| 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 |
2606777 |
| REGISTRATION DATE |
08/13/2002 |
| SERIAL NUMBER |
76138113 |
| MARK SECTION |
| MARK |
ZELPI |
| ATTORNEY SECTION (current) |
| NAME |
M. Lawrence Oliverio |
| FIRM NAME |
RISSMAN, JOBSE, HENDRICKS & OLIVERIO LLP |
| INTERNAL ADDRESS |
100 CAMBRIDGE STREET |
| STREET |
SUITE 2101 |
| CITY |
BOSTON |
| STATE |
Massachusetts |
| POSTAL CODE |
02114 |
| COUNTRY |
United States |
| PHONE |
6173674600 |
| FAX |
6173674656 |
| EMAIL |
loliverio@rjholaw.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| ATTORNEY SECTION (proposed) |
| NAME |
M. Lawrence Oliverio |
| FIRM NAME |
RISSMAN HENDRICKS & OLIVERIO LLP |
| INTERNAL ADDRESS |
100 CAMBRIDGE STREET |
| STREET |
SUITE 2101 |
| CITY |
BOSTON |
| STATE |
Massachusetts |
| POSTAL CODE |
02114 |
| COUNTRY |
United States |
| PHONE |
6173674600 |
| FAX |
6173674656 |
| EMAIL |
loliverio@rhoiplaw.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
L018-2000US0 |
| CORRESPONDENCE SECTION (current) |
| NAME |
M. LAWRENCE OLIVERIO |
| FIRM NAME |
RISSMAN, JOBSE, HENDRICKS & OLIVERIO LLP |
| INTERNAL ADDRESS |
100 CAMBRIDGE STREET |
| STREET |
SUITE 2101 |
| CITY |
BOSTON |
| STATE |
Massachusetts |
| POSTAL CODE |
02114 |
| COUNTRY |
United States |
| PHONE |
6173674600 |
| FAX |
6173674656 |
| EMAIL |
loliverio@rjholaw.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
M. LAWRENCE OLIVERIO |
| FIRM NAME |
RISSMAN HENDRICKS & OLIVERIO LLP |
| INTERNAL ADDRESS |
100 CAMBRIDGE STREET |
| STREET |
SUITE 2101 |
| CITY |
BOSTON |
| STATE |
Massachusetts |
| POSTAL CODE |
02114 |
| COUNTRY |
United States |
| PHONE |
6173674600 |
| FAX |
6173674656 |
| EMAIL |
loliverio@rhoiplaw.com;cheath@rhoiplaw.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
L018-2000US0 |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
010 |
| GOODS OR SERVICES |
tools, namely surgical pliers |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\761\381\76138113\xml1\ S890002.JPG |
| SPECIMEN DESCRIPTION |
photo |
| MISCELLANEOUS STATEMENT |
Free text not entered by the applicant. |
| |
\\TICRS\EXPORT16\IMAGEOUT 16\761\381\76138113\xml1\ S890003.JPG |
| OWNER SECTION (current) |
| NAME |
Life Instrument Corporation |
| STREET |
14 Wood Road |
| CITY |
Braintree |
| STATE |
Massachusetts |
| ZIP/POSTAL CODE |
02184 |
| COUNTRY |
United States |
| LEGAL ENTITY SECTION (current) |
| TYPE |
corporation |
| STATE/COUNTRY OF INCORPORATION |
Massachusetts |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
500 |
| TOTAL FEE PAID |
500 |
| SIGNATURE SECTION |
| SIGNATURE |
/M. Lawrence Oliverio/ |
| SIGNATORY'S NAME |
M. Lawrence Oliverio |
| SIGNATORY'S POSITION |
Attorney of Record |
| DATE SIGNED |
07/18/2012 |
| SIGNATORY'S PHONE NUMBER |
617-367-4600 |
| PAYMENT METHOD |
CC |
| FILING INFORMATION |
| SUBMIT DATE |
Wed Jul 18 11:10:12 EDT 2012 |
| TEAS STAMP |
USPTO/S08N09-XX.XXX.XXX.X
X-20120718111012211287-26
06777-49050bfcb6431bca71e
285ac2628f6cf1d9-CC-8913-
20120718105519803653 |
| 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: 2606777
REGISTRATION DATE: 08/13/2002
MARK: ZELPI
The owner, Life Instrument Corporation, a corporation of Massachusetts, having an address of
14 Wood Road
Braintree, Massachusetts 02184
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: tools, namely surgical pliers ; 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) photo.
Specimen File1
MISCELLANEOUS STATEMENTS
Free text not entered by the applicant.
Miscellaneous File1
The registrant's current Attorney Information: M. Lawrence Oliverio of RISSMAN, JOBSE, HENDRICKS & OLIVERIO LLP
100 CAMBRIDGE STREET
SUITE 2101
BOSTON, Massachusetts (MA) 02114
United States
The registrant's proposed Attorney Information: M. Lawrence Oliverio of RISSMAN HENDRICKS & OLIVERIO LLP
100 CAMBRIDGE STREET
SUITE 2101
BOSTON, Massachusetts (MA) 02114
United States
The docket/reference number is L018-2000US0.
The phone number is 6173674600.
The fax number is 6173674656.
The email address is loliverio@rhoiplaw.com.
The registrant's current Correspondence Information: M. LAWRENCE OLIVERIO of RISSMAN, JOBSE, HENDRICKS & OLIVERIO LLP
100 CAMBRIDGE STREET
SUITE 2101
BOSTON, Massachusetts (MA) 02114
United States
The registrant's proposed Correspondence Information: M. LAWRENCE OLIVERIO of RISSMAN HENDRICKS & OLIVERIO LLP
100 CAMBRIDGE STREET
SUITE 2101
BOSTON, Massachusetts (MA) 02114
United States
The docket/reference number is L018-2000US0.
The phone number is 6173674600.
The fax number is 6173674656.
The email address is loliverio@rhoiplaw.com;cheath@rhoiplaw.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: /M. Lawrence Oliverio/ Date: 07/18/2012
Signatory's Name: M. Lawrence Oliverio
Signatory's Position: Attorney of Record
Signatory's Phone Number: 617-367-4600
Mailing Address
(current):
RISSMAN, JOBSE, HENDRICKS & OLIVERIO LLP
SUITE 2101
BOSTON, Massachusetts 02114
Mailing Address
(proposed):
RISSMAN HENDRICKS & OLIVERIO LLP
SUITE 2101
BOSTON, Massachusetts 02114
Serial Number: 76138113
Internet Transmission Date: Wed Jul 18 11:10:12 EDT 2012
TEAS Stamp: USPTO/S08N09-XX.XXX.XXX.XX-2012071811101
2211287-2606777-49050bfcb6431bca71e285ac
2628f6cf1d9-CC-8913-20120718105519803653
