| PTO Form 1553 (Rev 9/2005) |
| OMB No. 0651-0054 (Exp. 10/31/2017) |
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 |
85358192 |
| LAW OFFICE ASSIGNED |
LAW OFFICE 109 |
| EXTENSION OF USE |
NO |
| MARK SECTION |
| MARK |
http://tess2.gov.uspto.report/ImageAgent/ImageAgentProxy?getImage=85358192 |
| LITERAL ELEMENT |
INSITE |
| STANDARD CHARACTERS |
YES |
| USPTO-GENERATED IMAGE |
YES |
| MARK STATEMENT |
The mark consists of standard characters, without claim to any particular font style, size or color. |
| OWNER SECTION |
| NAME |
Mizuho Orthopedic Systems, Inc. |
| STREET |
600 University Ave. |
| CITY |
Sacramento |
| STATE |
California |
| ZIP/POSTAL CODE |
95825 |
| COUNTRY |
United States |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
010 |
| CURRENT IDENTIFICATION |
Operating tables; Patient examination and/or treatment tables |
| GOODS OR SERVICES |
KEEP ALL LISTED |
| FIRST USE ANYWHERE DATE |
12/01/2011 |
| FIRST USE IN COMMERCE DATE |
12/29/2011 |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\853\581\85358192\xml1\ SOU0002.JPG |
| SPECIMEN DESCRIPTION |
Photocopy of mark attached to goods |
| REQUEST TO DIVIDE |
NO |
| PAYMENT SECTION |
| NUMBER OF CLASSES IN USE |
1 |
| SUBTOTAL AMOUNT [ALLEGATION OF USE FEE] |
100 |
| TOTAL AMOUNT |
100 |
| SIGNATURE SECTION |
| DECLARATION SIGNATURE |
/Theodore J. Bielen, Jr./ |
| SIGNATORY'S NAME |
Theodore J. Bielen, Jr. |
| SIGNATORY'S POSITION |
Attorney of record |
| DATE SIGNED |
06/01/2012 |
| SIGNATORY'S PHONE NUMBER |
925-288-9720 |
| FILING INFORMATION |
| SUBMIT DATE |
Fri Jun 01 17:18:08 EDT 2012 |
| TEAS STAMP |
USPTO/SOU-XX.XXX.XXX.XXX-
20120601171808321503-8535
8192-4906071102c86ebd1864
376c7a72d944238-CC-4519-2
0120601170821638601 |
| PTO Form 1553 (Rev 9/2005) |
| OMB No. 0651-0054 (Exp. 10/31/2017) |
Trademark/Service Mark Statement of Use
(15 U.S.C. Section 1051(d))
To the Commissioner for Trademarks:
MARK: INSITE(Standard Characters, see http://tess2.gov.uspto.report/ImageAgent/ImageAgentProxy?getImage=85358192)
SERIAL NUMBER: 85358192
The applicant, Mizuho Orthopedic Systems, Inc., having an address of
600 University Ave.
Sacramento, California 95825
United States
is submitting the following allegation of use information:
For International Class 010:
Current identification: Operating tables; Patient examination and/or treatment tables
The mark is in use in commerce on or in connection with all of the goods/services, or to indicate membership in the collective organization listed in the application or Notice of Allowance or as
subsequently modified for this specific class.
The mark was first used by the applicant, or the applicant's related company, licensee, or predecessor in interest at least as early as 12/01/2011, and first used in commerce at least as early as
12/29/2011, 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) Photocopy of mark attached to goods.
Specimen File1
The applicant is not filing a Request to Divide with this Allegation of Use form.
A fee payment in the amount of $100 will be submitted with the form, representing payment for the allegation of use for 1 class.
Declaration
Applicant requests registration of the above-identified trademark/service mark 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). Applicant is the owner of the mark sought to be registered, and is using the mark 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 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 may jeopardize the validity of the form or any resulting registration, declares that he/she is properly authorized to execute this form on behalf of the applicant; he/she believes the
applicant to be the owner of the trademark/service mark sought to be registered; 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: /Theodore J. Bielen, Jr./ Date Signed: 06/01/2012
Signatory's Name: Theodore J. Bielen, Jr.
Signatory's Position: Attorney of record
Signatory's Phone: 925-288-9720
RAM Sale Number: 4519
RAM Accounting Date: 06/04/2012
Serial Number: 85358192
Internet Transmission Date: Fri Jun 01 17:18:08 EDT 2012
TEAS Stamp: USPTO/SOU-XX.XXX.XXX.XXX-201206011718083
21503-85358192-4906071102c86ebd1864376c7
a72d944238-CC-4519-20120601170821638601
