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 1563 (Rev 05/2006)
`
`OMB No. 0651-0055 (Exp 07/31/2018)
`
`Declaration of Use and/or Excusable Nonuse of Mark in Commerce under Section 8
`
`The table below presents the data as entered.
`
`Entered
`
`Input Field
`
`REGISTRATION NUMBER
`
`REGISTRATION DATE
`
`SERIAL NUMBER
`
`MARK SECTION
`
`MARK
`
`CORRESPONDENCE SECTION (current)
`
`NAME
`
`INTERNAL ADDRESS
`
`STREET
`
`CITY
`
`STATE
`
`POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`EMAIL
`
`CORRESPONDENCE SECTION (proposed)
`
`NAME
`
`STREET
`
`CITY
`
`STATE
`
`POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`EMAIL
`
`AUTHORIZED TO COMMUNICATE VIA E-MAIL
`
`GOODS AND/OR SERVICES SECTION
`
`INTERNATIONAL CLASS
`
`GOODS OR SERVICES
`
`SPECIMEN FILE NAME(S)
`
`3917568
`
`02/08/2011
`
`77680740
`
`DR. JAY'S
`
`JAY AMIN
`
`STE F
`
`14001 NEWPORT AVE
`
`TUSTIN
`
`California
`
`92780-7830
`
`United States
`
`7143507993
`
`cj@drjaysworld.com
`
`ALL LASERS MEDI SPA, INC.
`
`14530 Newport Ave. Unit 4
`
`TUSTIN
`
`California
`
`92780
`
`United States
`
`7143507993
`
`cj@drjaysworld.com
`
`Yes
`
`005
`
`Mixed vitamin preparations; Vitamin and mineral supplements; Vitamin
`supplements
`
`\\TICRS\EXPORT16\IMAGEOUT 16\776\807\77680740\xml3\
`S080002.JPG
`
`SPECIMEN DESCRIPTION
`
`Picture of a product label containing Dr. Jay's on it.
`
`

`

`OWNER SECTION (current)
`
`NAME
`
`INTERNAL ADDRESS
`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`EMAIL
`
`OWNER SECTION (proposed)
`
`NAME
`
`DBA/AKA/TA/Formerly
`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`EMAIL
`
`Amin, Jay
`
`14001 Newport Ave.
`
`F
`
`Tustin
`
`California
`
`92780
`
`United States
`
`7143507993
`
`cj@drjaysworld.com
`
`ALL LASERS MEDI SPA, INC.
`
`DBA DR. JAY'S
`
`14530 Newport Ave. Unit 4
`
`Tustin
`
`California
`
`92780
`
`United States
`
`7143507993
`
`cj@drjaysworld.com
`
`LEGAL ENTITY SECTION (current)
`
`TYPE
`
`COUNTRY OF CITIZENSHIP
`
`LEGAL ENTITY SECTION (proposed)
`
`TYPE
`
`STATE/COUNTRY OF INCORPORATION
`
`PAYMENT SECTION
`
`NUMBER OF CLASSES
`
`NUMBER OF CLASSES PAID
`
`SUBTOTAL AMOUNT
`
`TOTAL FEE PAID
`
`SIGNATURE SECTION
`
`SIGNATURE
`
`SIGNATORY'S NAME
`
`SIGNATORY'S POSITION
`
`DATE SIGNED
`
`SIGNATORY'S PHONE NUMBER
`
`individual
`
`United States
`
`corporation
`
`California
`
`1
`
`1
`
`100
`
`100
`
`/JAY AMIN/
`
`JAY AMIN
`
`DIRECTOR
`
`02/10/2016
`
`7142353959
`
`

`

`PAYMENT METHOD
`
`CC
`
`SUBMIT DATE
`
`TEAS STAMP
`
`FILING INFORMATION
`
`Wed Feb 10 16:16:41 EST 2016
`
`USPTO/SECT08-XX.XX.XXX.XX
`X-20160210161641761150-39
`17568-550824f1564d85fd6c4
`c34773ed37d46da2475225639
`11eafa2f51e68ca1457354-CC
`-2821-2016021016071301780
`3
`
`

`

`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 1563 (Rev 05/2006)
`
`OMB No. 0651-0055 (Exp 07/31/2018)
`
`Declaration of Use and/or Excusable Nonuse of Mark in Commerce under Section 8
`To the Commissioner for Trademarks:
`
`REGISTRATION NUMBER:(cid:160)3917568
`REGISTRATION DATE:(cid:160)02/08/2011
`
`MARK: DR. JAY'S (see, )
`
`The owner, INC ALL LASERS MEDI SPA, DBA DR. JAY'S, a corporation of California, having an address of
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)14530 Newport Ave. Unit 4
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Tustin, California 92780
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)United States
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)7143507993
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)cj@drjaysworld.com (not authorized)
`is filing a Declaration of Use and/or Excusable Nonuse of Mark in Commerce under Section 8.
`
`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: Mixed vitamin preparations; Vitamin and mineral
`supplements; Vitamin supplements ; 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) Picture of a product label containing Dr. Jay's on it..
`Specimen File1
`The registrant's current Correspondence Information: JAY AMIN
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)STE F
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)14001 NEWPORT AVE
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)TUSTIN, California 92780-7830
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)United States
`
`The registrant's proposed Correspondence Information: ALL LASERS MEDI SPA, INC.
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)14530 Newport Ave. Unit 4
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)TUSTIN, California 92780
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)United States
`
`The phone number is 7143507993.
`
`The email address is cj@drjaysworld.com.
`
`A fee payment in the amount of $100 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) 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.
`
`

`

`Signature: /JAY AMIN/(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Date: 02/10/2016
`Signatory's Name: JAY AMIN
`Signatory's Position: DIRECTOR
`Signatory's Phone Number: 7142353959
`
`Serial Number: 77680740
`Internet Transmission Date: Wed Feb 10 16:16:41 EST 2016
`TEAS Stamp: USPTO/SECT08-XX.XX.XXX.XXX-2016021016164
`1761150-3917568-550824f1564d85fd6c4c3477
`3ed37d46da247522563911eafa2f51e68ca14573
`54-CC-2821-20160210160713017803
`
`

`

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`ROUTING SHEET TO POST REGISTRATION (PRU)
`
`Registration Number?
`
`3917563
`
`Serial Number:
`
`77680740
`
`RAM Sale Number: 3917568
`
`RAM Accounting Date: 20160211
`
`Total Fees:
`
`$100
`
`Note: Process in accordance with Post Registration Standard Operating Procedure (SOP)
`
`Transaction
`
`Fee
`Code
`
`Transaction
`Date
`
`Fee per
`Class
`
`Number
`of Classes
`
`Number of
`Classes Paid
`
`§8 affidavit
`
`7205
`
`20160210
`
`$100
`
`Physical Location: MADCD- ALEX. CENTRAL DOCKET
`
`Lost Case Flag: False
`
`In TICRS (AM—FLG—IN—T1CRS): True
`
`Transaction Date:
`
`20160210
`
`