| 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 |
2924836 |
| REGISTRATION DATE |
02/08/2005 |
| SERIAL NUMBER |
76572201 |
| MARK SECTION |
| MARK |
MICROTEK |
| ATTORNEY SECTION (current) |
| NAME |
Edward R. Courtney, Esq. |
| FIRM NAME |
Ecolab USA Inc. |
| INTERNAL ADDRESS |
ESC-F7610 |
| STREET |
370 Wabasha Street North |
| CITY |
Saint Paul |
| STATE |
Minnesota |
| POSTAL CODE |
55102 |
| COUNTRY |
United States |
| PHONE |
651.795.5978 |
| FAX |
651.204.7522 |
| EMAIL |
edward.courtney@ecolab.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
ECOLAB-6490 |
| ATTORNEY SECTION (proposed) |
| NAME |
Edward R. Courtney, Esq. |
| FIRM NAME |
Ecolab USA Inc. |
| INTERNAL ADDRESS |
ESC-F7610 |
| STREET |
370 Wabasha Street North |
| CITY |
Saint Paul |
| STATE |
Minnesota |
| POSTAL CODE |
55102 |
| COUNTRY |
United States |
| PHONE |
651.795.5978 |
| FAX |
651.204.7522 |
| EMAIL |
edward.courtney@ecolab.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
ECOLAB-06490 |
| CORRESPONDENCE SECTION (current) |
| NAME |
Edward R. Courtney, Esq. |
| FIRM NAME |
Ecolab USA Inc. |
| INTERNAL ADDRESS |
ESC-F7610 |
| STREET |
370 Wabasha Street North |
| CITY |
Saint Paul |
| STATE |
Minnesota |
| POSTAL CODE |
55102 |
| COUNTRY |
United States |
| PHONE |
651.795.5978 |
| FAX |
651.204.7522 |
| EMAIL |
edward.courtney@ecolab.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
ECOLAB-6490 |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
Edward R. Courtney, Esq. |
| FIRM NAME |
Ecolab USA Inc. |
| INTERNAL ADDRESS |
ESC-F7610 |
| STREET |
370 Wabasha Street North |
| CITY |
Saint Paul |
| STATE |
Minnesota |
| POSTAL CODE |
55102 |
| COUNTRY |
United States |
| PHONE |
651.795.5978 |
| FAX |
651.204.7522 |
| EMAIL |
edward.courtney@ecolab.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
ECOLAB-06490 |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
010 |
| GOODS OR SERVICES |
MEDICAL PRODUCTS, NAMELY, CONTAINMENT DEVICES, COVERS, SHIELDS, CUSHIONS, RADIOLOGY DRAPES, SURGICAL DRAPES, SURGICAL GOWNS AND GLOVES,
COLLECTION BAGS; WOUND SUCTION APPARATUS FOR USE ON HUMANS AND ANIMALS; MEDICAL EQUIPMENT FOR PROVIDING A STERILE FIELD FOR CATHETERIZATION PROCEDURES |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\765\722\76572201\xml1\ S890002.JPG |
| SPECIMEN DESCRIPTION |
Digital Photo of Product |
| OWNER SECTION (current) |
| NAME |
MICROTEK MEDICAL, INC. |
| STREET |
512 Lehmberg Road |
| CITY |
Columbus |
| STATE |
Mississippi |
| ZIP/POSTAL CODE |
39702 |
| COUNTRY |
United States |
| OWNER SECTION (proposed) |
| NAME |
MICROTEK MEDICAL, INC. |
| STREET |
512 Lehmberg Road |
| CITY |
Columbus |
| STATE |
Mississippi |
| ZIP/POSTAL CODE |
39702 |
| COUNTRY |
United States |
| PHONE |
651.293.2233 |
| LEGAL ENTITY SECTION (current) |
| TYPE |
corporation |
| STATE/COUNTRY OF INCORPORATION |
Delaware |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
400 |
| TOTAL FEE PAID |
400 |
| SIGNATURE SECTION |
| SIGNATURE |
/erc/ |
| SIGNATORY'S NAME |
Edward R. Courtney |
| SIGNATORY'S POSITION |
Senior Trademark Attorney |
| DATE SIGNED |
02/05/2015 |
| SIGNATORY'S PHONE NUMBER |
651.795.5978 |
| PAYMENT METHOD |
DA |
| FILING INFORMATION |
| SUBMIT DATE |
Sun Feb 08 15:50:26 EST 2015 |
| TEAS STAMP |
USPTO/S08N09-XX.XXX.XXX.X
X-20150208155026977125-29
24836-5306588c9ded1ad215f
63b8b022979ef57ae2c1dd6d6
9914b4b8269c51e5db9c1-DA-
7852-20150204222929974510 |
| 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: 2924836
REGISTRATION DATE: 02/08/2005
MARK: MICROTEK
The owner, MICROTEK MEDICAL, INC., a corporation of Delaware, having an address of
512 Lehmberg Road
Columbus, Mississippi 39702
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 PRODUCTS, NAMELY, CONTAINMENT DEVICES, COVERS, SHIELDS, CUSHIONS, RADIOLOGY DRAPES, SURGICAL DRAPES, SURGICAL GOWNS AND GLOVES, COLLECTION BAGS;
WOUND SUCTION APPARATUS FOR USE ON HUMANS AND ANIMALS; MEDICAL EQUIPMENT FOR PROVIDING A STERILE FIELD FOR CATHETERIZATION PROCEDURES ; 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) Digital Photo of Product.
Specimen File1
The registrant's current Attorney Information: Edward R. Courtney, Esq. of Ecolab USA Inc.
ESC-F7610
370 Wabasha Street North
Saint Paul, Minnesota (MN) 55102
United States
The docket/reference number is ECOLAB-6490.
The registrant's proposed Attorney Information: Edward R. Courtney, Esq. of Ecolab USA Inc.
ESC-F7610
370 Wabasha Street North
Saint Paul, Minnesota (MN) 55102
United States
The docket/reference number is ECOLAB-06490.
The phone number is 651.795.5978.
The fax number is 651.204.7522.
The email address is edward.courtney@ecolab.com.
The registrant's current Correspondence Information: Edward R. Courtney, Esq. of Ecolab USA Inc.
ESC-F7610
370 Wabasha Street North
Saint Paul, Minnesota (MN) 55102
United States
The docket/reference number is ECOLAB-6490.
The registrant's proposed Correspondence Information: Edward R. Courtney, Esq. of Ecolab USA Inc.
ESC-F7610
370 Wabasha Street North
Saint Paul, Minnesota (MN) 55102
United States
The docket/reference number is ECOLAB-06490.
The phone number is 651.795.5978.
The fax number is 651.204.7522.
The email address is edward.courtney@ecolab.com.
A fee payment in the amount of $400 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: /erc/ Date: 02/05/2015
Signatory's Name: Edward R. Courtney
Signatory's Position: Senior Trademark Attorney
Signatory's Phone Number: 651.795.5978
Mailing Address
(current):
Ecolab USA Inc.
370 Wabasha Street North
Saint Paul, Minnesota 55102
Mailing Address
(proposed):
Ecolab USA Inc.
370 Wabasha Street North
Saint Paul, Minnesota 55102
Serial Number: 76572201
Internet Transmission Date: Sun Feb 08 15:50:26 EST 2015
TEAS Stamp: USPTO/S08N09-XX.XXX.XXX.XX-2015020815502
6977125-2924836-5306588c9ded1ad215f63b8b
022979ef57ae2c1dd6d69914b4b8269c51e5db9c
1-DA-7852-20150204222929974510
