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 |
2847394 |
REGISTRATION DATE |
06/01/2004 |
SERIAL NUMBER |
76525763 |
MARK SECTION |
MARK |
ENDOPLUS |
ATTORNEY SECTION (new) |
NAME |
Shannon A. Middleton |
FIRM NAME |
Gutwein Law |
STREET |
250 Main Street, Suite 590 |
CITY |
Lafayette |
STATE |
Indiana |
POSTAL CODE |
47901 |
COUNTRY |
United States |
PHONE |
765-423-7900 |
EMAIL |
shannon.middleton@gutweinlaw.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
13193.1 |
CORRESPONDENCE SECTION (current) |
FIRM NAME |
JSTONE, INC. |
STREET |
431 LEXINGTON DRIVE |
CITY |
BUFFALO GROVE |
STATE |
Illinois |
POSTAL CODE |
60089 |
COUNTRY |
United States |
CORRESPONDENCE SECTION (proposed) |
NAME |
Shannon A. Middleton |
FIRM NAME |
Gutwein Law |
STREET |
250 Main Street, Suite 590 |
CITY |
Lafayette |
STATE |
Indiana |
POSTAL CODE |
47901 |
COUNTRY |
United States |
PHONE |
765-423-7900 |
EMAIL |
shannon.middleton@gutweinlaw.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
13193.1 |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
010 |
GOODS OR SERVICES |
MEDICAL DEVICES; NAMELY, ENDOSCOPIC INSTRUMENTS |
SPECIMEN FILE NAME(S) |
ORIGINAL PDF FILE |
SPN0-721222010-140542076_._Specimen__00297433_xCDB5A_.pdf |
CONVERTED PDF FILE(S)
(5 pages) |
\\TICRS\EXPORT16\IMAGEOUT16\765\257\76525763\xml2\S890002.JPG |
|
\\TICRS\EXPORT16\IMAGEOUT16\765\257\76525763\xml2\S890003.JPG |
|
\\TICRS\EXPORT16\IMAGEOUT16\765\257\76525763\xml2\S890004.JPG |
|
\\TICRS\EXPORT16\IMAGEOUT16\765\257\76525763\xml2\S890005.JPG |
|
\\TICRS\EXPORT16\IMAGEOUT16\765\257\76525763\xml2\S890006.JPG |
ORIGINAL PDF FILE |
SPN0-721222010-140542076_._Specimen__00297434_xCDB5A_.pdf |
CONVERTED PDF FILE(S)
(1 page) |
\\TICRS\EXPORT16\IMAGEOUT16\765\257\76525763\xml2\S890007.JPG |
SPECIMEN DESCRIPTION |
Instructions for Use which are shipped with Endoplus medical devices and web page screen shot showing a medical device |
OWNER SECTION (current) |
NAME |
JSTONE, INC. |
STREET |
431 LEXINGTON DRIVE |
CITY |
BUFFALO GROVE |
STATE |
Illinois |
ZIP/POSTAL CODE |
60089 |
COUNTRY |
United States |
OWNER SECTION (proposed) |
NAME |
JSTONE, INC. |
DBA/AKA/TA/Formerly |
DBA ENDOPLUS |
STREET |
750 Tower Road, Suite A |
CITY |
Mundelein |
STATE |
Illinois |
ZIP/POSTAL CODE |
60060 |
COUNTRY |
United States |
LEGAL ENTITY SECTION (current) |
TYPE |
corporation |
STATE/COUNTRY OF INCORPORATION |
Illinois |
PAYMENT SECTION |
NUMBER OF CLASSES |
1 |
NUMBER OF CLASSES PAID |
1 |
SUBTOTAL AMOUNT |
500 |
TOTAL FEE PAID |
500 |
SIGNATURE SECTION |
SIGNATURE |
/Shannon A. Middleton/ |
SIGNATORY'S NAME |
Shannon A. Middleton |
SIGNATORY'S POSITION |
Attorney of record, Indiana bar member |
DATE SIGNED |
01/16/2014 |
SIGNATORY'S PHONE NUMBER |
765-423-7900 |
PAYMENT METHOD |
CC |
FILING INFORMATION |
SUBMIT DATE |
Thu Jan 16 09:12:43 EST 2014 |
TEAS STAMP |
USPTO/S08N09-XX.XX.XXX.XX
-20140116091243704433-284
7394-50021f24a669531a75ef
8f984741c69e69c56a51971db
222ba9e4f50e0eba63c-CC-97
85-20140116090802958953 |
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: 2847394
REGISTRATION DATE: 06/01/2004
MARK: ENDOPLUS
The owner, JSTONE, INC., DBA ENDOPLUS, a corporation of Illinois, having an address of
750 Tower Road, Suite A
Mundelein, Illinois 60060
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: MEDICAL DEVICES; NAMELY, ENDOSCOPIC INSTRUMENTS ; 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) Instructions for Use which are shipped with
Endoplus medical devices and web page screen shot showing a medical device.
Original PDF file:
SPN0-721222010-140542076_._Specimen__00297433_xCDB5A_.pdf
Converted PDF file(s) (5 pages)
Specimen File1
Specimen File2
Specimen File3
Specimen File4
Specimen File5
Original PDF file:
SPN0-721222010-140542076_._Specimen__00297434_xCDB5A_.pdf
Converted PDF file(s) (1 page)
Specimen File1
The registrant's current Correspondence Information: of JSTONE, INC.
431 LEXINGTON DRIVE
BUFFALO GROVE, Illinois (IL) 60089
United States
The registrant's proposed Correspondence Information: Shannon A. Middleton of Gutwein Law
250 Main Street, Suite 590
Lafayette, Indiana (IN) 47901
United States
The docket/reference number is 13193.1.
The phone number is 765-423-7900.
The email address is shannon.middleton@gutweinlaw.com.
The registrant hereby appoints Shannon A. Middleton of Gutwein Law
250 Main Street, Suite 590
Lafayette, Indiana 47901
United States
to submit this Combined Declaration of Use and/or Excusable Nonuse/Application for Renewal of Registration of a Mark under Sections 8 & 9 on behalf of the registrant. The docket/reference number
is 13193.1.
The phone number is 765-423-7900.
The email address is shannon.middleton@gutweinlaw.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: /Shannon A. Middleton/ Date: 01/16/2014
Signatory's Name: Shannon A. Middleton
Signatory's Position: Attorney of record, Indiana bar member
Signatory's Phone Number: 765-423-7900
Mailing Address:
Gutwein Law
250 Main Street, Suite 590
Lafayette, Indiana 47901
Serial Number: 76525763
Internet Transmission Date: Thu Jan 16 09:12:43 EST 2014
TEAS Stamp: USPTO/S08N09-XX.XX.XXX.XX-20140116091243
704433-2847394-50021f24a669531a75ef8f984
741c69e69c56a51971db222ba9e4f50e0eba63c-
CC-9785-20140116090802958953