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 |
2880143 |
REGISTRATION DATE |
08/31/2004 |
SERIAL NUMBER |
76508034 |
MARK SECTION |
MARK |
EZ-ALIGN |
CORRESPONDENCE SECTION (current) |
NAME |
PAUL M DENK |
INTERNAL ADDRESS |
SUITE 170 |
STREET |
763 S NEW BALLAS RD |
CITY |
ST LOUIS |
STATE |
Missouri |
POSTAL CODE |
63141 |
COUNTRY |
United States |
PHONE |
(314) 872-8136 |
FAX |
(314) 991-2178 |
CORRESPONDENCE SECTION (proposed) |
NAME |
DynaFlex, Ltd. |
STREET |
10246 BACH BLVD., PO BOX 142399 |
CITY |
St. Louis |
STATE |
Missouri |
POSTAL CODE |
63114 |
COUNTRY |
United States |
PHONE |
(314) 872-8136 |
FAX |
(314) 991-2178 |
EMAIL |
woods0620@gmail.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
010 |
GOODS OR SERVICES |
Orthodontic appliances for use for aligning teeth |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\765\080\76508034\xml2\ S890002.JPG |
SPECIMEN DESCRIPTION |
label |
OWNER SECTION (current) |
NAME |
DynaFlex, Ltd. |
STREET |
10246 BACH BLVD. |
CITY |
St. Louis |
STATE |
Missouri |
ZIP/POSTAL CODE |
63114 |
COUNTRY |
United States |
PHONE |
(314) 872-8136 |
FAX |
(314) 991-2178 |
OWNER SECTION (proposed) |
NAME |
DynaFlex, Ltd. |
STREET |
10246 BACH BLVD., PO BOX 142399 |
CITY |
St. Louis |
STATE |
Missouri |
ZIP/POSTAL CODE |
63114 |
COUNTRY |
United States |
PHONE |
(314) 872-8136 |
FAX |
(314) 991-2178 |
EMAIL |
XXXX |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
LEGAL ENTITY SECTION (current) |
TYPE |
corporation |
STATE/COUNTRY OF INCORPORATION |
Missouri |
PAYMENT SECTION |
NUMBER OF CLASSES |
1 |
NUMBER OF CLASSES PAID |
1 |
SUBTOTAL AMOUNT |
500 |
TOTAL FEE PAID |
500 |
SIGNATURE SECTION |
SIGNATURE |
/Jeffrey Woods/ |
SIGNATORY'S NAME |
Jeffrey Woods |
SIGNATORY'S POSITION |
Representative |
DATE SIGNED |
04/09/2014 |
PAYMENT METHOD |
CC |
FILING INFORMATION |
SUBMIT DATE |
Wed Apr 09 06:49:51 EDT 2014 |
TEAS STAMP |
USPTO/S08N09-XXX.XXX.X.XX
X-20140409064951748517-28
80143-50082611559834dfc63
2969a9aeaf64f233cc25a852b
e9e6d8bd869dacd864e2d41-C
C-6737-201404090646481069
17 |
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: 2880143
REGISTRATION DATE: 08/31/2004
MARK: EZ-ALIGN
The owner, DynaFlex, Ltd., a corporation of Missouri, having an address of
10246 BACH BLVD., PO BOX 142399
St. Louis, Missouri 63114
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 010, 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: Orthodontic appliances for use for aligning teeth ; 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) label.
Specimen File1
The registrant's current Correspondence Information: PAUL M DENK
SUITE 170
763 S NEW BALLAS RD
ST LOUIS, Missouri (MO) 63141
United States
The registrant's proposed Correspondence Information: DynaFlex, Ltd.
10246 BACH BLVD., PO BOX 142399
St. Louis, Missouri (MO) 63114
United States
The phone number is (314) 872-8136.
The fax number is (314) 991-2178.
The email address is woods0620@gmail.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/services 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. Section 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: /Jeffrey Woods/ Date: 04/09/2014
Signatory's Name: Jeffrey Woods
Signatory's Position: Representative
Serial Number: 76508034
Internet Transmission Date: Wed Apr 09 06:49:51 EDT 2014
TEAS Stamp: USPTO/S08N09-XXX.XXX.X.XXX-2014040906495
1748517-2880143-50082611559834dfc632969a
9aeaf64f233cc25a852be9e6d8bd869dacd864e2
d41-CC-6737-20140409064648106917