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 |
2514829 |
REGISTRATION DATE |
12/04/2001 |
SERIAL NUMBER |
76133748 |
MARK SECTION |
MARK |
PROTOCOL TERTIARY NETWORKS |
ATTORNEY SECTION (no change) |
NAME |
Daniel A. Rosenberg |
FIRM NAME |
BRIGGS & MORGAN P.A. |
STREET |
2200 IDS CENTER, 80 S. 8TH STREET |
CITY |
MINNEAPOLIS |
STATE |
Minnesota |
POSTAL CODE |
55402 |
COUNTRY |
United States |
PHONE |
612-977-8795 |
FAX |
612-977-8650 |
EMAIL |
ip@briggs.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
ATTORNEY SECTION (proposed) |
NAME |
Daniel A. Rosenberg |
FIRM NAME |
BRIGGS & MORGAN P.A. |
STREET |
2200 IDS CENTER, 80 S. 8TH STREET |
CITY |
MINNEAPOLIS |
STATE |
Minnesota |
POSTAL CODE |
55402 |
COUNTRY |
United States |
PHONE |
612-977-8795 |
FAX |
612-977-8650 |
EMAIL |
ip@briggs.com |
CORRESPONDENCE SECTION (no change) |
NAME |
DANIEL A. ROSENBERG |
FIRM NAME |
BRIGGS & MORGAN P.A. |
STREET |
2200 IDS CENTER, 80 S. 8TH STREET |
CITY |
MINNEAPOLIS |
STATE |
Minnesota |
POSTAL CODE |
55402 |
COUNTRY |
United States |
PHONE |
612-977-8795 |
FAX |
612-977-8650 |
EMAIL |
ip@briggs.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
042 |
GOODS OR SERVICES |
HEALTH CARE UTILIZATION SERVICES; HEALTH CARE PRICING AND AVAILABILITY NEGOTIATION AND PROCUREMENT SERVICES; AND HEALTHCARE RESEARCH SERVICES,
NAMELY, PROVIDING CUSTOMIZED INFORMATION REGARDING TREATMENT, INSURANCE, AND PAYMENT OPTIONS TO HEALTHCARE PROVIDERS, INSURERS, AND CONSUMERS |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT11\IMAGEOUT 11\761\337\76133748\xml1\ S890002.JPG |
SPECIMEN DESCRIPTION |
Web page advertising of services |
OWNER SECTION (current) |
NAME |
Nelson, Mark L |
STREET |
1660 South Highway 100 |
CITY |
Minneapolis |
STATE |
Minnesota |
ZIP/POSTAL CODE |
55416 |
COUNTRY |
United States |
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 |
/Daniel A. Rosenberg/ |
SIGNATORY'S NAME |
Daniel A. Rosenberg |
SIGNATORY'S POSITION |
Attorney of Record |
DATE SIGNED |
12/05/2011 |
PAYMENT METHOD |
DA |
FILING INFORMATION |
SUBMIT DATE |
Mon Dec 05 11:27:41 EST 2011 |
TEAS STAMP |
USPTO/S08N09-XXX.XX.XXX.X
X-20111205112741376489-25
14829-490abfb594d684dcf23
222966de7d03017-DA-9101-2
0111205112429906133 |
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: 2514829
REGISTRATION DATE: 12/04/2001
MARK: PROTOCOL TERTIARY NETWORKS
The owner, Mark L Nelson, a citizen of United States, having an address of
1660 South Highway 100
Minneapolis, Minnesota 55416
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 042, 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: HEALTH CARE UTILIZATION SERVICES; HEALTH CARE PRICING AND AVAILABILITY NEGOTIATION AND PROCUREMENT SERVICES; AND HEALTHCARE RESEARCH SERVICES, NAMELY,
PROVIDING CUSTOMIZED INFORMATION REGARDING TREATMENT, INSURANCE, AND PAYMENT OPTIONS TO HEALTHCARE PROVIDERS, INSURERS, AND CONSUMERS ; 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) Web page advertising of services.
Specimen File1
The registrant's current Attorney Information: Daniel A. Rosenberg of BRIGGS & MORGAN P.A.
2200 IDS CENTER, 80 S. 8TH STREET
MINNEAPOLIS, Minnesota (MN) 55402
United States
The registrant's proposed Attorney Information: Daniel A. Rosenberg of BRIGGS & MORGAN P.A.
2200 IDS CENTER, 80 S. 8TH STREET
MINNEAPOLIS, Minnesota (MN) 55402
United States
The phone number is 612-977-8795.
The fax number is 612-977-8650.
The email address is ip@briggs.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 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: /Daniel A. Rosenberg/ Date: 12/05/2011
Signatory's Name: Daniel A. Rosenberg
Signatory's Position: Attorney of Record
Mailing Address
(current):
BRIGGS & MORGAN P.A.
2200 IDS CENTER, 80 S. 8TH STREET
MINNEAPOLIS, Minnesota 55402
Mailing Address
(proposed):
BRIGGS & MORGAN P.A.
2200 IDS CENTER, 80 S. 8TH STREET
MINNEAPOLIS, Minnesota 55402
Serial Number: 76133748
Internet Transmission Date: Mon Dec 05 11:27:41 EST 2011
TEAS Stamp: USPTO/S08N09-XXX.XX.XXX.XX-2011120511274
1376489-2514829-490abfb594d684dcf2322296
6de7d03017-DA-9101-20111205112429906133