| 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 |
2615264 |
| REGISTRATION DATE |
09/03/2002 |
| SERIAL NUMBER |
76343577 |
| MARK SECTION |
| MARK |
DESTRESS |
| ATTORNEY SECTION (no change) |
| NAME |
DAVID R. ELLIS |
| FIRM NAME |
DAVID R. ELLIS, ATTORNEY |
| STREET |
3233 E BAY DR STE 101 |
| CITY |
LARGO |
| STATE |
Florida |
| POSTAL CODE |
33771-1900 |
| COUNTRY |
United States |
| PHONE |
7275311111 |
| FAX |
7275315088 |
| EMAIL |
ellislaw@alum.mit.edu |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| CORRESPONDENCE SECTION (no change) |
| NAME |
DAVID R. ELLIS |
| FIRM NAME |
DAVID R. ELLIS, ATTORNEY |
| STREET |
3233 E BAY DR STE 101 |
| CITY |
LARGO |
| STATE |
Florida |
| POSTAL CODE |
33771-1900 |
| COUNTRY |
United States |
| PHONE |
7275311111 |
| FAX |
7275315088 |
| EMAIL |
ellislaw@alum.mit.edu |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
028 |
| GOODS OR SERVICES |
EXERCISE EQUIPMENT, NAMELY STRETCH AND RELAXATION TABLES |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT11\IMAGEOUT 11\763\435\76343577\xml1\ S890002.JPG |
| SPECIMEN DESCRIPTION |
Owners Manual excerpt |
| MISCELLANEOUS STATEMENT |
Signed Declaration from Applicant |
| ORIGINAL PDF FILE |
MISC-977813225-142722623_._DESTRESS_Decl.pdf |
| |
\\TICRS\EXPORT11\IMAGEOUT 11\763\435\76343577\xml1\ S890003.JPG |
| |
\\TICRS\EXPORT11\IMAGEOUT 11\763\435\76343577\xml1\ S890004.JPG |
| OWNER SECTION (current) |
| NAME |
HEALTH INTERNATIONAL CORPORATION |
| STREET |
11880 28th Street North |
| CITY |
St. Petersburg |
| STATE |
Florida |
| ZIP/POSTAL CODE |
33716 |
| 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 |
/Tony Little/ |
| SIGNATORY'S NAME |
Tony Little |
| SIGNATORY'S POSITION |
President |
| DATE SIGNED |
05/17/2012 |
| SIGNATORY'S PHONE NUMBER |
727-531-1111 |
| PAYMENT METHOD |
CC |
| FILING INFORMATION |
| SUBMIT DATE |
Thu May 17 14:33:14 EDT 2012 |
| TEAS STAMP |
USPTO/S08N09-XX.XX.XX.XXX
-20120517143314386321-261
5264-490bf6cf729cf55433f9
2c5d4cdaa834-CC-817-20120
517142722623460 |
| 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: 2615264
REGISTRATION DATE: 09/03/2002
MARK: DESTRESS
The owner, HEALTH INTERNATIONAL CORPORATION, a corporation of Florida, having an address of
11880 28th Street North
St. Petersburg, Florida 33716
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 028, 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: EXERCISE EQUIPMENT, NAMELY STRETCH AND RELAXATION TABLES ; 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) Owners Manual excerpt.
Specimen File1
MISCELLANEOUS STATEMENTS
Signed Declaration from Applicant
Original PDF file:
MISC-977813225-142722623_._DESTRESS_Decl.pdf
Converted PDF file(s) (2 pages)
Miscellaneous File1
Miscellaneous File2
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: /Tony Little/ Date: 05/17/2012
Signatory's Name: Tony Little
Signatory's Position: President
Signatory's Phone Number: 727-531-1111
Mailing Address:
DAVID R. ELLIS, ATTORNEY
3233 E BAY DR STE 101
LARGO, Florida 33771-1900
Serial Number: 76343577
Internet Transmission Date: Thu May 17 14:33:14 EDT 2012
TEAS Stamp: USPTO/S08N09-XX.XX.XX.XXX-20120517143314
386321-2615264-490bf6cf729cf55433f92c5d4
cdaa834-CC-817-20120517142722623460
