| 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 |
2744555 |
| REGISTRATION DATE |
07/29/2003 |
| SERIAL NUMBER |
76383537 |
| MARK SECTION |
| MARK |
ULTRAVISION |
| ATTORNEY SECTION (new) |
| NAME |
Ted D. Lee |
| FIRM NAME |
Gunn, Lee & Cave, P.C. |
| INTERNAL ADDRESS |
Suite 1080 |
| STREET |
300 Convent St. |
| CITY |
San Antonio |
| STATE |
Texas |
| POSTAL CODE |
78205 |
| COUNTRY |
United States |
| PHONE |
210-886-9500 |
| FAX |
210-886-9883 |
| EMAIL |
tlee@gunn-lee.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
T-7811 |
| OTHER APPOINTED ATTORNEY |
John C. Cave, Miguel Villarreal, Jr., Robert L. McRae, Michael D. Paul, Edward B. Marvin, Jason E. McKinnie |
| CORRESPONDENCE SECTION (current) |
| NAME |
TOMY STARCK |
| FIRM NAME |
TOMY STARCK, M.D., P.A. |
| STREET |
413 HAPPY TRAIL |
| CITY |
SAN ANTONIO |
| STATE |
Texas |
| POSTAL CODE |
78231 |
| COUNTRY |
United States |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
Ted D. Lee |
| FIRM NAME |
Gunn, Lee & Cave, P.C. |
| INTERNAL ADDRESS |
Suite 1080 |
| STREET |
300 Convent St. |
| CITY |
SAN ANTONIO |
| STATE |
Texas |
| POSTAL CODE |
78205 |
| COUNTRY |
United States |
| PHONE |
210-886-9500 |
| FAX |
210-886-9883 |
| EMAIL |
tlee@gunn-lee.com;mvidaurri@gunn-lee.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
T-7811 |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
044 |
| GOODS OR SERVICES |
Laser eye surgery services |
| SPECIMEN FILE NAME(S) |
| ORIGINAL PDF FILE |
SPN0-6619416821-125817436_._Ultravisi_n_Lasik_San_Antonio.pdf |
CONVERTED PDF FILE(S)
(2 pages) |
\\TICRS\EXPORT16\IMAGEOUT16\763\835\76383537\xml2\S890002.JPG |
| |
\\TICRS\EXPORT16\IMAGEOUT16\763\835\76383537\xml2\S890003.JPG |
| SPECIMEN DESCRIPTION |
Web site advertisement |
| OWNER SECTION (current) |
| NAME |
Tomy Starck, M.D., P.A. |
| STREET |
413 Happy Trail |
| CITY |
SAN ANTONIO |
| STATE |
Texas |
| ZIP/POSTAL CODE |
78231 |
| COUNTRY |
United States |
| PHONE |
210-308-5550 |
| FAX |
210-308-6161 |
| OWNER SECTION (proposed) |
| NAME |
Tomy Starck, M.D., P.A. |
| STREET |
6818 Heuermann Rd. |
| CITY |
SAN ANTONIO |
| STATE |
Texas |
| ZIP/POSTAL CODE |
78256 |
| COUNTRY |
United States |
| PHONE |
210-308-5550 |
| FAX |
210-308-6161 |
| LEGAL ENTITY SECTION (current) |
| TYPE |
PROFESSIONAL ASSOCIATION |
| STATE/COUNTRY WHERE LEGALLY ORGANIZED |
Texas |
| LEGAL ENTITY SECTION (proposed) |
| TYPE |
PROFESSIONAL ASSOCIATION |
| STATE/COUNTRY WHERE LEGALLY ORGANIZED |
Texas |
| NAME OF ALL GENERAL PARTNERS, ACTIVE MEMBERS, INDIVIDUAL, TRUSTEES, OR EXECUTORS, AND CITIZENSHIP/ INCORPORATION |
Tomy Starck, member (US) |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
500 |
| TOTAL FEE PAID |
500 |
| SIGNATURE SECTION |
| SIGNATURE |
/Tomy Starck/ |
| SIGNATORY'S NAME |
Tomy Starck |
| SIGNATORY'S POSITION |
President |
| DATE SIGNED |
02/07/2013 |
| SIGNATORY'S PHONE NUMBER |
210-308-5550 |
| PAYMENT METHOD |
CC |
| FILING INFORMATION |
| SUBMIT DATE |
Thu Feb 07 16:03:12 EST 2013 |
| TEAS STAMP |
USPTO/S08N09-XX.XXX.XXX.X
X-20130207160312612706-27
44555-500a27a86757e4ac317
761a489fd24cc7f6fe7a9f498
f29fedb6271f41e42cd-CC-30
08-20130207125817436014 |
| 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: 2744555
REGISTRATION DATE: 07/29/2003
MARK: ULTRAVISION
The owner, Tomy Starck, M.D., P.A., PROFESSIONAL ASSOCIATION legally organized under the laws of Texas, comprising of Tomy Starck, member (US), having an address of
6818 Heuermann Rd.
SAN ANTONIO, Texas 78256
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 044, 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: Laser eye surgery services ; 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) Web site advertisement.
Original PDF file:
SPN0-6619416821-125817436_._Ultravisi_n_Lasik_San_Antonio.pdf
Converted PDF file(s) (2 pages)
Specimen File1
Specimen File2
The registrant's current Correspondence Information: TOMY STARCK of TOMY STARCK, M.D., P.A.
413 HAPPY TRAIL
SAN ANTONIO, Texas (TX) 78231
United States
The registrant's proposed Correspondence Information: Ted D. Lee of Gunn, Lee & Cave, P.C.
Suite 1080
300 Convent St.
SAN ANTONIO, Texas (TX) 78205
United States
The docket/reference number is T-7811.
The phone number is 210-886-9500.
The fax number is 210-886-9883.
The email address is tlee@gunn-lee.com;mvidaurri@gunn-lee.com.
The registrant hereby appoints Ted D. Lee and John C. Cave, Miguel Villarreal, Jr., Robert L. McRae, Michael D. Paul, Edward B. Marvin, Jason E. McKinnie of Gunn, Lee & Cave, P.C.
Suite 1080
300 Convent St.
San Antonio, Texas 78205
United States
to submit this Combined Declaration of Use and/or Excusable Nonuse/Application for Renewal of Registration of a Mark under Sections 8 & 9 on behalf of the registrant. The docket/reference number
is T-7811.
The phone number is 210-886-9500.
The fax number is 210-886-9883.
The email address is tlee@gunn-lee.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: /Tomy Starck/ Date: 02/07/2013
Signatory's Name: Tomy Starck
Signatory's Position: President
Signatory's Phone Number: 210-308-5550
Mailing Address:
Gunn, Lee & Cave, P.C.
300 Convent St.
San Antonio, Texas 78205
Serial Number: 76383537
Internet Transmission Date: Thu Feb 07 16:03:12 EST 2013
TEAS Stamp: USPTO/S08N09-XX.XXX.XXX.XX-2013020716031
2612706-2744555-500a27a86757e4ac317761a4
89fd24cc7f6fe7a9f498f29fedb6271f41e42cd-
CC-3008-20130207125817436014
