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.
`
`Entered
`
`Input Field
`
`REGISTRATION
`NUMBER
`
`REGISTRATION
`DATE
`
`2726628
`
`06/17/2003
`
`SERIAL NUMBER 76360711
`
`MARK SECTION
`
`MARK
`
`CATBACKERS
`
`ATTORNEY SECTION (new)
`
`NAME
`
`Michael R. Van Wieren
`
`INTERNAL ADDRESS
`
`Suite 100
`
`STREET
`
`CITY
`
`STATE
`
`POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`EMAIL
`
`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
`
`K-State Catbackers
`
`CORRESPONDENCE SECTION (current)
`
`NAME
`
`KANSAS STATE UNIVERSITY
`
`

`
`FIRM NAME
`
`122 ANDERSON HALL
`
`CITY
`
`STATE
`
`POSTAL CODE
`
`MANHATTAN
`
`Kansas
`
`66506
`
`COUNTRY
`
`United States
`
`CORRESPONDENCE SECTION (proposed)
`
`NAME
`
`Michael R. Van Wieren
`
`INTERNAL ADDRESS
`
`Suite 100
`
`STREET
`
`CITY
`
`STATE
`
`POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`EMAIL
`
`442 Century Lane
`
`Holland
`
`Michigan
`
`49423
`
`United States
`
`616-395-0676
`
`616-395-2517
`
`michael@lrgusa.com;anna@lrgusa.com
`
`AUTHORIZED TO
`COMMUNICATE VIA
`E-MAIL
`
`Yes
`
`DOCKET/REFERENCE
`NUMBER
`
`K-State Catbackers
`
`GOODS AND/OR SERVICES SECTION
`
`INTERNATIONAL
`CLASS
`
`025
`
`GOODS OR SERVICES clothing, namely, caps, hats, t-shirts, sweatshirts, sweatpants, collared shirts
`
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)SPECIMEN FILE NAME(S)
`
`(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)(2 pages)
`
`SPN0-1731452173-104217078_._Specimen_cl25_final.pdf
`
`\\TICRS\EXPORT16\IMAGEOUT16\763\607\76360711\xml1\S890002.JPG
`
`\\TICRS\EXPORT16\IMAGEOUT16\763\607\76360711\xml1\S890003.JPG
`
`SPECIMEN
`DESCRIPTION
`
`image of the mark as applied to the goods
`
`INTERNATIONAL
`
`035
`
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)
`

`
`CLASS
`
`GOODS OR SERVICES
`
`association services, namely, alumni association for promoting the interests
`of a university's athletic and academic programs
`
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)SPECIMEN FILE NAME(S)
`
`(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)
`
`SPECIMEN
`DESCRIPTION
`
`SPN1-1731452173-104217078_._Specimen_cl35.pdf
`
`\\TICRS\EXPORT16\IMAGEOUT16\763\607\76360711\xml1\S890004.JPG
`
`advertisement for University golf event
`
`OWNER SECTION (current)
`
`NAME
`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`Kansas State University
`
`122 Anderson Hall
`
`Manhattan
`
`Kansas
`
`66506
`
`COUNTRY
`
`United States
`
`OWNER SECTION (proposed)
`
`NAME
`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`EMAIL
`
`Kansas State University
`
`122 Anderson Hall
`
`Manhattan
`
`Kansas
`
`66506
`
`United States
`
`785-532-6269
`
`tbreymeyer@kstatesports.com
`
`AUTHORIZED TO
`COMMUNICATE VIA
`E-MAIL
`
`Yes
`
`LEGAL ENTITY SECTION (current)
`
`TYPE
`
`corporation
`
`STATE/COUNTRY OF
`INCORPORATION
`
`Kansas
`
`PAYMENT SECTION
`
`

`
`NUMBER OF CLASSES 2
`
`NUMBER OF CLASSES
`PAID
`
`2
`
`SUBTOTAL AMOUNT
`
`TOTAL FEE PAID
`
`1000
`
`1000
`
`SIGNATURE SECTION
`
`SIGNATURE
`
`/Cindy Bontrager/
`
`SIGNATORY'S NAME Cindy Bontrager
`
`SIGNATORY'S
`POSITION
`
`DATE SIGNED
`
`Interim Vice President for Administration & Finance
`
`06/13/2013
`
`SIGNATORY'S PHONE
`NUMBER
`
`785-532-6226
`
`PAYMENT METHOD
`
`CC
`
`SUBMIT DATE
`
`Fri Jun 14 11:18:52 EDT 2013
`
`FILING INFORMATION
`
`TEAS STAMP
`
`USPTO/S08N09-XXX.XX.XX.XX
`X-20130614111852295740-27
`26628-500925d7e4571e59566
`b6e7b0c046f6bab3cc732747c
`31ef5e3bfded77779d9c66-CC
`-9385-2013061215545254490
`5
`
`

`
`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)2726628
`REGISTRATION DATE:(cid:160)06/17/2003
`
`MARK: CATBACKERS
`
`The owner, Kansas State University, a corporation of Kansas, having an address of
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)122 Anderson Hall
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Manhattan, Kansas 66506
`(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 025, 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: clothing, namely, caps, hats, t-shirts, sweatshirts, sweatpants, collared shirts ; 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) image of the mark as applied to the goods.
`
`Original PDF file:
`SPN0-1731452173-104217078_._Specimen_cl25_final.pdf
`Converted PDF file(s) (2 pages)
`Specimen File1
`Specimen File2
`
`For International Class 035, 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: association services, namely, alumni association for promoting the interests of a
`university's athletic and academic programs ; 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) advertisement for University golf event.
`
`Original PDF file:
`SPN1-1731452173-104217078_._Specimen_cl35.pdf
`Converted PDF file(s) (1 page)
`Specimen File1
`The registrant's current Correspondence Information: KANSAS STATE UNIVERSITY of (cid:160)122
`ANDERSON HALL
`
`

`
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)MANHATTAN, Kansas (KS) 66506
`
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)United States
`
`The registrant's proposed Correspondence Information: Michael R. Van Wieren
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Suite 100
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)442 Century Lane
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Holland, Michigan (MI) 49423
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)United States
`The docket/reference number is K-State Catbackers.
`
`The phone number is 616-395-0676.
`
`The fax number is 616-395-2517.
`
`The email address is michael@lrgusa.com;anna@lrgusa.com.
`The registrant hereby appoints Michael R. Van Wieren
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Suite 100
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)442 Century Lane
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Holland, Michigan 49423
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)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
`K-State Catbackers.
`
`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 $1000 will be submitted with the form, representing payment for 2
`class(es), plus any additional grace period fee, if necessary.
`
`Declaration
`
`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 and/or services identified above, as evidenced by the attached specimen(s)
`showing the mark as used in commerce.
`
`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.
`
`Section 9: Application for Renewal
`The registrant requests that the registration be renewed for the goods/services/collective organization
`identified above.
`
`Signature: /Cindy Bontrager/(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Date: 06/13/2013
`Signatory's Name: Cindy Bontrager
`Signatory's Position: Interim Vice President for Administration & Finance
`Signatory's Phone Number: 785-532-6226
`
`Mailing Address:
`
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)442 Century Lane
`
`(cid:160)(cid:160)(cid:160)Holland, Michigan 49423
`
`Serial Number: 76360711
`Internet Transmission Date: Fri Jun 14 11:18:52 EDT 2013
`TEAS Stamp: USPTO/S08N09-XXX.XX.XX.XXX-2013061411185
`2295740-2726628-500925d7e4571e59566b6e7b
`0c046f6bab3cc732747c31ef5e3bfded77779d9c
`66-CC-9385-20130612155452544905
`
`

`
`

`
`

`
`RIéatbackers
`
`1 031 2 Mohawk
`Leawood, KS 66206
`
`2013
`
`KC Catbackers'
`
`Greater Kansas City
`Golf Classic
`
`
`
`June 6, 2013
`
`2013 KC Catbackers'
`Greater Kansas City
`Golf Classic
`Thursday, June 6th
`Dear Catbackers:
`
`What a great time to be a Wildcat fan! Please join us ir1
`celebrating another success tilled year of Kansas State
`Athletics by participating with other Cats‘ in the fun and
`festivities of tlie 2013 KC Catbaekers’ Greater Kansas
`City Golf Classic Thursday, June 6th. We have again
`invited Kansas State’s student/athletes a.r1d KSU Athletic
`Department dignitaries to participate in t.his year’s
`toumament. last year we were honored to have (‘rianna
`Wisenhelter, and Curtis Yonke, members of the KSU
`Women’s and Men’s Golf Teams, join us at our golf
`classic. They assisted teams in improving their scores by
`offering to hit well placed tee shots at a couple of holes
`(for a small donation). The donations given last year for
`the outstanding tee shots, enabled us to contribute $500 to
`each ol'the KSU Goll'Teams. Their presence helped make
`the 2012 KC Catbackers‘ Golf Tournament a memorable
`event.
`
`The golf committee is pleased to announce the golf
`tournament will be held at Falcon Lakes Golf Club ir1
`Dasehor, Kansas. You can register as a complete team of
`four or as an individual.
`Individual registrants will he
`paired with other Catbaekers into teams of four. Prizes
`will be awarded to the top l.hree learns of each llight.
`However, the big winner will be the Kansas State Athletic
`Department with the proceeds of the golf classic
`supporting the Aheam Scholarship Fund
`We look forward to having you join us for a great day
`of golf, fun and support of another KC Catbackers‘ event.
`Sincerely,
`
`KC Catbackers’ Golf Tournament Committee
`
`

`
`ROUTING SHEET TO POST REGISTRATION (PRU)
`
`Registration Number?
`
`2726623
`
`Serial Number:
`
`76360711
`
`RAM Sale Number: 2726628
`
`RAM Accounting Date: 20130614
`
`Total Fees:
`
`$1000
`
`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)
`
`20130614
`2013 0614
`
`$100
`$400
`
`Physical Location: 900 - FILE REPOSITORY (FRANCONIA)
`
`Lost Case Flag: False
`
`In TICRS (AM—FLG—IN—TICRS): True
`
`Transaction Date:
`
`20130614