| 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 |
2818241 |
| REGISTRATION DATE |
02/24/2004 |
| SERIAL NUMBER |
76479284 |
| MARK SECTION |
| MARK |
NADA |
| ATTORNEY SECTION (current) |
| NAME |
Timothy J. Balts |
| FIRM NAME |
ALSTON & BIRD LLP |
| INTERNAL ADDRESS |
Bank of America Plaza, STE 4000 |
| STREET |
101 S. Tryon St. |
| CITY |
CHARLOTTE |
| STATE |
North Carolina |
| POSTAL CODE |
28280-4000 |
| COUNTRY |
United States |
| PHONE |
704-444-1000 |
| FAX |
704-444-1111 |
| EMAIL |
tim.balts@alston.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
38385-258193 |
| ATTORNEY SECTION (proposed) |
| NAME |
Timothy J. Balts |
| FIRM NAME |
ALSTON & BIRD LLP |
| STREET |
101 South Tryon Street, Suite 4000 |
| CITY |
CHARLOTTE |
| STATE |
North Carolina |
| POSTAL CODE |
28280-4000 |
| COUNTRY |
United States |
| PHONE |
704-444-1000 |
| FAX |
704-444-1111 |
| EMAIL |
tim.balts@alston.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
38385-258193 |
| OTHER APPOINTED ATTORNEY |
Martha Gayle Barber, Larry C. Jones, George M. Taulbee, Michele M. Glessner, and Carla H. Clements, members of the North Carolina State
Bar, and Natalie A. Blakeney, a member of the North Carolina, District of Colombia, and Florida State Bars |
| CORRESPONDENCE SECTION (current) |
| NAME |
Timothy J. Balts |
| FIRM NAME |
ALSTON & BIRD LLP |
| INTERNAL ADDRESS |
Bank of America Plaza, STE 4000 |
| STREET |
101 S. Tryon St. |
| CITY |
CHARLOTTE |
| STATE |
North Carolina |
| POSTAL CODE |
28280-4000 |
| COUNTRY |
United States |
| PHONE |
704-444-1000 |
| FAX |
704-444-1111 |
| EMAIL |
tim.balts@alston.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
38385-258193 |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
Timothy J. Balts |
| FIRM NAME |
ALSTON & BIRD LLP |
| STREET |
101 South Tryon Street, Suite 4000 |
| CITY |
CHARLOTTE |
| STATE |
North Carolina |
| POSTAL CODE |
28280-4000 |
| COUNTRY |
United States |
| PHONE |
704-444-1000 |
| FAX |
704-444-1111 |
| EMAIL |
tim.balts@alston.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
38385-258193 |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
005 |
| GOODS OR SERVICES |
Dental prophylaxis paste |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\764\792\76479284\xml1\ S890002.JPG |
| SPECIMEN DESCRIPTION |
scanned image of a packaging container for the goods |
| OWNER SECTION (current) |
| NAME |
Preventive Technologies, Inc. |
| STREET |
4330 Matthews-Indian Trail Road |
| CITY |
Indian Trail |
| STATE |
North Carolina |
| ZIP/POSTAL CODE |
28079 |
| COUNTRY |
United States |
| EMAIL |
XXXX |
| LEGAL ENTITY SECTION (current) |
| TYPE |
corporation |
| STATE/COUNTRY OF INCORPORATION |
North Carolina |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
500 |
| TOTAL FEE PAID |
500 |
| SIGNATURE SECTION |
| SIGNATURE |
/Timothy J. Balts/ |
| SIGNATORY'S NAME |
Timothy J. Balts |
| SIGNATORY'S POSITION |
Attorney of Record, North Carolina bar member |
| DATE SIGNED |
09/10/2013 |
| SIGNATORY'S PHONE NUMBER |
704-444-1000 |
| PAYMENT METHOD |
DA |
| FILING INFORMATION |
| SUBMIT DATE |
Tue Sep 10 08:26:00 EDT 2013 |
| TEAS STAMP |
USPTO/S08N09-XX.XXX.XXX.X
X-20130910082600125086-28
18241-5009d85330a388224f2
38f12e61ee56878fde010c548
7c254bcfd4926b1bea77e-DA-
9534-20130910072917155154 |
| 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: 2818241
REGISTRATION DATE: 02/24/2004
MARK: NADA
The owner, Preventive Technologies, Inc., a corporation of North Carolina, having an address of
4330 Matthews-Indian Trail Road
Indian Trail, North Carolina 28079
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 prophylaxis paste ; 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) scanned image of a packaging container for
the goods.
Specimen File1
The registrant's current Attorney Information: Timothy J. Balts of ALSTON & BIRD LLP
Bank of America Plaza, STE 4000
101 S. Tryon St.
CHARLOTTE, North Carolina (NC) 28280-4000
United States
The docket/reference number is 38385-258193.
The registrant's proposed Attorney Information: Timothy J. Balts of ALSTON & BIRD LLP
101 South Tryon Street, Suite 4000
CHARLOTTE, North Carolina (NC) 28280-4000
United States
The docket/reference number is 38385-258193.
The Other Appointed Attorney(s): Martha Gayle Barber, Larry C. Jones, George M. Taulbee, Michele M. Glessner, and Carla H. Clements, members of the North Carolina State Bar, and Natalie A. Blakeney,
a member of the North Carolina, District of Colombia, and Florida State Bars.
The phone number is 704-444-1000.
The fax number is 704-444-1111.
The email address is tim.balts@alston.com.
The registrant's current Correspondence Information: Timothy J. Balts of ALSTON & BIRD LLP
Bank of America Plaza, STE 4000
101 S. Tryon St.
CHARLOTTE, North Carolina (NC) 28280-4000
United States
The docket/reference number is 38385-258193.
The registrant's proposed Correspondence Information: Timothy J. Balts of ALSTON & BIRD LLP
101 South Tryon Street, Suite 4000
CHARLOTTE, North Carolina (NC) 28280-4000
United States
The docket/reference number is 38385-258193.
The phone number is 704-444-1000.
The fax number is 704-444-1111.
The email address is tim.balts@alston.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: /Timothy J. Balts/ Date: 09/10/2013
Signatory's Name: Timothy J. Balts
Signatory's Position: Attorney of Record, North Carolina bar member
Signatory's Phone Number: 704-444-1000
Mailing Address
(current):
ALSTON & BIRD LLP
101 S. Tryon St.
CHARLOTTE, North Carolina 28280-4000
Mailing Address
(proposed):
ALSTON & BIRD LLP
101 South Tryon Street, Suite 4000
CHARLOTTE, North Carolina 28280-4000
Serial Number: 76479284
Internet Transmission Date: Tue Sep 10 08:26:00 EDT 2013
TEAS Stamp: USPTO/S08N09-XX.XXX.XXX.XX-2013091008260
0125086-2818241-5009d85330a388224f238f12
e61ee56878fde010c5487c254bcfd4926b1bea77
e-DA-9534-20130910072917155154
