| 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 |
3052049 |
| REGISTRATION DATE |
01/31/2006 |
| SERIAL NUMBER |
76483983 |
| MARK SECTION |
| MARK |
AFFINIS |
| CORRESPONDENCE SECTION (current) |
| NAME |
Dr. Stephan Kägi |
| FIRM NAME |
Coltène/Whaledent AG |
| STREET |
Feldwiesenstrasse 20 |
| CITY |
Altstätten |
| POSTAL CODE |
9450 |
| COUNTRY |
Switzerland |
| PHONE |
+41 71 7575 334 |
| FAX |
+41 71 7575 310 |
| EMAIL |
Stephan.Kaegi@coltene.com;Gerda.Stark@coltene.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
COLTENE/WHALEDENT AG |
| STREET |
Feldwiesenstrasse 20 |
| CITY |
Altstätten |
| POSTAL CODE |
9450 |
| COUNTRY |
Switzerland |
| PHONE |
+41 71 7575 478 |
| FAX |
+41 71 7575 310 |
| EMAIL |
Gerda.Stark@coltene.com;Stephan.Kaegi@coltene.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
005 |
| GOODS OR SERVICES |
DENTAL IMPRESSION MATERIALS |
| SPECIMEN FILE NAME(S) |
| JPG FILE(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\764\839\76483983\xml4\ S890002.JPG |
| ORIGINAL PDF FILE |
SPN0-212243104195-20150730090535662329_._packshot.pdf |
CONVERTED PDF FILE(S)
(1 page) |
\\TICRS\EXPORT16\IMAGEOUT16\764\839\76483983\xml4\S890003.JPG |
| ORIGINAL PDF FILE |
SPN0-212243104195-20150730090535662329_._30000562_05-15_FS_AFFINIS_mS_rb.pdf |
CONVERTED PDF FILE(S)
(1 page) |
\\TICRS\EXPORT16\IMAGEOUT16\764\839\76483983\xml4\S890004.JPG |
| SPECIMEN DESCRIPTION |
BROCHURE, PACKSHOT, OUTER PACKAGING |
| OWNER SECTION (current) |
| NAME |
COLTENE/WHALEDENT AG |
| STREET |
FELDWIESENSTRASSE 20 |
| CITY |
ALSTATTEN |
| ZIP/POSTAL CODE |
9450 |
| COUNTRY |
Switzerland |
| OWNER SECTION (proposed) |
| NAME |
COLTENE/WHALEDENT AG |
| DBA/AKA/TA/Formerly |
DBA Developer, Manufacturer and Saler for dental material |
| STREET |
FELDWIESENSTRASSE 20 |
| CITY |
ALTSTÄTTEN |
| ZIP/POSTAL CODE |
9450 |
| COUNTRY |
Switzerland |
| PHONE |
+41 71 7575 478 |
| FAX |
+41 71 7575 310 |
| EMAIL |
XXXX |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| LEGAL ENTITY SECTION (current) |
| TYPE |
corporation |
| STATE/COUNTRY OF INCORPORATION |
Switzerland |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
400 |
| TOTAL FEE PAID |
400 |
| SIGNATURE SECTION |
| SIGNATURE |
/Stephan Kaegi/ |
| SIGNATORY'S NAME |
Dr. Stephan Kägi |
| SIGNATORY'S POSITION |
Director |
| DATE SIGNED |
07/30/2015 |
| SIGNATORY'S PHONE NUMBER |
+41 717575334 |
| PAYMENT METHOD |
CC |
| FILING INFORMATION |
| SUBMIT DATE |
Thu Jul 30 09:20:37 EDT 2015 |
| TEAS STAMP |
USPTO/S08N09-XXX.XXX.XXX.
XXX-20150730092037105461-
3052049-5409f426f3c6b662f
30cb5020577aa2699fb439649
de816176e5342275231d99-CC
-13303-201507300905356623
29 |
| 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: 3052049
REGISTRATION DATE: 01/31/2006
MARK: AFFINIS
The owner, COLTENE/WHALEDENT AG, DBA Developer, Manufacturer and Saler for dental material, a corporation of Switzerland, having an address of
FELDWIESENSTRASSE 20
ALTSTÄTTEN, 9450
Switzerland
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 IMPRESSION MATERIALS ; 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) BROCHURE, PACKSHOT, OUTER PACKAGING.
JPG file(s):
Specimen File1
Original PDF file:
SPN0-212243104195-20150730090535662329_._packshot.pdf
Converted PDF file(s) (1 page)
Specimen File1
Original PDF file:
SPN0-212243104195-20150730090535662329_._30000562_05-15_FS_AFFINIS_mS_rb.pdf
Converted PDF file(s) (1 page)
Specimen File1
The registrant's current Correspondence Information: Dr. Stephan Kägi of Coltène/Whaledent AG
Feldwiesenstrasse 20
Altstätten, 9450
Switzerland
The registrant's proposed Correspondence Information: COLTENE/WHALEDENT AG
Feldwiesenstrasse 20
Altstätten, 9450
Switzerland
The phone number is +41 71 7575 478.
The fax number is +41 71 7575 310.
The email address is Gerda.Stark@coltene.com;Stephan.Kaegi@coltene.com.
A fee payment in the amount of $400 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/services, or to indicate membership in the collective membership
organization identified above, as evidenced by the attached specimen(s) showing the mark as used in commerce.
The signatory being warned that willful false statements and the like are punishable by fine or imprisonment, or both, under 18 U.S.C. § 1001, and that such willful false statements and the like may
jeopardize the validity of this submission, declares that all statements made of his/her own knowledge are true and 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: /Stephan Kaegi/ Date: 07/30/2015
Signatory's Name: Dr. Stephan Kägi
Signatory's Position: Director
Signatory's Phone Number: +41 717575334
Serial Number: 76483983
Internet Transmission Date: Thu Jul 30 09:20:37 EDT 2015
TEAS Stamp: USPTO/S08N09-XXX.XXX.XXX.XXX-20150730092
037105461-3052049-5409f426f3c6b662f30cb5
020577aa2699fb439649de816176e5342275231d
99-CC-13303-20150730090535662329
