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 1553 (Rev 09/2005)
`
`OMB No. 0651-0054 (Exp 10/31/2017)
`
`Trademark/Service Mark Statement of Use
`(15 U.S.C. Section 1051(d))
`
`Input Field
`
`SERIAL NUMBER
`
`LAW OFFICE ASSIGNED
`
`EXTENSION OF USE
`
`MARK SECTION
`
`MARK
`
`LITERAL ELEMENT
`
`STANDARD CHARACTERS
`
`USPTO-GENERATED IMAGE
`
`MARK STATEMENT
`
`OWNER SECTION
`
`NAME
`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`EMAIL
`
`The table below presents the data as entered.
`
`Entered
`
`86222506
`
`LAW OFFICE 119
`
`NO
`
`http://tmng-al.uspto.gov/resting2/api/img/86222506/large
`
`ANTI-INFLAMMATORY VAC
`
`YES
`
`YES
`
`The mark consists of standard characters, without claim to any particular
`font style, size or color.
`
`BioElectronics Corporation
`
`4539 Metropolitan Court
`
`Frederick
`
`Maryland
`
`21704
`
`United States
`
`3018744890
`
`301-874-6935
`
`mkwhelan@verizon.net
`
`GOODS AND/OR SERVICES SECTION
`
`INTERNATIONAL CLASS
`
`010
`
`CURRENT IDENTIFICATION
`
`Class 10: Low frequency electromagnetic therapy apparatus for reducing or
`suppressing inflammation
`
`GOODS OR SERVICES
`
`KEEP ALL LISTED
`
`FIRST USE ANYWHERE DATE
`
`FIRST USE IN COMMERCE DATE
`
`01/07/2015
`
`08/12/2015
`
`SPECIMEN FILE NAME(S)
`
`SPECIMEN DESCRIPTION
`
`REQUEST TO DIVIDE
`
`\\TICRS\EXPORT16\IMAGEOUT 16\862\225\86222506\xml13
`\SOU0002.JPG
`
`The specimen is a photo of the product with label.
`
`NO
`
`

`

`PAYMENT SECTION
`
`NUMBER OF CLASSES IN USE
`
`SUBTOTAL AMOUNT [ALLEGATION OF USE FEE]
`
`TOTAL AMOUNT
`
`SIGNATURE SECTION
`
`DECLARATION SIGNATURE
`
`SIGNATORY'S NAME
`
`SIGNATORY'S POSITION
`
`DATE SIGNED
`
`SIGNATORY'S PHONE NUMBER
`
`FILING INFORMATION
`
`SUBMIT DATE
`
`TEAS STAMP
`
`1
`
`100
`
`100
`
`/Mary K. Whelan/
`
`Mary K. Whelan
`
`Director
`
`12/08/2015
`
`551-200-5586
`
`Tue Dec 08 01:24:24 EST 2015
`
`USPTO/SOU-XX.XXX.XXX.XX-2
`0151208012424721652-86222
`506-550928b786ddddcb1ac82
`f3b95299a1745e87ee5a26249
`f88a827a81120db6b3127-CC-
`8192-20151208005729404656
`
`

`

`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 1553 (Rev 09/2005)
`
`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:(cid:160)ANTI-INFLAMMATORY VAC(Standard Characters, see http://tmng-al.uspto.gov/resting2/api/img/86222506/large)
`SERIAL NUMBER:(cid:160)86222506
`
`The applicant, BioElectronics Corporation, having an address of
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)4539 Metropolitan Court
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Frederick, Maryland 21704
`(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)3018744890
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)301-874-6935
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)mkwhelan@verizon.net (not authorized)
`is submitting the following allegation of use information:
`
`For International Class 010:
`Current identification: Class 10: Low frequency electromagnetic therapy apparatus for reducing or suppressing inflammation
`
`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 01/07/2015,
`and first used in commerce at least as early as 08/12/2015, 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) The specimen is a photo of the
`product with label..
`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
`
`STATEMENTS: The signatory believes that: if the applicant is filing the amendment to allege use under 15 U.S.C. §1051(c) or a statement of
`use under 15 U.S.C. §1051(d), the applicant is the owner of the mark sought to be registered; the mark is in use in commerce; for a trademark
`or service mark application, the applicant is using the mark in commerce on or in connection with all the goods/services in the application or
`notice of allowance, or as subsequently modified; for a collective trademark, collective service mark, collective membership mark
`application, the applicant is exercising legitimate control over the use of the mark in commerce by members on or in connection with all the
`goods/services/collective membership organization in the application or notice of allowance, or as subsequently modified; for a certification
`mark application, the applicant is exercising legitimate control over the use of the mark in commerce by authorized users on or in connection
`with the all goods/services in the application or notice of allowance, or as subsequently modified, and the applicant is not engaged in the
`production or marketing of the goods/services to which the mark is applied, except to advertise or promote recognition of the certification
`program or of the goods/services that meet the certification standards of the applicant; that to the best of the signatory's knowledge and belief, no
`other persons, except, if applicable, authorized users, members, and/or concurrent users, have the right to use the mark in commerce, either in the
`identical form or in such near resemblance as to be likely, when used on or in connection with the goods/services/collective membership
`organization of such other persons, to cause confusion or mistake, or to deceive; and the specimen(s) shows the mark as used on or in connection
`with the goods/services/collective membership organization in commerce.
`
`DECLARATION: 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 the application or submission or any
`
`

`

`registration resulting therefrom, declares 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: /Mary K. Whelan/(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Date Signed: 12/08/2015
`Signatory's Name: Mary K. Whelan
`Signatory's Position: Director
`Signatory's Phone: 551-200-5586
`
`RAM Sale Number: 86222506
`RAM Accounting Date: 12/08/2015
`
`Serial Number: 86222506
`Internet Transmission Date: Tue Dec 08 01:24:24 EST 2015
`TEAS Stamp: USPTO/SOU-XX.XXX.XXX.XX-2015120801242472
`1652-86222506-550928b786ddddcb1ac82f3b95
`299a1745e87ee5a26249f88a827a81120db6b312
`7-CC-8192-20151208005729404656
`
`

`

`

`

`FEE RECORD SHEET
`
`Serial Number:
`
`86222506
`
`RAM Sale Number: 86222506
`
`Total Fees:
`
`$100
`
`RAM Accounting Date: 20151208
`
`Transaction
`
`Transaction
`Date
`
`Fee per
`Class
`
`Total
`Number
`of Classes @
`
`Statement of Use (SOU)
`
`20151208
`
`$100
`
`$100
`
`Transaction Date:
`
`20151208
`
`