PTO Form 1553 (Rev 9/2005) |
OMB No. 0651-0054 (Exp. 09/30/2011) |
Trademark/Service Mark Statement of Use
(15 U.S.C. Section 1051(d))
The table below presents the data as entered.
Input Field
|
Entered
|
SERIAL NUMBER |
77113187 |
LAW OFFICE ASSIGNED |
LAW OFFICE 110 |
EXTENSION OF USE |
NO |
MARK SECTION |
STANDARD CHARACTERS |
NO |
USPTO-GENERATED IMAGE |
NO |
OWNER SECTION (no change) |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
009 |
CURRENT IDENTIFICATION |
DVD and compact disks featuring information pertaining to patient, resident and employee safety practices and related risk management |
GOODS OR SERVICES |
KEEP ALL LISTED |
FIRST USE ANYWHERE DATE |
07/01/2007 |
FIRST USE IN COMMERCE DATE |
07/01/2007 |
SPECIMEN FILE NAME(S) |
ORIGINAL PDF FILE |
SPN0-20869110100-153833107_._00299364.PDF |
CONVERTED PDF FILE(S)
(1 page) |
\\TICRS\EXPORT9\IMAGEOUT9\771\131\77113187\xml1\SOU0002.JPG |
SPECIMEN DESCRIPTION |
label from DVD |
INTERNATIONAL CLASS |
016 |
CURRENT IDENTIFICATION |
Printed materials, namely, printed study guides, printed lesson plans, printed brochures, books, administrative forms, regulatory forms, assessment and training
forms, printed sample policies, printed instructional manuals and paper signage in the field of patient, resident and employee safety practices and related risk management |
GOODS OR SERVICES |
KEEP ALL LISTED |
FIRST USE ANYWHERE DATE |
02/01/2007 |
FIRST USE IN COMMERCE DATE |
02/01/2007 |
SPECIMEN FILE NAME(S) |
ORIGINAL PDF FILE |
SPN1-20869110100-153833107_._00299356.PDF |
CONVERTED PDF FILE(S)
(1 page) |
\\TICRS\EXPORT9\IMAGEOUT9\771\131\77113187\xml1\SOU0003.JPG |
SPECIMEN DESCRIPTION |
a page from a brochure showing printed forms bearing the mark |
INTERNATIONAL CLASS |
036 |
CURRENT IDENTIFICATION |
Consulting services in the field of risk management as it relates to patient, resident and employee safety practices |
GOODS OR SERVICES |
KEEP ALL LISTED |
FIRST USE ANYWHERE DATE |
02/01/2007 |
FIRST USE IN COMMERCE DATE |
02/01/2007 |
SPECIMEN FILE NAME(S) |
ORIGINAL PDF FILE |
SPN2-20869110100-153833107_._00265449.PDF |
CONVERTED PDF FILE(S)
(8 pages) |
\\TICRS\EXPORT9\IMAGEOUT9\771\131\77113187\xml1\SOU0004.JPG |
|
\\TICRS\EXPORT9\IMAGEOUT9\771\131\77113187\xml1\SOU0005.JPG |
|
\\TICRS\EXPORT9\IMAGEOUT9\771\131\77113187\xml1\SOU0006.JPG |
|
\\TICRS\EXPORT9\IMAGEOUT9\771\131\77113187\xml1\SOU0007.JPG |
|
\\TICRS\EXPORT9\IMAGEOUT9\771\131\77113187\xml1\SOU0008.JPG |
|
\\TICRS\EXPORT9\IMAGEOUT9\771\131\77113187\xml1\SOU0009.JPG |
|
\\TICRS\EXPORT9\IMAGEOUT9\771\131\77113187\xml1\SOU0010.JPG |
|
\\TICRS\EXPORT9\IMAGEOUT9\771\131\77113187\xml1\SOU0011.JPG |
SPECIMEN DESCRIPTION |
a brochure bearing the mark describing the services |
INTERNATIONAL CLASS |
041 |
CURRENT IDENTIFICATION |
Educational and training programs in the field of patient, resident and employee safety practices and related risk management |
GOODS OR SERVICES |
KEEP ALL LISTED |
FIRST USE ANYWHERE DATE |
07/01/2007 |
FIRST USE IN COMMERCE DATE |
07/01/2007 |
SPECIMEN FILE NAME(S) |
ORIGINAL PDF FILE |
SPN3-20869110100-153833107_._00299397.PDF |
CONVERTED PDF FILE(S)
(2 pages) |
\\TICRS\EXPORT9\IMAGEOUT9\771\131\77113187\xml1\SOU0012.JPG |
|
\\TICRS\EXPORT9\IMAGEOUT9\771\131\77113187\xml1\SOU0013.JPG |
SPECIMEN DESCRIPTION |
the first page and subsequent page of a brochure bearing the mark and describing the services |
INTERNATIONAL CLASS |
045 |
CURRENT IDENTIFICATION |
Consulting services in the field of patient, resident and employee safety practices; facility layout and equipment placement safety assessment to assure
compliance with laws and regulations and maximize patient, resident and employee safety |
GOODS OR SERVICES |
KEEP ALL LISTED |
FIRST USE ANYWHERE DATE |
07/01/2007 |
FIRST USE IN COMMERCE DATE |
07/01/2007 |
SPECIMEN FILE NAME(S) |
ORIGINAL PDF FILE |
SPN4-20869110100-153833107_._00265449.PDF |
CONVERTED PDF FILE(S)
(8 pages) |
\\TICRS\EXPORT9\IMAGEOUT9\771\131\77113187\xml1\SOU0014.JPG |
|
\\TICRS\EXPORT9\IMAGEOUT9\771\131\77113187\xml1\SOU0015.JPG |
|
\\TICRS\EXPORT9\IMAGEOUT9\771\131\77113187\xml1\SOU0016.JPG |
|
\\TICRS\EXPORT9\IMAGEOUT9\771\131\77113187\xml1\SOU0017.JPG |
|
\\TICRS\EXPORT9\IMAGEOUT9\771\131\77113187\xml1\SOU0018.JPG |
|
\\TICRS\EXPORT9\IMAGEOUT9\771\131\77113187\xml1\SOU0019.JPG |
|
\\TICRS\EXPORT9\IMAGEOUT9\771\131\77113187\xml1\SOU0020.JPG |
|
\\TICRS\EXPORT9\IMAGEOUT9\771\131\77113187\xml1\SOU0021.JPG |
SPECIMEN DESCRIPTION |
a brochure bearing the mark describing the services |
REQUEST TO DIVIDE |
NO |
PAYMENT SECTION |
NUMBER OF CLASSES IN USE |
5 |
SUBTOTAL AMOUNT [ALLEGATION OF USE FEE] |
500 |
TOTAL AMOUNT |
500 |
SIGNATURE SECTION |
DECLARATION SIGNATURE |
/Adam L. Brookman/ |
SIGNATORY'S NAME |
Adam L. Brookman |
SIGNATORY'S POSITION |
Attorney for Applicant |
DATE SIGNED |
01/05/2010 |
FILING INFORMATION |
SUBMIT DATE |
Tue Jan 05 16:46:53 EST 2010 |
TEAS STAMP |
USPTO/SOU-XXX.XX.XXX.XXX-
20100105164653060382-7711
3187-4608a4ffc39cd171c193
6855b1376eb9b81-DA-3008-2
0100105153833107797 |
PTO Form 1553 (Rev 9/2005) |
OMB No. 0651-0054 (Exp. 09/30/2011) |
Trademark/Service Mark Statement of Use
(15 U.S.C. Section 1051(d))
To the Commissioner for Trademarks:
MARK: LIFTSAFE BY DIRECT SUPPLY (stylized and/or with design)
SERIAL NUMBER: 77113187
The applicant, Direct Supply, Inc., having an address of
6767 North Industrial Road
Milwaukee, Wisconsin 53223
United States
is submitting the following allegation of use information:
For International Class 009:
Current identification: DVD and compact disks featuring information pertaining to patient, resident and employee safety practices and related risk management
The mark is in use in commerce on or in connection with all goods or services listed in the application or Notice of Allowance or as subsequently modified for this specific class
The mark was first used by the applicant, or the applicant's related company, licensee, or predecessor in interest at least as early as 07/01/2007, and first used in commerce at least as early as
07/01/2007, and is now in use in such commerce. The applicant is submitting one specimen for the class showing the mark as used in commerce on or in connection with any item in the class, consisting
of a(n) label from DVD.
Original PDF file:
SPN0-20869110100-153833107_._00299364.PDF
Converted PDF file(s) (1 page)
Specimen File1
For International Class 016:
Current identification: Printed materials, namely, printed study guides, printed lesson plans, printed brochures, books, administrative forms, regulatory forms, assessment and training forms, printed
sample policies, printed instructional manuals and paper signage in the field of patient, resident and employee safety practices and related risk management
The mark is in use in commerce on or in connection with all goods or services listed in the application or Notice of Allowance or as subsequently modified for this specific class
The mark was first used by the applicant, or the applicant's related company, licensee, or predecessor in interest at least as early as 02/01/2007, and first used in commerce at least as early as
02/01/2007, and is now in use in such commerce. The applicant is submitting one specimen for the class showing the mark as used in commerce on or in connection with any item in the class, consisting
of a(n) a page from a brochure showing printed forms bearing the mark.
Original PDF file:
SPN1-20869110100-153833107_._00299356.PDF
Converted PDF file(s) (1 page)
Specimen File1
For International Class 036:
Current identification: Consulting services in the field of risk management as it relates to patient, resident and employee safety practices
The mark is in use in commerce on or in connection with all goods or services listed in the application or Notice of Allowance or as subsequently modified for this specific class
The mark was first used by the applicant, or the applicant's related company, licensee, or predecessor in interest at least as early as 02/01/2007, and first used in commerce at least as early as
02/01/2007, and is now in use in such commerce. The applicant is submitting one specimen for the class showing the mark as used in commerce on or in connection with any item in the class, consisting
of a(n) a brochure bearing the mark describing the services.
Original PDF file:
SPN2-20869110100-153833107_._00265449.PDF
Converted PDF file(s) (8 pages)
Specimen File1
Specimen File2
Specimen File3
Specimen File4
Specimen File5
Specimen File6
Specimen File7
Specimen File8
For International Class 041:
Current identification: Educational and training programs in the field of patient, resident and employee safety practices and related risk management
The mark is in use in commerce on or in connection with all goods or services listed in the application or Notice of Allowance or as subsequently modified for this specific class
The mark was first used by the applicant, or the applicant's related company, licensee, or predecessor in interest at least as early as 07/01/2007, and first used in commerce at least as early as
07/01/2007, and is now in use in such commerce. The applicant is submitting one specimen for the class showing the mark as used in commerce on or in connection with any item in the class, consisting
of a(n) the first page and subsequent page of a brochure bearing the mark and describing the services.
Original PDF file:
SPN3-20869110100-153833107_._00299397.PDF
Converted PDF file(s) (2 pages)
Specimen File1
Specimen File2
For International Class 045:
Current identification: Consulting services in the field of patient, resident and employee safety practices; facility layout and equipment placement safety assessment to assure compliance with laws
and regulations and maximize patient, resident and employee safety
The mark is in use in commerce on or in connection with all goods or services listed in the application or Notice of Allowance or as subsequently modified for this specific class
The mark was first used by the applicant, or the applicant's related company, licensee, or predecessor in interest at least as early as 07/01/2007, and first used in commerce at least as early as
07/01/2007, and is now in use in such commerce. The applicant is submitting one specimen for the class showing the mark as used in commerce on or in connection with any item in the class, consisting
of a(n) a brochure bearing the mark describing the services.
Original PDF file:
SPN4-20869110100-153833107_._00265449.PDF
Converted PDF file(s) (8 pages)
Specimen File1
Specimen File2
Specimen File3
Specimen File4
Specimen File5
Specimen File6
Specimen File7
Specimen File8
The applicant is not filing a Request to Divide with this Allegation of Use form.
A fee payment in the amount of $500 will be submitted with the form, representing payment for the allegation of use for 5 classes.
Declaration
Applicant requests registration of the above-identified trademark/service mark in the United States Patent and Trademark Office on the Principal Register established by the Act of July 5, 1946 (15
U.S.C. Section 1051 et seq., as amended). Applicant is the owner of the mark sought to be registered, and is using the mark 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 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. Section 1001, and that such willful false
statements may jeopardize the validity of the form or any resulting registration, declares that he/she is properly authorized to execute this form 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 form is being filed under 15 U.S.C. Section 1126(d) or (e), 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; and that all
statements made of his/her own knowledge are true; and that all statements made on information and belief are believed to be true.
Signature: /Adam L. Brookman/ Date Signed: 01/05/2010
Signatory's Name: Adam L. Brookman
Signatory's Position: Attorney for Applicant
RAM Sale Number: 3008
RAM Accounting Date: 01/06/2010
Serial Number: 77113187
Internet Transmission Date: Tue Jan 05 16:46:53 EST 2010
TEAS Stamp: USPTO/SOU-XXX.XX.XXX.XXX-201001051646530
60382-77113187-4608a4ffc39cd171c1936855b
1376eb9b81-DA-3008-20100105153833107797