| 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 |
2540530 |
| REGISTRATION DATE |
02/19/2002 |
| SERIAL NUMBER |
76304699 |
| MARK SECTION |
| MARK |
VERSADERM |
| ATTORNEY SECTION (current) |
| NAME |
Linda D. Kennedy |
| FIRM NAME |
RADER, FISHMAN & GRAUER PLLC |
| STREET |
39533 WOODWARD AVE., STE. 140 |
| CITY |
BLOOMFIELD HILLS |
| STATE |
Michigan |
| POSTAL CODE |
48304 |
| COUNTRY |
United States |
| PHONE |
2485940600 |
| FAX |
2485940610 |
| EMAIL |
tmdocketing@raderfishman.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| ATTORNEY SECTION (proposed) |
| NAME |
Linda D. Kennedy |
| FIRM NAME |
RADER, FISHMAN & GRAUER PLLC |
| STREET |
39533 WOODWARD AVE., STE. 140 |
| CITY |
BLOOMFIELD HILLS |
| STATE |
Michigan |
| POSTAL CODE |
48304 |
| COUNTRY |
United States |
| PHONE |
2485940600 |
| FAX |
2485940610 |
| EMAIL |
tmdocketing@raderfishman.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
67167-0035 |
| OTHER APPOINTED ATTORNEY |
All other attorneys associated with customer number 010291 |
| CORRESPONDENCE SECTION (current) |
| NAME |
LINDA D. KENNEDY |
| FIRM NAME |
RADER, FISHMAN & GRAUER PLLC |
| STREET |
39533 WOODWARD AVE., STE. 140 |
| CITY |
BLOOMFIELD HILLS |
| STATE |
Michigan |
| POSTAL CODE |
48304 |
| COUNTRY |
United States |
| PHONE |
2485940600 |
| FAX |
2485940610 |
| EMAIL |
tmdocketing@raderfishman.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
LINDA D. KENNEDY |
| FIRM NAME |
RADER, FISHMAN & GRAUER PLLC |
| STREET |
39533 WOODWARD AVE., STE. 140 |
| CITY |
BLOOMFIELD HILLS |
| STATE |
Michigan |
| POSTAL CODE |
48304 |
| COUNTRY |
United States |
| PHONE |
2485940600 |
| FAX |
2485940610 |
| EMAIL |
tmdocketing@raderfishman.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
67167-0035 |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
005 |
| GOODS OR SERVICES |
INTRAVENOUS WOUND COVERING |
| SPECIMEN FILE NAME(S) |
| ORIGINAL PDF FILE |
SPN0-1219918730-151804537_._R0980319.PDF |
CONVERTED PDF FILE(S)
(1 page) |
\\TICRS\EXPORT11\IMAGEOUT11\763\046\76304699\xml2\S890002.JPG |
| SPECIMEN DESCRIPTION |
Promotional material bearing the mark in connection with the goods |
| OWNER SECTION (current) |
| NAME |
CENTURION MEDICAL PRODUCTS CORPORATION |
| STREET |
100 CENTURION WAY |
| CITY |
WILLIAMSTOWN |
| STATE |
Michigan |
| ZIP/POSTAL CODE |
48895 |
| COUNTRY |
United States |
| LEGAL ENTITY SECTION (current) |
| TYPE |
corporation |
| STATE/COUNTRY OF INCORPORATION |
Michigan |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
500 |
| TOTAL FEE PAID |
500 |
| SIGNATURE SECTION |
| SIGNATURE |
/Bill C. Panagos/ |
| SIGNATORY'S NAME |
Bill C. Panagos |
| SIGNATORY'S POSITION |
Attorney |
| DATE SIGNED |
02/17/2012 |
| PAYMENT METHOD |
DA |
| FILING INFORMATION |
| SUBMIT DATE |
Fri Feb 17 15:23:29 EST 2012 |
| TEAS STAMP |
USPTO/S08N09-XX.XXX.XXX.X
X-20120217152329480543-25
40530-490f58d9cc67ec66e4f
6a58869aa42fa-DA-1962-201
20217151804537808 |
| 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: 2540530
REGISTRATION DATE: 02/19/2002
MARK: VERSADERM
The owner, CENTURION MEDICAL PRODUCTS CORPORATION, a corporation of Michigan, having an address of
100 CENTURION WAY
WILLIAMSTOWN, Michigan 48895
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 005, 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: INTRAVENOUS WOUND COVERING ; 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) Promotional material bearing the mark in
connection with the goods.
Original PDF file:
SPN0-1219918730-151804537_._R0980319.PDF
Converted PDF file(s) (1 page)
Specimen File1
The registrant's current Attorney Information: Linda D. Kennedy of RADER, FISHMAN & GRAUER PLLC
39533 WOODWARD AVE., STE. 140
BLOOMFIELD HILLS, Michigan (MI) 48304
United States
The registrant's proposed Attorney Information: Linda D. Kennedy of RADER, FISHMAN & GRAUER PLLC
39533 WOODWARD AVE., STE. 140
BLOOMFIELD HILLS, Michigan (MI) 48304
United States
The docket/reference number is 67167-0035.
The Other Appointed Attorney(s): All other attorneys associated with customer number 010291.
The phone number is 2485940600.
The fax number is 2485940610.
The email address is tmdocketing@raderfishman.com.
The registrant's current Correspondence Information: LINDA D. KENNEDY of RADER, FISHMAN & GRAUER PLLC
39533 WOODWARD AVE., STE. 140
BLOOMFIELD HILLS, Michigan (MI) 48304
United States
The registrant's proposed Correspondence Information: LINDA D. KENNEDY of RADER, FISHMAN & GRAUER PLLC
39533 WOODWARD AVE., STE. 140
BLOOMFIELD HILLS, Michigan (MI) 48304
United States
The docket/reference number is 67167-0035.
The phone number is 2485940600.
The fax number is 2485940610.
The email address is tmdocketing@raderfishman.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: /Bill C. Panagos/ Date: 02/17/2012
Signatory's Name: Bill C. Panagos
Signatory's Position: Attorney
Mailing Address
(current):
RADER, FISHMAN & GRAUER PLLC
39533 WOODWARD AVE., STE. 140
BLOOMFIELD HILLS, Michigan 48304
Mailing Address
(proposed):
RADER, FISHMAN & GRAUER PLLC
39533 WOODWARD AVE., STE. 140
BLOOMFIELD HILLS, Michigan 48304
Serial Number: 76304699
Internet Transmission Date: Fri Feb 17 15:23:29 EST 2012
TEAS Stamp: USPTO/S08N09-XX.XXX.XXX.XX-2012021715232
9480543-2540530-490f58d9cc67ec66e4f6a588
69aa42fa-DA-1962-20120217151804537808
