| 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 |
2917150 |
| REGISTRATION DATE |
01/11/2005 |
| SERIAL NUMBER |
76571654 |
| MARK SECTION |
| MARK |
EVALIFE (stylized and/or with design) |
| ATTORNEY SECTION (current) |
| NAME |
Clement Cheng |
| FIRM NAME |
LAW OFFICES OF CLEMENT CHENG |
| STREET |
17220 NEWHOPE STREET #127 |
| CITY |
FOUNTAIN VALLEY |
| STATE |
California |
| POSTAL CODE |
92708 |
| COUNTRY |
United States |
| PHONE |
(714) 825-0555 |
| FAX |
(714) 825-0558 |
| EMAIL |
law@clemcheng.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| ATTORNEY SECTION (proposed) |
| NAME |
Clement Cheng |
| FIRM NAME |
Newhope Law, PC |
| STREET |
17220 NEWHOPE STREET #127 |
| CITY |
FOUNTAIN VALLEY |
| STATE |
California |
| POSTAL CODE |
92708 |
| COUNTRY |
United States |
| PHONE |
(714) 825-0555 |
| FAX |
(714) 825-0558 |
| EMAIL |
law@clemcheng.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| CORRESPONDENCE SECTION (current) |
| NAME |
Clement Cheng |
| FIRM NAME |
LAW OFFICES OF CLEMENT CHENG |
| STREET |
17220 NEWHOPE STREET #127 |
| CITY |
FOUNTAIN VALLEY |
| STATE |
California |
| POSTAL CODE |
92708 |
| COUNTRY |
United States |
| PHONE |
(714) 825-0555 |
| FAX |
(714) 825-0558 |
| EMAIL |
law@clemcheng.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
Clement Cheng |
| FIRM NAME |
Newhope Law, PC |
| STREET |
17220 NEWHOPE STREET #127 |
| CITY |
FOUNTAIN VALLEY |
| STATE |
California |
| POSTAL CODE |
92708 |
| COUNTRY |
United States |
| PHONE |
(714) 825-0555 |
| FAX |
(714) 825-0558 |
| EMAIL |
law@clemcheng.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
005 |
| GOODS OR SERVICES |
Vitamin and food supplement |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\765\716\76571654\xml1\ S890002.JPG |
| SPECIMEN DESCRIPTION |
Exhibit 1 is a picture of the mark on a product bottle. |
| OWNER SECTION (current) |
| NAME |
Evalife LLC |
| STREET |
14661 Myford Road #D |
| CITY |
Tustin |
| STATE |
California |
| ZIP/POSTAL CODE |
92780 |
| COUNTRY |
United States |
| PHONE |
(714) 730-1532 |
| FAX |
(714) 730-1590 |
| OWNER SECTION (proposed) |
| NAME |
Evalife LLC |
| STREET |
12 Avignon |
| CITY |
Irvine |
| STATE |
California |
| ZIP/POSTAL CODE |
92606 |
| COUNTRY |
United States |
| PHONE |
|
| FAX |
|
| LEGAL ENTITY SECTION (current) |
| TYPE |
LIMITED LIABILITY CORPORATION |
| STATE/COUNTRY WHERE LEGALLY ORGANIZED |
California |
| LEGAL ENTITY SECTION (proposed) |
| TYPE |
limited liability company |
| STATE/COUNTRY WHERE LEGALLY ORGANIZED |
California |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
500 |
| TOTAL FEE PAID |
500 |
| SIGNATURE SECTION |
| SIGNATURE |
/clemcheng/ |
| SIGNATORY'S NAME |
Clement Cheng |
| SIGNATORY'S POSITION |
Attorney |
| DATE SIGNED |
03/17/2014 |
| SIGNATORY'S PHONE NUMBER |
714-825-0555 |
| PAYMENT METHOD |
CC |
| FILING INFORMATION |
| SUBMIT DATE |
Mon Mar 17 14:24:27 EDT 2014 |
| TEAS STAMP |
USPTO/S08N09-XXX.XXX.XX.X
XX-20140317142427506922-2
917150-500fc01fd938bc67a3
a54496377785119b7204bdf38
41543b5187b3cabc5321a-CC-
515-20140317141240575914 |
| 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: 2917150
REGISTRATION DATE: 01/11/2005
MARK: (Stylized and/or with Design, EVALIFE)
The owner, Evalife LLC, a limited liability company legally organized under the laws of California, having an address of
12 Avignon
Irvine, California 92606
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 005, 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: Vitamin and food supplement ; 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) Exhibit 1 is a picture of the mark on a
product bottle..
Specimen File1
The registrant's current Attorney Information: Clement Cheng of LAW OFFICES OF CLEMENT CHENG
17220 NEWHOPE STREET #127
FOUNTAIN VALLEY, California (CA) 92708
United States
The registrant's proposed Attorney Information: Clement Cheng of Newhope Law, PC
17220 NEWHOPE STREET #127
FOUNTAIN VALLEY, California (CA) 92708
United States
The phone number is (714) 825-0555.
The fax number is (714) 825-0558.
The email address is law@clemcheng.com.
The registrant's current Correspondence Information: Clement Cheng of LAW OFFICES OF CLEMENT CHENG
17220 NEWHOPE STREET #127
FOUNTAIN VALLEY, California (CA) 92708
United States
The registrant's proposed Correspondence Information: Clement Cheng of Newhope Law, PC
17220 NEWHOPE STREET #127
FOUNTAIN VALLEY, California (CA) 92708
United States
The phone number is (714) 825-0555.
The fax number is (714) 825-0558.
The email address is law@clemcheng.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: /clemcheng/ Date: 03/17/2014
Signatory's Name: Clement Cheng
Signatory's Position: Attorney
Signatory's Phone Number: 714-825-0555
Mailing Address
(current):
LAW OFFICES OF CLEMENT CHENG
17220 NEWHOPE STREET #127
FOUNTAIN VALLEY, California 92708
Mailing Address
(proposed):
Newhope Law, PC
17220 NEWHOPE STREET #127
FOUNTAIN VALLEY, California 92708
Serial Number: 76571654
Internet Transmission Date: Mon Mar 17 14:24:27 EDT 2014
TEAS Stamp: USPTO/S08N09-XXX.XXX.XX.XXX-201403171424
27506922-2917150-500fc01fd938bc67a3a5449
6377785119b7204bdf3841543b5187b3cabc5321
a-CC-515-20140317141240575914
