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
`
`Input Field
`
`REGISTRATION NUMBER
`
`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
`
`INTERNAL ADDRESS
`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`The table below presents the data as entered.
`
`Entered
`
`2041919
`
`03/04/1997
`
`75077229
`
`SERTA (stylized and/or with design)
`
`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
`
`Suite 3700
`
`191 N. Wacker Drive
`
`Chicago
`
`Illinois
`
`60606
`
`United States
`
`312-569-1469
`
`312-569-3469
`
`
`
`EMAIL
`
`IPDOCKET@gcd.com
`
`AUTHORIZED TO COMMUNICATE VIA E-MAIL
`
`Yes
`
`DOCKET NUMBERS
`
`SER021USA1
`
`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
`
`DESIGN MARK FILE NAME(S)
`
`http://tess2.uspto.gov/Im ageAgent/ImageAgentProxy? getImage=75077229
`
`GOODS AND/OR SERVICES SECTION
`
`INTERNATIONAL CLASS
`
`KEEP EXISTING GOODS AND/OR SERVICES
`
`020
`
`YES
`
`SPECIMEN 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
`
`SIGNATORY POSITION
`
`PAYMENT METHOD
`
`FILING INFORMATION
`
`SUBMIT DATE
`
`TEAS STAMP
`
`\\TICRS\EXPORT4\IMAGEOUT4 \750\772\75077229\xml1\S8 90002.JPG
`
`scanned label
`
`1
`
`1
`
`500
`
`500
`
`/Nicole M. Murray/
`
`Nicole M. Murray
`
`07/21/2006
`
`Attorney
`
`DA
`
`Fri Jul 21 15:11:39 EDT 2006
`
`USPTO/S08N09-XXXXXXXXX-20
`060721151139791621-204191
`9-2002744ff8352a45c0f7580
`ba83e84293-DA-79-20060721
`151015783442
`
`
`
`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: 2041919
`REGISTRATION DATE: 03/04/1997
`
`MARK: SERTA (stylized and/or with design)
`
`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) scanned label.
`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 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 SER021USA1.
`
`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/ Date: 07/21/2006
`Signatory's Name: Nicole M. Murray
`Signatory's Position: Attorney
`
`Mailing Address:
` Gardner Carton & Douglas LLP
` Suite 3700
` 191 N. Wacker Drive
` Chicago, Illinois 60606
`
`RAM Sale Number: 79
`RAM Accounting Date: 07/24/2006
`
`
`
`Serial Number: 75077229
`Internet Transmission Date: Fri Jul 21 15:11:39 EDT 2006
`TEAS Stamp: USPTO/S08N09-XXXXXXXXX-20060721151139791
`621-2041919-2002744ff8352a45c0f7580ba83e
`84293-DA-79-20060721151015783442
`
`
`
`CREE-BENT MQUH 'CICILLE'DTH:|'H
`.'i+.
`-'
`- .
`.
`.
`I\.
`5111; Simnmer
`
`
`
`ROUTING SHEET TO POST REGISTRATION (PRU)
`
`R9giStI'ati011 Nllmbefi
`
`2041919
`
`RAM Sale Number: 79
`
`Serial Number:
`
`75077229
`
`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
`
`
