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 |
2790577 |
REGISTRATION DATE |
12/09/2003 |
SERIAL NUMBER |
76436102 |
MARK SECTION |
MARK |
CENTURION |
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 |
DOCKET/REFERENCE NUMBER |
67167-0032 |
ATTORNEY SECTION (proposed) |
NAME |
Leigh C. Taggart |
FIRM NAME |
Honigman Miller Schwartz and Cohn LLP |
STREET |
39400 Woodward Avenue, Suite 101 |
CITY |
Bloomfield Hills |
STATE |
Michigan |
POSTAL CODE |
48304 |
COUNTRY |
United States |
PHONE |
248-566-8496 |
FAX |
248-566-8497 |
EMAIL |
tmdocketing@honigman.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
236649-349434 |
OTHER APPOINTED ATTORNEY |
Michael A. Lisi, Anessa Owen Kramer, Julie E. Reitz, Jennifer M. Hetu, Jennifer Sheehan Anderson |
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 |
DOCKET/REFERENCE NUMBER |
67167-0032 |
CORRESPONDENCE SECTION (proposed) |
NAME |
Leigh C. Taggart |
FIRM NAME |
Honigman Miller Schwartz and Cohn LLP |
STREET |
39400 Woodward Avenue, Suite 101 |
CITY |
Bloomfield Hills |
STATE |
Michigan |
POSTAL CODE |
48304 |
COUNTRY |
United States |
PHONE |
248-566-8496 |
FAX |
248-566-8497 |
EMAIL |
tmdocketing@honigman.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
236649-349434 |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
016 |
GOODS OR SERVICES |
BLANK OR PARTIALLY PRINTED PAPER LABELS |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\764\361\76436102\xml1\ S890002.JPG |
SPECIMEN DESCRIPTION |
Picture of partially printed paper labels. |
INTERNATIONAL CLASS |
020 |
GOODS OR SERVICES |
PLASTIC LABELS |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\764\361\76436102\xml1\ S890003.JPG |
|
\\TICRS\EXPORT16\IMAGEOUT 16\764\361\76436102\xml1\ S890004.JPG |
SPECIMEN DESCRIPTION |
Copy of brochure showing plastic labels as well as an additional pictures showing plastic label services. |
INTERNATIONAL CLASS |
042 |
GOODS OR SERVICES |
LABEL DESIGN SERVICES FOR OTHERS |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\764\361\76436102\xml1\ S890005.JPG |
SPECIMEN DESCRIPTION |
Screen shot for registrant's website showing label design services offered. |
OWNER SECTION (current) |
NAME |
CENTURION MEDICAL PRODUCTS CORPORATION |
STREET |
100 CENTURION WAY |
CITY |
WILLIAMSTOWN |
STATE |
Michigan |
ZIP/POSTAL CODE |
48895 |
COUNTRY |
United States |
OWNER SECTION (proposed) |
NAME |
CENTURION MEDICAL PRODUCTS CORPORATION |
STREET |
100 CENTURION WAY |
CITY |
WILLIAMSTOWN |
STATE |
Michigan |
ZIP/POSTAL CODE |
48895 |
COUNTRY |
United States |
EMAIL |
XXXX |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
LEGAL ENTITY SECTION (current) |
TYPE |
corporation |
STATE/COUNTRY OF INCORPORATION |
Michigan |
PAYMENT SECTION |
NUMBER OF CLASSES |
3 |
NUMBER OF CLASSES PAID |
3 |
SUBTOTAL AMOUNT |
1500 |
TOTAL FEE PAID |
1500 |
SIGNATURE SECTION |
SIGNATURE |
/s/ Leigh C. Taggart |
SIGNATORY'S NAME |
Leigh C. Taggart |
SIGNATORY'S POSITION |
Attorney, Michigan bar member |
DATE SIGNED |
12/09/2013 |
SIGNATORY'S PHONE NUMBER |
248-566-8496 |
PAYMENT METHOD |
DA |
FILING INFORMATION |
SUBMIT DATE |
Mon Dec 09 12:38:10 EST 2013 |
TEAS STAMP |
USPTO/S08N09-XX.XXX.X.XXX
-20131209123810302541-279
0577-500da02fe829a2e5d253
bff932a3ae5a48bc20f3bbdb7
7ce8af561b86e9da3429-DA-1
1378-20131209104327298937 |
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: 2790577
REGISTRATION DATE: 12/09/2003
MARK: CENTURION
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 016, 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: BLANK OR PARTIALLY PRINTED PAPER LABELS ; 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) Picture of partially printed paper
labels..
Specimen File1
For International Class 020, 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: PLASTIC LABELS ; 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) Copy of brochure showing plastic labels as
well as an additional pictures showing plastic label services..
Specimen File1
Specimen File2
For International Class 042, 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: LABEL DESIGN SERVICES FOR OTHERS ; 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) Screen shot for registrant's website showing
label design services offered..
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 docket/reference number is 67167-0032.
The registrant's proposed Attorney Information: Leigh C. Taggart of Honigman Miller Schwartz and Cohn LLP
39400 Woodward Avenue, Suite 101
Bloomfield Hills, Michigan (MI) 48304
United States
The docket/reference number is 236649-349434.
The Other Appointed Attorney(s): Michael A. Lisi, Anessa Owen Kramer, Julie E. Reitz, Jennifer M. Hetu, Jennifer Sheehan Anderson.
The phone number is 248-566-8496.
The fax number is 248-566-8497.
The email address is tmdocketing@honigman.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 docket/reference number is 67167-0032.
The registrant's proposed Correspondence Information: Leigh C. Taggart of Honigman Miller Schwartz and Cohn LLP
39400 Woodward Avenue, Suite 101
Bloomfield Hills, Michigan (MI) 48304
United States
The docket/reference number is 236649-349434.
The phone number is 248-566-8496.
The fax number is 248-566-8497.
The email address is tmdocketing@honigman.com.
A fee payment in the amount of $1500 will be submitted with the form, representing payment for 3 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: /s/ Leigh C. Taggart Date: 12/09/2013
Signatory's Name: Leigh C. Taggart
Signatory's Position: Attorney, Michigan bar member
Signatory's Phone Number: 248-566-8496
Mailing Address
(current):
Rader, Fishman & Grauer PLLC
39533 Woodward Ave., Ste. 140
Bloomfield Hills, Michigan 48304
Mailing Address
(proposed):
Honigman Miller Schwartz and Cohn LLP
39400 Woodward Avenue, Suite 101
Bloomfield Hills, Michigan 48304
Serial Number: 76436102
Internet Transmission Date: Mon Dec 09 12:38:10 EST 2013
TEAS Stamp: USPTO/S08N09-XX.XXX.X.XXX-20131209123810
302541-2790577-500da02fe829a2e5d253bff93
2a3ae5a48bc20f3bbdb77ce8af561b86e9da3429
-DA-11378-20131209104327298937