Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid OMB control number.
PTO Form 1963 (Rev 05/2006) |
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 |
3365942 |
REGISTRATION DATE |
01/08/2008 |
SERIAL NUMBER |
78970422 |
MARK SECTION |
MARK |
INSITE |
ATTORNEY SECTION (current) |
NAME |
Troy Leonard |
FIRM NAME |
Woods, Fuller, Shultz & Smith, PC |
STREET |
300 S. Phillips Ave., Suite 300 |
CITY |
Sioux Falls |
STATE |
South Dakota |
POSTAL CODE |
57104 |
COUNTRY |
United States |
PHONE |
605.336.3890 |
FAX |
605.339.3357 |
EMAIL |
Troy.Leonard@woodsfuller.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
11904-39982 |
ATTORNEY SECTION (proposed) |
NAME |
Troy Leonard |
FIRM NAME |
Woods, Fuller, Shultz & Smith, PC |
INTERNAL ADDRESS |
Suite 300 |
STREET |
300 S. Phillips Ave., |
CITY |
Sioux Falls |
STATE |
South Dakota |
POSTAL CODE |
57104 |
COUNTRY |
United States |
PHONE |
605.336.3890 |
FAX |
605.339.3357 |
EMAIL |
Troy.Leonard@woodsfuller.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
11904-39982 |
CORRESPONDENCE SECTION (current) |
NAME |
Troy Leonard |
FIRM NAME |
Woods, Fuller, Shultz & Smith, PC |
STREET |
300 S. Phillips Ave., Suite 300 |
CITY |
Sioux Falls |
STATE |
South Dakota |
POSTAL CODE |
57104 |
COUNTRY |
United States |
PHONE |
605.336.3890 |
FAX |
605.339.3357 |
EMAIL |
Troy.Leonard@woodsfuller.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
11904-39982 |
CORRESPONDENCE SECTION (proposed) |
NAME |
Troy Leonard |
FIRM NAME |
Woods, Fuller, Shultz & Smith, PC |
INTERNAL ADDRESS |
Suite 300 |
STREET |
300 S. Phillips Ave., |
CITY |
Sioux Falls |
STATE |
South Dakota |
POSTAL CODE |
57104 |
COUNTRY |
United States |
PHONE |
605.336.3890 |
FAX |
605.339.3357 |
EMAIL |
Troy.Leonard@woodsfuller.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
11904-39982 |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
010 |
GOODS OR SERVICES |
Video Headset for displaying ultrasound images for medical use |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT17\IMAGEOUT 17\789\704\78970422\xml2\ S890002.JPG |
SPECIMEN DESCRIPTION |
Photo of the goods with the mark thereon |
MISCELLANEOUS STATEMENT |
The owner of the mark is, and has always been, OrcaWest Holdings, LLC, a limited liability company legally organized under the laws of Colorado. The additional reference (in the
owner line) to "comprising of Charles E. Maloy IV American," is not present in the Certificate of Registration, nor was it present in the previous maintenance filing and should not be present in the
current filing. |
OWNER SECTION (current) |
NAME |
OrcaWest Holdings, LLC |
STREET |
110 12TH STREET SW, UNIT 102 |
CITY |
LOVELAND |
STATE |
Colorado |
ZIP/POSTAL CODE |
80537-6396 |
COUNTRY |
United States |
EMAIL |
XXXX |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
OWNER SECTION (proposed) |
NAME |
OrcaWest Holdings, LLC |
STREET |
110 12TH STREET SW, UNIT 102 |
CITY |
LOVELAND |
STATE |
Colorado |
ZIP/POSTAL CODE |
80537-6396 |
COUNTRY |
United States |
LEGAL ENTITY SECTION (current) |
TYPE |
limited liability company |
STATE/COUNTRY WHERE LEGALLY ORGANIZED |
Colorado |
NAME OF ALL GENERAL PARTNERS, ACTIVE MEMBERS, INDIVIDUAL, TRUSTEES, OR EXECUTORS, AND CITIZENSHIP/ INCORPORATION |
Charles E. Maloy IV American |
PAYMENT SECTION |
NUMBER OF CLASSES |
1 |
NUMBER OF CLASSES PAID |
1 |
SUBTOTAL AMOUNT |
400 |
TOTAL FEE PAID |
400 |
SIGNATURE SECTION |
SIGNATURE |
/troy leonard/ |
SIGNATORY'S NAME |
Troy Leonard |
SIGNATORY'S POSITION |
Attorney of Record, South Dakota bar member |
DATE SIGNED |
01/10/2017 |
SIGNATORY'S PHONE NUMBER |
6053363890 |
PAYMENT METHOD |
CC |
FILING INFORMATION |
SUBMIT DATE |
Tue Jan 10 12:16:11 EST 2017 |
TEAS STAMP |
USPTO/S08N09-XX.XX.XXX.XX
X-20170110121611791544-33
65942-5703e548f5ebe762f7f
a0429ed75857a3a8b21eeb66e
8c0c2f25c9fe23282a33cf7-C
C-10692-20170110120343036
072 |
Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid OMB control number.
PTO Form 1963 (Rev 05/2006) |
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: 3365942
REGISTRATION DATE: 01/08/2008
MARK: (INSITE)
The owner, OrcaWest Holdings, LLC, a limited liability company legally organized under the laws of Colorado, comprising of Charles E. Maloy IV American, having an address of
110 12TH STREET SW, UNIT 102
LOVELAND, Colorado 80537-6396
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: Video Headset for displaying ultrasound images for medical use ; 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) Photo of the goods with the mark thereon.
Specimen File1
MISCELLANEOUS STATEMENTS
The owner of the mark is, and has always been, OrcaWest Holdings, LLC, a limited liability company legally organized under the laws of Colorado. The additional reference (in the owner line) to
"comprising of Charles E. Maloy IV American," is not present in the Certificate of Registration, nor was it present in the previous maintenance filing and should not be present in the current
filing.
The registrant's current Attorney Information: Troy Leonard of Woods, Fuller, Shultz & Smith, PC
300 S. Phillips Ave., Suite 300
Sioux Falls, South Dakota 57104
United States
The docket/reference number is 11904-39982.
The registrant's proposed Attorney Information: Troy Leonard of Woods, Fuller, Shultz & Smith, PC
Suite 300
300 S. Phillips Ave.,
Sioux Falls, South Dakota 57104
United States
The docket/reference number is 11904-39982.
The phone number is 605.336.3890.
The fax number is 605.339.3357.
The email address is Troy.Leonard@woodsfuller.com.
The registrant's current Correspondence Information: Troy Leonard of Woods, Fuller, Shultz & Smith, PC
300 S. Phillips Ave., Suite 300
Sioux Falls, South Dakota 57104
United States
The docket/reference number is 11904-39982.
The registrant's proposed Correspondence Information: Troy Leonard of Woods, Fuller, Shultz & Smith, PC
Suite 300
300 S. Phillips Ave.,
Sioux Falls, South Dakota 57104
United States
The docket/reference number is 11904-39982.
The phone number is 605.336.3890.
The fax number is 605.339.3357.
The email address is Troy.Leonard@woodsfuller.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: /troy leonard/ Date: 01/10/2017
Signatory's Name: Troy Leonard
Signatory's Position: Attorney of Record, South Dakota bar member
Signatory's Phone Number: 6053363890
Mailing Address
(current):
Woods, Fuller, Shultz & Smith, PC
300 S. Phillips Ave., Suite 300
Sioux Falls, South Dakota 57104
Mailing Address
(proposed):
Woods, Fuller, Shultz & Smith, PC
300 S. Phillips Ave.,
Sioux Falls, South Dakota 57104
Serial Number: 78970422
Internet Transmission Date: Tue Jan 10 12:16:11 EST 2017
TEAS Stamp: USPTO/S08N09-XX.XX.XXX.XXX-2017011012161
1791544-3365942-5703e548f5ebe762f7fa0429
ed75857a3a8b21eeb66e8c0c2f25c9fe23282a33
cf7-CC-10692-20170110120343036072