| PTO Form 1553 (Rev 9/2005) |
| OMB No. 0651-0054 (Exp. 11/30/2008) |
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 |
78418465 |
| LAW OFFICE ASSIGNED |
LAW OFFICE 103 |
| NOTICE OF ALLOWANCE |
YES |
| EXTENSION OF USE |
YES |
| REQUEST TO DIVIDE |
NO |
| MARK SECTION |
| STANDARD CHARACTERS |
YES |
| USPTO-GENERATED IMAGE |
YES |
| LITERAL ELEMENT |
ACTIVA |
| OWNER SECTION (no change) |
| ATTORNEY SECTION (no change) |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
036 |
| GOODS AND/OR SERVICES |
KEEP ALL LISTED |
| FIRST USE ANYWHERE DATE |
10/19/1992 |
| FIRST USE IN COMMERCE DATE |
10/19/1992 |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT8\IMAGEOUT8\784\184\78418465\xml2\SOU0002.JPG |
| |
\\TICRS\EXPORT8\IMAGEOUT8 \784\184\78418465\xml2\SO U0003.JPG |
| |
\\TICRS\EXPORT8\IMAGEOUT8 \784\184\78418465\xml2\SO U0004.JPG |
| SPECIMEN DESCRIPTION |
letterhead, business card and prescription drug card showing the mark in use |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| SUBTOTAL AMOUNT |
100 |
| TOTAL AMOUNT |
100 |
| SIGNATURE SECTION |
| SIGNATURE |
/Olinda Vargas/ |
| SIGNATORY NAME |
Olinda Vargas |
| SIGNATORY DATE |
12/19/2005 |
| SIGNATORY POSITION |
Secretary |
| FILING INFORMATION |
| SUBMIT DATE |
Tue Dec 20 13:08:50 EST 2005 |
| TEAS STAMP |
USPTO/SOU-XX.XXX.XXX.XX-2
0051220130850691732-78418
465-320d84ba8f76cc328d474
9e2a9d37739e6-DA-1458-200
51220130718107078 |
| PTO Form 1553 (Rev 9/2005) |
| OMB No. 0651-0054 (Exp. 11/30/2008) |
Trademark/Service Mark Statement of Use
(15 U.S.C. Section 1051(d))
To the Commissioner for Trademarks:
MARK: ACTIVA
SERIAL NUMBER: 78418465
This Allegation of Use is being filed after a Notice of Allowance has issued.
An Extension of Time form is being filed with the Allegation of Use.
The applicant, Activa Rx, Inc., having an address of 4040 East Camelback Road, Suite 158, Phoenix, Arizona United States 85018, is using or is using through a related company or licensee the mark in
commerce on or in connection with the goods and/or services as follows:
For International Class: 036, the applicant, or the applicant's related company or licensee, is using the mark in commerce on or in connection with all goods and/or services listed in the application
or Notice of Allowance.
The mark was first used by the applicant, or the applicant's related company, licensee, or predecessor in interest at least as early as 10/19/1992, and first used in commerce at least as early as
10/19/1992, 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) letterhead, business card and prescription drug card showing the mark in use.
Specimen-1
Specimen-2
Specimen-3
The applicant hereby appoints Karen L. Liepmann, Esq. to submit this Trademark/Service Mark Statement of Use on behalf of the applicant. The attorney docket/reference number is 12395-4.
A fee payment in the amount of $100 will be submitted with the form, representing payment 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 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.
Signature: /Olinda Vargas/ Date Signed: 12/19/2005
Signatory's Name: Olinda Vargas
Signatory's Position: Secretary
RAM Sale Number: 1458
RAM Accounting Date: 12/20/2005
Serial Number: 78418465
Internet Transmission Date: Tue Dec 20 13:08:50 EST 2005
TEAS Stamp: USPTO/SOU-XX.XXX.XXX.XX-2005122013085069
1732-78418465-320d84ba8f76cc328d4749e2a9
d37739e6-DA-1458-20051220130718107078
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