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
`
`The table below presents the data as entered.
`
`Input Field
`
`Entered
`
`REGISTRATION NUMBER
`
`2041918
`
`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
`
`ATTORNEY SECTION
`
`NAME
`
`FIRM NAME
`
`03/04/1997
`
`75077228
`
`SERTA
`
`Serta, Inc.
`
`325 Spring Lake Drive
`
`Itasca
`
`IL
`
`60143
`
`US
`
`Serta, Inc.
`
`5401 Trillium Boulevard
`
`Hoffman Estates
`
`Illinois
`
`60192
`
`United States
`
`Nicole M. Murray
`
`Gardner Carton & Douglas LLP
`
`INTERNAL ADDRESS
`
`Suite 3700
`
`

`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`EMAIL
`
`191 N. Wacker Drive
`
`Chicago
`
`Illinois
`
`60606
`
`United States
`
`312-569-1469
`
`312-569-3469
`
`IPDOCKET@gcd.com
`
`AUTHORIZED TO COMMUNICATE VIA
`E-MAIL
`
`Yes
`
`DOCKET NUMBERS
`
`SER012USA1
`
`OTHER APPOINTED ATTORNEY(S)
`
`Richard W. Young, Edwin A. Getz, Darren S. Cahr,
`Tina D. Kourasis, Barry W. Sufrin, Melissa S.
`Dillenbeck, David J. Moorhead and Shawna Doran
`
`GOODS AND/OR SERVICES SECTION
`
`INTERNATIONAL CLASS
`
`KEEP EXISTING GOODS AND/OR
`SERVICES
`
`020
`
`YES
`
`SPECIMEN(cid:160)FILE NAME(S)
`
`\\TICRS\EXPORT4\IMAGEOUT4
`\750\772\75077228\xml1\S8 90002.JPG
`
`SPECIMEN DESCRIPTION
`
`web page
`
`PAYMENT SECTION
`
`NUMBER OF CLASSES
`
`NUMBER OF CLASSES PAID
`
`SUBTOTAL AMOUNT
`
`TOTAL AMOUNT
`
`SIGNATURE SECTION
`
`SIGNATURE
`
`SIGNATORY NAME
`
`SIGNATORY DATE
`
`SIGNATORY POSITION
`
`PAYMENT METHOD
`
`FILING INFORMATION
`
`1
`
`1
`
`500
`
`500
`
`/Nicole M. Murray/
`
`Nicole M. Murray
`
`07/21/2006
`
`Attorney
`
`DA
`
`

`
`SUBMIT DATE
`
`Fri Jul 21 15:15:09 EDT 2006
`
`TEAS STAMP
`
`USPTO/S08N09-XXXXXXXXX-20
`060721151509730182-204191
`8-200c7c49b5e454da1b8dce8
`3232b2bd3f-DA-94-20060721
`151227259446
`
`

`
`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)2041918
`REGISTRATION DATE:(cid:160)03/04/1997
`
`MARK: (cid:160)SERTA
`
`The owner, Serta, Inc., residing at 5401 Trillium Boulevard, Hoffman Estates, Illinois United States
`60192, is using the mark in commerce on or in connection with the goods and /or services as follows:
`
`For International Class 020, 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) web page.
`Specimen-1
`
`The registrant hereby appoints Nicole M. Murray and Richard W. Young, Edwin A. Getz, Darren S. Cahr,
`Tina D. Kourasis, Barry W. Sufrin, Melissa S. Dillenbeck, David J. Moorhead and Shawna Doran of
`(cid:160)Gardner Carton & Douglas LLP, Suite 3700, 191 N. Wacker Drive, Chicago, Illinois United States 60606
`to submit this Combined Declaration of Use In Commerce & Application For Renewal of Registration of
`A Mark Under Sections 8 & 9 on behalf of the registrant. The attorney docket/reference number is
`SER012USA1.
`
`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: /Nicole M. Murray/(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Date: 07/21/2006
`Signatory's Name: Nicole M. Murray
`Signatory's Position: Attorney
`
`Mailing Address:
`(cid:160)(cid:160)(cid:160)Gardner Carton & Douglas LLP
`(cid:160)(cid:160)(cid:160)Suite 3700
`(cid:160)(cid:160)(cid:160)191 N. Wacker Drive
`(cid:160)(cid:160)(cid:160)Chicago, Illinois 60606
`
`RAM Sale Number: 94
`RAM Accounting Date: 07/24/2006
`
`Serial Number: 75077228
`Internet Transmission Date: Fri Jul 21 15:15:09 EDT 2006
`TEAS Stamp: USPTO/S08N09-XXXXXXXXX-20060721151509730
`182-2041918-200c7c49b5e454da1b8dce83232b
`2bd3f-DA-94-20060721151227259446
`
`

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`ROUTING SHEET TO POST REGISTRATION (PRU)
`
`R9giStI'ati011 Nllmbefi
`
`2041918
`
`RAM Sale Number: 94
`
`Serial Number:
`
`75077228
`
`1
`
`RAM Accounting Date: 20060724
`
`Total Fees:
`
`$500
`
`Note: Process in accordance with Post Registration Standard Operating Procedure (SOP)
`
`Transaction
`
`Transaction
`Date
`
`Fee per
`Class
`
`Total
`Number
`of Classes @
`
`§8 affidavit
`Application for Renewal (§9)
`
`20060721
`20060721
`
`$100
`$400
`
`$100
`$400
`
`Physical Location: 900 — FILE REPOSITORY (FRANCONIA)
`
`Lost Case Flag: False
`
`In TICRS (AM-FLG-IN-TICRS): False
`
`Transaction Date:
`
`20060721