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 |
2520122 |
REGISTRATION DATE |
12/18/2001 |
SERIAL NUMBER |
76250929 |
MARK SECTION |
MARK |
MERITS (stylized and/or with design) |
ATTORNEY SECTION (current) |
NAME |
Charles J. Prescott |
FIRM NAME |
CHARLES J. PRESCOTT, P.A. |
STREET |
2033 WOOD STREET, SUITE 115 |
CITY |
SARASOTA |
STATE |
Florida |
POSTAL CODE |
34237 |
COUNTRY |
United States |
PHONE |
941-957-4208 |
FAX |
941-957-4210 |
ATTORNEY SECTION (proposed) |
NAME |
Charles J. Prescott |
FIRM NAME |
CHARLES J. PRESCOTT, P.A. |
STREET |
2033 WOOD STREET, SUITE 115 |
CITY |
SARASOTA |
STATE |
Florida |
POSTAL CODE |
34237 |
COUNTRY |
United States |
PHONE |
941-957-4208 |
FAX |
941-957-4210 |
EMAIL |
cj.prescott@verizon.net |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
CORRESPONDENCE SECTION (current) |
NAME |
CHARLES J. PRESCOTT |
FIRM NAME |
CHARLES J. PRESCOTT, P.A. |
STREET |
2033 WOOD STREET, SUITE 115 |
CITY |
SARASOTA |
STATE |
Florida |
POSTAL CODE |
34237 |
COUNTRY |
United States |
PHONE |
941-957-4208 |
FAX |
941-957-4210 |
CORRESPONDENCE SECTION (proposed) |
NAME |
CHARLES J. PRESCOTT |
FIRM NAME |
CHARLES J. PRESCOTT, P.A. |
STREET |
2033 WOOD STREET, SUITE 115 |
CITY |
SARASOTA |
STATE |
Florida |
POSTAL CODE |
34237 |
COUNTRY |
United States |
PHONE |
941-957-4208 |
FAX |
941-957-4210 |
EMAIL |
cj.prescott@verizon.net |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
012 |
GOODS OR SERVICES |
Manual wheelchairs and electrically powered personal mobility vehicles in the nature of electrically powered scooters for use principally by
elderly, infirmed and disabled persons |
SPECIMEN FILE NAME(S) |
ORIGINAL PDF FILE |
SPN0-1737813274-122739483_._T1546_Specimen_1.pdf |
CONVERTED PDF FILE(S)
(1 page) |
\\TICRS\EXPORT11\IMAGEOUT11\762\509\76250929\xml1\S890002.JPG |
ORIGINAL PDF FILE |
SPN0-1737813274-122739483_._T1546_Specimen_2.pdf |
CONVERTED PDF FILE(S)
(1 page) |
\\TICRS\EXPORT11\IMAGEOUT11\762\509\76250929\xml1\S890003.JPG |
SPECIMEN DESCRIPTION |
scanned photos |
OWNER SECTION (current) |
NAME |
Merits Health Products, Inc. |
STREET |
P. O. Box 1505356 |
CITY |
Cape Coral |
STATE |
Florida |
ZIP/POSTAL CODE |
33915 |
COUNTRY |
United States |
OWNER SECTION (proposed) |
NAME |
Merits Health Products, Inc. |
STREET |
730 N.E. 19th Place |
CITY |
Cape Coral |
STATE |
Florida |
ZIP/POSTAL CODE |
33909 |
COUNTRY |
United States |
LEGAL ENTITY SECTION (current) |
TYPE |
corporation |
STATE/COUNTRY OF INCORPORATION |
Florida |
PAYMENT SECTION |
NUMBER OF CLASSES |
1 |
NUMBER OF CLASSES PAID |
1 |
SUBTOTAL AMOUNT |
500 |
TOTAL FEE PAID |
500 |
SIGNATURE SECTION |
SIGNATURE |
//charles j prescott/ |
SIGNATORY'S NAME |
Charles J. Prescott |
SIGNATORY'S POSITION |
Attorney of record, Florida bar member |
DATE SIGNED |
08/26/2011 |
PAYMENT METHOD |
ET |
FILING INFORMATION |
SUBMIT DATE |
Fri Aug 26 13:54:18 EDT 2011 |
TEAS STAMP |
USPTO/S08N09-XXX.XX.XXX.X
X-20110826135418860363-25
20122-4802cc546d6df9c44f9
d437ebedcd8b5cd4-ET-12842
-20110826122739483542 |
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: 2520122
REGISTRATION DATE: 12/18/2001
MARK: (Stylized and/or with Design, MERITS)
The owner, Merits Health Products, Inc., a corporation of Florida, having an address of
730 N.E. 19th Place
Cape Coral, Florida 33909
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 012, 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: Manual wheelchairs and
electrically powered personal mobility vehicles in the nature of electrically powered scooters for use principally by elderly, infirmed and disabled persons ; 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) scanned photos.
Original PDF file:
SPN0-1737813274-122739483_._T1546_Specimen_1.pdf
Converted PDF file(s) (1 page)
Specimen File1
Original PDF file:
SPN0-1737813274-122739483_._T1546_Specimen_2.pdf
Converted PDF file(s) (1 page)
Specimen File1
The registrant's current Attorney Information: Charles J. Prescott of CHARLES J. PRESCOTT, P.A.
2033 WOOD STREET, SUITE 115
SARASOTA, Florida (FL) 34237
United States (USX)
The registrant's proposed Attorney Information: Charles J. Prescott of CHARLES J. PRESCOTT, P.A.
2033 WOOD STREET, SUITE 115
SARASOTA, Florida (FL) 34237
United States (USX)
The phone number is 941-957-4208.
The fax number is 941-957-4210.
The email address is cj.prescott@verizon.net.
The registrant's current Correspondence Information: CHARLES J. PRESCOTT of CHARLES J. PRESCOTT, P.A.
2033 WOOD STREET, SUITE 115
SARASOTA, Florida (FL) 34237
United States (USX)
The registrant's proposed Correspondence Information: CHARLES J. PRESCOTT of CHARLES J. PRESCOTT, P.A.
2033 WOOD STREET, SUITE 115
SARASOTA, Florida (FL) 34237
United States (USX)
The phone number is 941-957-4208.
The fax number is 941-957-4210.
The email address is cj.prescott@verizon.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 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: //charles j prescott/ Date: 08/26/2011
Signatory's Name: Charles J. Prescott
Signatory's Position: Attorney of record, Florida bar member
Mailing Address
(current):
CHARLES J. PRESCOTT, P.A.
2033 WOOD STREET, SUITE 115
SARASOTA, Florida 34237
Mailing Address
(proposed):
CHARLES J. PRESCOTT, P.A.
2033 WOOD STREET, SUITE 115
SARASOTA, Florida 34237
Serial Number: 76250929
Internet Transmission Date: Fri Aug 26 13:54:18 EDT 2011
TEAS Stamp: USPTO/S08N09-XXX.XX.XXX.XX-2011082613541
8860363-2520122-4802cc546d6df9c44f9d437e
bedcd8b5cd4-ET-12842-2011082612273948354
2