| 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 |
2979809 |
| REGISTRATION DATE |
07/26/2005 |
| SERIAL NUMBER |
78363946 |
| MARK SECTION |
| MARK |
CLENCHER |
| CORRESPONDENCE SECTION (current) |
| NAME |
John F. Letchford |
| FIRM NAME |
Archer & Greiner, P.C. |
| STREET |
One Centennial Square, P.O. Box 3000 |
| CITY |
Haddonfield |
| STATE |
New Jersey |
| POSTAL CODE |
08033 |
| COUNTRY |
United States |
| PHONE |
856.354.3013 |
| FAX |
856.795.0574 |
| EMAIL |
trademarks@archerlaw.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
BRA138.15003 |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
BRAIN-PAD INCORPORATED |
| STREET |
322 FAYETTE STREET |
| CITY |
CONSHOHOCKEN |
| STATE |
Pennsylvania |
| POSTAL CODE |
19428 |
| COUNTRY |
United States |
| PHONE |
610-397-0893 |
| FAX |
610-397-1897 |
| EMAIL |
jmanzo@brainpads.com;info@brainpads.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
028 |
| GOODS OR SERVICES |
Bimolar mouth guard with breathe hole for athletic use |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\783\639\78363946\xml2\ S890002.JPG |
| SPECIMEN DESCRIPTION |
Retail backer card for Clencher mouth guard |
| OWNER SECTION (current) |
| NAME |
BRAIN-PAD INCORPORATED |
| STREET |
322 FAYETTE STREET |
| CITY |
CONSHOHOCKEN |
| STATE |
Pennsylvania |
| ZIP/POSTAL CODE |
19428 |
| COUNTRY |
United States |
| OWNER SECTION (proposed) |
| NAME |
BRAIN-PAD INCORPORATED |
| DBA/AKA/TA/Formerly |
DBA Brain-Pad, Inc. |
| STREET |
322 FAYETTE STREET |
| CITY |
CONSHOHOCKEN |
| STATE |
Pennsylvania |
| ZIP/POSTAL CODE |
19428 |
| COUNTRY |
United States |
| PHONE |
610-397-0893 |
| FAX |
610-397-1897 |
| EMAIL |
XXXX |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| LEGAL ENTITY SECTION (current) |
| TYPE |
corporation |
| STATE/COUNTRY OF INCORPORATION |
Pennsylvania |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
400 |
| TOTAL FEE PAID |
400 |
| SIGNATURE SECTION |
| SIGNATURE |
/Joseph Manzo/ |
| SIGNATORY'S NAME |
Joseph Manzo |
| SIGNATORY'S POSITION |
President |
| DATE SIGNED |
07/20/2015 |
| SIGNATORY'S PHONE NUMBER |
610-397-0893 |
| PAYMENT METHOD |
CC |
| FILING INFORMATION |
| SUBMIT DATE |
Mon Jul 20 15:26:01 EDT 2015 |
| TEAS STAMP |
USPTO/S08N09-XX.XXX.XX.XX
-20150720152601211240-297
9809-540eea1c99e48ce89b61
7dab1ca41846045fd8aa4f47f
542feae2cbff564426b25-CC-
1920-20150720150129100687 |
| 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: 2979809
REGISTRATION DATE: 07/26/2005
MARK: CLENCHER
The owner, BRAIN-PAD INCORPORATED, DBA Brain-Pad, Inc., a corporation of Pennsylvania, having an address of
322 FAYETTE STREET
CONSHOHOCKEN, Pennsylvania 19428
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 028, 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: Bimolar mouth guard with breathe hole for athletic use ; 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) Retail backer card for Clencher mouth
guard.
Specimen File1
The registrant's current Correspondence Information: John F. Letchford of Archer & Greiner, P.C.
One Centennial Square, P.O. Box 3000
Haddonfield, New Jersey (NJ) 08033
United States
The docket/reference number is BRA138.15003.
The registrant's proposed Correspondence Information: BRAIN-PAD INCORPORATED
322 FAYETTE STREET
CONSHOHOCKEN, Pennsylvania (PA) 19428
United States
The phone number is 610-397-0893.
The fax number is 610-397-1897.
The email address is jmanzo@brainpads.com;info@brainpads.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: /Joseph Manzo/ Date: 07/20/2015
Signatory's Name: Joseph Manzo
Signatory's Position: President
Signatory's Phone Number: 610-397-0893
Serial Number: 78363946
Internet Transmission Date: Mon Jul 20 15:26:01 EDT 2015
TEAS Stamp: USPTO/S08N09-XX.XXX.XX.XX-20150720152601
211240-2979809-540eea1c99e48ce89b617dab1
ca41846045fd8aa4f47f542feae2cbff564426b2
5-CC-1920-20150720150129100687
