| 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 |
77611455 |
| LAW OFFICE ASSIGNED |
LAW OFFICE 109 |
| EXTENSION OF USE |
NO |
| MARK SECTION |
| STANDARD CHARACTERS |
YES |
| USPTO-GENERATED IMAGE |
YES |
| LITERAL ELEMENT |
CHITOGAUZE |
| OWNER SECTION (current) |
| NAME |
HemCon Medical Technologies, Inc. |
| STREET |
Suite 130 |
| CITY |
Tigard |
| STATE |
Oregon |
| ZIP/POSTAL CODE |
97223 |
| COUNTRY |
United States |
| OWNER SECTION (proposed) |
| NAME |
HemCon Medical Technologies, Inc. |
| INTERNAL ADDRESS |
Suite 130 |
| STREET |
10575 S.W. Cascade Avenue |
| CITY |
Tigard |
| STATE |
Oregon |
| ZIP/POSTAL CODE |
97223 |
| COUNTRY |
United States |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
005 |
| CURRENT IDENTIFICATION |
bandages for skin wounds |
| GOODS OR SERVICES |
KEEP ALL LISTED |
| FIRST USE ANYWHERE DATE |
07/00/2009 |
| FIRST USE IN COMMERCE DATE |
07/00/2009 |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT10\IMAGEOUT 10\776\114\77611455\xml1\ SOU0002.JPG |
| |
\\TICRS\EXPORT10\IMAGEOUT 10\776\114\77611455\xml1\ SOU0003.JPG |
| SPECIMEN DESCRIPTION |
digital photographs of packaging for the goods |
| REQUEST TO DIVIDE |
NO |
| PAYMENT SECTION |
| NUMBER OF CLASSES IN USE |
1 |
| SUBTOTAL AMOUNT [ALLEGATION OF USE FEE] |
100 |
| TOTAL AMOUNT |
100 |
| SIGNATURE SECTION |
| DECLARATION SIGNATURE |
/Bill Block/ |
| SIGNATORY'S NAME |
Bill Block |
| SIGNATORY'S POSITION |
President, U.S. |
| DATE SIGNED |
06/01/2010 |
| FILING INFORMATION |
| SUBMIT DATE |
Tue Jun 01 21:05:57 EDT 2010 |
| TEAS STAMP |
USPTO/SOU-XX.XXX.XXX.XXX-
20100601210557760384-7761
1455-4607d3137f2c7ed447ea
dcc20ed9783af43-DA-7165-2
0100601210149795616 |
| 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: CHITOGAUZE
SERIAL NUMBER: 77611455
The applicant, HemCon Medical Technologies, Inc., having an address of
Suite 130
10575 S.W. Cascade Avenue
Tigard, Oregon 97223
United States
is submitting the following allegation of use information:
For International Class 005:
Current identification: bandages for skin wounds
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 07/00/2009, and first used in commerce at least as early as
07/00/2009, 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) digital photographs of packaging for the goods.
Specimen File1
Specimen File2
The applicant is not filing a Request to Divide with this Allegation of Use form.
A fee payment in the amount of $100 will be submitted with the form, representing payment for the allegation of use for 1 class.
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: /Bill Block/ Date Signed: 06/01/2010
Signatory's Name: Bill Block
Signatory's Position: President, U.S.
RAM Sale Number: 7165
RAM Accounting Date: 06/02/2010
Serial Number: 77611455
Internet Transmission Date: Tue Jun 01 21:05:57 EDT 2010
TEAS Stamp: USPTO/SOU-XX.XXX.XXX.XXX-201006012105577
60384-77611455-4607d3137f2c7ed447eadcc20
ed9783af43-DA-7165-20100601210149795616
