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 |
3023595 |
REGISTRATION DATE |
12/06/2005 |
SERIAL NUMBER |
78504525 |
MARK SECTION |
MARK |
EZY DOSE |
ATTORNEY SECTION (current) |
NAME |
Andrew S. Ehard |
FIRM NAME |
MERCHANT & GOULD P.C. |
STREET |
PO BOX 2910 |
CITY |
MINNEAPOLIS |
STATE |
Minnesota |
POSTAL CODE |
55402-0910 |
COUNTRY |
United States |
PHONE |
612.332.5300 |
FAX |
612.332.9081 |
DOCKET/REFERENCE NUMBER |
1993.70US04 |
ATTORNEY SECTION (proposed) |
NAME |
Andrew S. Ehard |
FIRM NAME |
MERCHANT & GOULD P.C. |
STREET |
PO BOX 2910 |
CITY |
MINNEAPOLIS |
STATE |
Minnesota |
POSTAL CODE |
55402-0910 |
COUNTRY |
United States |
PHONE |
612.332.5300 |
FAX |
612.332.9081 |
EMAIL |
dockmpls@merchantgould.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
1993.70US04 |
OTHER APPOINTED ATTORNEY |
John A. Clifford, Scott W. Johnston, Christopher J. Schulte, Brent E. Routman, Brian H. Batzli, Gregory C. Golla, Danielle I. Mattessich,
Dana P. Jozefczyk and all other attorneys at the firm of Merchant & Gould P.C. |
CORRESPONDENCE SECTION (current) |
NAME |
Andrew S. Ehard |
FIRM NAME |
MERCHANT & GOULD P.C. |
STREET |
PO BOX 2910 |
CITY |
MINNEAPOLIS |
STATE |
Minnesota |
POSTAL CODE |
55402-0910 |
COUNTRY |
United States |
PHONE |
612.332.5300 |
FAX |
612.332.9081 |
DOCKET/REFERENCE NUMBER |
1993.70US04 |
CORRESPONDENCE SECTION (proposed) |
NAME |
Andrew S. Ehard |
FIRM NAME |
MERCHANT & GOULD P.C. |
STREET |
PO BOX 2910 |
CITY |
MINNEAPOLIS |
STATE |
Minnesota |
POSTAL CODE |
55402-0910 |
COUNTRY |
United States |
PHONE |
612.332.5300 |
FAX |
612.332.9081 |
EMAIL |
dockmpls@merchantgould.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
1993.70US04 |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
006 |
GOODS OR SERVICES |
Metal pill fob key chains |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\785\045\78504525\xml1\ S890002.JPG |
SPECIMEN DESCRIPTION |
mark shown on the packaging of the goods |
INTERNATIONAL CLASS |
010 |
GOODS OR SERVICES |
Medicine dosage spoons, droppers and oral syringes, infant medicine nursers, drinking cups for dispensing medications, pill and tablet crushers
and cutters; specimen cups for medical use; syringes for medical use; applicator bottle used to dispense alcohol to the skin; medical diagnostic test strips, namely, pH test papers used to measure
glucose levels; medical ear syringes; medical apparatus in the nature of syringe magnifiers to be used with medical syringes; lancets; nasal aspirators |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\785\045\78504525\xml1\ S890003.JPG |
SPECIMEN DESCRIPTION |
mark shown on the packaging of the goods |
INTERNATIONAL CLASS |
020 |
GOODS OR SERVICES |
Dispensers for pills or capsules, sold empty; plastic containers for storing and organizing medications and vitamins, sold empty; non-metal pill
fob key chains; medical storage apparatus, namely, plastic pill dispensers, plastic pill containers, plastic pill medication cases, non-metal boxes for storing pills, each sold empty |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\785\045\78504525\xml1\ S890004.JPG |
SPECIMEN DESCRIPTION |
mark shown on the packaging of the goods |
OWNER SECTION (current) |
NAME |
APOTHECARY PRODUCTS, LLC |
STREET |
11750 12TH AVENUE SOUTH |
CITY |
BURNSVILLE |
STATE |
Minnesota |
ZIP/POSTAL CODE |
55337-1297 |
COUNTRY |
United States |
LEGAL ENTITY SECTION (current) |
TYPE |
limited liability company |
STATE/COUNTRY WHERE LEGALLY ORGANIZED |
Delaware |
LEGAL ENTITY SECTION (proposed) |
TYPE |
limited liability company |
STATE/COUNTRY WHERE LEGALLY ORGANIZED |
Delaware |
PAYMENT SECTION |
NUMBER OF CLASSES |
3 |
NUMBER OF CLASSES PAID |
3 |
SUBTOTAL AMOUNT |
1200 |
TOTAL FEE PAID |
1200 |
SIGNATURE SECTION |
SIGNATURE |
/Andrew S. Ehard/ |
SIGNATORY'S NAME |
Andrew S. Ehard |
SIGNATORY'S POSITION |
Attorney for Registrant |
DATE SIGNED |
06/04/2015 |
SIGNATORY'S PHONE NUMBER |
612.336.4602 |
PAYMENT METHOD |
CC |
FILING INFORMATION |
SUBMIT DATE |
Thu Jun 04 11:31:42 EDT 2015 |
TEAS STAMP |
USPTO/S08N09-XXX.XXX.XXX.
XX-20150604113142518353-3
023595-530337da1e3810d126
9555588162c1fbeff2a797960
63711fea446552863ca2a-CC-
10365-2015060411211125107
2 |
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: 3023595
REGISTRATION DATE: 12/06/2005
MARK: EZY DOSE
The owner, APOTHECARY PRODUCTS, LLC, a limited liability company legally organized under the laws of Delaware, having an address of
11750 12TH AVENUE SOUTH
BURNSVILLE, Minnesota 55337-1297
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 006, 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: Metal pill fob key chains ; 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) mark shown on the packaging of the goods.
Specimen File1
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: Medicine dosage spoons, droppers and oral syringes, infant medicine nursers, drinking cups for dispensing medications, pill and tablet crushers and
cutters; specimen cups for medical use; syringes for medical use; applicator bottle used to dispense alcohol to the skin; medical diagnostic test strips, namely, pH test papers used to measure
glucose levels; medical ear syringes; medical apparatus in the nature of syringe magnifiers to be used with medical syringes; lancets; nasal aspirators ; 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) mark shown on the packaging of the goods.
Specimen File1
For International Class 020, 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: Dispensers for pills or capsules, sold empty; plastic containers for storing and organizing medications and vitamins, sold empty; non-metal pill fob key
chains; medical storage apparatus, namely, plastic pill dispensers, plastic pill containers, plastic pill medication cases, non-metal boxes for storing pills, each sold empty ; 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) mark shown on the packaging of the goods.
Specimen File1
The registrant's current Attorney Information: Andrew S. Ehard of MERCHANT & GOULD P.C.
PO BOX 2910
MINNEAPOLIS, Minnesota (MN) 55402-0910
United States
The docket/reference number is 1993.70US04.
The registrant's proposed Attorney Information: Andrew S. Ehard of MERCHANT & GOULD P.C.
PO BOX 2910
MINNEAPOLIS, Minnesota (MN) 55402-0910
United States
The docket/reference number is 1993.70US04.
The Other Appointed Attorney(s): John A. Clifford, Scott W. Johnston, Christopher J. Schulte, Brent E. Routman, Brian H. Batzli, Gregory C. Golla, Danielle I. Mattessich, Dana P. Jozefczyk and all
other attorneys at the firm of Merchant & Gould P.C..
The phone number is 612.332.5300.
The fax number is 612.332.9081.
The email address is dockmpls@merchantgould.com.
The registrant's current Correspondence Information: Andrew S. Ehard of MERCHANT & GOULD P.C.
PO BOX 2910
MINNEAPOLIS, Minnesota (MN) 55402-0910
United States
The docket/reference number is 1993.70US04.
The registrant's proposed Correspondence Information: Andrew S. Ehard of MERCHANT & GOULD P.C.
PO BOX 2910
MINNEAPOLIS, Minnesota (MN) 55402-0910
United States
The docket/reference number is 1993.70US04.
The phone number is 612.332.5300.
The fax number is 612.332.9081.
The email address is dockmpls@merchantgould.com.
A fee payment in the amount of $1200 will be submitted with the form, representing payment for 3 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 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. Section 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: /Andrew S. Ehard/ Date: 06/04/2015
Signatory's Name: Andrew S. Ehard
Signatory's Position: Attorney for Registrant
Signatory's Phone Number: 612.336.4602
Mailing Address
(current):
MERCHANT & GOULD P.C.
PO BOX 2910
MINNEAPOLIS, Minnesota 55402-0910
Mailing Address
(proposed):
MERCHANT & GOULD P.C.
PO BOX 2910
MINNEAPOLIS, Minnesota 55402-0910
Serial Number: 78504525
Internet Transmission Date: Thu Jun 04 11:31:42 EDT 2015
TEAS Stamp: USPTO/S08N09-XXX.XXX.XXX.XX-201506041131
42518353-3023595-530337da1e3810d12695555
88162c1fbeff2a79796063711fea446552863ca2
a-CC-10365-20150604112111251072