| 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 |
2985956 |
| REGISTRATION DATE |
08/16/2005 |
| SERIAL NUMBER |
76567608 |
| MARK SECTION |
| MARK |
KINETIC |
| ATTORNEY SECTION (no change) |
| NAME |
Bruce J. Bowman |
| FIRM NAME |
Bowman & Associates |
| INTERNAL ADDRESS |
Suite 106 |
| STREET |
1016 3rd Ave. SW |
| CITY |
Carmel |
| STATE |
Indiana |
| POSTAL CODE |
46032 |
| COUNTRY |
United States |
| PHONE |
317 571-9301 |
| FAX |
317 571-9302 |
| EMAIL |
bowmanassociates@sbcglobal.net |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
LSP075 |
| CORRESPONDENCE SECTION (no change) |
| NAME |
Bruce J. Bowman |
| FIRM NAME |
Bowman & Associates |
| INTERNAL ADDRESS |
Suite 106 |
| STREET |
1016 3rd Ave. SW |
| CITY |
Carmel |
| STATE |
Indiana |
| POSTAL CODE |
46032 |
| COUNTRY |
United States |
| PHONE |
317 571-9301 |
| FAX |
317 571-9302 |
| EMAIL |
bowmanassociates@sbcglobal.net |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
LSP075 |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
010 |
| GOODS OR SERVICES |
Spinal fixation device, namely, cervical plates |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\765\676\76567608\xml1\ S890002.JPG |
| SPECIMEN DESCRIPTION |
a digital photo of packaged and labeled goods |
| OWNER SECTION (current) |
| NAME |
LIFE SPINE, INC. |
| STREET |
2401 W. HASSEL ROAD |
| CITY |
HOFFMAN ESTATES |
| STATE |
Illinois |
| ZIP/POSTAL CODE |
60169 |
| COUNTRY |
United States |
| OWNER SECTION (proposed) |
| NAME |
LIFE SPINE, INC. |
| INTERNAL ADDRESS |
Suite 1535 |
| STREET |
2401 W. HASSEL ROAD |
| CITY |
HOFFMAN ESTATES |
| STATE |
Illinois |
| ZIP/POSTAL CODE |
60169 |
| 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 |
/bjb/ |
| SIGNATORY'S NAME |
Bruce J. Bowman |
| SIGNATORY'S POSITION |
Attorney of record, Indiana bar member |
| DATE SIGNED |
09/11/2014 |
| SIGNATORY'S PHONE NUMBER |
317 571-9301 |
| PAYMENT METHOD |
CC |
| FILING INFORMATION |
| SUBMIT DATE |
Thu Sep 11 10:54:01 EDT 2014 |
| TEAS STAMP |
USPTO/S08N09-XX.XX.XXX.XX
X-20140911105401036830-29
85956-500ce847e849523527b
8ae09864c2d69bcd5d7381e53
e342016d24476c791edd060-C
C-9981-201409111044473633
88 |
| 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: 2985956
REGISTRATION DATE: 08/16/2005
MARK: KINETIC
The owner, LIFE SPINE, INC., a corporation of Delaware, having an address of
Suite 1535
2401 W. HASSEL ROAD
HOFFMAN ESTATES, Illinois 60169
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: Spinal fixation device, namely, cervical plates ; 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) a digital photo of packaged and labeled
goods.
Specimen File1
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: /bjb/ Date: 09/11/2014
Signatory's Name: Bruce J. Bowman
Signatory's Position: Attorney of record, Indiana bar member
Signatory's Phone Number: 317 571-9301
Mailing Address:
Bowman & Associates
1016 3rd Ave. SW
Carmel, Indiana 46032
Serial Number: 76567608
Internet Transmission Date: Thu Sep 11 10:54:01 EDT 2014
TEAS Stamp: USPTO/S08N09-XX.XX.XXX.XXX-2014091110540
1036830-2985956-500ce847e849523527b8ae09
864c2d69bcd5d7381e53e342016d24476c791edd
060-CC-9981-20140911104447363388
