| PTO Form 1563 (Rev 5/2006) |
| OMB No. 0651-0055 (Exp 07/31/2018) |
Declaration of Use and/or Excusable Nonuse of Mark in Commerce under Section 8
The table below presents the data as entered.
Input Field
|
Entered
|
| REGISTRATION NUMBER |
3765588 |
| REGISTRATION DATE |
03/23/2010 |
| SERIAL NUMBER |
77589199 |
| MARK SECTION |
| MARK |
DRS |
| ATTORNEY SECTION (current) |
| NAME |
Robert Croteau |
| STREET |
205 E. Anapamu St. |
| CITY |
Santa Barbara |
| STATE |
California |
| POSTAL CODE |
93101 |
| COUNTRY |
United States |
| PHONE |
805.965.7014 |
| EMAIL |
office.rc.att.law@gmail.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| CORRESPONDENCE SECTION (current) |
| NAME |
Robert Croteau |
| STREET |
205 E. Anapamu St. |
| CITY |
Santa Barbara |
| STATE |
California |
| POSTAL CODE |
93101 |
| COUNTRY |
United States |
| PHONE |
805.965.7014 |
| EMAIL |
office.rc.att.law@gmail.com;RobCroteauAttorney@gmail.com;hf36@cox.net |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
Robert Croteau |
| FIRM NAME |
Attorney at Law |
| STREET |
205 E. Anapamu St. |
| CITY |
Santa Barbara |
| STATE |
California |
| POSTAL CODE |
93101 |
| COUNTRY |
United States |
| PHONE |
805.965.7014 |
| EMAIL |
office.rc.att.law@gmail.com;RobCroteauAttorney@gmail.com;hf36@cox.net |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
010 |
| GOODS OR SERVICES |
Medical device, namely, a table containing a harness for use in decompression, reduction, and stabilization of the intervetebral discs in the
spine |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\775\891\77589199\xml3\ S080002.JPG |
| |
\\TICRS\EXPORT16\IMAGEOUT 16\775\891\77589199\xml3\ S080003.JPG |
| |
\\TICRS\EXPORT16\IMAGEOUT 16\775\891\77589199\xml3\ S080004.JPG |
| SPECIMEN DESCRIPTION |
the mark shown on the product |
| OWNER SECTION (current) |
| NAME |
Freedom Awaits, LLC |
| STREET |
5005 Riveria Court |
| CITY |
Fort Wayne |
| STATE |
Indiana |
| ZIP/POSTAL CODE |
46825 |
| COUNTRY |
United States |
| LEGAL ENTITY SECTION (current) |
| TYPE |
limited liability company |
| STATE/COUNTRY WHERE LEGALLY ORGANIZED |
Indiana |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
100 |
| TOTAL FEE PAID |
100 |
| SIGNATURE SECTION |
| SIGNATURE |
/Robert Croteau/ |
| SIGNATORY'S NAME |
Robert Croteau |
| SIGNATORY'S POSITION |
Attorney of Record (CA Bar 237741) |
| DATE SIGNED |
08/25/2015 |
| SIGNATORY'S PHONE NUMBER |
805.965.7014 |
| PAYMENT METHOD |
CC |
| FILING INFORMATION |
| SUBMIT DATE |
Tue Aug 25 11:53:16 EDT 2015 |
| TEAS STAMP |
USPTO/SECT08-XXX.XXX.XXX.
XX-20150825115316439220-3
765588-5402033a2beea3a978
b2970dd411dcb7383725c6629
adad67a772193d128361a39a-
CC-10655-2015082511512086
2670 |
| PTO Form 1563 (Rev 5/2006) |
| OMB No. 0651-0055 (Exp 07/31/2018) |
Declaration of Use and/or Excusable Nonuse of Mark in Commerce under Section 8
To the Commissioner for Trademarks:
REGISTRATION NUMBER: 3765588
REGISTRATION DATE: 03/23/2010
MARK: DRS
The owner, Freedom Awaits, LLC, a limited liability company legally organized under the laws of Indiana, having an address of
5005 Riveria Court
Fort Wayne, Indiana 46825
United States
is filing a Declaration of Use and/or Excusable Nonuse of Mark in Commerce under Section 8.
For International Class 010, 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: Medical device, namely, a table containing a harness for use in decompression, reduction, and stabilization of the intervetebral discs in the spine ;
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) the mark shown on the product.
Specimen File1
Specimen File2
Specimen File3
The registrant's current Correspondence Information: Robert Croteau
205 E. Anapamu St.
Santa Barbara, California (CA) 93101
United States
The registrant's proposed Correspondence Information: Robert Croteau of Attorney at Law
205 E. Anapamu St.
Santa Barbara, California (CA) 93101
United States
The phone number is 805.965.7014.
The email address is office.rc.att.law@gmail.com;RobCroteauAttorney@gmail.com;hf36@cox.net.
A fee payment in the amount of $100 will be submitted with the form, representing payment for 1 class(es), plus any additional grace period fee, if necessary.
Declaration
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.
Signature: /Robert Croteau/ Date: 08/25/2015
Signatory's Name: Robert Croteau
Signatory's Position: Attorney of Record (CA Bar 237741)
Signatory's Phone Number: 805.965.7014
Mailing Address:
205 E. Anapamu St.
Santa Barbara, California 93101
Serial Number: 77589199
Internet Transmission Date: Tue Aug 25 11:53:16 EDT 2015
TEAS Stamp: USPTO/SECT08-XXX.XXX.XXX.XX-201508251153
16439220-3765588-5402033a2beea3a978b2970
dd411dcb7383725c6629adad67a772193d128361
a39a-CC-10655-20150825115120862670
