PTO Form 1583 (Rev 5/2006)
`
`OMB No. 0651-0055 (Exp 07/31/2018)
`
`Combined Declaration of Use and Incontestability under Sections 8 & 15
`
`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
`
`STREET
`
`CITY
`
`STATE
`
`POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`EMAIL
`
`Entered
`
`3600403
`
`03/31/2009
`
`78935944
`
`CLEARLY ORGANIC
`
`Lawrence A. Swain
`
`Polsinelli Shughart PC
`
`6201 College Boulevard, Suite 500
`
`Overland Park
`
`Kansas
`
`66211
`
`United States
`
`913-234-7526
`
`913-273-1882
`
`lswain@polsinelli.com
`
`AUTHORIZED TO COMMUNICATE VIA E-MAIL
`
`Yes
`
`ATTORNEY SECTION (proposed)
`
`NAME
`
`FIRM NAME
`
`STREET
`
`CITY
`
`STATE
`
`POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`EMAIL
`
`Lawrence A. Swain
`
`Polsinelli PC
`
`6201 College Boulevard, Suite 500
`
`Overland Park
`
`Kansas
`
`66211
`
`United States
`
`913-234-7526
`
`913-273-1882
`
`lswain@polsinelli.com
`
`AUTHORIZED TO COMMUNICATE VIA E-MAIL
`
`Yes
`
`DOCKET/REFERENCE NUMBER
`
`ASS011-284934
`
`Ari M. Bai, Briana Barron, John Bednarz, Leigh Bonsall, Yu Cai, Corey M.
`Casey, Christine Cochran, Bradley Crawford, Elton F. Dean, III, Karen
`
`

`

`OTHER APPOINTED ATTORNEY
`
`CORRESPONDENCE SECTION (current)
`
`Dickinson, Brian B. Diekhoff, Derek D. Donahoe, Kate J. Doty, Gregory P.
`Durbin, Taryn A. Elliott, Robert O. Enyard, Jr., Daniel Farris, Jeffrey E.
`Fine, Ron Galant, Christopher L. Hines, Kimberly A. Honeycutt, Appi
`Iyengar, S. Wade Johnson, Kristin A. Kenney, J. Morgan Kirley, Gregory
`M. Kratofil, Jr., Carla M. Lee, Michael P. Narducci, Tara A. Nealey, Jay E.
`Pietig, Andrea M. Porterfield, Josh Pranckun, Rebecca C. Riley-Vargas,
`Marcia J. Rodgers, Kelley A. Schneiders, Teddy C. Scott, Melvin Sims,
`Matthew J. Smith, Timothy D. Steffens, James M. Stipek, Richard P. Stitt,
`Karin E. Sullivan, Lawrence A. Swain, Tracey S. Truitt, Milan Vinnola,
`Michael A. Williamson, Spencer R. Wood, Patrick C. Woolley, Tim
`Worrall and David M. Zamora
`
`NAME
`
`FIRM NAME
`
`STREET
`
`CITY
`
`STATE
`
`POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`EMAIL
`
`LAWRENCE A. SWAIN
`
`Polsinelli Shughart PC
`
`6201 College Boulevard, Suite 500
`
`Overland Park
`
`Kansas
`
`66211
`
`United States
`
`913-234-7526
`
`913-273-1882
`
`lswain@polsinelli.com
`
`AUTHORIZED TO COMMUNICATE VIA E-MAIL
`
`Yes
`
`CORRESPONDENCE SECTION (proposed)
`
`NAME
`
`FIRM NAME
`
`STREET
`
`CITY
`
`STATE
`
`POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`EMAIL
`
`LAWRENCE A. SWAIN
`
`Polsinelli PC
`
`6201 College Boulevard, Suite 500
`
`Overland Park
`
`Kansas
`
`66211
`
`United States
`
`913-234-7526
`
`913-273-1882
`
`lswain@polsinelli.com;greimer@polsinelli.com
`
`AUTHORIZED TO COMMUNICATE VIA E-MAIL
`
`Yes
`
`DOCKET/REFERENCE NUMBER
`
`ASS011-284934
`
`GOODS AND/OR SERVICES SECTION
`
`INTERNATIONAL CLASS
`
`029
`
`GOODS OR SERVICES
`
`Canned soup, canned broth, canned tomatoes, canned vegetables, canned
`dry pack beans, cooking oils, applesauce, canned processed mushrooms,
`soybean milk, peanut butter, dried beans, butter, frozen vegetables, frozen
`fruit, olive oil, yogurt
`
`\\TICRS\EXPORT16\IMAGEOUT 16\789\359\78935944\xml1\
`
`

`

`SPECIMEN FILE NAME(S)
`
`SPECIMEN DESCRIPTION
`
`8150002.JPG
`
`The specimen consists of a picture of the packaging for the goods showing
`the mark.
`
`INTERNATIONAL CLASS
`
`030
`
`GOODS OR SERVICES
`
`SPECIMEN FILE NAME(S)
`
`SPECIMEN DESCRIPTION
`
`OWNER SECTION (current)
`
`NAME
`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`OWNER SECTION (proposed)
`
`NAME
`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`EMAIL
`
`Tomato sauce, pasta sauce, salad dressing, maple syrup, breakfast cereals,
`dried pasta, flour, ketchup, rice, sugar, tortillas, tortilla chips, frozen
`waffles, ground coffee beans, tea
`
`\\TICRS\EXPORT16\IMAGEOUT 16\789\359\78935944\xml1\
`8150003.JPG
`
`The specimen consists of a picture of the goods with a label attached
`showing the mark.
`
`Associated Wholesale Grocers, Inc.
`
`5000 Kansas Ave
`
`Kansas City
`
`Kansas
`
`66106
`
`United States
`
`Associated Wholesale Grocers, Inc.
`
`5000 Kansas Ave
`
`Kansas City
`
`Kansas
`
`66106
`
`United States
`
`913-234-7526
`
`913-273-1882
`
`lswain@polsinelli.com
`
`AUTHORIZED TO COMMUNICATE VIA E-MAIL
`
`Yes
`
`LEGAL ENTITY SECTION (current)
`
`TYPE
`
`STATE/COUNTRY OF INCORPORATION
`
`corporation
`
`Kansas
`
`PAYMENT SECTION
`
`NUMBER OF CLASSES
`
`NUMBER OF CLASSES PAID
`
`SUBTOTAL AMOUNT
`
`TOTAL FEE PAID
`
`SIGNATURE SECTION
`
`SIGNATURE
`
`2
`
`2
`
`600
`
`600
`
`/LAWRENCE A. SWAIN/
`
`

`

`SIGNATORY'S NAME
`
`SIGNATORY'S POSITION
`
`DATE SIGNED
`
`SIGNATORY'S PHONE NUMBER
`
`PAYMENT METHOD
`
`SUBMIT DATE
`
`TEAS STAMP
`
`Lawrence A. Swain
`
`Attorney of Record, Kansas and Missouri Bar Member
`
`05/19/2014
`
`913-234-7526
`
`DA
`
`FILING INFORMATION
`
`Mon May 19 11:35:20 EDT 2014
`
`USPTO/S08N15-XXX.XX.XX.XX
`-20140519113520294850-360
`0403-500278cadf297cfd55bb
`185f7d77913f5524c43ca437b
`338c8c3457e9ee2edbebf-DA-
`10332-2014051615050719488
`3
`
`

`

`PTO Form 1583 (Rev 5/2006)
`
`OMB No. 0651-0055 (Exp 07/31/2018)
`
`Combined Declaration of Use and Incontestability under Sections 8 & 15
`To the Commissioner for Trademarks:
`
`REGISTRATION NUMBER:(cid:160)3600403
`REGISTRATION DATE:(cid:160)03/31/2009
`
`MARK: CLEARLY ORGANIC
`
`The owner, Associated Wholesale Grocers, Inc., a corporation of Kansas, having an address of
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)5000 Kansas Ave
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Kansas City, Kansas 66106
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)United States
`is filing a Combined Declaration of Use and Incontestability under Sections 8 & 15.
`
`For International Class 029, the mark is in use in commerce on or in connection with all of the goods/all of the services, or to indicate
`membership in the collective membership organization, listed in the existing registration for this specific class: Canned soup, canned broth,
`canned tomatoes, canned vegetables, canned dry pack beans, cooking oils, applesauce, canned processed mushrooms, soybean milk, peanut
`butter, dried beans, butter, frozen vegetables, frozen fruit, olive oil, yogurt; and the mark has been continuously used in commerce for five (5)
`consecutive years after the date of registration, or the date of publication under Section 12(c), and is still in use in commerce on or in connection
`with all goods/all services, or to indicate membership in the collective membership organization, listed in the existing registration for this class.
`Also, no final decision adverse to the owner's claim of ownership of such mark for those goods/services, or to indicate membership in the
`collective membership organization, exists, or to the owner's right to register the same or to keep the same on the register; and, no proceeding
`involving said rights pending and not disposed of in either the U.S. Patent and Trademark Office or the courts exists.
`
`The owner is submitting one(or more) specimen(s) for this class showing the mark as used in commerce on or in connection with any item in this
`class, consisting of a(n) The specimen consists of a picture of the packaging for the goods showing the mark..
`Specimen File1
`
`For International Class 030, the mark is in use in commerce on or in connection with all of the goods/all of the services, or to indicate
`membership in the collective membership organization, listed in the existing registration for this specific class: Tomato sauce, pasta sauce, salad
`dressing, maple syrup, breakfast cereals, dried pasta, flour, ketchup, rice, sugar, tortillas, tortilla chips, frozen waffles, ground coffee beans, tea;
`and the mark has been continuously used in commerce for five (5) consecutive years after the date of registration, or the date of publication
`under Section 12(c), and is still in use in commerce on or in connection with all goods/all services, or to indicate membership in the collective
`membership organization, listed in the existing registration for this class. Also, no final decision adverse to the owner's claim of ownership of
`such mark for those goods/services, or to indicate membership in the collective membership organization, exists, or to the owner's right to
`register the same or to keep the same on the register; and, no proceeding involving said rights pending and not disposed of in either the U.S.
`Patent and Trademark Office or the courts exists.
`
`The owner is submitting one(or more) specimen(s) for this class showing the mark as used in commerce on or in connection with any item in this
`class, consisting of a(n) The specimen consists of a picture of the goods with a label attached showing the mark..
`Specimen File1
`The registrant's current Attorney Information: Lawrence A. Swain of (cid:160)Polsinelli Shughart PC
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)6201 College Boulevard, Suite 500
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Overland Park, Kansas (KS) 66211
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)United States
`
`The registrant's proposed Attorney Information: Lawrence A. Swain of (cid:160)Polsinelli PC
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)6201 College Boulevard, Suite 500
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Overland Park, Kansas (KS) 66211
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)United States
`The docket/reference number is ASS011-284934.
`The Other Appointed Attorney(s): Ari M. Bai, Briana Barron, John Bednarz, Leigh Bonsall, Yu Cai, Corey M. Casey, Christine Cochran,
`Bradley Crawford, Elton F. Dean, III, Karen Dickinson, Brian B. Diekhoff, Derek D. Donahoe, Kate J. Doty, Gregory P. Durbin, Taryn A.
`Elliott, Robert O. Enyard, Jr., Daniel Farris, Jeffrey E. Fine, Ron Galant, Christopher L. Hines, Kimberly A. Honeycutt, Appi Iyengar, S. Wade
`Johnson, Kristin A. Kenney, J. Morgan Kirley, Gregory M. Kratofil, Jr., Carla M. Lee, Michael P. Narducci, Tara A. Nealey, Jay E. Pietig,
`
`

`

`Andrea M. Porterfield, Josh Pranckun, Rebecca C. Riley-Vargas, Marcia J. Rodgers, Kelley A. Schneiders, Teddy C. Scott, Melvin Sims,
`Matthew J. Smith, Timothy D. Steffens, James M. Stipek, Richard P. Stitt, Karin E. Sullivan, Lawrence A. Swain, Tracey S. Truitt, Milan
`Vinnola, Michael A. Williamson, Spencer R. Wood, Patrick C. Woolley, Tim Worrall and David M. Zamora.
`
`The phone number is 913-234-7526.
`
`The fax number is 913-273-1882.
`
`The email address is lswain@polsinelli.com.
`The registrant's current Correspondence Information: LAWRENCE A. SWAIN of (cid:160)Polsinelli Shughart PC
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)6201 College Boulevard, Suite 500
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Overland Park, Kansas (KS) 66211
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)United States
`
`The registrant's proposed Correspondence Information: LAWRENCE A. SWAIN of (cid:160)Polsinelli PC
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)6201 College Boulevard, Suite 500
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Overland Park, Kansas (KS) 66211
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)United States
`The docket/reference number is ASS011-284934.
`
`The phone number is 913-234-7526.
`
`The fax number is 913-273-1882.
`
`The email address is lswain@polsinelli.com;greimer@polsinelli.com.
`
`A fee payment in the amount of $600 will be submitted with the form, representing payment for 2 class(es), plus any additional grace period fee,
`if necessary.
`
`Declaration
`
`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 mark has been in continuous use in commerce for five consecutive years after the date of registration, or the
`date of publication under 15 U.S.C. Section 1062(c), and is still in use in commerce on or in connection with all goods/services listed in the
`existing registration. There has been no final decision adverse to the owner's claim of ownership of such mark for such goods/services, or to the
`owner's right to register the same or to keep the same on the register; and there is no proceeding involving said rights pending and not disposed
`of either in the United States Patent and Trademark Office or in a court.
`
`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.
`
`Signature: /LAWRENCE A. SWAIN/(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Date: 05/19/2014
`Signatory's Name: Lawrence A. Swain
`Signatory's Position: Attorney of Record, Kansas and Missouri Bar Member
`Signatory's Phone Number: 913-234-7526
`
`Mailing Address (current):
`(cid:160)(cid:160)(cid:160)Polsinelli Shughart PC
`(cid:160)(cid:160)(cid:160)6201 College Boulevard, Suite 500
`(cid:160)(cid:160)(cid:160)Overland Park, Kansas 66211
`
`Mailing Address (proposed):
`(cid:160)(cid:160)(cid:160)Polsinelli PC
`(cid:160)(cid:160)(cid:160)6201 College Boulevard, Suite 500
`(cid:160)(cid:160)(cid:160)Overland Park, Kansas 66211
`
`

`

`Serial Number: 78935944
`Internet Transmission Date: Mon May 19 11:35:20 EDT 2014
`TEAS Stamp: USPTO/S08N15-XXX.XX.XX.XX-20140519113520
`294850-3600403-500278cadf297cfd55bb185f7
`d77913f5524c43ca437b338c8c3457e9ee2edbeb
`f-DA-10332-20140516150507194883
`
`

`

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`
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`NET WT 16 02134549":
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`-4I]Lh|'1FlTEFIS
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`

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`
`Organic
`Ketchup
`
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`
`

`

`ROUTING SHEET TO POST REGISTRATION (PRU)
`
`Registration Number?
`
`3600403
`
`RAM Sale Number: 3600403
`
`Serial Number:
`
`78935944
`
`|
`
`|
`
`RAM Accounting Date: 20140519
`
`Total Fees:
`
`$600
`
`Note: Process in accordance with Post Registration Standard Operating Procedure (SOP)
`
`Transaction
`
`§8 affidavit
`§15 affidavit
`
`Transaction
`Date
`
`Fee per
`Class
`
`Number
`of Classes
`
`Number of
`Classes Paid
`
`20140519
`20140519
`
`$100
`$200
`
`Physical Location: 900 - FILE REPOSITORY (FRANCONIA)
`
`Lost Case Flag: False
`
`In TICRS (AM—FLG—IN—TICRS): True
`
`Transaction Date:
`
`20140519
`
`