PR-Section 8 and 9

PTO- 1963

Approved for use through 10/31/2021. OMB 0651-0055

U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number

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PTO- 1963

Approved for use through 10/31/2021. OMB 0651-0055

U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number

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: 4027094
REGISTRATION DATE: 09/13/2011

MARK: CHAMP

Current: The owner, Centrix, Inc., a corporation of Connecticut, having an address of
      770 River Road
      Shelton, Connecticut 06484
      United States

Proposed: The owner, Centrix, Inc., a corporation of Connecticut, having an address of
      770 River Road
      Shelton, Connecticut 06484
      United States
      XXXX
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 005, 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: DENTAL SEALANTS ; 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) a label attached to packaging for the goods.
Specimen File1

Webpage URL: None Provided
Webpage Date of Access: None Provided
The owner's/holder's current attorney information: Paul A. Fattibene. Paul A. Fattibene of FATTIBENE AND FATTIBENE, is located at

      2480 POST RD
      SOUTHPORT, Connecticut 06890-1218
      United States
The docket/reference number is TM-2816.

The phone number is 203-255-4400.

The fax number is 203-259-0033.

The email address is paul@fattibene.com

The owner's/holder's proposed attorney information: Paul A. Fattibene. Paul A. Fattibene of FATTIBENE AND FATTIBENE, is a member of the XX bar, admitted to the bar in XXXX, bar membership no. XXX, is located at

      2480 POST RD
      SOUTHPORT, Connecticut 06890-1218
      United States
The docket/reference number is TM-2816.

The phone number is 203-255-4400.

The fax number is 203-259-0033.

The email address is paul@fattibene.com

Paul A. Fattibene submitted the following statement: The attorney of record is an active member in good standing of the bar of the highest court of a U.S. state, the District of Columbia, or any U.S. Commonwealth or territory.Correspondence Information (current):
      PAUL A. FATTIBENE
      PRIMARY EMAIL FOR CORRESPONDENCE: paul@fattibene.com
      SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): NOT PROVIDED

The docket/reference number is TM-2816.
Correspondence Information (proposed):
      Paul A. Fattibene
      PRIMARY EMAIL FOR CORRESPONDENCE: paul@fattibene.com
      SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): NOT PROVIDED

The docket/reference number is TM-2816.

Requirement for Email and Electronic Filing: I understand that a valid email address must be maintained by the owner/holder and the owner's/holder's attorney, if appointed, and that all official trademark correspondence must be submitted via the Trademark Electronic Application System (TEAS).

A fee payment in the amount of $525 will be submitted with the form, representing payment for 1 class(es), plus any additional grace period fee, if necessary.


Declaration

	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).
	Unless the owner has specifically claimed excusable nonuse, the specimen(s) shows the mark as currently used in commerce on or in connection with the goods/services/collective membership organization.
	The registrant requests that the registration be renewed for the goods/services/collective organization identified above.
	To the best of the signatory's knowledge, information, and belief, formed after an inquiry reasonable under the circumstances, the allegations and other factual contentions made above have evidentiary support.
	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 and the registration, 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.

Signature: /wpd/    Date: 07/21/2021
Signatory's Name: William P. DRAGAN
Signatory's Position: President
Signature method: Signed directly within the form


Mailing Address (current):
   FATTIBENE AND FATTIBENE
   2480 POST RD
   SOUTHPORT, Connecticut 06890-1218

Mailing Address (proposed):
   FATTIBENE AND FATTIBENE
   2480 POST RD
   SOUTHPORT, Connecticut 06890-1218

Serial Number: 85175808
Internet Transmission Date: Wed Jul 21 11:49:39 ET 2021
TEAS Stamp: USPTO/S08N09-XX.XXX.XXX.XX-2021072111493
9204251-4027094-780ce99f6bbeffdf09d493d4
e528e6da42dd71f7278c45aeba4c02c6a53078f7
c3-CC-49350112-20210721114345316387