PTO Form 1963 (Rev 5/2006)
`
`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
`
`REGISTRATION NUMBER
`
`REGISTRATION DATE
`
`SERIAL NUMBER
`
`MARK SECTION
`
`MARK
`
`ATTORNEY SECTION (current)
`
`NAME
`
`FIRM NAME
`
`INTERNAL ADDRESS
`
`STREET
`
`CITY
`
`STATE
`
`POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`EMAIL
`
`Entered
`
`1864743
`
`11/29/1994
`
`74456825
`
`SERTA (stylized and/or with design)
`
`MARY MARGARET MURRAY
`
`Quarles & Brady LLP
`
`Suite 4000
`
`300 North LaSalle Street
`
`Chicago
`
`Illinois
`
`60654
`
`United States
`
`312-715-5241
`
`312-632-1780
`
`tm-dept@quarles.com
`
`AUTHORIZED TO COMMUNICATE VIA E-MAIL
`
`Yes
`
`ATTORNEY SECTION (proposed)
`
`NAME
`
`FIRM NAME
`
`INTERNAL ADDRESS
`
`STREET
`
`CITY
`
`STATE
`
`POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`EMAIL
`
`NICOLE M. MURRAY
`
`Quarles & Brady LLP
`
`Suite 4000
`
`300 North LaSalle Street
`
`Chicago
`
`Illinois
`
`60654
`
`United States
`
`312-715-5241
`
`312-632-1780
`
`tm-dept@quarles.com
`
`
`
`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
`
`REGISTRATION NUMBER
`
`REGISTRATION DATE
`
`SERIAL NUMBER
`
`MARK SECTION
`
`MARK
`
`ATTORNEY SECTION (current)
`
`NAME
`
`FIRM NAME
`
`INTERNAL ADDRESS
`
`STREET
`
`CITY
`
`STATE
`
`POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`
`Entered
`
`1864743
`
`11/29/1994
`
`74456825
`
`SERTA (stylized and/or with design)
`
`MARY MARGARET MURRAY
`
`Quarles & Brady LLP
`
`Suite 4000
`
`300 North LaSalle Street
`
`Chicago
`
`Illinois
`
`60654
`
`United States
`
`312-715-5241
`
`312-632-1780
`
`tm-dept@quarles.com
`
`AUTHORIZED TO COMMUNICATE VIA E-MAIL
`
`Yes
`
`ATTORNEY SECTION (proposed)
`
`NAME
`
`FIRM NAME
`
`INTERNAL ADDRESS
`
`STREET
`
`CITY
`
`STATE
`
`POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`
`NICOLE M. MURRAY
`
`Quarles & Brady LLP
`
`Suite 4000
`
`300 North LaSalle Street
`
`Chicago
`
`Illinois
`
`60654
`
`United States
`
`312-715-5241
`
`312-632-1780
`
`tm-dept@quarles.com
`
`
`
`AUTHORIZED TO COMMUNICATE VIA E-MAIL
`
`Yes
`
`DOCKET/REFERENCE NUMBER
`
`135845.00736
`
`OTHER APPOINTED ATTORNEY
`
`CORRESPONDENCE SECTION (current)
`
`Richard W. Young, Nicholas P. Schmidbauer, Nicole A. Bashor, Matthew T.
`Ingersoll and Cameron E. Robinson
`
`NAME
`
`FIRM NAME
`
`INTERNAL ADDRESS
`
`STREET
`
`CITY
`
`STATE
`
`POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`
`Nicole M. Murray
`
`Quarles & Brady LLP
`
`Suite 4000
`
`300 North LaSalle Street
`
`Chicago
`
`Illinois
`
`60654
`
`United States
`
`312-715-5241
`
`312-632-1780
`
`tm-dept@quarles.com
`
`AUTHORIZED TO COMMUNICATE VIA E-MAIL
`
`Yes
`
`CORRESPONDENCE SECTION (proposed)
`
`NAME
`
`FIRM NAME
`
`INTERNAL ADDRESS
`
`STREET
`
`CITY
`
`STATE
`
`POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`
`Nicole M. Murray
`
`Quarles & Brady LLP
`
`Suite 4000
`
`300 North LaSalle Street
`
`Chicago
`
`Illinois
`
`60654
`
`United States
`
`312-715-5241
`
`312-632-1780
`
`tm-dept@quarles.com
`
`AUTHORIZED TO COMMUNICATE VIA E-MAIL
`
`Yes
`
`DOCKET/REFERENCE NUMBER
`
`135845.00736
`
`GOODS AND/OR SERVICES SECTION
`
`INTERNATIONAL CLASS
`
`GOODS OR SERVICES
`
`SPECIMEN FILE NAME(S)
`
`020
`
`mattresses and mattress foundations
`
`\\TICRS\EXPORT16\IMAGEOUT 16\744\568\74456825\xml1\
`S890002.JPG
`
`SPECIMEN DESCRIPTION
`
`photograph of Registrant's label affixed to the goods
`
`OWNER SECTION (current)
`
`
`
`NAME
`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`OWNER SECTION (proposed)
`
`NAME
`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`
`Serta, Inc.
`
`2600 Forbs Avenue
`
`Hoffman Estates
`
`Illinois
`
`60192
`
`United States
`
`Serta, Inc.
`
`2600 Forbs Avenue
`
`Hoffman Estates
`
`Illinois
`
`60192
`
`United States
`
`tm-dept@quarles.com
`
`AUTHORIZED TO COMMUNICATE VIA E-MAIL
`
`Yes
`
`LEGAL ENTITY SECTION (current)
`
`TYPE
`
`STATE/COUNTRY OF INCORPORATION
`
`corporation
`
`Delaware
`
`PAYMENT SECTION
`
`NUMBER OF CLASSES
`
`NUMBER OF CLASSES PAID
`
`SUBTOTAL AMOUNT
`
`TOTAL FEE PAID
`
`SIGNATURE SECTION
`
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)ORIGINAL PDF FILE
`
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)CONVERTED PDF FILE(S)
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(1 page)
`
`SIGNATORY'S NAME
`
`SIGNATORY'S POSITION
`
`PAYMENT METHOD
`
`SUBMIT DATE
`
`TEAS STAMP
`
`1
`
`1
`
`500
`
`500
`
`hw_5058161129-181454132_._Serta_with_swirl_logo_Signed_Ren_Decl.pdf
`
`\\TICRS\EXPORT16\IMAGEOUT16\744\568\74456825\xml1\S890003.JPG
`
`Andrew Gross
`
`Vice President
`
`DA
`
`FILING INFORMATION
`
`Fri Oct 17 18:16:38 EDT 2014
`
`USPTO/S08N09-XX.XX.XXX.XX
`X-20141017181638876458-18
`64743-5004599fb6513a6c55a
`7e57192b8b97c2fcac4b1fe3c
`82c879271828d68ea22cf-DA-
`4702-20141017181454132896
`
`
`
`
`
`PTO Form 1963 (Rev 5/2006)
`
`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:(cid:160)1864743
`REGISTRATION DATE:(cid:160)11/29/1994
`
`MARK: (Stylized and/or with Design, SERTA)
`
`The owner, Serta, Inc., a corporation of Delaware, having an address of
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)2600 Forbs Avenue
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Hoffman Estates, Illinois 60192
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)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 020, 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: mattresses and mattress foundations ; 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) photograph of Registrant's label affixed to the goods.
`Specimen File1
`The registrant's current Attorney Information: MARY MARGARET MURRAY of (cid:160)Quarles & Brady LLP
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Suite 4000
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)300 North LaSalle Street
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Chicago, Illinois (IL) 60654
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)United States
`
`The registrant's proposed Attorney Information: NICOLE M. MURRAY of (cid:160)Quarles & Brady LLP
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Suite 4000
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)300 North LaSalle Street
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Chicago, Illinois (IL) 60654
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)United States
`The docket/reference number is 135845.00736.
`The Other Appointed Attorney(s): Richard W. Young, Nicholas P. Schmidbauer, Nicole A. Bashor, Matthew T. Ingersoll and Cameron E.
`Robinson.
`
`The phone number is 312-715-5241.
`
`The fax number is 312-632-1780.
`
`The email address is tm-dept@quarles.com.
`The registrant's current Correspondence Information: Nicole M. Murray of (cid:160)Quarles & Brady LLP
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Suite 4000
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)300 North LaSalle Street
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Chicago, Illinois (IL) 60654
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)United States
`
`The registrant's proposed Correspondence Information: Nicole M. Murray of (cid:160)Quarles & Brady LLP
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Suite 4000
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)300 North LaSalle Street
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Chicago, Illinois (IL) 60654
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)United States
`The docket/reference number is 135845.00736.
`
`
`
`The phone number is 312-715-5241.
`
`The fax number is 312-632-1780.
`
`The email address is tm-dept@quarles.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
`
`Original PDF file:
`hw_5058161129-181454132_._Serta_with_swirl_logo_Signed_Ren_Decl.pdf
`Converted PDF file(s) (1 page)
`Signature File1
`Signatory's Name: Andrew Gross
`Signatory's Position: Vice President
`
`Mailing Address (current):
`(cid:160)(cid:160)(cid:160)Quarles & Brady LLP
`(cid:160)(cid:160)(cid:160)300 North LaSalle Street
`(cid:160)(cid:160)(cid:160)Chicago, Illinois 60654
`
`Mailing Address (proposed):
`(cid:160)(cid:160)(cid:160)Quarles & Brady LLP
`(cid:160)(cid:160)(cid:160)300 North LaSalle Street
`(cid:160)(cid:160)(cid:160)Chicago, Illinois 60654
`
`Serial Number: 74456825
`Internet Transmission Date: Fri Oct 17 18:16:38 EDT 2014
`TEAS Stamp: USPTO/S08N09-XX.XX.XXX.XXX-2014101718163
`8876458-1864743-5004599fb6513a6c55a7e571
`92b8b97c2fcac4b1fe3c82c879271828d68ea22c
`f-DA-4702-20141017181454132896
`
`
`
`
`
`Declration
`
`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 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. Section 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 renewedfor the goods/services identified above.
`
`Signature Section
`
`Signature:
`Date:
`
`drew Gross
`Signatory's Nam :
`Si gnatory's Position: Vice President
`
`NOTE TO APPLICANT: When filed as part of the electronic form (i.e., scanned and attached as an
`image file), the signature page must include both the signature information and the boilerplate
`declaration language. Do not include the entire application, but do ensure that the boilerplate declaration
`language actually appears; a signature by itself will not be acceptable. it‘, due to browser limitations, the
`boilerplate declaration language appears on a previous page when printed, you must "merge" the
`declaration and signature block onto a single page prior to: signing, so that the one complete page can be
`scanned to create an acceptable image file. it is recommended that you copy—and-paste the entire text
`form into another document, manipulate the spacing there to move the declaration and signature section
`to a separate page, and then print this new version of the text form to send to the signatory.
`
`http://teas.uspto.gov/postreg/xslt.service?xs1=hsigh&stamp=U SPTO/SOSNO9-50.58. l 61 . 1
`
`I 0/ I 7/20 I 4
`
`
`
`ROUTING SHEET TO POST REGISTRATION (PRU)
`
`Registration Number?
`
`1864743
`
`RAM Sale Number: 1864743
`
`Serial Number:
`
`74456825
`
`1
`
`RAM Accounting Date: 20141020
`
`Total Fees:
`
`$500
`
`Note: Process in accordance with Post Registration Standard Operating Procedure (SOP)
`
`Transaction
`
`Transaction
`Date
`
`Fee per
`Class
`
`Number
`of Classes
`
`Number of
`Classes Paid
`
`§8 affidavit
`Application for Renewal (§9)
`
`20141017
`20141017
`
`$100
`$400
`
`Physical Location: 900 - FILE REPOSITORY (FRANCONIA)
`
`Lost Case Flag: False
`
`In TICRS (AM—FLG—IN—TICRS): True
`
`Transaction Date:
`
`20141017
`
`
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