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 |
3039475 |
REGISTRATION DATE |
01/10/2006 |
SERIAL NUMBER |
76615553 |
MARK SECTION |
MARK |
ORALSTAT |
CORRESPONDENCE SECTION (current) |
NAME |
AMERICAN BIO MEDICA |
INTERNAL ADDRESS |
Melissa A. Waterhouse |
STREET |
122 Smith Road |
CITY |
Kinderhook |
STATE |
New York |
POSTAL CODE |
12106 |
COUNTRY |
United States |
PHONE |
518-758-8158 |
FAX |
518-758-8171 |
EMAIL |
mdwaterhouse@abmc.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
3098 |
CORRESPONDENCE SECTION (proposed) |
NAME |
AMERICAN BIO MEDICA |
STREET |
122 Smith Road |
CITY |
Kinderhook |
STATE |
New York |
POSTAL CODE |
12106 |
COUNTRY |
United States |
PHONE |
518-758-8158 |
FAX |
518-758-8171 |
EMAIL |
mdwaterhouse@abmc.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
005 |
GOODS OR SERVICES |
Immunoassay diagnostic test devices containing reagent test strips for detecting the presence of drugs of abuse in oral fluids |
SPECIMEN FILE NAME(S) |
ORIGINAL PDF FILE |
SPN0-122711670-20160108093738313381_.__for_Sect_8___9_Aff_filed_1-8-16_QRG.OralStat.13-ADV-022-03_.pdf |
CONVERTED PDF FILE(S)
(1 page) |
\\TICRS\EXPORT16\IMAGEOUT16\766\155\76615553\xml1\S890002.JPG |
SPECIMEN DESCRIPTION |
Instruction Manual for OralStat |
OWNER SECTION (current) |
NAME |
AMERICAN BIO MEDICA |
STREET |
122 Smith Road |
CITY |
Kinderhook |
STATE |
New York |
ZIP/POSTAL CODE |
12106 |
COUNTRY |
United States |
PHONE |
518-758-8158 |
OWNER SECTION (proposed) |
NAME |
AMERICAN BIO MEDICA |
STREET |
122 Smith Road |
CITY |
Kinderhook |
STATE |
New York |
ZIP/POSTAL CODE |
12106 |
COUNTRY |
United States |
PHONE |
518-758-8158 |
FAX |
518-758-8171 |
EMAIL |
XXXX |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
LEGAL ENTITY SECTION (current) |
TYPE |
corporation |
STATE/COUNTRY OF INCORPORATION |
New York |
PAYMENT SECTION |
NUMBER OF CLASSES |
1 |
NUMBER OF CLASSES PAID |
1 |
SUBTOTAL AMOUNT |
400 |
TOTAL FEE PAID |
400 |
SIGNATURE SECTION |
SIGNATURE |
/Melissa A Waterhouse/ |
SIGNATORY'S NAME |
Melissa A Waterhouse |
SIGNATORY'S POSITION |
Chief Executive Officer |
DATE SIGNED |
01/08/2016 |
SIGNATORY'S PHONE NUMBER |
518-758-8158 |
PAYMENT METHOD |
CC |
FILING INFORMATION |
SUBMIT DATE |
Fri Jan 08 09:42:23 EST 2016 |
TEAS STAMP |
USPTO/S08N09-XX.XX.XXX.XX
-20160108094223372813-303
9475-550fd8c3f547ecca9654
bccc5681378bfda3695cc1f8a
cfe9e9c6af592d9581b5e-CC-
7674-20160108093738313381 |
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: 3039475
REGISTRATION DATE: 01/10/2006
MARK: ORALSTAT (see, )
The owner, AMERICAN BIO MEDICA, a corporation of New York, having an address of
122 Smith Road
Kinderhook, New York 12106
United States
518-758-8158
518-758-8171
XXXX (authorized)
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: Immunoassay diagnostic test devices containing reagent test strips for detecting the presence of drugs of abuse in oral fluids ; 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) Instruction Manual for OralStat.
Original PDF file:
SPN0-122711670-20160108093738313381_.__for_Sect_8___9_Aff_filed_1-8-16_QRG.OralStat.13-ADV-022-03_.pdf
Converted PDF file(s) (1 page)
Specimen File1
The registrant's current Correspondence Information: AMERICAN BIO MEDICA
Melissa A. Waterhouse
122 Smith Road
Kinderhook, New York 12106
United States
The docket/reference number is 3098.
The registrant's proposed Correspondence Information: AMERICAN BIO MEDICA
122 Smith Road
Kinderhook, New York 12106
United States
The phone number is 518-758-8158.
The fax number is 518-758-8171.
The email address is mdwaterhouse@abmc.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: /Melissa A Waterhouse/ Date: 01/08/2016
Signatory's Name: Melissa A Waterhouse
Signatory's Position: Chief Executive Officer
Signatory's Phone Number: 518-758-8158
Serial Number: 76615553
Internet Transmission Date: Fri Jan 08 09:42:23 EST 2016
TEAS Stamp: USPTO/S08N09-XX.XX.XXX.XX-20160108094223
372813-3039475-550fd8c3f547ecca9654bccc5
681378bfda3695cc1f8acfe9e9c6af592d9581b5
e-CC-7674-20160108093738313381