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 |
2857574 |
REGISTRATION DATE |
06/29/2004 |
SERIAL NUMBER |
76521436 |
MARK SECTION |
MARK |
Miscellaneous Mark (stylized and/or with design) |
CORRESPONDENCE SECTION (current) |
NAME |
SALVATOR J MINICOZZI |
STREET |
3517 TELFAIR WAY |
CITY |
ATLANTA |
STATE |
Georgia |
POSTAL CODE |
30319 |
COUNTRY |
United States |
CORRESPONDENCE SECTION (proposed) |
NAME |
Minicozzi, Salvatore J. |
STREET |
3517 TELFAIR WAY |
CITY |
ATLANTA |
STATE |
Georgia |
POSTAL CODE |
30319 |
COUNTRY |
United States |
PHONE |
404-788-9625 |
FAX |
404-531-9842 |
EMAIL |
drsal@intelligentchiropractic.com;drsal61@gmail.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
025 |
GOODS OR SERVICES |
Clothing, namely, tee shirts, sweatshirts, tank tops, polo shirts, jerseys, sports shirts, jackets, warm-up suits, athletic uniforms,
tracksuits, pants, shorts, sweat pants, gym shorts, caps, hats, sweat bands, neck bands, wrist bands, athletic footwear, athletic shoes, gym shoes, socks and sweat socks |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\765\214\76521436\xml2\ S890002.JPG |
SPECIMEN DESCRIPTION |
The image shows the mark in commerce. The mark is applied to the left chest of the garment |
OWNER SECTION (current) |
NAME |
Minicozzi, Salvatore J. |
STREET |
3517 Telfair Way |
CITY |
Atlanta |
STATE |
Georgia |
ZIP/POSTAL CODE |
30319 |
COUNTRY |
United States |
OWNER SECTION (proposed) |
NAME |
Minicozzi, Salvatore J. |
STREET |
3517 Telfair Way |
CITY |
Atlanta |
STATE |
Georgia |
ZIP/POSTAL CODE |
30319 |
COUNTRY |
United States |
PHONE |
404-788-9625 |
FAX |
404-531-9842 |
EMAIL |
XXXX |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
LEGAL ENTITY SECTION (current) |
TYPE |
individual |
COUNTRY OF CITIZENSHIP |
United States |
PAYMENT SECTION |
NUMBER OF CLASSES |
1 |
NUMBER OF CLASSES PAID |
1 |
SUBTOTAL AMOUNT |
500 |
TOTAL FEE PAID |
500 |
SIGNATURE SECTION |
SIGNATURE |
/Salvatore J. Minicozzi/ |
SIGNATORY'S NAME |
Salvatore J. Minicozzi |
SIGNATORY'S POSITION |
Owner |
DATE SIGNED |
02/05/2014 |
SIGNATORY'S PHONE NUMBER |
404-788-9625 |
PAYMENT METHOD |
CC |
FILING INFORMATION |
SUBMIT DATE |
Wed Feb 05 16:46:51 EST 2014 |
TEAS STAMP |
USPTO/S08N09-XX.XX.XX.XX-
20140205164651501976-2857
574-500c673544bd8fa35131a
6810816a1dfb2f52ccd9689d4
d17fea8bf7d9bf47856-CC-29
65-20140205163923826497 |
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: 2857574
REGISTRATION DATE: 06/29/2004
MARK: (Stylized and/or with Design, Miscellaneous Mark)
The owner, Salvatore J Minicozzi, a citizen of United States, having an address of
3517 Telfair Way
Atlanta, Georgia 30319
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 025, 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: Clothing, namely, tee shirts, sweatshirts, tank tops, polo shirts, jerseys, sports shirts, jackets, warm-up suits, athletic uniforms, tracksuits, pants,
shorts, sweat pants, gym shorts, caps, hats, sweat bands, neck bands, wrist bands, athletic footwear, athletic shoes, gym shoes, socks and sweat socks ; 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) The image shows the mark in commerce. The
mark is applied to the left chest of the garment.
Specimen File1
The registrant's current Correspondence Information: SALVATOR J MINICOZZI
3517 TELFAIR WAY
ATLANTA, Georgia (GA) 30319
United States
The registrant's proposed Correspondence Information: Minicozzi, Salvatore J.
3517 TELFAIR WAY
ATLANTA, Georgia (GA) 30319
United States
The phone number is 404-788-9625.
The fax number is 404-531-9842.
The email address is drsal@intelligentchiropractic.com;drsal61@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 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: /Salvatore J. Minicozzi/ Date: 02/05/2014
Signatory's Name: Salvatore J. Minicozzi
Signatory's Position: Owner
Signatory's Phone Number: 404-788-9625
Serial Number: 76521436
Internet Transmission Date: Wed Feb 05 16:46:51 EST 2014
TEAS Stamp: USPTO/S08N09-XX.XX.XX.XX-201402051646515
01976-2857574-500c673544bd8fa35131a68108
16a1dfb2f52ccd9689d4d17fea8bf7d9bf47856-
CC-2965-20140205163923826497