| PTO Form 1963 (Rev 5/2006) |
| 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 |
2568467 |
| REGISTRATION DATE |
05/07/2002 |
| SERIAL NUMBER |
78000364 |
| MARK SECTION |
| MARK |
DRL100 |
| CORRESPONDENCE SECTION (current) |
| NAME |
CAROL COOPER |
| FIRM NAME |
DERMAL RESEARCH LABORATORIES, INC. |
| STREET |
P.O. BOX 14062 |
| CITY |
KANSAS CITY |
| STATE |
Missouri |
| POSTAL CODE |
64152-0562 |
| COUNTRY |
United States |
| PHONE |
(260) 572-0926 |
| EMAIL |
relief@dermalresearch.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
Dermal Research Laboratories, Inc. |
| STREET |
P.O. BOX 14062 |
| CITY |
KANSAS CITY |
| STATE |
Missouri |
| POSTAL CODE |
64152 |
| COUNTRY |
United States |
| PHONE |
(260) 572-0926 |
| EMAIL |
relief@dermalresearch.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
005 |
| GOODS OR SERVICES |
TOPICAL PHARMACEUTICAL PREPARATION FOR THE TREATMENT OF ARTHRITIS |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\780\003\78000364\xml2\ S890002.JPG |
| SPECIMEN DESCRIPTION |
Product examples |
| MISCELLANEOUS STATEMENT |
Free text not entered by the applicant. |
| |
\\TICRS\EXPORT16\IMAGEOUT 16\780\003\78000364\xml2\ S890003.JPG |
| OWNER SECTION (current) |
| NAME |
Dermal Research Laboratories, Inc. |
| STREET |
P.O. Box 14062 |
| CITY |
Kansas City |
| STATE |
Missouri |
| ZIP/POSTAL CODE |
64152 |
| COUNTRY |
United States |
| PHONE |
(260) 572-0926 |
| OWNER SECTION (proposed) |
| NAME |
Dermal Research Laboratories, Inc. |
| STREET |
P.O. Box 14062 |
| CITY |
Kansas City |
| STATE |
Missouri |
| ZIP/POSTAL CODE |
64152 |
| COUNTRY |
United States |
| PHONE |
(260) 572-0926 |
| EMAIL |
XXXX |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| LEGAL ENTITY SECTION (current) |
| TYPE |
corporation |
| STATE/COUNTRY OF INCORPORATION |
Missouri |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
500 |
| GRACE PERIOD |
200 |
| TOTAL FEE PAID |
700 |
| SIGNATURE SECTION |
| SIGNATURE |
/carolcooper/ |
| SIGNATORY'S NAME |
Carol Cooper |
| SIGNATORY'S POSITION |
Chief Operating Officer |
| DATE SIGNED |
08/22/2012 |
| SIGNATORY'S PHONE NUMBER |
260-572-0926 |
| PAYMENT METHOD |
CC |
| FILING INFORMATION |
| SUBMIT DATE |
Wed Aug 22 14:31:24 EDT 2012 |
| TEAS STAMP |
USPTO/S08N09-XX.XXX.XXX.X
XX-20120822143124779328-2
568467-490fe10c976132fd0d
3142bad5a26b3bd8-CC-734-2
0120822142315907457 |
| PTO Form 1963 (Rev 5/2006) |
| 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: 2568467
REGISTRATION DATE: 05/07/2002
MARK: DRL100
The owner, Dermal Research Laboratories, Inc., a corporation of Missouri, having an address of
P.O. Box 14062
Kansas City, Missouri 64152
United States
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: TOPICAL PHARMACEUTICAL PREPARATION FOR THE TREATMENT OF ARTHRITIS ; 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) Product examples.
Specimen File1
MISCELLANEOUS STATEMENTS
Free text not entered by the applicant.
Miscellaneous File1
The registrant's current Correspondence Information: CAROL COOPER of DERMAL RESEARCH LABORATORIES, INC.
P.O. BOX 14062
KANSAS CITY, Missouri (MO) 64152-0562
United States
The registrant's proposed Correspondence Information: Dermal Research Laboratories, Inc.
P.O. BOX 14062
KANSAS CITY, Missouri (MO) 64152
United States
The phone number is (260) 572-0926.
The email address is relief@dermalresearch.com.
A fee payment in the amount of $700 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 and/or 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 are punishable by fine or imprisonment, or both, under 18 U.S.C. Section 1001, and that such willful false statements
and the like may jeopardize the validity of this document, declares that he/she is properly authorized to execute this document on behalf of the Owner; and all statements made of his/her own
knowledge are true and that 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: /carolcooper/ Date: 08/22/2012
Signatory's Name: Carol Cooper
Signatory's Position: Chief Operating Officer
Signatory's Phone Number: 260-572-0926
Serial Number: 78000364
Internet Transmission Date: Wed Aug 22 14:31:24 EDT 2012
TEAS Stamp: USPTO/S08N09-XX.XXX.XXX.XXX-201208221431
24779328-2568467-490fe10c976132fd0d3142b
ad5a26b3bd8-CC-734-20120822142315907457
