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 |
2964690 |
REGISTRATION DATE |
07/05/2005 |
SERIAL NUMBER |
76571887 |
MARK SECTION |
MARK |
QUALITY CHOICE |
ATTORNEY SECTION (no change) |
NAME |
ERIC S. WACHSPRESS |
INTERNAL ADDRESS |
Suite #304B |
STREET |
417 S. Jefferson Street |
CITY |
Chicago |
STATE |
Illinois |
POSTAL CODE |
60607-3813 |
COUNTRY |
United States |
PHONE |
773.934.5855 |
FAX |
312.583.1083 |
EMAIL |
markscounsel@gmail.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
CORRESPONDENCE SECTION (no change) |
NAME |
ERIC S. WACHSPRESS |
INTERNAL ADDRESS |
Suite #304B |
STREET |
417 S. Jefferson Street |
CITY |
Chicago |
STATE |
Illinois |
POSTAL CODE |
60607-3813 |
COUNTRY |
United States |
PHONE |
773.934.5855 |
FAX |
312.583.1083 |
EMAIL |
markscounsel@gmail.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
005 |
GOODS OR SERVICES |
Pregnancy test kits for home use, Epsom salts, Petroleum jelly for medical purposes |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\765\718\76571887\xml1\ S890002.JPG |
SPECIMEN DESCRIPTION |
image of Registrant's goods showing the mark applied thereto |
INTERNATIONAL CLASS |
010 |
GOODS OR SERVICES |
Orthopedic support bandages |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\765\718\76571887\xml1\ S890003.JPG |
SPECIMEN DESCRIPTION |
image of Registrant's goods showing the mark applied thereto |
OWNER SECTION (current) |
NAME |
CHAIN DRUG MARKETING ASSOCIATION, INC. |
STREET |
P.O. BOX 995 |
CITY |
NOVI |
STATE |
Michigan |
ZIP/POSTAL CODE |
48376-0995 |
COUNTRY |
United States |
OWNER SECTION (proposed) |
NAME |
CHAIN DRUG MARKETING ASSOCIATION, INC. |
INTERNAL ADDRESS |
P.O. BOX 995 |
STREET |
43157 W. Nine Mile Road |
CITY |
NOVI |
STATE |
Michigan |
ZIP/POSTAL CODE |
48375-4117 |
COUNTRY |
United States |
LEGAL ENTITY SECTION (current) |
TYPE |
corporation |
STATE/COUNTRY OF INCORPORATION |
Delaware |
PAYMENT SECTION |
NUMBER OF CLASSES |
2 |
NUMBER OF CLASSES PAID |
2 |
SUBTOTAL AMOUNT |
800 |
TOTAL FEE PAID |
800 |
SIGNATURE SECTION |
SIGNATURE |
/eric wachspress/ |
SIGNATORY'S NAME |
Eric Wachspress |
SIGNATORY'S POSITION |
Attorney of record, Illinois bar member |
DATE SIGNED |
01/22/2015 |
SIGNATORY'S PHONE NUMBER |
773-934-5855 |
PAYMENT METHOD |
CC |
FILING INFORMATION |
SUBMIT DATE |
Thu Jan 22 13:18:28 EST 2015 |
TEAS STAMP |
USPTO/S08N09-XXX.XXX.XX.X
X-20150122131828920146-29
64690-5307fcaa6720961ac36
6729f112c5efe36895688602c
93d4698ea913b117d71bde-CC
-11985-201501221254159262
75 |
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: 2964690
REGISTRATION DATE: 07/05/2005
MARK: QUALITY CHOICE
The owner, CHAIN DRUG MARKETING ASSOCIATION, INC., a corporation of Delaware, having an address of
P.O. BOX 995
43157 W. Nine Mile Road
NOVI, Michigan 48375-4117
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: Pregnancy test kits for home use, Epsom salts, Petroleum jelly for medical purposes ; 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) image of Registrant's goods showing the mark
applied thereto.
Specimen File1
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: Orthopedic support bandages ; 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) image of Registrant's goods showing the mark
applied thereto.
Specimen File1
A fee payment in the amount of $800 will be submitted with the form, representing payment for 2 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: /eric wachspress/ Date: 01/22/2015
Signatory's Name: Eric Wachspress
Signatory's Position: Attorney of record, Illinois bar member
Signatory's Phone Number: 773-934-5855
Mailing Address:
417 S. Jefferson Street
Chicago, Illinois 60607-3813
Serial Number: 76571887
Internet Transmission Date: Thu Jan 22 13:18:28 EST 2015
TEAS Stamp: USPTO/S08N09-XXX.XXX.XX.XX-2015012213182
8920146-2964690-5307fcaa6720961ac366729f
112c5efe36895688602c93d4698ea913b117d71b
de-CC-11985-20150122125415926275