| 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 |
2881278 |
| REGISTRATION DATE |
09/07/2004 |
| SERIAL NUMBER |
76556104 |
| MARK SECTION |
| MARK |
THE Q |
| ATTORNEY SECTION (current) |
| NAME |
Robert L. Brewer |
| FIRM NAME |
Bass, Berry & Sims PLC |
| INTERNAL ADDRESS |
Suite 2800 |
| STREET |
150 3rd Avenue South |
| CITY |
Nashville |
| STATE |
Tennessee |
| POSTAL CODE |
37201 |
| COUNTRY |
United States |
| PHONE |
615-742-7760 |
| FAX |
615-742-0410 |
| EMAIL |
trademarks@bassberry.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| ATTORNEY SECTION (proposed) |
| NAME |
Robert L. Brewer, Paige W. Mills and Martha B. Allard |
| FIRM NAME |
Bass, Berry & Sims PLC |
| INTERNAL ADDRESS |
Suite 2800 |
| STREET |
150 3rd Avenue South |
| CITY |
Nashville |
| STATE |
Tennessee |
| POSTAL CODE |
37201 |
| COUNTRY |
United States |
| PHONE |
615-742-7760 |
| FAX |
615-742-0410 |
| EMAIL |
trademarks@bassberry.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
011211-235 |
| OTHER APPOINTED ATTORNEY |
Emily A. Burrows |
| CORRESPONDENCE SECTION (current) |
| NAME |
Robert L. Brewer, Paige W. Mills, and Ryann M. Sch |
| FIRM NAME |
Bass, Berry & Sims PLC |
| INTERNAL ADDRESS |
Suite 2800 |
| STREET |
150 3rd Avenue South |
| CITY |
Nashville |
| STATE |
Tennessee |
| POSTAL CODE |
37201 |
| COUNTRY |
United States |
| PHONE |
615-742-7760 |
| FAX |
615-742-0410 |
| EMAIL |
trademarks@bassberry.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
Robert L. Brewer, Paige W. Mills and Martha B. Allard |
| FIRM NAME |
Bass, Berry & Sims PLC |
| INTERNAL ADDRESS |
Suite 2800 |
| STREET |
150 3rd Avenue South |
| CITY |
Nashville |
| STATE |
Tennessee |
| POSTAL CODE |
37201 |
| COUNTRY |
United States |
| PHONE |
615-742-7760 |
| FAX |
615-742-0410 |
| EMAIL |
trademarks@bassberry.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
011211-235 |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
044 |
| GOODS OR SERVICES |
Health care, namely, assisting individuals to stop addictive substance use by means of a global computer information network; counseling in the
field of addictive substance use cessation by means of a global computer information network |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\765\561\76556104\xml1\ S890002.JPG |
| |
\\TICRS\EXPORT16\IMAGEOUT 16\765\561\76556104\xml1\ S890003.JPG |
| |
\\TICRS\EXPORT16\IMAGEOUT 16\765\561\76556104\xml1\ S890004.JPG |
| SPECIMEN DESCRIPTION |
screen captures from website |
| OWNER SECTION (current) |
| NAME |
HEALTHWAYS QUITNET, INC. |
| STREET |
ONE APPLETON STREET |
| CITY |
BOSTON |
| STATE |
Massachusetts |
| ZIP/POSTAL CODE |
02116 |
| COUNTRY |
United States |
| LEGAL ENTITY SECTION (current) |
| TYPE |
corporation |
| STATE/COUNTRY OF INCORPORATION |
Delaware |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
500 |
| TOTAL FEE PAID |
500 |
| SIGNATURE SECTION |
| SIGNATURE |
/Mary S. Flipse/ |
| SIGNATORY'S NAME |
Mary S. Flipse |
| SIGNATORY'S POSITION |
Senior Vice President & General Counsel |
| DATE SIGNED |
09/08/2014 |
| SIGNATORY'S PHONE NUMBER |
N/A |
| PAYMENT METHOD |
DA |
| FILING INFORMATION |
| SUBMIT DATE |
Mon Sep 08 16:15:25 EDT 2014 |
| TEAS STAMP |
USPTO/S08N09-XX.XX.XXX.XX
X-20140908161525660509-28
81278-500171c92a15d75d3e2
7092926ae45461e4577542292
fbc637867a7d848fa72d6-DA-
2834-20140908144632761834 |
| 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: 2881278
REGISTRATION DATE: 09/07/2004
MARK: THE Q
The owner, HEALTHWAYS QUITNET, INC., a corporation of Delaware, having an address of
ONE APPLETON STREET
BOSTON, Massachusetts 02116
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 044, 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: Health care, namely, assisting individuals to stop addictive substance use by means of a global computer information network; counseling in the field of
addictive substance use cessation by means of a global computer information network ; 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) screen captures from website.
Specimen File1
Specimen File2
Specimen File3
The registrant's current Attorney Information: Robert L. Brewer of Bass, Berry & Sims PLC
Suite 2800
150 3rd Avenue South
Nashville, Tennessee (TN) 37201
United States
The registrant's proposed Attorney Information: Robert L. Brewer, Paige W. Mills and Martha B. Allard of Bass, Berry & Sims PLC
Suite 2800
150 3rd Avenue South
Nashville, Tennessee (TN) 37201
United States
The docket/reference number is 011211-235.
The Other Appointed Attorney(s): Emily A. Burrows.
The phone number is 615-742-7760.
The fax number is 615-742-0410.
The email address is trademarks@bassberry.com.
The registrant's current Correspondence Information: Robert L. Brewer, Paige W. Mills, and Ryann M. Sch of Bass, Berry & Sims PLC
Suite 2800
150 3rd Avenue South
Nashville, Tennessee (TN) 37201
United States
The registrant's proposed Correspondence Information: Robert L. Brewer, Paige W. Mills and Martha B. Allard of Bass, Berry & Sims PLC
Suite 2800
150 3rd Avenue South
Nashville, Tennessee (TN) 37201
United States
The docket/reference number is 011211-235.
The phone number is 615-742-7760.
The fax number is 615-742-0410.
The email address is trademarks@bassberry.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: /Mary S. Flipse/ Date: 09/08/2014
Signatory's Name: Mary S. Flipse
Signatory's Position: Senior Vice President & General Counsel
Signatory's Phone Number: N/A
Mailing Address
(current):
Bass, Berry & Sims PLC
150 3rd Avenue South
Nashville, Tennessee 37201
Mailing Address
(proposed):
Bass, Berry & Sims PLC
150 3rd Avenue South
Nashville, Tennessee 37201
Serial Number: 76556104
Internet Transmission Date: Mon Sep 08 16:15:25 EDT 2014
TEAS Stamp: USPTO/S08N09-XX.XX.XXX.XXX-2014090816152
5660509-2881278-500171c92a15d75d3e270929
26ae45461e4577542292fbc637867a7d848fa72d
6-DA-2834-20140908144632761834
