PR-Section 8 and 9

PTO Form 1963 (Rev 5/2006)

OMB No. 0651-0055 (Exp 07/31/2018)

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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: 1959633
REGISTRATION DATE: 03/05/1996

MARK: TRUFORM

The owner, Surgical Appliance Industries, Inc., a corporation of Ohio, having an address of
      3960 Rosslyn Drive
      Cincinnati, Ohio 45209
      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 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: medical compression hosiery, namely surgical hose, anti-embolism hose, support pantyhose, and legotards; elastic hose supporters; lower limb prosthetic supplies, namely stump shrinkers, suspension belts and sleeves and sheaths; men's medical supports, namely sacro-iliac supports, lumbo-sacral supports, and dorso-lumbar supports; medical abdominal supports, namely obesity supports, post-operative supports, and hernia supports; accessories for men's medical supports, namely Taylor inserts, Cook shingles, sacral pads, hernia pads, perineal straps and attachments, semi-rigid stays for use with medical abdominal supports, and stay bending tools to form stays to the desired shape for use with medical abdominal supports; women's medical supports, namely sacro-iliac supports, lumbo-sacral supports, dorso-lumbar supports, and post-operative abdominal supports; accessories for medical supports, namely Taylor inserts, Cook shingles, sacral pads, hernia pads, crotch pieces, perineal straps, hose supporters, semi-rigid stays for use with medical abdominal supports, and stay bending tools to form stays to the desired shape for use with women's medical abdominal supports; Trochanter belts, hyperextension orthoses, post-operative binders, rib fracture supports, shoulder/arm immobilizers, and clavicle splints; pediatric supports, namely Pavlik harnesses, hip abduction orthoses, and component parts, namely shoe plates and spreader bars; spinal orthoses, lumbo-sacral overlap jackets, cervical collars, cervical orthoses, and sterno occipital mandibular immobilizers; cervical traction kits and components, namely head halters, spreader bars, door hanger apparatus, and water weight bags; pelvic traction kits and components, namely hanger apparatus, spreader bars, water weight bags, traction belts, and traction anklets; medical knee supports and accessories, namely hinged bars, drop locks, sleeves and covers; medical thigh supports, knee immobilizers and rehabilitation orthoses; medical ankle supports, namely ankle stabilizers, ankle splints, ankle orthoses, short leg walkers, ankle-foot orthoses, and controlled ankle motion walker; fracture braces, rehabilitation elbow orthoses, medical elbow supports, wrist-forearm splints, wrist splints and supports, thumb immobilizers, thumb splints, wrist-hand orthoses; medical truss parts, namely fastening straps and fasteners, bars, pads, perineal straps, and webbing; knee, elbow, foot, and body warmers for medical use; anatomical supports for medical use, namely trusses for medical use and parts thereof, men's abdominal support belts and parts thereof for medical use, supports for male genitalia for medical use; supports for testicles for medical use, medical braces for wrist, knee and ankle, medical traction apparatus, rib belts, posture correctors, hospital binders, and parts thereof; maternity supports, women's back supporting garments for medical use, women's ptosis, hernia, uterine and London supports, women's obesity supports for medical use ; 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) Retail carton.
Specimen File1
The registrant's current Correspondence Information: of  SURGICAL APPLIANCE INDUSTRIES INC
      3960 ROSSYLYN DR
      CINCINNATI, Ohio (OH) 45209
      United States


The registrant's proposed Correspondence Information: Surgical Appliance Industries, Inc.
      3960 Rosslyn Drive
      CINCINNATI, Ohio (OH) 45209
      United States



The phone number is 513-271-4594.

The email address is rstautberg@saibrands.com.

A fee payment in the amount of $400 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: /Rick Stautberg/      Date: 04/01/2015
Signatory's Name: Rick Stautberg
Signatory's Position: Manager
Signatory's Phone Number: 513-271-4594

Serial Number: 74510419
Internet Transmission Date: Wed Apr 01 10:14:35 EDT 2015
TEAS Stamp: USPTO/S08N09-XX.XXX.XXX.XXX-201504011014
35415794-1959633-530ead09d825d7c117be6ea
27f0e57be7388329ca6abba977bd1f88631b1bc3
61-CC-8482-20150401092420547158