Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid OMB control number.
PTO Form 1963 (Rev 05/2006) |
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 |
3177482 |
REGISTRATION DATE |
11/28/2006 |
SERIAL NUMBER |
76610059 |
MARK SECTION |
MARK |
CLEARFIL TRI-S BOND |
ATTORNEY SECTION (current) |
NAME |
Ronald E. Shapiro |
FIRM NAME |
Shapiro and Silverstein PLLC |
STREET |
11350 Random Hills Road, Suite 740 |
CITY |
Fairfax |
STATE |
Virginia |
POSTAL CODE |
22030 |
COUNTRY |
United States |
PHONE |
703-273-7680 |
FAX |
703-273-7684 |
EMAIL |
rshapiro@sasiplaw.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
CPA10595 |
ATTORNEY SECTION (proposed) |
NAME |
Mainak H. Mehta |
FIRM NAME |
Procopio, Cory, Hargreaves & Savitch LLP |
INTERNAL ADDRESS |
Suite 2200 |
STREET |
525 B. Street, |
CITY |
San Diego |
STATE |
California |
POSTAL CODE |
92101 |
COUNTRY |
United States |
PHONE |
6506459000 |
FAX |
6192350398 |
EMAIL |
CPAGLOBAL@PROCOPIO.COM |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
120776KRR043 |
OTHER APPOINTED ATTORNEY |
Michael C. Jones |
CORRESPONDENCE SECTION (current) |
NAME |
Ronald E. Shapiro |
FIRM NAME |
Shapiro and Silverstein PLLC |
STREET |
11350 Random Hills Road, Suite 740 |
CITY |
Fairfax |
STATE |
Virginia |
POSTAL CODE |
22030 |
COUNTRY |
United States |
PHONE |
703-273-7680 |
FAX |
703-273-7684 |
EMAIL |
rshapiro@sasiplaw.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
CPA10595 |
CORRESPONDENCE SECTION (proposed) |
NAME |
Mainak H. Mehta |
FIRM NAME |
Procopio, Cory, Hargreaves & Savitch LLP |
INTERNAL ADDRESS |
Suite 2200 |
STREET |
525 B. Street, |
CITY |
San Diego |
STATE |
California |
POSTAL CODE |
92101 |
COUNTRY |
United States |
PHONE |
6506459000 |
FAX |
6192350398 |
EMAIL |
CPAGLOBAL@PROCOPIO.COM;miku.mehta@procopio.com; ana.molina@procopio.com; trademarks@cpaglobal.com; docketing@procopio.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
120776KRR043 |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
005 |
GOODS OR SERVICES |
Dental materials, namely, dental abrasives, dental adhesion primer, dental adhesives, dental amalgams, dental bonding agents, dental cements,
dental impression materials, dental lacquers, dental mastics, dental pit and fissure sealant, dental restorative compounds, dental wax, teeth filling materials, polymer and resin for dental purposes,
materials for stopping teeth |
SPECIMEN FILE NAME(S) |
ORIGINAL PDF FILE |
SPN0-209242145130-20160919212714579957_._KRR043-Specimen.pdf |
CONVERTED PDF FILE(S)
(1 page) |
\\TICRS\EXPORT17\IMAGEOUT17\766\100\76610059\xml1\S890002.JPG |
SPECIMEN DESCRIPTION |
a photo of the mark in use in commerce on the packaging of the identified goods. |
OWNER SECTION (current) |
NAME |
KURARAY CO., LTD. |
STREET |
1621 Sakazu |
CITY |
Kurashiki |
COUNTRY |
Japan |
LEGAL ENTITY SECTION (current) |
TYPE |
corporation |
STATE/COUNTRY OF INCORPORATION |
Japan |
PAYMENT SECTION |
NUMBER OF CLASSES |
1 |
NUMBER OF CLASSES PAID |
1 |
SUBTOTAL AMOUNT |
400 |
TOTAL FEE PAID |
400 |
SIGNATURE SECTION |
SIGNATURE |
/Michael C. Jones/ |
SIGNATORY'S NAME |
Michael C. Jones |
SIGNATORY'S POSITION |
Attorney of record, California bar member |
DATE SIGNED |
09/19/2016 |
SIGNATORY'S PHONE NUMBER |
6506459000 |
PAYMENT METHOD |
CC |
FILING INFORMATION |
SUBMIT DATE |
Mon Sep 19 21:31:53 EDT 2016 |
TEAS STAMP |
USPTO/S08N09-XXX.XXX.XXX.
XXX-20160919213153276395-
3177482-5505b7970a1e7dd23
deafa3cf8a5a69ff81d8ab5b7
27fb7f1cab889556d8af63cd-
CC-7654-20160919212714579
957 |
Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid OMB control number.
PTO Form 1963 (Rev 05/2006) |
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: 3177482
REGISTRATION DATE: 11/28/2006
MARK: CLEARFIL TRI-S BOND (see, )
The owner, KURARAY CO., LTD., a corporation of Japan, having an address of
1621 Sakazu
Kurashiki,
Japan
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: Dental materials, namely, dental abrasives, dental adhesion primer, dental adhesives, dental amalgams, dental bonding agents, dental cements, dental
impression materials, dental lacquers, dental mastics, dental pit and fissure sealant, dental restorative compounds, dental wax, teeth filling materials, polymer and resin for dental purposes,
materials for stopping teeth ; 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) a photo of the mark in use in commerce on the
packaging of the identified goods..
Original PDF file:
SPN0-209242145130-20160919212714579957_._KRR043-Specimen.pdf
Converted PDF file(s) (1 page)
Specimen File1
The registrant's current Attorney Information: Ronald E. Shapiro of Shapiro and Silverstein PLLC
11350 Random Hills Road, Suite 740
Fairfax, Virginia 22030
United States
The docket/reference number is CPA10595.
The registrant's proposed Attorney Information: Mainak H. Mehta of Procopio, Cory, Hargreaves & Savitch LLP
Suite 2200
525 B. Street,
San Diego, California 92101
United States
The docket/reference number is 120776KRR043.
The Other Appointed Attorney(s): Michael C. Jones.
The phone number is 6506459000.
The fax number is 6192350398.
The email address is CPAGLOBAL@PROCOPIO.COM.
The registrant's current Correspondence Information: Ronald E. Shapiro of Shapiro and Silverstein PLLC
11350 Random Hills Road, Suite 740
Fairfax, Virginia 22030
United States
The docket/reference number is CPA10595.
The registrant's proposed Correspondence Information: Mainak H. Mehta of Procopio, Cory, Hargreaves & Savitch LLP
Suite 2200
525 B. Street,
San Diego, California 92101
United States
The docket/reference number is 120776KRR043.
The phone number is 6506459000.
The fax number is 6192350398.
The email address is CPAGLOBAL@PROCOPIO.COM;miku.mehta@procopio.com; ana.molina@procopio.com; trademarks@cpaglobal.com; docketing@procopio.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: /Michael C. Jones/ Date: 09/19/2016
Signatory's Name: Michael C. Jones
Signatory's Position: Attorney of record, California bar member
Signatory's Phone Number: 6506459000
Mailing Address
(current):
Shapiro and Silverstein PLLC
11350 Random Hills Road, Suite 740
Fairfax, Virginia 22030
Mailing Address
(proposed):
Procopio, Cory, Hargreaves & Savitch LLP
525 B. Street,
San Diego, California 92101
Serial Number: 76610059
Internet Transmission Date: Mon Sep 19 21:31:53 EDT 2016
TEAS Stamp: USPTO/S08N09-XXX.XXX.XXX.XXX-20160919213
153276395-3177482-5505b7970a1e7dd23deafa
3cf8a5a69ff81d8ab5b727fb7f1cab889556d8af
63cd-CC-7654-20160919212714579957