| PTO Form 1478 (Rev 6/2005) |
| OMB No. 0651-0009 (Exp xx/xx/xxxx) |
Trademark/Service Mark Application, Principal Register
Serial Number: 78426002
Filing Date: 05/27/2004
The table below presents the data as entered.
Input Field
|
Entered
|
| MARK SECTION |
| MARK |
SHAPELOCK |
| STANDARD CHARACTERS |
YES |
| USPTO-GENERATED IMAGE |
YES |
| LITERAL ELEMENT |
SHAPELOCK |
| MARK STATEMENT |
The mark consists of standard characters, without claim to any particular font, style, size, or color. |
| OWNER SECTION |
| NAME |
USGI Medical, Inc. |
| INTERNAL ADDRESS |
Suites A & B |
| STREET |
940 Calle Amanecer |
| CITY |
San Clemente |
| STATE |
CA |
| ZIP/POSTAL CODE |
92673 |
| COUNTRY |
USA |
| AUTHORIZED EMAIL COMMUNICATION |
No |
| LEGAL ENTITY SECTION |
| TYPE |
CORPORATION |
| STATE/COUNTRY OF INCORPORATION |
Delaware |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
010 |
| DESCRIPTION |
Medical devices, namely laproascopic/endoscopic diagnostic and surgical instruments. |
| FILING BASIS |
Section 1(b) |
| SIGNATURE SECTION |
| SIGNATURE |
/seyamack kouretchian/ |
| SIGNATORY NAME |
Seyamack Kouretchian |
| SIGNATORY DATE |
05/27/2004 |
| SIGNATORY POSITION |
Attorney |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
335 |
| TOTAL AMOUNT |
335 |
| ATTORNEY |
| NAME |
Seyamack Kouretchian |
| FIRM NAME |
KOURETCHIAN LAW GROUP, APC |
| STREET |
2191 San Elijo Ave. |
| CITY |
Cardiff by the Sea |
| STATE |
CA |
| ZIP/POSTAL CODE |
92007 |
| COUNTRY |
USA |
| PHONE |
760-334-0214 |
| FAX |
760-632-7343 |
| EMAIL |
seyamack@kouretchian.com |
| AUTHORIZED EMAIL COMMUNICATION |
Yes |
| ATTORNEY DOCKET NUMBER |
USGI |
| CORRESPONDENCE SECTION |
| NAME |
Seyamack Kouretchian |
| FIRM NAME |
KOURETCHIAN LAW GROUP, APC |
| STREET |
2191 San Elijo Ave. |
| CITY |
Cardiff by the Sea |
| STATE |
CA |
| ZIP/POSTAL CODE |
92007 |
| COUNTRY |
USA |
| PHONE |
760-334-0214 |
| FAX |
760-632-7343 |
| EMAIL |
seyamack@kouretchian.com |
| AUTHORIZED EMAIL COMMUNICATION |
Yes |
| FILING INFORMATION |
| SUBMIT DATE |
Thu May 27 11:46:20 EDT 2004 |
| TEAS STAMP |
USPTO/BAS-XXXXXXXXXXX-200
40527114620563140-7842600
2-20052b14de9197e785e53c8
ce2eb0f66589-CC-940-20040
527114444053082 |
| PTO Form 1478 (Rev 6/2005) |
| OMB No. 0651-0009 (Exp xx/xx/xxxx) |
Trademark/Service Mark Application, Principal Register
Serial Number: 78426002
Filing Date: 05/27/2004
To the Commissioner for Trademarks:
MARK: (Standard Characters, see
mark)
The mark consists of standard characters, without claim to any particular font, style, size, or color.
The literal element of the mark consists of SHAPELOCK.
The applicant, USGI Medical, Inc., a corporation of Delaware, residing at Suites A & B, 940 Calle Amanecer, San Clemente, CA, USA, 92673, requests registration of the trademark/service mark
identified above 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.
Intent to Use: The applicant has a bona fide intention to use or use through the applicant's related company or licensee the mark in commerce on or in connection with the identified goods and/or
services. (15 U.S.C. Section 1051(b)).
International Class 010: Medical devices, namely laproascopic/endoscopic diagnostic and surgical instruments.
The applicant hereby appoints Seyamack Kouretchian of KOURETCHIAN LAW GROUP, APC, 2191 San Elijo Ave., Cardiff by the Sea, CA, USA, 92007 to submit this application on behalf of the applicant.
The attorney docket/reference number is USGI.
The USPTO is authorized to communicate with the applicant or its representative at the following email address: seyamack@kouretchian.com.
A fee payment in the amount of $335 will be submitted with the application, representing payment for 1 class(es).
Declaration
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, and the like, may jeopardize the validity of the application or any resulting registration, declares that he/she is properly authorized to execute this application 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 application is being filed under 15 U.S.C. Section 1051(b), 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: /seyamack kouretchian/ Date: 05/27/2004
Signatory's Name: Seyamack Kouretchian
Signatory's Position: Attorney
Mailing Address:
Seyamack Kouretchian
2191 San Elijo Ave.
Cardiff by the Sea, CA 92007
RAM Sale Number: 940
RAM Accounting Date: 05/27/2004
Serial Number: 78426002
Internet Transmission Date: Thu May 27 11:46:20 EDT 2004
TEAS Stamp: USPTO/BAS-XXXXXXXXXXX-200405271146205631
40-78426002-20052b14de9197e785e53c8ce2eb
0f66589-CC-940-20040527114444053082
