| PTO Form 1963 (Rev 5/2006) |
| OMB No. 0651-0055 (Exp 07/31/2018) |
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 |
1218276 |
| REGISTRATION DATE |
11/30/1982 |
| SERIAL NUMBER |
73306698 |
| MARK SECTION |
| MARK |
JUHN TYM-TAP |
| CORRESPONDENCE SECTION (current) |
| NAME |
CURTIS D. KINGHORN |
| FIRM NAME |
MEDTRONIC, INC. |
| STREET |
710 MEDTRONIC PARKWAY |
| CITY |
MINNEAPOLIS |
| STATE |
Minnesota |
| POSTAL CODE |
55432-5604 |
| COUNTRY |
United States |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
Trademark Dept. |
| FIRM NAME |
MEDTRONIC, INC. |
| INTERNAL ADDRESS |
LC 340 |
| STREET |
710 MEDTRONIC PARKWAY |
| CITY |
MINNEAPOLIS |
| STATE |
Minnesota |
| POSTAL CODE |
55432-5604 |
| COUNTRY |
United States |
| PHONE |
763.505.2526 |
| EMAIL |
trademark@medtronic.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
T4052US |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
010 |
| GOODS OR SERVICES |
Disposable Middle Ear Fluid Aspirator and Collector |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\733\066\73306698\xml2\ S890002.JPG |
| SPECIMEN DESCRIPTION |
product label |
| OWNER SECTION (current) |
| NAME |
MEDTRONIC XOMED, INC. |
| STREET |
6743 SOUTHPOINT DRIVE |
| CITY |
JACKSONVILLE |
| STATE |
Florida |
| ZIP/POSTAL CODE |
32216 |
| COUNTRY |
United States |
| LEGAL ENTITY SECTION (current) |
| TYPE |
corporation |
| STATE/COUNTRY OF INCORPORATION |
Delaware |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
500 |
| TOTAL FEE PAID |
500 |
| SIGNATURE SECTION |
| SIGNATURE |
/Michael J. Jaro/ |
| SIGNATORY'S NAME |
Michael J. Jaro |
| SIGNATORY'S POSITION |
VP for Intellectual Property |
| DATE SIGNED |
10/29/2012 |
| SIGNATORY'S PHONE NUMBER |
763.505.2526 |
| PAYMENT METHOD |
DA |
| FILING INFORMATION |
| SUBMIT DATE |
Mon Oct 29 14:20:11 EDT 2012 |
| TEAS STAMP |
USPTO/S08N09-XXX.XX.XXX.X
XX-20121029142011773929-1
218276-490c6d1898a7d2fd1c
936e2add34d92e650-DA-420-
20121029141540694716 |
| PTO Form 1963 (Rev 5/2006) |
| OMB No. 0651-0055 (Exp 07/31/2018) |
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: 1218276
REGISTRATION DATE: 11/30/1982
MARK: JUHN TYM-TAP
The owner, MEDTRONIC XOMED, INC., a corporation of Delaware, having an address of
6743 SOUTHPOINT DRIVE
JACKSONVILLE, Florida 32216
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/services, or to indicate membership in the collective membership organization, listed in the
existing registration for this specific class: Disposable Middle Ear Fluid Aspirator and Collector ; 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) product label.
Specimen File1
The registrant's current Correspondence Information: CURTIS D. KINGHORN of MEDTRONIC, INC.
710 MEDTRONIC PARKWAY
MINNEAPOLIS, Minnesota (MN) 55432-5604
United States
The registrant's proposed Correspondence Information: Trademark Dept. of MEDTRONIC, INC.
LC 340
710 MEDTRONIC PARKWAY
MINNEAPOLIS, Minnesota (MN) 55432-5604
United States
The docket/reference number is T4052US.
The phone number is 763.505.2526.
The email address is trademark@medtronic.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 and/or Excusable Nonuse 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.
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.
Section 9: Application for Renewal
The registrant requests that the registration be renewed for the goods/services/collective organization identified above.
Signature: /Michael J. Jaro/ Date: 10/29/2012
Signatory's Name: Michael J. Jaro
Signatory's Position: VP for Intellectual Property
Signatory's Phone Number: 763.505.2526
Serial Number: 73306698
Internet Transmission Date: Mon Oct 29 14:20:11 EDT 2012
TEAS Stamp: USPTO/S08N09-XXX.XX.XXX.XXX-201210291420
11773929-1218276-490c6d1898a7d2fd1c936e2
add34d92e650-DA-420-20121029141540694716
