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 |
3137237 |
REGISTRATION DATE |
08/29/2006 |
SERIAL NUMBER |
78629145 |
MARK SECTION |
MARK |
TRI-SHIELD |
ATTORNEY SECTION (current) |
NAME |
Laurel V. Dineff |
FIRM NAME |
WWIPPS, Inc. |
STREET |
160 North Wacker Drive |
CITY |
Chicago |
STATE |
Illinois |
POSTAL CODE |
60606 |
COUNTRY |
United States |
PHONE |
312-251-2500 |
FAX |
312-251-2510 |
EMAIL |
info@wwipps.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
TM3584US05 |
ATTORNEY SECTION (proposed) |
NAME |
Marc Phillip Bodner |
INTERNAL ADDRESS |
APT 116 |
STREET |
920 East 17th Street |
CITY |
Brooklyn |
STATE |
New York |
POSTAL CODE |
11230 |
COUNTRY |
United States |
PHONE |
212-810-2670 |
EMAIL |
marcpbodner@gmail.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
694-039-4634 |
CORRESPONDENCE SECTION (current) |
NAME |
Laurel V. Dineff |
FIRM NAME |
WWIPPS, Inc. |
STREET |
160 North Wacker Drive |
CITY |
Chicago |
STATE |
Illinois |
POSTAL CODE |
60606 |
COUNTRY |
United States |
PHONE |
312-251-2500 |
FAX |
312-251-2510 |
EMAIL |
info@wwipps.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
TM3584US05 |
CORRESPONDENCE SECTION (proposed) |
NAME |
Marc Phillip Bodner |
INTERNAL ADDRESS |
APT 116 |
STREET |
920 East 17th Street |
CITY |
Brooklyn |
STATE |
New York |
POSTAL CODE |
11230 |
COUNTRY |
United States |
PHONE |
212-810-2670 |
EMAIL |
marcpbodner@gmail.com;omer@bodnerflom.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
694-039-4634 |
DOMESTIC REPRESENTATIVE SECTION (new) |
NAME |
Marc Phillip Bodner |
INTERNAL ADDRESS |
APT 116 |
STREET |
920 East 17th Street |
CITY |
Brooklyn |
STATE |
New York |
POSTAL CODE |
11230 |
COUNTRY |
United States |
PHONE |
212-810-2670 |
EMAIL |
marcpbodner@gmail.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
694-039-4634 |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
005 |
GOODS OR SERVICES |
Dietary and nutritional supplements comprised of krill oil for non-medicinal health purposes |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\786\291\78629145\xml4\ S890002.JPG |
SPECIMEN DESCRIPTION |
label on product |
OWNER SECTION (current) |
NAME |
Herbalife International, Inc. |
INTERNAL ADDRESS |
800 West Olympic Boulevard |
STREET |
Suite 406 |
CITY |
Los Angeles |
STATE |
California |
ZIP/POSTAL CODE |
90015 |
COUNTRY |
United States |
OWNER SECTION (proposed) |
NAME |
Herbalife International, Inc. |
INTERNAL ADDRESS |
800 West Olympic Boulevard |
STREET |
Suite 406 |
CITY |
Los Angeles |
STATE |
California |
ZIP/POSTAL CODE |
90015 |
COUNTRY |
United States |
PHONE |
212-810-2670 |
EMAIL |
XXXX |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
LEGAL ENTITY SECTION (current) |
TYPE |
corporation |
STATE/COUNTRY OF INCORPORATION |
Nevada |
PAYMENT SECTION |
NUMBER OF CLASSES |
1 |
NUMBER OF CLASSES PAID |
1 |
SUBTOTAL AMOUNT |
400 |
TOTAL FEE PAID |
400 |
SIGNATURE SECTION |
SIGNATURE |
/mpb/ |
SIGNATORY'S NAME |
Marc Phillip Bodner |
SIGNATORY'S POSITION |
Attorney of record, New York bar member |
DATE SIGNED |
07/25/2016 |
SIGNATORY'S PHONE NUMBER |
212-810-2670 |
PAYMENT METHOD |
CC |
FILING INFORMATION |
SUBMIT DATE |
Mon Jul 25 10:01:08 EDT 2016 |
TEAS STAMP |
USPTO/S08N09-XX.XX.XXX.X-
20160725100108398379-3137
237-55064fa2089315277407f
fa22bee38ac8f6cb8f175e4ea
7f4f77d9feeb93ade90-CC-83
86-20160725095645633401 |
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: 3137237
REGISTRATION DATE: 08/29/2006
MARK: TRI-SHIELD (see, )
The owner, Herbalife International, Inc., a corporation of Nevada, having an address of
800 West Olympic Boulevard
Suite 406
Los Angeles, California 90015
United States
212-810-2670
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 005, 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: Dietary and nutritional supplements comprised of krill oil for non-medicinal health purposes ; 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) label on product.
Specimen File1
The registrant's current Attorney Information: Laurel V. Dineff of WWIPPS, Inc.
160 North Wacker Drive
Chicago, Illinois 60606
United States
The docket/reference number is TM3584US05.
The registrant's proposed Attorney Information: Marc Phillip Bodner
APT 116
920 East 17th Street
Brooklyn, New York 11230
United States
The docket/reference number is 694-039-4634.
The phone number is 212-810-2670.
The email address is marcpbodner@gmail.com.
The registrant's current Correspondence Information: Laurel V. Dineff of WWIPPS, Inc.
160 North Wacker Drive
Chicago, Illinois 60606
United States
The docket/reference number is TM3584US05.
The registrant's proposed Correspondence Information: Marc Phillip Bodner
APT 116
920 East 17th Street
Brooklyn, New York 11230
United States
The docket/reference number is 694-039-4634.
The phone number is 212-810-2670.
The email address is marcpbodner@gmail.com;omer@bodnerflom.com.
The registrant hereby appoints Marc Phillip Bodner, APT 116, 920 East 17th Street, Brooklyn, New York United States 11230 as registrant's representative upon whom notice or process in the proceedings
affecting the mark may be served.
The phone number is 212-810-2670.
The email address is marcpbodner@gmail.com.
A fee payment in the amount of $400 will be submitted with the form, representing payment for 1 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: /mpb/ Date: 07/25/2016
Signatory's Name: Marc Phillip Bodner
Signatory's Position: Attorney of record, New York bar member
Signatory's Phone Number: 212-810-2670
Mailing Address
(current):
WWIPPS, Inc.
160 North Wacker Drive
Chicago, Illinois 60606
Mailing Address
(proposed):
920 East 17th Street
Brooklyn, New York 11230
Serial Number: 78629145
Internet Transmission Date: Mon Jul 25 10:01:08 EDT 2016
TEAS Stamp: USPTO/S08N09-XX.XX.XXX.X-201607251001083
98379-3137237-55064fa2089315277407ffa22b
ee38ac8f6cb8f175e4ea7f4f77d9feeb93ade90-
CC-8386-20160725095645633401