`
`OMB No. 0651-0055 (Exp 10/31/2008)
`
`Combined Declaration of Use In Commerce & 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
`
`0987090
`
`REGISTRATION DATE
`
`SERIAL NUMBER
`
`MARK SECTION
`
`MARK
`
`OWNER SECTION (current)
`
`NAME
`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`OWNER SECTION (proposed)
`
`NAME
`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`
`06/25/1974
`
`72433063
`
`MCDONALD'S (stylized and/or with design)
`
`MCDONALD'S CORPORATION
`
`MCDONALD PLAZA
`
`OAK BROOK
`
`IL
`
`60521
`
`US
`
`MCDONALD'S CORPORATION
`
`ONE MCDONALD'S PLAZA
`
`OAK BROOK
`
`IL
`
`60523
`
`US
`
`630-623-8648
`
`630-623-5011
`
`julie.arizzi@mcd.com
`
`DESIGN MARK(cid:160)FILE NAME(S)
`
`http://tess2.uspto.gov/we baka/images/72433063.gif
`
`
`
`GOODS AND/OR SERVICES SECTION
`
`INTERNATIONAL CLASS
`
`KEEP EXISTING GOODS AND/OR
`SERVICES
`
`035
`
`YES
`
`SPECIMEN(cid:160)FILE NAME(S)
`
`SPECIMEN DESCRIPTION
`
`PAYMENT SECTION
`
`NUMBER OF CLASSES
`
`NUMBER OF CLASSES PAID
`
`SUBTOTAL AMOUNT
`
`TOTAL AMOUNT
`
`SIGNATURE SECTION
`
`SIGNATURE
`
`SIGNATORY NAME
`
`SIGNATORY DATE
`
`\\ticrs\EXPORT9\IMAGEOUT9
`\724\330\72433063\xml1\S8 90002.JPG
`
`SCANNED PICTURE OF OPERATIONS AND
`TRAINING MANUAL
`
`1
`
`1
`
`500
`
`500
`
`/SHEILA LEHR/
`
`SHEILA LEHR
`
`03/29/2004
`
`SIGNATORY POSITION
`
`MANAGING COUNSEL
`
`FILING INFORMATION
`
`SUBMIT DATE
`
`TEAS STAMP
`
`Mon Mar 29 10:45:24 EST 2004
`
`USPTO/S08N09-152140114131
`-20040329104524173013-098
`7090-200e737d2a4655c12c62
`e281539e19dc69e-DA-921-20
`040329104359269062
`
`
`
`PTO Form 1963 (Rev 5/2006)
`
`OMB No. 0651-0055 (Exp 10/31/2008)
`
`Combined Declaration of Use In Commerce & Application For Renewal of
`Registration of A Mark Under Sections 8 & 9
`To the Commissioner for Trademarks:
`
`REGISTRATION NUMBER:(cid:160)0987090
`REGISTRATION DATE:(cid:160)06/25/1974
`
`MARK:(cid:160)MCDONALD'S (stylized and/or with design)
`
`The owner, MCDONALD'S CORPORATION, residing at ONE MCDONALD'S PLAZA, OAK BROOK,
`IL US 60523, is using the mark in commerce on or in connection with the goods and /or services as
`follows:
`
`For International Class 035, the owner is using or is using through a related company or licensee the mark
`in commerce on or in connection with all goods and/or services listed in the existing registration.
`
`The owner is submitting one specimen for each class showing the mark as used in commerce on or in
`connection with any item in the class of listed goods and/or services , consisting of a(n) SCANNED
`PICTURE OF OPERATIONS AND TRAINING MANUAL.
`Specimen-1
`
`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
`
`Section 8: Declaration of Use in Commerce
`The owner is using or is using through a related company or licensee the mark in commerce on or in
`connection with the goods/services identified above, as evidenced by the attached specimen(s) showing the
`mark as used in commerce.
`
`Section 9: Application for Renewal
`The registrant requests that the registration be renewed for the goods and/or services identified above.
`
`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: /SHEILA LEHR/(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Date: 03/29/2004
`Signatory's Name: SHEILA LEHR
`
`
`
`Signatory's Position: MANAGING COUNSEL
`
`RAM Sale Number: 921
`RAM Accounting Date: 03/29/2004
`
`Serial Number: 72433063
`Internet Transmission Date: Mon Mar 29 10:45:24 EST 2004
`TEAS Stamp: USPTO/S08N09-152140114131-20040329104524
`173013-0987090-200e737d2a4655c12c62e2815
`39e19dc69e-DA-921-20040329104359269062
`
`
`
`
`
`FEE RECORD SHEET
`
`Registration Number:
`
`0987090
`
`Serial Number:
`
`72433063
`
`RAM Sale Number: 921
`
`Total Fees:
`
`$500
`
`RAM Accounting Date: 20040329
`
`Transaction
`
`§8 affidavit
`Application for Renewal (§9)
`
`Transaction
`Date
`
`O3/29/2004
`03/29/2004
`
`Number
`of Classes
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