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 |
2541580 |
REGISTRATION DATE |
02/19/2002 |
SERIAL NUMBER |
76037490 |
MARK SECTION |
MARK |
HEARTWARE |
CORRESPONDENCE SECTION (current) |
NAME |
DAVID M CARTER |
FIRM NAME |
CARTER SCHNEDLER & MONTEITH, PA |
INTERNAL ADDRESS |
56 CENTRAL AVE #103, P.O. BOX 2958 |
STREET |
STE 101 |
CITY |
ASHEVILLE |
STATE |
North Carolina |
POSTAL CODE |
28802 |
COUNTRY |
United States |
CORRESPONDENCE SECTION (proposed) |
NAME |
Diehl, Berlinda E. |
STREET |
106 Stonewall Avenue |
CITY |
Swannanoa |
STATE |
North Carolina |
POSTAL CODE |
28778 |
COUNTRY |
United States |
PHONE |
(828) 686-1900 |
EMAIL |
heartware@charter.net |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
035 |
GOODS OR SERVICES |
RETAIL STORES FEATURING COMPUTER SYSTEMS |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT11\IMAGEOUT 11\760\374\76037490\xml2\ S890002.JPG |
|
\\TICRS\EXPORT11\IMAGEOUT 11\760\374\76037490\xml2\ S890003.JPG |
SPECIMEN DESCRIPTION |
Digitally photographed T-shirt with Heartware mark, business cards, pens, business invoice, business directory ad and commercial storefront
sign |
OWNER SECTION (current) |
NAME |
Diehl, Berlinda E. |
STREET |
106 Stonewall Avenue |
CITY |
Swannanoa |
STATE |
North Carolina |
ZIP/POSTAL CODE |
28778 |
COUNTRY |
United States |
OWNER SECTION (proposed) |
NAME |
Diehl, Berlinda E. |
STREET |
106 Stonewall Avenue |
CITY |
Swannanoa |
STATE |
North Carolina |
ZIP/POSTAL CODE |
28778 |
COUNTRY |
United States |
PHONE |
(828) 686-1900 |
LEGAL ENTITY SECTION (current) |
TYPE |
individual |
COUNTRY OF CITIZENSHIP |
United States |
PAYMENT SECTION |
NUMBER OF CLASSES |
1 |
NUMBER OF CLASSES PAID |
1 |
SUBTOTAL AMOUNT |
500 |
TOTAL FEE PAID |
500 |
SIGNATURE SECTION |
SIGNATURE |
/BED/ |
SIGNATORY'S NAME |
Berlind Eleanor Diehl |
SIGNATORY'S POSITION |
Owner |
DATE SIGNED |
02/08/2012 |
SIGNATORY'S PHONE NUMBER |
(828) 686-1900 |
PAYMENT METHOD |
CC |
FILING INFORMATION |
SUBMIT DATE |
Wed Feb 08 00:47:05 EST 2012 |
TEAS STAMP |
USPTO/S08N09-XX.XX.XXX.XX
-20120208004705335111-254
1580-4905511f361f7842e309
7f64d877861ba51-CC-7431-2
0120208000836367008 |
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: 2541580
REGISTRATION DATE: 02/19/2002
MARK: HEARTWARE
The owner, Berlinda E Diehl, a citizen of United States, having an address of
106 Stonewall Avenue
Swannanoa, North Carolina 28778
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 035, 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: RETAIL STORES FEATURING COMPUTER SYSTEMS ; 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) Digitally photographed T-shirt with Heartware
mark, business cards, pens, business invoice, business directory ad and commercial storefront sign.
Specimen File1
Specimen File2
The registrant's current Correspondence Information: DAVID M CARTER of CARTER SCHNEDLER & MONTEITH, PA
56 CENTRAL AVE #103, P.O. BOX 2958
STE 101
ASHEVILLE, North Carolina (NC) 28802
United States
The registrant's proposed Correspondence Information: Diehl, Berlinda E.
106 Stonewall Avenue
Swannanoa, North Carolina (NC) 28778
United States
The phone number is (828) 686-1900.
The email address is heartware@charter.net.
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 and/or services identified above, as evidenced by the attached
specimen(s) showing the mark as used in commerce.
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.
Section 9: Application for Renewal
The registrant requests that the registration be renewed for the goods/services/collective organization identified above.
Signature: /BED/ Date: 02/08/2012
Signatory's Name: Berlind Eleanor Diehl
Signatory's Position: Owner
Signatory's Phone Number: (828) 686-1900
Serial Number: 76037490
Internet Transmission Date: Wed Feb 08 00:47:05 EST 2012
TEAS Stamp: USPTO/S08N09-XX.XX.XXX.XX-20120208004705
335111-2541580-4905511f361f7842e3097f64d
877861ba51-CC-7431-20120208000836367008