| 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 |
2917778 |
| REGISTRATION DATE |
01/11/2005 |
| SERIAL NUMBER |
76481994 |
| MARK SECTION |
| MARK |
CCA |
| ATTORNEY SECTION (no change) |
| NAME |
Norman E. Lehrer |
| FIRM NAME |
Norman E. Lehrer, P.C. |
| STREET |
1205 North Kings Highway |
| CITY |
CHERRY HILL |
| STATE |
New Jersey |
| POSTAL CODE |
08034-1916 |
| COUNTRY |
United States |
| PHONE |
856.429.4100 |
| FAX |
856.429.8819 |
| EMAIL |
patents@pobox.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
4834-9 |
| CORRESPONDENCE SECTION (no change) |
| NAME |
Norman E. Lehrer |
| FIRM NAME |
Norman E. Lehrer, P.C. |
| STREET |
1205 North Kings Highway |
| CITY |
CHERRY HILL |
| STATE |
New Jersey |
| POSTAL CODE |
08034-1916 |
| COUNTRY |
United States |
| PHONE |
856.429.4100 |
| FAX |
856.429.8819 |
| EMAIL |
patents@pobox.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
4834-9 |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
B |
| GOODS OR SERVICES |
certifying that individuals have met certain qualifications and experience and have been certified to assist senior citizens with their
activities of daily living within their own home |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\764\819\76481994\xml1\ S890002.JPG |
| SPECIMEN DESCRIPTION |
web site |
| OWNER SECTION (current) |
| NAME |
THE SENIOR'S CHOICE, INC. |
| STREET |
Suite 200 |
| CITY |
Dana Point |
| STATE |
California |
| ZIP/POSTAL CODE |
92629 |
| COUNTRY |
United States |
| OWNER SECTION (proposed) |
| NAME |
THE SENIOR'S CHOICE, INC. |
| INTERNAL ADDRESS |
Suite 280 |
| STREET |
9070 Irvine Center Drive |
| CITY |
Irvine |
| STATE |
California |
| ZIP/POSTAL CODE |
92618 |
| COUNTRY |
United States |
| LEGAL ENTITY SECTION (current) |
| TYPE |
corporation |
| STATE/COUNTRY OF INCORPORATION |
Nevada |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
500 |
| TOTAL FEE PAID |
500 |
| SIGNATURE SECTION |
| SIGNATURE |
/Norman E. Lehrer/ |
| SIGNATORY'S NAME |
Norman E. Lehrer |
| SIGNATORY'S POSITION |
Attorney |
| DATE SIGNED |
03/19/2014 |
| SIGNATORY'S PHONE NUMBER |
856.429.4100 |
| PAYMENT METHOD |
CC |
| FILING INFORMATION |
| SUBMIT DATE |
Wed Mar 19 14:14:26 EDT 2014 |
| TEAS STAMP |
USPTO/S08N09-XX.XXX.XXX.X
X-20140319141426598376-29
17778-50062e4db41e280d74c
8b72b9655050aefac5b4f2303
5b0440299a291c5b32a80-CC-
496-20140319140359051865 |
| 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: 2917778
REGISTRATION DATE: 01/11/2005
MARK: CCA
The owner, THE SENIOR'S CHOICE, INC., a corporation of Nevada, having an address of
Suite 280
9070 Irvine Center Drive
Irvine, California 92618
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 B, 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: certifying that individuals have met certain qualifications and experience and have been certified to assist senior citizens with their activities of
daily living within their own home ; 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.
Specimen File1
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: /Norman E. Lehrer/ Date: 03/19/2014
Signatory's Name: Norman E. Lehrer
Signatory's Position: Attorney
Signatory's Phone Number: 856.429.4100
Mailing Address:
Norman E. Lehrer, P.C.
1205 North Kings Highway
CHERRY HILL, New Jersey 08034-1916
Serial Number: 76481994
Internet Transmission Date: Wed Mar 19 14:14:26 EDT 2014
TEAS Stamp: USPTO/S08N09-XX.XXX.XXX.XX-2014031914142
6598376-2917778-50062e4db41e280d74c8b72b
9655050aefac5b4f23035b0440299a291c5b32a8
0-CC-496-20140319140359051865
