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 |
2851644 |
REGISTRATION DATE |
06/08/2004 |
SERIAL NUMBER |
76454063 |
MARK SECTION |
MARK |
CHECK YOUR VITAL SIGNS |
ATTORNEY SECTION (current) |
NAME |
JOHN R. MUGNO |
FIRM NAME |
LAW OFFICES OF JOHN R MUGNO |
STREET |
233 BROADWAY - SUITE 2348 |
CITY |
NEW YORK |
STATE |
New York |
POSTAL CODE |
10279 |
COUNTRY |
United States |
PHONE |
(212) 925-3474 |
FAX |
(212) 925-3665 |
DOCKET/REFERENCE NUMBER |
80-28 |
ATTORNEY SECTION (proposed) |
NAME |
JOHN R. MUGNO |
FIRM NAME |
LAW OFFICES OF JOHN R MUGNO |
STREET |
233 BROADWAY - SUITE 2348 |
CITY |
NEW YORK |
STATE |
New York |
POSTAL CODE |
10279 |
COUNTRY |
United States |
PHONE |
(212) 925-3474 |
FAX |
(212) 925-3665 |
EMAIL |
johnmugno@aol.com |
DOCKET/REFERENCE NUMBER |
80-28 |
CORRESPONDENCE SECTION (current) |
NAME |
John R. Mugno |
FIRM NAME |
LAW OFFICES OF JOHN R MUGNO |
STREET |
233 BROADWAY - SUITE 2348 |
CITY |
NEW YORK |
STATE |
New York |
POSTAL CODE |
10279 |
COUNTRY |
United States |
PHONE |
(212) 925-3474 |
FAX |
(212) 925-3665 |
DOCKET/REFERENCE NUMBER |
80-28 |
CORRESPONDENCE SECTION (proposed) |
NAME |
John R. Mugno |
FIRM NAME |
LAW OFFICES OF JOHN R MUGNO |
STREET |
233 BROADWAY - SUITE 2348 |
CITY |
NEW YORK |
STATE |
New York |
POSTAL CODE |
10279 |
COUNTRY |
United States |
PHONE |
(212) 925-3474 |
FAX |
(212) 925-3665 |
EMAIL |
johnmugno@aol.com |
DOCKET/REFERENCE NUMBER |
80-28 |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
037 |
GOODS OR SERVICES |
AUTOMOBILE REPAIR AND MAINTENANCE |
SPECIMEN FILE NAME(S) |
ORIGINAL PDF FILE |
SPN0-71183190-172534541_._CHECKYOURVITALSIGNS2013_11_06_17_23_50.pdf |
CONVERTED PDF FILE(S)
(1 page) |
\\TICRS\EXPORT16\IMAGEOUT16\764\540\76454063\xml2\S890002.JPG |
SPECIMEN DESCRIPTION |
a website print-out bearing the mark in conjunction with automobile repair services |
OWNER SECTION (current) |
NAME |
Calidad Auto Tech, Inc. |
STREET |
RR 5 Box 5282 |
CITY |
Saylorsburg |
STATE |
Pennsylvania |
ZIP/POSTAL CODE |
18353 |
COUNTRY |
United States |
OWNER SECTION (proposed) |
NAME |
Calidad Auto Tech, Inc. |
STREET |
103 Gypsum Road |
CITY |
Stroudsburg |
STATE |
Pennsylvania |
ZIP/POSTAL CODE |
18360 |
COUNTRY |
United States |
LEGAL ENTITY SECTION (current) |
TYPE |
corporation |
STATE/COUNTRY OF INCORPORATION |
Pennsylvania |
PAYMENT SECTION |
NUMBER OF CLASSES |
1 |
NUMBER OF CLASSES PAID |
1 |
SUBTOTAL AMOUNT |
500 |
TOTAL FEE PAID |
500 |
SIGNATURE SECTION |
SIGNATURE |
/john r. mugno/ |
SIGNATORY'S NAME |
John R. Mugno |
SIGNATORY'S POSITION |
Attorney of Record - NY |
DATE SIGNED |
11/06/2013 |
SIGNATORY'S PHONE NUMBER |
212-925-3474 |
PAYMENT METHOD |
DA |
FILING INFORMATION |
SUBMIT DATE |
Wed Nov 06 17:29:51 EST 2013 |
TEAS STAMP |
USPTO/S08N09-XX.XXX.X.XX-
20131106172951261571-2851
644-5006560de61c7fff878c1
1b9bff53cfd6cdcfa3991387c
aa3b4cafb8eafbaea25b-DA-5
104-20131106172534541716 |
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: 2851644
REGISTRATION DATE: 06/08/2004
MARK: CHECK YOUR VITAL SIGNS
The owner, Calidad Auto Tech, Inc., a corporation of Pennsylvania, having an address of
103 Gypsum Road
Stroudsburg, Pennsylvania 18360
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 037, 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: AUTOMOBILE REPAIR AND MAINTENANCE ; 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) a website print-out bearing the mark in
conjunction with automobile repair services.
Original PDF file:
SPN0-71183190-172534541_._CHECKYOURVITALSIGNS2013_11_06_17_23_50.pdf
Converted PDF file(s) (1 page)
Specimen File1
The registrant's current Attorney Information: JOHN R. MUGNO of LAW OFFICES OF JOHN R MUGNO
233 BROADWAY - SUITE 2348
NEW YORK, New York (NY) 10279
United States
The docket/reference number is 80-28.
The registrant's proposed Attorney Information: JOHN R. MUGNO of LAW OFFICES OF JOHN R MUGNO
233 BROADWAY - SUITE 2348
NEW YORK, New York (NY) 10279
United States
The docket/reference number is 80-28.
The phone number is (212) 925-3474.
The fax number is (212) 925-3665.
The email address is johnmugno@aol.com.
The registrant's current Correspondence Information: John R. Mugno of LAW OFFICES OF JOHN R MUGNO
233 BROADWAY - SUITE 2348
NEW YORK, New York (NY) 10279
United States
The docket/reference number is 80-28.
The registrant's proposed Correspondence Information: John R. Mugno of LAW OFFICES OF JOHN R MUGNO
233 BROADWAY - SUITE 2348
NEW YORK, New York (NY) 10279
United States
The docket/reference number is 80-28.
The phone number is (212) 925-3474.
The fax number is (212) 925-3665.
The email address is johnmugno@aol.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: /john r. mugno/ Date: 11/06/2013
Signatory's Name: John R. Mugno
Signatory's Position: Attorney of Record - NY
Signatory's Phone Number: 212-925-3474
Mailing Address
(current):
LAW OFFICES OF JOHN R MUGNO
233 BROADWAY - SUITE 2348
NEW YORK, New York 10279
Mailing Address
(proposed):
LAW OFFICES OF JOHN R MUGNO
233 BROADWAY - SUITE 2348
NEW YORK, New York 10279
Serial Number: 76454063
Internet Transmission Date: Wed Nov 06 17:29:51 EST 2013
TEAS Stamp: USPTO/S08N09-XX.XXX.X.XX-201311061729512
61571-2851644-5006560de61c7fff878c11b9bf
f53cfd6cdcfa3991387caa3b4cafb8eafbaea25b
-DA-5104-20131106172534541716