| 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 |
3280967 |
| REGISTRATION DATE |
08/14/2007 |
| SERIAL NUMBER |
78888164 |
| MARK SECTION |
| MARK |
C1 (stylized and/or with design) |
| CORRESPONDENCE SECTION (current) |
| NAME |
MOTOCZYSZ LLC |
| FIRM NAME |
915 NE DAVIS STREET |
| CITY |
PORTLAND |
| STATE |
Oregon |
| POSTAL CODE |
97232-2933 |
| COUNTRY |
United States |
| PHONE |
503.546.6686 |
| FAX |
503.546.0978 |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
MOTOCZYSZ LLC |
| STREET |
915 NE Davis Street |
| CITY |
PORTLAND |
| STATE |
Oregon |
| POSTAL CODE |
97232-2933 |
| COUNTRY |
United States |
| PHONE |
503.546.6686 |
| FAX |
503.546.0978 |
| EMAIL |
Czysz@motoCzysz.com;kaye.chung@motoczysz.com; ray.crepeau@motoczysz.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
012 |
| GOODS OR SERVICES |
Motorcycles and structural parts therefor |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\788\881\78888164\xml2\ S080002.JPG |
| SPECIMEN DESCRIPTION |
A website screenshot www.motoczysz.com |
| MISCELLANEOUS STATEMENT |
Free text not entered by the applicant. |
| |
\\TICRS\EXPORT16\IMAGEOUT 16\788\881\78888164\xml2\ S080003.JPG |
| OWNER SECTION (current) |
| NAME |
MotoCzysz LLC |
| STREET |
915 NE Davis Street |
| CITY |
Portland |
| STATE |
Oregon |
| ZIP/POSTAL CODE |
97232-2933 |
| COUNTRY |
United States |
| PHONE |
503.546.6686 |
| FAX |
503.546.0978 |
| OWNER SECTION (proposed) |
| NAME |
MotoCzysz LLC |
| STREET |
915 NE Davis Street |
| CITY |
Portland |
| STATE |
Oregon |
| ZIP/POSTAL CODE |
97232-2933 |
| COUNTRY |
United States |
| PHONE |
503.546.6686 |
| FAX |
503.546.0978 |
| EMAIL |
XXXX |
| LEGAL ENTITY SECTION (current) |
| TYPE |
limited liability company |
| STATE/COUNTRY WHERE LEGALLY ORGANIZED |
Oregon |
| LEGAL ENTITY SECTION (proposed) |
| TYPE |
limited liability company |
| STATE/COUNTRY WHERE LEGALLY ORGANIZED |
Oregon |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
100 |
| TOTAL FEE PAID |
100 |
| SIGNATURE SECTION |
| SIGNATURE |
/Michael Czysz/ |
| SIGNATORY'S NAME |
/Michael Czysz/ |
| SIGNATORY'S POSITION |
/CEO/ |
| DATE SIGNED |
12/20/2012 |
| SIGNATORY'S PHONE NUMBER |
503-546-6686 |
| PAYMENT METHOD |
CC |
| FILING INFORMATION |
| SUBMIT DATE |
Thu Dec 20 14:57:12 EST 2012 |
| TEAS STAMP |
USPTO/SECT08-XX.XX.XX.XX-
20121220145712012487-3280
967-4903c933eff4ff8155e95
162dff7cdd8dc6-CC-1700-20
121220142951640782 |
| 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: 3280967
REGISTRATION DATE: 08/14/2007
MARK: (Stylized and/or with Design, C1)
The owner, MotoCzysz LLC, a limited liability company legally organized under the laws of Oregon, having an address of
915 NE Davis Street
Portland, Oregon 97232-2933
United States
is filing a Declaration of Use and/or Excusable Nonuse of Mark in Commerce under Section 8.
For International Class 012, 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: Motorcycles and structural parts therefor ; 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) A website screenshot www.motoczysz.com.
Specimen File1
MISCELLANEOUS STATEMENTS
Free text not entered by the applicant.
Miscellaneous File1
The registrant's current Correspondence Information: MOTOCZYSZ LLC of 915 NE DAVIS STREET
PORTLAND, Oregon (OR) 97232-2933
United States
The registrant's proposed Correspondence Information: MOTOCZYSZ LLC
915 NE Davis Street
PORTLAND, Oregon (OR) 97232-2933
United States
The phone number is 503.546.6686.
The fax number is 503.546.0978.
The email address is Czysz@motoCzysz.com;kaye.chung@motoczysz.com; ray.crepeau@motoczysz.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 and/or services identified above, as evidenced by the attached
specimen(s) showing the mark as used in commerce.
The undersigned being hereby 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 document, declares that he/she is properly authorized to execute this document on behalf of the Owner; and all statements made of his/her own
knowledge are true and that all statements made on information and belief are believed to be true.
Signature: /Michael Czysz/ Date: 12/20/2012
Signatory's Name: /Michael Czysz/
Signatory's Position: /CEO/
Signatory's Phone Number: 503-546-6686
Serial Number: 78888164
Internet Transmission Date: Thu Dec 20 14:57:12 EST 2012
TEAS Stamp: USPTO/SECT08-XX.XX.XX.XX-201212201457120
12487-3280967-4903c933eff4ff8155e95162df
f7cdd8dc6-CC-1700-20121220142951640782
