PR-Section 8 and 9

PTO Form 1963 (Rev 5/2006)

OMB No. 0651-0055 (Exp 07/31/2018)

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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: 2813655
REGISTRATION DATE: 02/10/2004

MARK: SURVEYOR

The owner, SRS MEDICAL SYSTEMS, LLC, a corporation of Delaware, having an address of
      76 TREBLE COVE ROAD, #3
      NORTH BILLERICA, Massachusetts 01862
      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 010, 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: INTRAURETHRAL DIAGNOSTIC CATHETER ; 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) Label affixed to the packaging of the goods.

Original PDF file:
SPN0-233022418-143745329_._SURVEYOR-specimen.pdf
Converted PDF file(s) (1 page)
Specimen File1
The registrant's current Attorney Information: Richard C. Stempkovski, Jr. of  NAWROCKI, ROONEY & SIVERTSON, P.A.
      3433 BROADWAY STREET NORTHEAST
      SUITE 401, BROADWAY PLACE EAST
      MINNEAPOLIS, Minnesota (MN) 55413-3009
      United States
The docket/reference number is 33064/402/10.

The registrant's proposed Attorney Information: Richard C. Stempkovski, Jr. of  NAWROCKI, ROONEY & SIVERTSON, P.A.
      Suite 401, Broadway Place East
      3433 Broadway Street Northeast
      MINNEAPOLIS, Minnesota (MN) 55413-3009
      United States
The docket/reference number is 25064.402101.
The Other Appointed Attorney(s): Lawrence M. Nawrocki; Wayne A. Sivertson; Edward L. Schwarz; Frederick W. Niebuhr.

The phone number is (612) 331-1464.

The fax number is (612) 331-2239.

The email address is docketing@nrslaw.com.
The registrant's current Correspondence Information: Richard C. Stempkovski, Jr. of  NAWROCKI, ROONEY & SIVERTSON, P.A.
      3433 BROADWAY STREET NORTHEAST
      SUITE 401, BROADWAY PLACE EAST
      MINNEAPOLIS, Minnesota (MN) 55413-3009
      United States
The docket/reference number is 33064/402/10.

The registrant's proposed Correspondence Information: Richard C. Stempkovski, Jr. of  NAWROCKI, ROONEY & SIVERTSON, P.A.
      Suite 401, Broadway Place East
      3433 Broadway Street Northeast
      MINNEAPOLIS, Minnesota (MN) 55413-3009
      United States
The docket/reference number is 25064.402101.


The phone number is (612) 331-1464.

The fax number is (612) 331-2239.

The email address is docketing@nrslaw.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: /RCS1122/      Date: 02/04/2014
Signatory's Name: Richard C. Stempkovski, Jr.
Signatory's Position: Attorney of record
Signatory's Phone Number: 612-331-1464

Mailing Address (current):
   NAWROCKI, ROONEY & SIVERTSON, P.A.
   SUITE 401, BROADWAY PLACE EAST
   MINNEAPOLIS, Minnesota 55413-3009

Mailing Address (proposed):
   NAWROCKI, ROONEY & SIVERTSON, P.A.
   3433 Broadway Street Northeast
   MINNEAPOLIS, Minnesota 55413-3009

Serial Number: 76348909
Internet Transmission Date: Tue Feb 04 14:45:51 EST 2014
TEAS Stamp: USPTO/S08N09-XX.XX.XXX.XX-20140204144551
360362-2813655-500dcf2cbd8ff93c4a48ea98a
1c8f67b31f40a78f963746772f1440f77294ceb9
d3-CC-1093-20140204143745329939