| PTO Form 1957 (Rev 8/2005) |
| OMB Control #0651-0050 (Exp. 04/30/2006) |
| Input Field |
Entered |
| SERIAL NUMBER | 76589251 |
| MARK SECTION (no change) | |
| GOODS AND/OR SERVICES SECTION (current) | |
| INTERNATIONAL CLASS | 036 |
| DESCRIPTION | Sale of medical malpractice insurance |
| FILING BASIS | Section 1(a) |
| FIRST USE ANYWHERE DATE | 01/01/2003 |
| FIRST USE IN COMMERCE DATE | 01/01/2003 |
| GOODS AND/OR SERVICES SECTION (proposed) | |
| INTERNATIONAL CLASS | 036 |
| DESCRIPTION | |
| Insurance underwriting, brokerage, and reinsurance in the field of medical malpractice insurance | |
| FILING BASIS | Section 1(a) |
| FIRST USE ANYWHERE DATE | 04/15/1976 |
| FIRST USE IN COMMERCE DATE | 04/15/1976 |
| SIGNATURE SECTION | |
| DECLARATION SIGNATURE | /marlene j. williams/ |
| SIGNATORY NAME | Marlene J. Williams |
| SIGNATORY POSITION | Attorney |
| SIGNATURE DATE | 09/06/2005 |
| RESPONSE SIGNATURE | /marlene j. williams/ |
| SIGNATORY NAME | Marlene J. Williams |
| SIGNATORY POSITION | Attorney |
| SIGNATURE DATE | 09/06/2005 |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Tue Sep 06 20:38:39 EDT 2005 |
| TEAS STAMP | USPTO/OA-XXXXXXXXX-200509 06203839816429-76589251-2 00e56da840e30fc6087eaa628 3c74b855-N-N-200509062038 08778360 |
| PTO Form 1957 (Rev 8/2005) |
| OMB Control #0651-0050 (Exp. 04/30/2006) |
| Application serial no. 76589251 is amended as follows: | |
| Classification and Listing of Goods/Services | |
| Applicant hereby amends the following class of goods/services in the application as follows: | |
| Current: Class 036 for Sale of medical malpractice insurance | |
| Original Filing Basis: 1(a). | |
| Proposed: Class 036 for Insurance underwriting, brokerage, and reinsurance in the field of medical malpractice insurance | |
| Section 1(a), Use in Commerce: Use in Commerce: The applicant is using the mark in commerce, or the applicant's related company or licensee is using the mark in commerce, or the applicant's predecessor in interest used the mark in commerce, on or in connection with the identified goods and/or services. 15 U.S.C. Section 1051(a), as amended. The mark was first used at least as early as 04/15/1976 and first used in commerce at least as early as 04/15/1976, and is now in use in such commerce. | |
| Declaration Signature |
|
| If the applicant is seeking registration under Section 1(b) and/or Section 44 of the Trademark Act, the applicant had a bona fide intention to use or use through the applicant's related company or licensee the mark in commerce on or in connection with the identified goods and/or services as of the filing date of the application. 37 C.F.R. Secs. 2.34(a)(2)(i); 2.34 (a)(3)(i); and 2.34(a)(4)(ii). If the applicant is seeking registration under Section 1(a) of the Trademark Act, the mark was in use in commerce on or in connection with the goods or services listed in the application as of the application filing date. 37 C.F.R. Secs. 2.34(a)(1)(i). The undersigned, being hereby warned that willful false statements and the like so made are punishable by fine or imprisonment, or both, under 18 U.S.C. §1001, and that such willful false statements may jeopardize the validity of the application or any resulting registration, declares that he/she is properly authorized to execute this application on behalf of the applicant; he/she believes the applicant to be the owner of the trademark/service mark sought to be registered, or, if the application is being filed under 15 U.S.C. §1051(b), he/she believes applicant to be entitled to use such mark in commerce; to the best of his/her knowledge and belief no other person, firm, corporation, or association has the right to use the mark in commerce, either in the identical form thereof or in such near resemblance thereto as to be likely, when used on or in connection with the goods/services of such other person, to cause confusion, or to cause mistake, or to deceive; that if the original application was submitted unsigned, that all statements in the original application and this submission made of the declaration signer's knowledge are true; and all statements in the original application and this submission made on information and belief are believed to be true. | |
| Signature: /marlene j. williams/ Date: 09/06/2005 | |
| Signatory's Name: Marlene J. Williams | |
| Signatory's Position: Attorney | |
| Response Signature | |
| Signature: /marlene j. williams/ Date: 09/06/2005 | |
| Signatory's Name: Marlene J. Williams | |
| Signatory's Position: Attorney | |
| Serial Number: 76589251 | |
| Internet Transmission Date: Tue Sep 06 20:38:39 EDT 2005 | |
| TEAS Stamp: USPTO/OA-XXXXXXXXX-20050906203839816429- 76589251-200e56da840e30fc6087eaa6283c74b 855-N-N-20050906203808778360 |