| PTO Form 1963 (Rev 5/2006) |
| OMB No. 0651-0055 (Exp 12/31/2011) |
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
|
Entered
|
| REGISTRATION NUMBER |
1621045 |
| REGISTRATION DATE |
11/06/1990 |
| SERIAL NUMBER |
74021779 |
| MARK SECTION |
| MARK |
EVIS |
| DOMESTIC REPRESENTATIVE SECTION (new) |
| NAME |
James E. Rosini, Esq. |
| STREET |
One Broadway |
| CITY |
New York |
| STATE |
New York |
| POSTAL CODE |
10004 |
| COUNTRY |
United States |
| PHONE |
(212) 425-7200 |
| FAX |
(212) 425-5288 |
| EMAIL |
tmdocketny@kenyon.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
53375/125 |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
010 |
| GOODS OR SERVICES |
electronic endoscopes for medical and surgical use |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT11\IMAGEOUT 11\740\217\74021779\xml1\ S890002.JPG |
| |
\\TICRS\EXPORT11\IMAGEOUT 11\740\217\74021779\xml1\ S890003.JPG |
| SPECIMEN DESCRIPTION |
photos of products |
| OWNER SECTION (current) |
| NAME |
OLYMPUS CORPORATION |
| STREET |
43-2, HATAGAYA 2-CHOME, SHIBUYA-KU |
| CITY |
TOKYO |
| COUNTRY |
Japan |
| OWNER SECTION (proposed) |
| NAME |
Olympus Corporation |
| STREET |
43-2, HATAGAYA 2-CHOME, SHIBUYA-KU |
| CITY |
TOKYO |
| COUNTRY |
Japan |
| LEGAL ENTITY SECTION (current) |
| TYPE |
joint stock company |
| LEGAL ENTITY SECTION (proposed) |
| TYPE |
joint stock company |
| STATE/COUNTRY WHERE LEGALLY ORGANIZED |
Japan |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
500 |
| TOTAL FEE PAID |
500 |
| SIGNATURE SECTION |
| SIGNATURE |
/James E. Rosini/ |
| SIGNATORY'S NAME |
James E. Rosini, Esq. |
| SIGNATORY'S POSITION |
Attorney of Record |
| DATE SIGNED |
11/01/2010 |
| PAYMENT METHOD |
CC |
| FILING INFORMATION |
| SUBMIT DATE |
Mon Nov 01 14:58:48 EDT 2010 |
| TEAS STAMP |
USPTO/S08N09-XX.XXX.XXX.X
XX-20101101145848108499-1
621045-47088dcf690cffee28
ee42757cb69a4dbfb-CC-1113
-20101101145318451355 |
| PTO Form 1963 (Rev 5/2006) |
| OMB No. 0651-0055 (Exp 12/31/2011) |
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: 1621045
REGISTRATION DATE: 11/06/1990
MARK: EVIS
The owner, Olympus Corporation, joint stock company legally organized under the laws of Japan, having an address of
43-2, HATAGAYA 2-CHOME, SHIBUYA-KU
TOKYO,
Japan
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 010, the mark is in use in commerce on or in connection with
all goods or services listed in the existing registration for this specific class: electronic endoscopes
for medical and surgical use ; or, the owner is making the listed excusable nonuse claim.
The owner is submitting one specimen showing the mark as used in commerce on or in connection with any item in this class, consisting of a(n) photos of products.
Specimen File1
Specimen File2
The registrant hereby appoints James E. Rosini, Esq., One Broadway, New York, New York (NY) United States (USX) 10004 as registrant's representative upon whom notice or process in the proceedings
affecting the mark may be served.
The phone number is (212) 425-7200.
The fax number is (212) 425-5288.
The email address is tmdocketny@kenyon.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
Section 8: Declaration of Use 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.
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: /James E. Rosini/ Date: 11/01/2010
Signatory's Name: James E. Rosini, Esq.
Signatory's Position: Attorney of Record
Serial Number: 74021779
Internet Transmission Date: Mon Nov 01 14:58:48 EDT 2010
TEAS Stamp: USPTO/S08N09-XX.XXX.XXX.XXX-201011011458
48108499-1621045-47088dcf690cffee28ee427
57cb69a4dbfb-CC-1113-2010110114531845135
5
