| 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 |
2766653 |
| REGISTRATION DATE |
09/23/2003 |
| SERIAL NUMBER |
76469822 |
| MARK SECTION |
| MARK |
HYDROXYLINE |
| ATTORNEY SECTION (current) |
| NAME |
Michael I. Santucci, Esq. |
| FIRM NAME |
Santucci, Priore & Long, LLP |
| INTERNAL ADDRESS |
Suite 100 |
| STREET |
200 South Andrews Avenue |
| CITY |
Fort Lauderdale |
| STATE |
Florida |
| POSTAL CODE |
33301 |
| COUNTRY |
United States |
| PHONE |
954-351-7474 |
| FAX |
954-351-7475 |
| EMAIL |
mis@500law.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
144.21 |
| ATTORNEY SECTION (proposed) |
| NAME |
Michael I. Santucci, Esq. |
| FIRM NAME |
Santucci Priore, P.L. |
| INTERNAL ADDRESS |
Suite 100 |
| STREET |
200 South Andrews Avenue |
| CITY |
Fort Lauderdale |
| STATE |
Florida |
| POSTAL CODE |
33301 |
| COUNTRY |
United States |
| PHONE |
954-351-7474 |
| FAX |
954-351-7475 |
| EMAIL |
mis@500law.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
144.21 |
| CORRESPONDENCE SECTION (current) |
| NAME |
Michael I. Santucci, Esq. |
| FIRM NAME |
Santucci, Priore & Long, LLP |
| INTERNAL ADDRESS |
Suite 100 |
| STREET |
200 South Andrews Avenue |
| CITY |
Fort Lauderdale |
| STATE |
Florida |
| POSTAL CODE |
33301 |
| COUNTRY |
United States |
| PHONE |
954-351-7474 |
| FAX |
954-351-7475 |
| EMAIL |
mis@500law.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
144.21 |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
Michael I. Santucci, Esq. |
| FIRM NAME |
Santucci Priore, P.L. |
| INTERNAL ADDRESS |
Suite 100 |
| STREET |
200 South Andrews Avenue |
| CITY |
Fort Lauderdale |
| STATE |
Florida |
| POSTAL CODE |
33301 |
| COUNTRY |
United States |
| PHONE |
954-351-7474 |
| FAX |
954-351-7475 |
| EMAIL |
mis@500law.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
144.21 |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
005 |
| GOODS OR SERVICES |
Dental preparation, namely, calcium hydroxide cavity liner |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\764\698\76469822\xml1\ S890002.JPG |
| SPECIMEN DESCRIPTION |
Registrant's website which is a P.O.S. for the product bearing the mark |
| OWNER SECTION (current) |
| NAME |
George Taub Products and Fusion Company, Inc. |
| STREET |
277 New York Avenue |
| CITY |
Jersey City |
| STATE |
New Jersey |
| ZIP/POSTAL CODE |
07307 |
| COUNTRY |
United States |
| LEGAL ENTITY SECTION (current) |
| TYPE |
corporation |
| STATE/COUNTRY OF INCORPORATION |
New Jersey |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
500 |
| TOTAL FEE PAID |
500 |
| SIGNATURE SECTION |
| SIGNATURE |
/Michael I. Santucci/ |
| SIGNATORY'S NAME |
Michael I. Santucci, Esq. |
| SIGNATORY'S POSITION |
Attorney of record, Florida Bar member |
| DATE SIGNED |
09/23/2013 |
| SIGNATORY'S PHONE NUMBER |
954-351-7474 |
| PAYMENT METHOD |
CC |
| FILING INFORMATION |
| SUBMIT DATE |
Mon Sep 23 22:21:29 EDT 2013 |
| TEAS STAMP |
USPTO/S08N09-XX.XX.XX.XXX
-20130923222129740699-276
6653-500dcdfd5348ff2ccb33
12d295dcbadc1c05b446bf2fc
8c2fe1c537d6d177f679-CC-8
416-20130923221240473421 |
| 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: 2766653
REGISTRATION DATE: 09/23/2003
MARK: HYDROXYLINE
The owner, George Taub Products and Fusion Company, Inc., a corporation of New Jersey, having an address of
277 New York Avenue
Jersey City, New Jersey 07307
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 005, 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: Dental preparation, namely, calcium hydroxide cavity liner ; 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) Registrant's website which is a P.O.S. for
the product bearing the mark.
Specimen File1
The registrant's current Attorney Information: Michael I. Santucci, Esq. of Santucci, Priore & Long, LLP
Suite 100
200 South Andrews Avenue
Fort Lauderdale, Florida (FL) 33301
United States
The docket/reference number is 144.21.
The registrant's proposed Attorney Information: Michael I. Santucci, Esq. of Santucci Priore, P.L.
Suite 100
200 South Andrews Avenue
Fort Lauderdale, Florida (FL) 33301
United States
The docket/reference number is 144.21.
The phone number is 954-351-7474.
The fax number is 954-351-7475.
The email address is mis@500law.com.
The registrant's current Correspondence Information: Michael I. Santucci, Esq. of Santucci, Priore & Long, LLP
Suite 100
200 South Andrews Avenue
Fort Lauderdale, Florida (FL) 33301
United States
The docket/reference number is 144.21.
The registrant's proposed Correspondence Information: Michael I. Santucci, Esq. of Santucci Priore, P.L.
Suite 100
200 South Andrews Avenue
Fort Lauderdale, Florida (FL) 33301
United States
The docket/reference number is 144.21.
The phone number is 954-351-7474.
The fax number is 954-351-7475.
The email address is mis@500law.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: /Michael I. Santucci/ Date: 09/23/2013
Signatory's Name: Michael I. Santucci, Esq.
Signatory's Position: Attorney of record, Florida Bar member
Signatory's Phone Number: 954-351-7474
Mailing Address
(current):
Santucci, Priore & Long, LLP
200 South Andrews Avenue
Fort Lauderdale, Florida 33301
Mailing Address
(proposed):
Santucci Priore, P.L.
200 South Andrews Avenue
Fort Lauderdale, Florida 33301
Serial Number: 76469822
Internet Transmission Date: Mon Sep 23 22:21:29 EDT 2013
TEAS Stamp: USPTO/S08N09-XX.XX.XX.XXX-20130923222129
740699-2766653-500dcdfd5348ff2ccb3312d29
5dcbadc1c05b446bf2fc8c2fe1c537d6d177f679
-CC-8416-20130923221240473421
