN1-5019339217-20161228125118557795_._Independent_Trucks__Cross_Crew_Neck_L_S_Mens.pdf
Converted PDF file(s) (3 pages)
Specimen File1
Specimen File2
Specimen File3
Original PDF file:
SPN1-5019339217-20161228125118557795_._Independent_Trucks__Cross_Ribbed_Long_Shoreman_Beanie.pdf
Converted PDF file(s) (3 pages)
Specimen File1
Specimen File2
Specimen File3
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: SPORTING GOODS, NAMELY, SKATEBOARD TRUCKS, SKATEBOARD GRIPTAPE, AND SKATEBOARD ACCESSORIES CONSISTING OF RISERS, BEARINGS, AXLES AND MOUNTING HARDWARE;
; 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) website images showing mark in commerce.
JPG file(s):
Specimen File1
Specimen File2
Original PDF file:
SPN2-5019339217-20161228125118557795_._Independent_Trucks__169_Forged_Titanium_Silver_Standard.pdf
Converted PDF file(s) (4 pages)
Specimen File1
Specimen File2
Specimen File3
Specimen File4
The registrant's current Attorney Information: Nathan Benjamin of NHS, Inc.
104 Bronson St., #9
Santa Cruz, California 95062
United States
The docket/reference number is 2066US.
The registrant's proposed Attorney Information: Nathan Benjamin of Law Office of Benjamin Leibrock
340 Soquel Avenue, #205
Santa Cruz, California 95062
United States
The docket/reference number is 2066US.
The phone number is 8316008405.
The fax number is 8317135677.
The email address is nathan@nbcllaw.com.
The registrant's current Correspondence Information: Marie Ricci of NHS, Inc.
104 Bronson St., #9
Santa Cruz, California 95062
United States
The docket/reference number is 2066US.
The registrant's proposed Correspondence Information: Nathan Benjamin of Law Office of Benjamin Leibrock
340 Soquel Avenue, #205
Santa Cruz, California 95062
United States
The docket/reference number is 2066US.
The phone number is 8316008405.
The fax number is 8317135677.
The email address is nathan@nbcllaw.com;trademarks@nhs-inc.com.
A fee payment in the amount of $1200 will be submitted with the form, representing payment for 3 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: /Robert A. Denike/ Date: 01/02/2017
Signatory's Name: Robert A. Denike
Signatory's Position: President and Chief Executive Officer
Signatory's Phone Number: Not required
Mailing Address
(current):
NHS, Inc.
104 Bronson St., #9
Santa Cruz, California 95062
Mailing Address
(proposed):
Law Office of Benjamin Leibrock
340 Soquel Avenue, #205
Santa Cruz, California 95062
Serial Number: 78352641
Internet Transmission Date: Mon Jan 02 14:29:56 EST 2017
TEAS Stamp: USPTO/S08N09-XX.XXX.XX.XXX-2017010214295
6727393-3204387-570d69516e46ae65696359cc
67d96d343c66e73e16a9521d90169fadac54e345
94-DA-16521-20161228125118557795