`
`OMB No. 0651-0055 (Exp 12/31/2011)
`
`Combined Declaration of Use and/or Excusable Nonuse/Application for Renewal of
`Registration of a Mark under Sections 8 & 9
`
`Input Field
`
`REGISTRATION NUMBER
`
`REGISTRATION DATE
`
`SERIAL NUMBER
`
`MARK SECTION
`
`MARK
`
`ATTORNEY SECTION (new)
`
`NAME
`
`FIRM NAME
`
`INTERNAL ADDRESS
`
`STREET
`
`CITY
`
`STATE
`
`POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`
`The table below presents the data as entered.
`
`Entered
`
`1676180
`
`02/18/1992
`
`74151591
`
`Miscellaneous Mark (stylized and/or with design)
`
`Michael R. Van Wieren
`
`Licensing Resource Group, LLC
`
`Suite 100
`
`442 Century Lane
`
`Holland
`
`Michigan
`
`49423
`
`United States
`
`616/395-0676
`
`616/395-2517
`
`michael@lrgusa.com
`
`AUTHORIZED TO COMMUNICATE VIA E-MAIL
`
`Yes
`
`DOCKET/REFERENCE NUMBER
`
`Kansas State Powercat
`
`CORRESPONDENCE SECTION (current)
`
`NAME
`
`FIRM NAME
`
`CITY
`
`STATE
`
`POSTAL CODE
`
`COUNTRY
`
`KANSAS STATE UNIVERSITY
`
`122 ANDERSON HALL
`
`MANHATTAN
`
`Kansas
`
`66506-0100
`
`United States
`
`CORRESPONDENCE SECTION (proposed)
`
`NAME
`
`FIRM NAME
`
`Michael R. Van Wieren
`
`Licensing Resource Group, LLC
`
`INTERNAL ADDRESS
`
`Suite 100
`
`
`
`STREET
`
`CITY
`
`STATE
`
`POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`
`442 Century Lane
`
`Holland
`
`Michigan
`
`49423
`
`United States
`
`616/395-0676
`
`616/395-2517
`
`michael@lrgusa.com
`
`AUTHORIZED TO COMMUNICATE VIA E-MAIL
`
`Yes
`
`DOCKET/REFERENCE NUMBER
`
`Kansas State Powercat
`
`GOODS AND/OR SERVICES SECTION
`
`INTERNATIONAL CLASS
`
`041
`
`GOODS OR SERVICES
`
` SPECIMEN FILE NAME(S)
`
` ORIGINAL PDF FILE
`
` CONVERTED PDF FILE(S)
` (3 pages)
`
`entertainment services at the college level in the form of live athletic
`contests; and educational services; namely, providing courses of instruction
`at the college level
`
`SPN0-1731452173-102026670_._Specimen_cl_41_1676180.pdf
`
`\\TICRS\EXPORT11\IMAGEOUT11\741\515\74151591\xml1\S890002.JPG
`
`\\TICRS\EXPORT11\IMAGEOUT11\741\515\74151591\xml1\S890003.JPG
`
`\\TICRS\EXPORT11\IMAGEOUT11\741\515\74151591\xml1\S890004.JPG
`
`SPECIMEN DESCRIPTION
`
`a webpage printout accessible by the public.
`
`OWNER SECTION (current)
`
`NAME
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`OWNER SECTION (proposed)
`
`NAME
`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`Kansas State University
`
`MANHATTAN
`
`Kansas
`
`66506
`
`United States
`
`Kansas State University
`
`1800 College Ave.
`
`MANHATTAN
`
`Kansas
`
`66502
`
`United States
`
`LEGAL ENTITY SECTION (current)
`
`TYPE
`
`NOT-FOR-PROFIT ASSOCIATION
`
`STATE/COUNTRY WHERE LEGALLY ORGANIZED Kansas
`
`LEGAL ENTITY SECTION (proposed)
`
`
`
`
`
`TYPE
`
`PAYMENT SECTION
`
`NUMBER OF CLASSES
`
`NUMBER OF CLASSES PAID
`
`SUBTOTAL AMOUNT
`
`TOTAL FEE PAID
`
`SIGNATURE SECTION
`
`SIGNATURE
`
`SIGNATORY'S NAME
`
`SIGNATORY'S POSITION
`
`DATE SIGNED
`
`PAYMENT METHOD
`
`SUBMIT DATE
`
`TEAS STAMP
`
`corporation
`
`1
`
`1
`
`500
`
`500
`
`/Michael R. Van Wieren/
`
`Michael R. Van Wieren
`
`Attorney of Record, Texas bar member
`
`10/05/2011
`
`CC
`
`FILING INFORMATION
`
`Wed Oct 05 10:29:22 EDT 2011
`
`USPTO/S08N09-XXX.XX.XX.XX
`X-20111005102922640535-16
`76180-480dcaf0c3ed44a75ec
`1a26ddcf32f4a2-CC-7021-20
`111005102026670045
`
`
`
`PTO Form 1963 (Rev 5/2006)
`
`OMB No. 0651-0055 (Exp 12/31/2011)
`
`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: 1676180
`REGISTRATION DATE: 02/18/1992
`
`MARK: (Stylized and/or with Design, Miscellaneous Mark)
`
`The owner, Kansas State University, having an address of
` 1800 College Ave.
` MANHATTAN, Kansas 66502
` 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 041, the mark is in use in commerce on or in connection with all goods or services listed in the existing registration for
`this specific class: entertainment services at the college level in the form of live athletic contests; and educational services; namely, providing
`courses of instruction at the college level ; or, the owner is making the listed excusable nonuse claim.
`
`The owner is submitting one specimen showing the mark as used in commerce on or in connection with any item in this class, consisting of a(n) a
`webpage printout accessible by the public..
`
`Original PDF file:
`SPN0-1731452173-102026670_._Specimen_cl_41_1676180.pdf
`Converted PDF file(s) (3 pages)
`Specimen File1
`Specimen File2
`Specimen File3
`The registrant's current Correspondence Information: KANSAS STATE UNIVERSITY of 122 ANDERSON HALL
`
` MANHATTAN, Kansas (KS) 66506-0100
`
` United States (USX)
`
`The registrant's proposed Correspondence Information: Michael R. Van Wieren of Licensing Resource Group, LLC
` Suite 100
` 442 Century Lane
` Holland, Michigan (MI) 49423
` United States (USX)
`The docket/reference number is Kansas State Powercat.
`
`The phone number is 616/395-0676.
`
`The fax number is 616/395-2517.
`
`The email address is michael@lrgusa.com.
`The registrant hereby appoints Michael R. Van Wieren of Licensing Resource Group, LLC
` Suite 100
` 442 Century Lane
` Holland, Michigan 49423
` United States
`to submit this Combined Declaration of Use and/or Excusable Nonuse/Application for Renewal of Registration of a Mark under Sections 8 & 9
`on behalf of the registrant. The docket/reference number is Kansas State Powercat.
`
`The phone number is 616/395-0676.
`
`The fax number is 616/395-2517.
`
`
`
`The email address is michael@lrgusa.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
`
`Section 8: Declaration of Use in Commerce
`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.
`
`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: /Michael R. Van Wieren/ Date: 10/05/2011
`Signatory's Name: Michael R. Van Wieren
`Signatory's Position: Attorney of Record, Texas bar member
`
`Mailing Address:
` Licensing Resource Group, LLC
` 442 Century Lane
` Holland, Michigan 49423
`
`Serial Number: 74151591
`Internet Transmission Date: Wed Oct 05 10:29:22 EDT 2011
`TEAS Stamp: USPTO/S08N09-XXX.XX.XX.XXX-2011100510292
`2640535-1676180-480dcaf0c3ed44a75ec1a26d
`dcf32f4a2-CC-7021-20111005102026670045
`
`
`
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`These curriculum guides are sample outlines of the courses you need to earn a
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`Notice of
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`
`
`
`ROUTING SHEET TO POST REGISTRATION (PRU)
`
`Registration Number:
`
`1676180
`
`Serial Number:
`
`74151591
`
`RAM Sale Number: 7021
`
`RAM Accounting Date: 20111005
`
`Total Fees:
`
`$500
`
`Transaction
`
`Transaction
`Date
`
`Fee per
`Class
`
`Number
`of Classes
`
`Number of
`Classes Paid
`
`§8 affidavit
`Application for Renewal (§9)
`
`20111005
`201 1 1005
`
`$100
`$400
`
`Note: Process in accordance with Post Registration Standard Operating Procedure (SOP)
`
`20111005
`
`Physical Location: 900 - FILE REPOSlTORY (FRANCONIA)
`
`Lost Case Flag: False
`
`In TICRS (AM-FLG—IN-TICRS): True
`
`Transaction Date:
`
`