| 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 |
78569087 |
| LAW OFFICE ASSIGNED |
LAW OFFICE 114 |
| NOTICE OF ALLOWANCE |
YES |
| EXTENSION OF USE |
NO |
| REQUEST TO DIVIDE |
NO |
| MARK SECTION |
| STANDARD CHARACTERS |
YES |
| USPTO-GENERATED IMAGE |
YES |
| LITERAL ELEMENT |
EPASSPORT |
| OWNER SECTION (no change) |
| ATTORNEY SECTION (current) |
| NAME |
Gregory J. Skoch and Cheryl L. Burbach |
| DOCKET NUMBER |
35887/2912.0 |
| ATTORNEY SECTION (proposed) |
| NAME |
Gregory J. Skoch and Cheryl L. Burbach |
| DOCKET NUMBER |
35887/2912.049 |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
016 |
| GOODS AND/OR SERVICES |
KEEP ALL LISTED |
| FIRST USE ANYWHERE DATE |
03/04/2002 |
| FIRST USE IN COMMERCE DATE |
01/20/2003 |
| SPECIMEN FILE NAME(S) |
\\TICRS2\EXPORT12\785\690\78569087\xml1\SOU0002.JPG |
| SPECIMEN DESCRIPTION |
sample fact sheet containing information relating to drug testing for an employee or potential employee |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| SUBTOTAL AMOUNT |
100 |
| TOTAL AMOUNT |
100 |
| SIGNATURE SECTION |
| SIGNATORY FILE |
Signature |
| SIGNATORY NAME |
Robert Thompson |
| SIGNATORY POSITION |
Chief Executive Officer |
| FILING INFORMATION |
| SUBMIT DATE |
Tue Jan 23 14:33:02 EST 2007 |
| TEAS STAMP |
USPTO/SOU-XX.XX.XXX.XXX-2
0070123143302365140-78569
087-360346e85f322a27c73ad
8e19ab2ead226f-DA-1989-20
070123142243777482 |
| 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: EPASSPORT
SERIAL NUMBER: 78569087
This Allegation of Use is being filed after a Notice of Allowance has issued.
The applicant, eScreen, Inc., having an address of P.O. Box 25902, Overland Park, Kansas United States 66225, 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: 016, 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 03/04/2002, and first used in commerce at least as early as
01/20/2003, 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) sample fact sheet containing information relating to drug testing for an employee or potential employee.
Specimen-1
The applicant hereby appoints Gregory J. Skoch and Cheryl L. Burbach to submit this Trademark/Service Mark Statement of Use on behalf of the applicant. The attorney docket/reference number is
35887/2912.049.
A fee payment in the amount of $100 will be submitted with the form, representing payment for 1 class.
Declaration
Signatory's Name: Robert Thompson
Signatory's Position: Chief Executive Officer
Signatory File
Signature
RAM Sale Number: 1989
RAM Accounting Date: 01/23/2007
Serial Number: 78569087
Internet Transmission Date: Tue Jan 23 14:33:02 EST 2007
TEAS Stamp: USPTO/SOU-XX.XX.XXX.XXX-2007012314330236
5140-78569087-360346e85f322a27c73ad8e19a
b2ead226f-DA-1989-20070123142243777482
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