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 |
2969563 |
REGISTRATION DATE |
07/19/2005 |
SERIAL NUMBER |
76592388 |
MARK SECTION |
MARK |
CCR (stylized and/or with design) |
CORRESPONDENCE SECTION (current) |
NAME |
CARTER CRANVILLE RYAN |
STREET |
477 LAND 'OR DRIVE |
CITY |
RUTHER GLEN |
STATE |
Virginia |
POSTAL CODE |
22546 |
COUNTRY |
United States |
PHONE |
231-873-2077 |
EMAIL |
cartergryan@hotmail.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
CORRESPONDENCE SECTION (proposed) |
NAME |
Carter Cynthia Granville Madlyn Ryan Foundation |
INTERNAL ADDRESS |
c/o Jon Cooley (registered agent) |
STREET |
505 North Gaylord |
CITY |
Ludington |
STATE |
Michigan |
POSTAL CODE |
49431 |
COUNTRY |
United States |
PHONE |
231-425-3120 |
EMAIL |
cartergryan@hotmail.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
045 |
GOODS OR SERVICES |
Providing volunteer personal support services for families of persons with prolonged illnesses, namely, providing respite and relief breaks for
caregivers and companionship for homebound patients |
SPECIMEN FILE NAME(S) |
ORIGINAL PDF FILE |
SPN0-17366221138-20150717195753237852_._CCR_Flyer_Support_Group_Muskegon_County_7-15_Rev..pdf |
CONVERTED PDF FILE(S)
(1 page) |
\\TICRS\EXPORT16\IMAGEOUT16\765\923\76592388\xml1\S890002.JPG |
SPECIMEN DESCRIPTION |
Flyer to announce Christian Caregiver Relief Support Group Meetings |
MISCELLANEOUS STATEMENT |
During the past five years, over 150 new volunteers have been recruited and oriented, and several hundreds of Relief Breaks have been successfully offered by Christian Caregiver
Relief. |
|
\\TICRS\EXPORT16\IMAGEOUT 16\765\923\76592388\xml1\ S890003.JPG |
OWNER SECTION (current) |
NAME |
Carter Cynthia Granville Madlyn Ryan Foundation |
STREET |
1578 West Hazel Road |
CITY |
Hart |
STATE |
Michigan |
ZIP/POSTAL CODE |
49420 |
COUNTRY |
United States |
PHONE |
231-873-2077 |
OWNER SECTION (proposed) |
NAME |
Carter Cynthia Granville Madlyn Ryan Foundation |
DBA/AKA/TA/Formerly |
DBA Christian Caregiver Relief |
STREET |
505 North Gaylord |
CITY |
Ludington |
STATE |
Michigan |
ZIP/POSTAL CODE |
49431 |
COUNTRY |
United States |
PHONE |
231-425-3120 |
EMAIL |
XXXX |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
LEGAL ENTITY SECTION (current) |
TYPE |
NON-PROFIT CORPORATION |
STATE/COUNTRY WHERE LEGALLY ORGANIZED |
Michigan |
LEGAL ENTITY SECTION (proposed) |
TYPE |
charitable, non-profit corporation |
STATE/COUNTRY WHERE LEGALLY ORGANIZED |
Michigan |
PAYMENT SECTION |
NUMBER OF CLASSES |
1 |
NUMBER OF CLASSES PAID |
1 |
SUBTOTAL AMOUNT |
400 |
TOTAL FEE PAID |
400 |
SIGNATURE SECTION |
SIGNATURE |
/Carter Ryan/ |
SIGNATORY'S NAME |
Carter Ryan |
SIGNATORY'S POSITION |
Chairman and President |
DATE SIGNED |
07/17/2015 |
SIGNATORY'S PHONE NUMBER |
540-372-6830 |
SIGNATURE |
/Carter Ryan/ |
SIGNATORY'S NAME |
Carter Ryan |
SIGNATORY'S POSITION |
Chairman and President |
DATE SIGNED |
07/17/2015 |
SIGNATORY'S PHONE NUMBER |
540-372-6830 |
PAYMENT METHOD |
CC |
FILING INFORMATION |
SUBMIT DATE |
Fri Jul 17 21:07:12 EDT 2015 |
TEAS STAMP |
USPTO/S08N09-XXX.XX.XXX.X
XX-20150717210712053363-2
969563-54013fec8a3b0a471d
29632719f328d32c5302575b1
68d77d464bf8e41bdab5d-CC-
6010-20150717195753237852 |
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: 2969563
REGISTRATION DATE: 07/19/2005
MARK: (Stylized and/or with Design, CCR)
The owner, Carter Cynthia Granville Madlyn Ryan Foundation, DBA Christian Caregiver Relief, charitable, non-profit corporation legally organized under the laws of Michigan, having an address of
505 North Gaylord
Ludington, Michigan 49431
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 045, 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: Providing volunteer personal support services for families of persons with prolonged illnesses, namely, providing respite and relief breaks for
caregivers and companionship for homebound patients ; 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) Flyer to announce Christian Caregiver Relief
Support Group Meetings.
Original PDF file:
SPN0-17366221138-20150717195753237852_._CCR_Flyer_Support_Group_Muskegon_County_7-15_Rev..pdf
Converted PDF file(s) (1 page)
Specimen File1
MISCELLANEOUS STATEMENTS
During the past five years, over 150 new volunteers have been recruited and oriented, and several hundreds of Relief Breaks have been successfully offered by Christian Caregiver Relief.
Miscellaneous File1
The registrant's current Correspondence Information: CARTER CRANVILLE RYAN
477 LAND 'OR DRIVE
RUTHER GLEN, Virginia (VA) 22546
United States
The registrant's proposed Correspondence Information: Carter Cynthia Granville Madlyn Ryan Foundation
c/o Jon Cooley (registered agent)
505 North Gaylord
Ludington, Michigan (MI) 49431
United States
The phone number is 231-425-3120.
The email address is cartergryan@hotmail.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, or to indicate membership in the collective membership
organization 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. § 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: /Carter Ryan/ Date: 07/17/2015
Signatory's Name: Carter Ryan
Signatory's Position: Chairman and President
Signatory's Phone Number: 540-372-6830
Signature: /Carter Ryan/ Date: 07/17/2015
Signatory's Name: Carter Ryan
Signatory's Position: Chairman and President
Signatory's Phone Number: 540-372-6830
Serial Number: 76592388
Internet Transmission Date: Fri Jul 17 21:07:12 EDT 2015
TEAS Stamp: USPTO/S08N09-XXX.XX.XXX.XXX-201507172107
12053363-2969563-54013fec8a3b0a471d29632
719f328d32c5302575b168d77d464bf8e41bdab5
d-CC-6010-20150717195753237852