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.
Input Field
|
Entered
|
REGISTRATION NUMBER |
1855648 |
REGISTRATION DATE |
09/27/1994 |
SERIAL NUMBER |
74154444 |
MARK SECTION |
MARK |
CERVEX-BRUSH |
ATTORNEY SECTION (current) |
NAME |
MARK D. LORUSSO |
FIRM NAME |
LURUSSO & ASSOCIATES |
STREET |
3 PINECREST TERRACE |
CITY |
PORTMOUTH |
STATE |
New Hampshire |
POSTAL CODE |
03801 |
COUNTRY |
United States |
PHONE |
603-427-0070 |
FAX |
603-427-5530 |
EMAIL |
MLorusso@lliplaw.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
ATTORNEY SECTION (proposed) |
NAME |
MARK D. LORUSSO |
FIRM NAME |
LORUSSO & ASSOCIATES |
STREET |
PO Box 21915 |
CITY |
PORTMOUTH |
STATE |
New Hampshire |
POSTAL CODE |
03802 |
COUNTRY |
United States |
PHONE |
603-427-0070 |
FAX |
603-427-5530 |
EMAIL |
mlorusso@loriplaw.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
CORRESPONDENCE SECTION (current) |
NAME |
MARK D LORUSSO |
FIRM NAME |
LURUSSO & ASSOCIATES |
STREET |
3 PINECREST TERRACE |
CITY |
PORTMOUTH |
STATE |
New Hampshire |
POSTAL CODE |
03801 |
COUNTRY |
United States |
PHONE |
603-427-0070 |
FAX |
603-427-5530 |
EMAIL |
MLorusso@lliplaw.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
CORRESPONDENCE SECTION (proposed) |
NAME |
MARK D. LORUSSO |
FIRM NAME |
LORUSSO & ASSOCIATES |
STREET |
PO Box 21915 |
CITY |
PORTMOUTH |
STATE |
New Hampshire |
POSTAL CODE |
03802 |
COUNTRY |
United States |
PHONE |
603-427-0070 |
FAX |
603-427-5530 |
EMAIL |
mlorusso@loriplaw.com;mark.lorusso@yahoo.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
010 |
GOODS OR SERVICES |
brushes for making smear samples from the uterus or the cervix |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\741\544\74154444\xml1\ S890002.JPG |
|
\\TICRS\EXPORT16\IMAGEOUT 16\741\544\74154444\xml1\ S890003.JPG |
SPECIMEN DESCRIPTION |
Scanned images of instructions sheets provided with cervix brush products |
OWNER SECTION (current) |
NAME |
ROVERS MEDICAL DEVICES B.V. |
CITY |
LEKSTRAAT 10, OSS 5347KV |
COUNTRY |
Netherlands |
OWNER SECTION (proposed) |
NAME |
ROVERS MEDICAL DEVICES B.V. |
STREET |
LEKSTRAAT 10 |
CITY |
OSS 5347KV |
COUNTRY |
Netherlands |
LEGAL ENTITY SECTION (current) |
TYPE |
corporation |
LEGAL ENTITY SECTION (proposed) |
TYPE |
corporation |
STATE/COUNTRY OF INCORPORATION |
Netherlands |
PAYMENT SECTION |
NUMBER OF CLASSES |
1 |
NUMBER OF CLASSES PAID |
1 |
SUBTOTAL AMOUNT |
500 |
TOTAL FEE PAID |
500 |
SIGNATURE SECTION |
SIGNATURE |
/Mark D. Lorusso/ |
SIGNATORY'S NAME |
Mark D. Lorusso |
SIGNATORY'S POSITION |
Attorney of record, NH bar member |
DATE SIGNED |
09/06/2014 |
SIGNATORY'S PHONE NUMBER |
603-427-0070 |
PAYMENT METHOD |
CC |
FILING INFORMATION |
SUBMIT DATE |
Sat Sep 06 11:28:15 EDT 2014 |
TEAS STAMP |
USPTO/S08N09-XX.XXX.XXX.X
X-20140906112815976241-18
55648-500b5973e8327113053
ad88a9f26688dc8b9ef3ae3cd
b7a1cb647c7943ecd210e5-CC
-7159-2014090611113172256
9 |
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: 1855648
REGISTRATION DATE: 09/27/1994
MARK: CERVEX-BRUSH
The owner, ROVERS MEDICAL DEVICES B.V., a corporation of Netherlands, having an address of
LEKSTRAAT 10
OSS 5347KV,
Netherlands
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/services, or to indicate membership in the collective membership organization, listed in the
existing registration for this specific class: brushes for making smear samples from the uterus or the cervix ; 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) Scanned images of instructions sheets
provided with cervix brush products.
Specimen File1
Specimen File2
The registrant's current Attorney Information: MARK D. LORUSSO of LURUSSO & ASSOCIATES
3 PINECREST TERRACE
PORTMOUTH, New Hampshire (NH) 03801
United States
The registrant's proposed Attorney Information: MARK D. LORUSSO of LORUSSO & ASSOCIATES
PO Box 21915
PORTMOUTH, New Hampshire (NH) 03802
United States
The phone number is 603-427-0070.
The fax number is 603-427-5530.
The email address is mlorusso@loriplaw.com.
The registrant's current Correspondence Information: MARK D LORUSSO of LURUSSO & ASSOCIATES
3 PINECREST TERRACE
PORTMOUTH, New Hampshire (NH) 03801
United States
The registrant's proposed Correspondence Information: MARK D. LORUSSO of LORUSSO & ASSOCIATES
PO Box 21915
PORTMOUTH, New Hampshire (NH) 03802
United States
The phone number is 603-427-0070.
The fax number is 603-427-5530.
The email address is mlorusso@loriplaw.com;mark.lorusso@yahoo.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 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/services identified above, as evidenced by the attached specimen(s)
showing the mark as used in commerce.
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.
Section 9: Application for Renewal
The registrant requests that the registration be renewed for the goods/services/collective organization identified above.
Signature: /Mark D. Lorusso/ Date: 09/06/2014
Signatory's Name: Mark D. Lorusso
Signatory's Position: Attorney of record, NH bar member
Signatory's Phone Number: 603-427-0070
Mailing Address
(current):
LURUSSO & ASSOCIATES
3 PINECREST TERRACE
PORTMOUTH, New Hampshire 03801
Mailing Address
(proposed):
LORUSSO & ASSOCIATES
PO Box 21915
PORTMOUTH, New Hampshire 03802
Serial Number: 74154444
Internet Transmission Date: Sat Sep 06 11:28:15 EDT 2014
TEAS Stamp: USPTO/S08N09-XX.XXX.XXX.XX-2014090611281
5976241-1855648-500b5973e8327113053ad88a
9f26688dc8b9ef3ae3cdb7a1cb647c7943ecd210
e5-CC-7159-20140906111131722569