| PTO Form 1963 (Rev 5/2006) |
| OMB No. 0651-0055 (Exp 12/31/2011) |
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 |
1174042 |
| REGISTRATION DATE |
10/20/1981 |
| SERIAL NUMBER |
73260984 |
| MARK SECTION |
| MARK |
BRONCHO-CATH |
| ATTORNEY SECTION (new) |
| NAME |
Brian D. Lefort |
| FIRM NAME |
Covidien |
| STREET |
6135 Gunbarrel Avenue |
| CITY |
Boulder |
| STATE |
Colorado |
| POSTAL CODE |
80301 |
| COUNTRY |
United States |
| PHONE |
303-305-2273 |
| FAX |
303-305-2224 |
| EMAIL |
isabel.zuniga@covidien.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| OTHER APPOINTED ATTORNEY |
Sean Christofferson, Dave Schaumann, Timothy G. Majors, Matthew A. Anderson |
| CORRESPONDENCE SECTION (current) |
| NAME |
LAWRENCE L LIMPUS |
| FIRM NAME |
MALLINCKRODT INC |
| INTERNAL ADDRESS |
P O BOX 5840 |
| STREET |
675 MCDONNELL BLVD |
| CITY |
ST LOUIS |
| STATE |
Missouri |
| POSTAL CODE |
63134 |
| COUNTRY |
United States |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
Brian D. Lefort |
| FIRM NAME |
Covidien |
| STREET |
6135 Gunbarrel Avenue |
| CITY |
Boulder |
| STATE |
Colorado |
| POSTAL CODE |
80301 |
| COUNTRY |
United States |
| PHONE |
303-305-2273 |
| FAX |
303-305-2224 |
| EMAIL |
isabel.zuniga@covidien.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
010 |
| GOODS OR SERVICES |
Endobronchial Tubes |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT11\IMAGEOUT 11\732\609\73260984\xml1\ S890002.JPG |
| SPECIMEN DESCRIPTION |
Digital scan of the Mallinckrodt CPAP system label for use with the BRONCHO-CATH Endobronchial Tube. |
| MISCELLANEOUS STATEMENT |
Document listing all of the officers of Tyco Healthcare Group LP. |
| ORIGINAL PDF FILE |
MISC-14621410368-120426972_._Tyco_Healthcare_Group_LP_Officers.pdf |
| |
\\TICRS\EXPORT11\IMAGEOUT 11\732\609\73260984\xml1\ S890003.JPG |
| |
\\TICRS\EXPORT11\IMAGEOUT 11\732\609\73260984\xml1\ S890004.JPG |
| |
\\TICRS\EXPORT11\IMAGEOUT 11\732\609\73260984\xml1\ S890005.JPG |
| OWNER SECTION (current) |
| NAME |
TYCO HEALTHCARE GROUP LP |
| STREET |
15 HAMPSHIRE STREET |
| CITY |
MANSFIELD |
| STATE |
Massachusetts |
| ZIP/POSTAL CODE |
02048 |
| COUNTRY |
United States |
| OWNER SECTION (proposed) |
| NAME |
TYCO HEALTHCARE GROUP LP |
| STREET |
15 HAMPSHIRE STREET |
| CITY |
MANSFIELD |
| STATE |
Massachusetts |
| ZIP/POSTAL CODE |
02048 |
| COUNTRY |
United States |
| PHONE |
303-305-2273 |
| FAX |
303-305-2224 |
| EMAIL |
XXXX |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| LEGAL ENTITY SECTION (current) |
| TYPE |
limited partnership |
| STATE/COUNTRY WHERE LEGALLY ORGANIZED |
Delaware |
| LEGAL ENTITY SECTION (proposed) |
| TYPE |
limited partnership |
| STATE/COUNTRY WHERE LEGALLY ORGANIZED |
Delaware |
| NAME OF ALL GENERAL PARTNERS, ACTIVE MEMBERS, INDIVIDUAL, TRUSTEES, OR EXECUTORS, AND CITIZENSHIP/ INCORPORATION |
See attached document. |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
500 |
| TOTAL FEE PAID |
500 |
| SIGNATURE SECTION |
| SIGNATURE |
/Timothy G. Majors/ |
| SIGNATORY'S NAME |
Timothy G. Majors |
| SIGNATORY'S POSITION |
Attorney of Record, California bar member |
| DATE SIGNED |
09/09/2011 |
| PAYMENT METHOD |
DA |
| FILING INFORMATION |
| SUBMIT DATE |
Mon Sep 12 09:54:00 EDT 2011 |
| TEAS STAMP |
USPTO/S08N09-XXX.XXX.XXX.
XX-20110912095400541216-1
174042-480772cbfb94981fc4
2921bb03b60258eee-DA-8679
-20110906120426972094 |
| PTO Form 1963 (Rev 5/2006) |
| OMB No. 0651-0055 (Exp 12/31/2011) |
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: 1174042
REGISTRATION DATE: 10/20/1981
MARK: BRONCHO-CATH
The owner, TYCO HEALTHCARE GROUP LP, a limited partnership legally organized under the laws of Delaware, comprising of See attached document., having an address of
15 HAMPSHIRE STREET
MANSFIELD, Massachusetts 02048
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 or services listed in the existing registration for this specific class: Endobronchial Tubes ;
or, the owner is making the listed excusable nonuse claim.
The owner is submitting one specimen showing the mark as used in commerce on or in connection with any item in this class, consisting of a(n) Digital scan of the Mallinckrodt CPAP system label for
use with the BRONCHO-CATH Endobronchial Tube..
Specimen File1
MISCELLANEOUS STATEMENTS
Document listing all of the officers of Tyco Healthcare Group LP.
Original PDF file:
MISC-14621410368-120426972_._Tyco_Healthcare_Group_LP_Officers.pdf
Converted PDF file(s) (3 pages)
Miscellaneous File1
Miscellaneous File2
Miscellaneous File3
The registrant's current Correspondence Information: LAWRENCE L LIMPUS of MALLINCKRODT INC
P O BOX 5840
675 MCDONNELL BLVD
ST LOUIS, Missouri (MO) 63134
United States (USX)
The registrant's proposed Correspondence Information: Brian D. Lefort of Covidien
6135 Gunbarrel Avenue
Boulder, Colorado (CO) 80301
United States (USX)
The phone number is 303-305-2273.
The fax number is 303-305-2224.
The email address is isabel.zuniga@covidien.com.
The registrant hereby appoints Brian D. Lefort and Sean Christofferson, Dave Schaumann, Timothy G. Majors, Matthew A. Anderson of Covidien
6135 Gunbarrel Avenue
Boulder, Colorado 80301
United States
to submit this Combined Declaration of Use and/or Excusable Nonuse/Application for Renewal of Registration of a Mark under Sections 8 & 9 on behalf of the registrant.
The phone number is 303-305-2273.
The fax number is 303-305-2224.
The email address is isabel.zuniga@covidien.com.
A fee payment in the amount of $500 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 in Commerce
Unless the owner has specifically claimed excusable nonuse, the mark is in use in commerce on or in connection with the goods and/or services identified above, as evidenced by the attached
specimen(s) showing the mark as used in commerce.
Section 9: Application for Renewal
The registrant requests that the registration be renewed for the goods and/or services identified above.
The undersigned being hereby warned that willful false statements and the like are punishable by fine or imprisonment, or both, under 18 U.S.C. Section 1001, and that such willful false statements
and the like may jeopardize the validity of this document, declares that he/she is properly authorized to execute this document on behalf of the Owner; and 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: /Timothy G. Majors/ Date: 09/09/2011
Signatory's Name: Timothy G. Majors
Signatory's Position: Attorney of Record, California bar member
Mailing Address:
Covidien
6135 Gunbarrel Avenue
Boulder, Colorado 80301
Serial Number: 73260984
Internet Transmission Date: Mon Sep 12 09:54:00 EDT 2011
TEAS Stamp: USPTO/S08N09-XXX.XXX.XXX.XX-201109120954
00541216-1174042-480772cbfb94981fc42921b
b03b60258eee-DA-8679-2011090612042697209
4
