| 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 |
2984198 |
| REGISTRATION DATE |
08/09/2005 |
| SERIAL NUMBER |
78364735 |
| MARK SECTION |
| MARK |
MIRACLE |
| CORRESPONDENCE SECTION (current) |
| NAME |
Evangelene Cheng |
| FIRM NAME |
Adenna Inc. |
| STREET |
201 S. Milliken Avenue |
| CITY |
Ontario |
| STATE |
California |
| POSTAL CODE |
91761 |
| COUNTRY |
United States |
| PHONE |
9095106999 |
| FAX |
9095108999 |
| EMAIL |
evangelene.cheng@adenna.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
Adenna Inc. |
| STREET |
201 S. Milliken Ave |
| CITY |
Ontario |
| STATE |
California |
| POSTAL CODE |
91761 |
| COUNTRY |
United States |
| PHONE |
909-510-6999 |
| FAX |
909-510-8999 |
| EMAIL |
maxwell.lee@adenna.com;evangelene.cheng@adenna.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
010 |
| GOODS OR SERVICES |
Disposable medical and surgical examination gloves |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\783\647\78364735\xml2\ S890002.JPG |
| SPECIMEN DESCRIPTION |
Actual product dispenser box sample |
| OWNER SECTION (current) |
| NAME |
Adenna Inc. |
| STREET |
201 S. Milliken Ave |
| CITY |
Ontario |
| STATE |
California |
| ZIP/POSTAL CODE |
91761 |
| COUNTRY |
United States |
| PHONE |
562-777-8026 |
| FAX |
562-777-8905 |
| EMAIL |
XXXX |
| OWNER SECTION (proposed) |
| NAME |
Adenna Inc. |
| STREET |
201 S. Milliken Ave |
| CITY |
Ontario |
| STATE |
California |
| ZIP/POSTAL CODE |
91761 |
| COUNTRY |
United States |
| PHONE |
909-510-6999 |
| FAX |
909-510-8999 |
| EMAIL |
XXXX |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| LEGAL ENTITY SECTION (current) |
| TYPE |
corporation |
| STATE/COUNTRY OF INCORPORATION |
California |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
400 |
| TOTAL FEE PAID |
400 |
| SIGNATURE SECTION |
| SIGNATURE |
/Maxwell Lee/ |
| SIGNATORY'S NAME |
Maxwell Lee |
| SIGNATORY'S POSITION |
President |
| DATE SIGNED |
08/04/2015 |
| SIGNATORY'S PHONE NUMBER |
9095106999 |
| PAYMENT METHOD |
CC |
| FILING INFORMATION |
| SUBMIT DATE |
Tue Aug 04 13:06:27 EDT 2015 |
| TEAS STAMP |
USPTO/S08N09-XX.X.XX.XX-2
0150804130627350905-29841
98-540e3cf348a823837c7b11
f7e9881b9114d9554834631d5
c1ed1977a383966350-CC-105
53-20150804125242470724 |
| 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: 2984198
REGISTRATION DATE: 08/09/2005
MARK: MIRACLE
The owner, Adenna Inc., a corporation of California, having an address of
201 S. Milliken Ave
Ontario, California 91761
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 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: Disposable medical and surgical examination gloves ; 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) Actual product dispenser box sample.
Specimen File1
The registrant's current Correspondence Information: Evangelene Cheng of Adenna Inc.
201 S. Milliken Avenue
Ontario, California (CA) 91761
United States
The registrant's proposed Correspondence Information: Adenna Inc.
201 S. Milliken Ave
Ontario, California (CA) 91761
United States
The phone number is 909-510-6999.
The fax number is 909-510-8999.
The email address is maxwell.lee@adenna.com;evangelene.cheng@adenna.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: /Maxwell Lee/ Date: 08/04/2015
Signatory's Name: Maxwell Lee
Signatory's Position: President
Signatory's Phone Number: 9095106999
Serial Number: 78364735
Internet Transmission Date: Tue Aug 04 13:06:27 EDT 2015
TEAS Stamp: USPTO/S08N09-XX.X.XX.XX-2015080413062735
0905-2984198-540e3cf348a823837c7b11f7e98
81b9114d9554834631d5c1ed1977a383966350-C
C-10553-20150804125242470724
