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 |
2428572 |
REGISTRATION DATE |
02/13/2001 |
SERIAL NUMBER |
76019524 |
MARK SECTION |
MARK |
DBC (stylized and/or with design) |
ATTORNEY SECTION (current) |
NAME |
Lewis F. Gould, Jr. |
FIRM NAME |
DUANE MORRIS LLP |
STREET |
30 SOUTH 17TH ST. |
CITY |
PHILADELPHIA |
STATE |
Pennsylvania |
POSTAL CODE |
19103 |
COUNTRY |
United States |
ATTORNEY SECTION (proposed) |
NAME |
Lewis F. Gould, Jr. |
FIRM NAME |
DUANE MORRIS LLP |
STREET |
30 SOUTH 17TH STREET |
CITY |
PHILADELPHIA |
STATE |
Pennsylvania |
POSTAL CODE |
19103 |
COUNTRY |
United States |
PHONE |
215-979-1282 |
FAX |
215-689-2410 |
EMAIL |
Lfgould@duanemorris.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
D4697-00007 |
OTHER APPOINTED ATTORNEY |
DUANE MORRIS LLP |
CORRESPONDENCE SECTION (current) |
NAME |
LEWIS F. GOULD, JR. |
FIRM NAME |
DUANE MORRIS LLP |
STREET |
30 SOUTH 17TH ST. |
CITY |
PHILADELPHIA |
STATE |
Pennsylvania |
POSTAL CODE |
19103 |
COUNTRY |
United States |
CORRESPONDENCE SECTION (proposed) |
NAME |
LEWIS F. GOULD, JR. |
FIRM NAME |
DUANE MORRIS LLP |
STREET |
30 SOUTH 17TH STREET |
CITY |
PHILADELPHIA |
STATE |
Pennsylvania |
POSTAL CODE |
19103 |
COUNTRY |
United States |
PHONE |
215-979-1282 |
FAX |
215-689-2410 |
EMAIL |
Lfgould@duanemorris.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
D4697-00007 |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
009 |
GOODS OR SERVICES |
Computer software and hardware for use in the field of medical practice management, billing systems and customer database systems |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT11\IMAGEOUT 11\760\195\76019524\xml1\ S890002.JPG |
SPECIMEN DESCRIPTION |
CD WITH MARK PRINTED THEREON |
OWNER SECTION (current) |
NAME |
DB Consultants, Inc. |
STREET |
198 Tabor Road |
CITY |
Ottsville |
STATE |
Pennsylvania |
ZIP/POSTAL CODE |
18942 |
COUNTRY |
United States |
LEGAL ENTITY SECTION (current) |
TYPE |
corporation |
STATE/COUNTRY OF INCORPORATION |
Pennsylvania |
PAYMENT SECTION |
NUMBER OF CLASSES |
1 |
NUMBER OF CLASSES PAID |
1 |
SUBTOTAL AMOUNT |
500 |
TOTAL FEE PAID |
500 |
SIGNATURE SECTION |
SIGNATURE |
/lfg/ |
SIGNATORY'S NAME |
LEWIS F. GOULD, JR. |
SIGNATORY'S POSITION |
ATTORNEY OF RECORD, MEMBER OF PA BAR |
DATE SIGNED |
10/14/2010 |
PAYMENT METHOD |
DA |
FILING INFORMATION |
SUBMIT DATE |
Thu Oct 14 16:04:44 EDT 2010 |
TEAS STAMP |
USPTO/S08N09-XX.XXX.XX.XX
X-20101014160444152939-24
28572-4708a5c33b0c4c9b844
6e21a3c43c12d5db-DA-2435-
20101014160006139791 |
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: 2428572
REGISTRATION DATE: 02/13/2001
MARK: (Stylized and/or with Design, DBC)
The owner, DB Consultants, Inc., a corporation of Pennsylvania, having an address of
198 Tabor Road
Ottsville, Pennsylvania 18942
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 009, 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: Computer software and
hardware for use in the field of medical practice management, billing systems and customer database systems ; 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) CD WITH MARK PRINTED THEREON.
Specimen File1
The registrant's current Attorney Information: Lewis F. Gould, Jr. of DUANE MORRIS LLP
30 SOUTH 17TH ST.
PHILADELPHIA, Pennsylvania (PA) 19103
United States (USX)
The registrant's proposed Attorney Information: Lewis F. Gould, Jr. of DUANE MORRIS LLP
30 SOUTH 17TH STREET
PHILADELPHIA, Pennsylvania (PA) 19103
United States (USX)
The docket/reference number is D4697-00007.
The phone number is 215-979-1282.
The fax number is 215-689-2410.
The email address is Lfgould@duanemorris.com.
The registrant's current Correspondence Information: LEWIS F. GOULD, JR. of DUANE MORRIS LLP
30 SOUTH 17TH ST.
PHILADELPHIA, Pennsylvania (PA) 19103
United States (USX)
The registrant's proposed Correspondence Information: LEWIS F. GOULD, JR. of DUANE MORRIS LLP
30 SOUTH 17TH STREET
PHILADELPHIA, Pennsylvania (PA) 19103
United States (USX)
The docket/reference number is D4697-00007.
The phone number is 215-979-1282.
The fax number is 215-689-2410.
The email address is Lfgould@duanemorris.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: /lfg/ Date: 10/14/2010
Signatory's Name: LEWIS F. GOULD, JR.
Signatory's Position: ATTORNEY OF RECORD, MEMBER OF PA BAR
Mailing Address
(current):
DUANE MORRIS LLP
30 SOUTH 17TH ST.
PHILADELPHIA, Pennsylvania 19103
Mailing Address
(proposed):
DUANE MORRIS LLP
30 SOUTH 17TH STREET
PHILADELPHIA, Pennsylvania 19103
Serial Number: 76019524
Internet Transmission Date: Thu Oct 14 16:04:44 EDT 2010
TEAS Stamp: USPTO/S08N09-XX.XXX.XX.XXX-2010101416044
4152939-2428572-4708a5c33b0c4c9b8446e21a
3c43c12d5db-DA-2435-20101014160006139791