| 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 |
2507019 |
| REGISTRATION DATE |
11/13/2001 |
| SERIAL NUMBER |
76214701 |
| MARK SECTION |
| MARK |
ACVD (stylized and/or with design) |
| CORRESPONDENCE SECTION (current) |
| NAME |
ROBERT E. BROWNE |
| FIRM NAME |
NEAL, GERBER & EISENBERG LLP |
| INTERNAL ADDRESS |
SUITE 2200 |
| STREET |
2 NORTH LASALLE STREET |
| CITY |
CHICAGO |
| STATE |
Illinois |
| POSTAL CODE |
60602 |
| COUNTRY |
United States |
| PHONE |
(312) 269-5225 |
| FAX |
(312) 269-1747 |
| EMAIL |
rbrowne@ngelaw.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
American College of Veterinary Dermatology |
| STREET |
11835 Forest Knolls Ct. |
| CITY |
Nevada City |
| STATE |
California |
| POSTAL CODE |
95959 |
| COUNTRY |
United States |
| EMAIL |
rbrowne@ngelaw.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
200 |
| GOODS OR SERVICES |
indicate Membership in an organization of veterinary dermatology medicine professionals |
| SPECIMEN FILE NAME(S) |
| ORIGINAL PDF FILE |
SPN0-3811514866-171916463_._Specimen.pdf |
CONVERTED PDF FILE(S)
(1 page) |
\\TICRS\EXPORT11\IMAGEOUT11\762\147\76214701\xml1\S890002.JPG |
| SPECIMEN DESCRIPTION |
Blank certificate of membership |
| OWNER SECTION (current) |
| NAME |
American College of Veterinary Dermatology |
| STREET |
5610 Kearny Mesa Road |
| CITY |
San Diego |
| STATE |
California |
| ZIP/POSTAL CODE |
92111 |
| COUNTRY |
United States |
| OWNER SECTION (proposed) |
| NAME |
American College of Veterinary Dermatology |
| STREET |
11835 Forest Knolls Ct. |
| CITY |
Nevada City |
| STATE |
California |
| ZIP/POSTAL CODE |
95959 |
| COUNTRY |
United States |
| EMAIL |
XXXX |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| LEGAL ENTITY SECTION (current) |
| TYPE |
NOT-FOR-PROFIT CORPORATION |
| STATE/COUNTRY WHERE LEGALLY ORGANIZED |
Illinois |
| LEGAL ENTITY SECTION (proposed) |
| TYPE |
NOT-FOR-PROFIT CORPORATION |
| STATE/COUNTRY WHERE LEGALLY ORGANIZED |
Illinois |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
500 |
| TOTAL FEE PAID |
500 |
| SIGNATURE SECTION |
| SIGNATURE |
/Alexis Borich/ |
| SIGNATORY'S NAME |
Alexis Borich |
| SIGNATORY'S POSITION |
Executive Secretary |
| DATE SIGNED |
11/11/2011 |
| PAYMENT METHOD |
DA |
| FILING INFORMATION |
| SUBMIT DATE |
Fri Nov 11 17:42:46 EST 2011 |
| TEAS STAMP |
USPTO/S08N09-XX.XXX.XXX.X
X-20111111174246781227-25
07019-480d346b867a532bdf5
62a632f71fe9a49-DA-12768-
20111111171916463254 |
| 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: 2507019
REGISTRATION DATE: 11/13/2001
MARK: (Stylized and/or with Design, ACVD)
The owner, American College of Veterinary Dermatology, NOT-FOR-PROFIT CORPORATION legally organized under the laws of Illinois, having an address of
11835 Forest Knolls Ct.
Nevada City, California 95959
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 200, 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: indicate Membership in
an organization of veterinary dermatology medicine professionals ; 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) Blank certificate of membership.
Original PDF file:
SPN0-3811514866-171916463_._Specimen.pdf
Converted PDF file(s) (1 page)
Specimen File1
The registrant's current Correspondence Information: ROBERT E. BROWNE of NEAL, GERBER & EISENBERG LLP
SUITE 2200
2 NORTH LASALLE STREET
CHICAGO, Illinois (IL) 60602
United States (USX)
The registrant's proposed Correspondence Information: American College of Veterinary Dermatology
11835 Forest Knolls Ct.
Nevada City, California (CA) 95959
United States (USX)
The email address is rbrowne@ngelaw.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: /Alexis Borich/ Date: 11/11/2011
Signatory's Name: Alexis Borich
Signatory's Position: Executive Secretary
Serial Number: 76214701
Internet Transmission Date: Fri Nov 11 17:42:46 EST 2011
TEAS Stamp: USPTO/S08N09-XX.XXX.XXX.XX-2011111117424
6781227-2507019-480d346b867a532bdf562a63
2f71fe9a49-DA-12768-20111111171916463254
