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 |
2609650 |
REGISTRATION DATE |
08/20/2002 |
SERIAL NUMBER |
76318125 |
MARK SECTION |
MARK |
RAPID ONE |
CORRESPONDENCE SECTION (current) |
NAME |
AMERICAN BIO MEDICA |
FIRM NAME |
122 SMITH ROAD |
CITY |
KINDERHOOK |
STATE |
New York |
POSTAL CODE |
12106 |
COUNTRY |
United States |
CORRESPONDENCE SECTION (proposed) |
NAME |
AMERICAN BIO MEDICA |
INTERNAL ADDRESS |
Attn: Melissa A. Waterhouse |
STREET |
122 Smith Road |
CITY |
KINDERHOOK |
STATE |
New York |
POSTAL CODE |
12106 |
COUNTRY |
United States |
PHONE |
518-758-8158 |
FAX |
518-758-8171 |
EMAIL |
mdwaterhouse@abmc.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
005 |
GOODS OR SERVICES |
Urine test card for detecting drugs of abuse |
SPECIMEN FILE NAME(S) |
JPG FILE(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\763\181\76318125\xml2\ S890002.JPG |
ORIGINAL PDF FILE |
SPN0-122711670-145353332_._Rapid_ONE_webpage_8-15-12.pdf |
CONVERTED PDF FILE(S)
(1 page) |
\\TICRS\EXPORT16\IMAGEOUT16\763\181\76318125\xml2\S890003.JPG |
SPECIMEN DESCRIPTION |
1) Photo of Rapid One urine test card for drugs of abuse and 2) screen capture of ABMC webpage (which includes a photo of the Rapid
ONE). |
OWNER SECTION (current) |
NAME |
AMERICAN BIO MEDICA |
STREET |
122 Smith Road |
CITY |
Kinderhook |
STATE |
New York |
ZIP/POSTAL CODE |
12106 |
COUNTRY |
United States |
OWNER SECTION (proposed) |
NAME |
AMERICAN BIO MEDICA |
INTERNAL ADDRESS |
Attn: Melissa A. Waterhouse |
STREET |
122 Smith Road |
CITY |
Kinderhook |
STATE |
New York |
ZIP/POSTAL CODE |
12106 |
COUNTRY |
United States |
PHONE |
518-758-8158 |
FAX |
518-758-8171 |
EMAIL |
XXXX |
LEGAL ENTITY SECTION (current) |
TYPE |
corporation |
STATE/COUNTRY OF INCORPORATION |
New York |
PAYMENT SECTION |
NUMBER OF CLASSES |
1 |
NUMBER OF CLASSES PAID |
1 |
SUBTOTAL AMOUNT |
500 |
TOTAL FEE PAID |
500 |
SIGNATURE SECTION |
SIGNATURE |
/Melissa A Waterhouse/ |
SIGNATORY'S NAME |
Melissa A Waterhouse |
SIGNATORY'S POSITION |
Exec Vice President |
DATE SIGNED |
08/15/2012 |
SIGNATORY'S PHONE NUMBER |
518-758-8158 |
PAYMENT METHOD |
CC |
FILING INFORMATION |
SUBMIT DATE |
Wed Aug 15 15:19:19 EDT 2012 |
TEAS STAMP |
USPTO/S08N09-XX.XX.XXX.XX
-20120815151919819917-260
9650-4901c255592155576a88
db8226f38795e31-CC-1754-2
0120815145353332438 |
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: 2609650
REGISTRATION DATE: 08/20/2002
MARK: RAPID ONE
The owner, AMERICAN BIO MEDICA, a corporation of New York, having an address of
Attn: Melissa A. Waterhouse
122 Smith Road
Kinderhook, New York 12106
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: Urine test card for detecting drugs of abuse ; 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) 1) Photo of Rapid One urine test card for
drugs of abuse and 2) screen capture of ABMC webpage (which includes a photo of the Rapid ONE)..
JPG file(s):
Specimen File1
Original PDF file:
SPN0-122711670-145353332_._Rapid_ONE_webpage_8-15-12.pdf
Converted PDF file(s) (1 page)
Specimen File1
The registrant's current Correspondence Information: AMERICAN BIO MEDICA of 122 SMITH ROAD
KINDERHOOK, New York (NY) 12106
United States
The registrant's proposed Correspondence Information: AMERICAN BIO MEDICA
Attn: Melissa A. Waterhouse
122 Smith Road
KINDERHOOK, New York (NY) 12106
United States
The phone number is 518-758-8158.
The fax number is 518-758-8171.
The email address is mdwaterhouse@abmc.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: /Melissa A Waterhouse/ Date: 08/15/2012
Signatory's Name: Melissa A Waterhouse
Signatory's Position: Exec Vice President
Signatory's Phone Number: 518-758-8158
Serial Number: 76318125
Internet Transmission Date: Wed Aug 15 15:19:19 EDT 2012
TEAS Stamp: USPTO/S08N09-XX.XX.XXX.XX-20120815151919
819917-2609650-4901c255592155576a88db822
6f38795e31-CC-1754-20120815145353332438