| 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 |
1374539 |
| REGISTRATION DATE |
12/10/1985 |
| SERIAL NUMBER |
73520081 |
| MARK SECTION |
| MARK |
ETHAMOLIN |
| ATTORNEY SECTION (current) |
| NAME |
Stephen R. Baird |
| FIRM NAME |
Winthrop & Weinstine, P.A. |
| INTERNAL ADDRESS |
Suite 3500 |
| STREET |
225 South Sixth Street |
| CITY |
Minneapolis |
| STATE |
Minnesota |
| POSTAL CODE |
55402 |
| COUNTRY |
United States |
| PHONE |
(612) 604-6585 |
| FAX |
(612) 604-6985 |
| EMAIL |
sbaird@winthrop.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| ATTORNEY SECTION (proposed) |
| NAME |
Stephen R. Baird |
| FIRM NAME |
Winthrop & Weinstine, P.A. |
| INTERNAL ADDRESS |
Suite 3500 |
| STREET |
225 South Sixth Street |
| CITY |
Minneapolis |
| STATE |
Minnesota |
| POSTAL CODE |
55402 |
| COUNTRY |
United States |
| PHONE |
(612) 604-6585 |
| FAX |
(612) 604-6985 |
| EMAIL |
trademark@winthrop.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| CORRESPONDENCE SECTION (current) |
| NAME |
Stephen R. Baird |
| FIRM NAME |
Winthrop & Weinstine, P.A. |
| INTERNAL ADDRESS |
Suite 3500 |
| STREET |
225 South Sixth Street |
| CITY |
Minneapolis |
| STATE |
Minnesota |
| POSTAL CODE |
55402 |
| COUNTRY |
United States |
| PHONE |
(612) 604-6585 |
| FAX |
(612) 604-6985 |
| EMAIL |
sbaird@winthrop.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
Stephen R. Baird |
| FIRM NAME |
Winthrop & Weinstine, P.A. |
| INTERNAL ADDRESS |
Suite 3500 |
| STREET |
225 South Sixth Street |
| CITY |
Minneapolis |
| STATE |
Minnesota |
| POSTAL CODE |
55402 |
| COUNTRY |
United States |
| PHONE |
(612) 604-6585 |
| FAX |
(612) 604-6985 |
| EMAIL |
trademark@winthrop.com;sbaird@winthrop.com; mengel@winthrop.com; jbriley@winthrop.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
005 |
| GOODS OR SERVICES |
PHARMACEUTICAL AND VETERINARY PREPARATIONS AND SUBSTANCES NAMELY, SCLEROSING AGENTS |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\735\200\73520081\xml2\ S890002.JPG |
| SPECIMEN DESCRIPTION |
photograph showing use of the mark on product packaging |
| MISCELLANEOUS STATEMENT |
Registrant has corrected the state of incorporation of the limited liability company from North Carolina to Delaware. An assignment was filed at Reel Frame No. 3182/0820 assigning
the mark to QOL Medical LLC a limited liability company in Delaware, executed on October 13, 2005. Less than a month later, the same assignment was also recorded at Reel/Frame No. 3192/0368, but
erroneously listing North Carolina as the state of incorporation for the entity. This was corrected in a corrective assignment coversheet, recorded at Reel/Frame No. 3959/0768. No change in title is
being made with this correction to the entity information. Registrant respectfully requests that this change be entered and that the renewal application be promptly accepted. |
| OWNER SECTION (current) |
| NAME |
QOL Medical LLC |
| STREET |
4445 North Highway A1A Suite 241 |
| CITY |
Vero Beach |
| STATE |
Florida |
| ZIP/POSTAL CODE |
32963 |
| COUNTRY |
United States |
| LEGAL ENTITY SECTION (current) |
| TYPE |
limited liability company |
| STATE/COUNTRY WHERE LEGALLY ORGANIZED |
North Carolina |
| LEGAL ENTITY SECTION (proposed) |
| TYPE |
limited liability company |
| STATE/COUNTRY WHERE LEGALLY ORGANIZED |
Delaware |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
500 |
| TOTAL FEE PAID |
500 |
| SIGNATURE SECTION |
| SIGNATURE |
/William Bryant/ |
| SIGNATORY'S NAME |
William Bryant |
| SIGNATORY'S POSITION |
Chief Financial Officer |
| DATE SIGNED |
12/31/2014 |
| PAYMENT METHOD |
CC |
| FILING INFORMATION |
| SUBMIT DATE |
Wed Dec 31 13:27:05 EST 2014 |
| TEAS STAMP |
USPTO/S08N09-XXX.XXX.XXX.
XXX-20141231132705760703-
1374539-500eccecc5fc1b717
71d173774e49e2f8b6f7f3d08
46ae59ff3cf938afae37e522-
CC-1263-20141222161658842
782 |
| 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: 1374539
REGISTRATION DATE: 12/10/1985
MARK: ETHAMOLIN
The owner, QOL Medical LLC, a limited liability company legally organized under the laws of Delaware, having an address of
4445 North Highway A1A Suite 241
Vero Beach, Florida 32963
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 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: PHARMACEUTICAL AND VETERINARY PREPARATIONS AND SUBSTANCES NAMELY, SCLEROSING AGENTS ; 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) photograph showing use of the mark on product
packaging.
Specimen File1
MISCELLANEOUS STATEMENTS
Registrant has corrected the state of incorporation of the limited liability company from North Carolina to Delaware. An assignment was filed at Reel Frame No. 3182/0820 assigning the mark to QOL
Medical LLC a limited liability company in Delaware, executed on October 13, 2005. Less than a month later, the same assignment was also recorded at Reel/Frame No. 3192/0368, but erroneously listing
North Carolina as the state of incorporation for the entity. This was corrected in a corrective assignment coversheet, recorded at Reel/Frame No. 3959/0768. No change in title is being made with this
correction to the entity information. Registrant respectfully requests that this change be entered and that the renewal application be promptly accepted.
The registrant's current Attorney Information: Stephen R. Baird of Winthrop & Weinstine, P.A.
Suite 3500
225 South Sixth Street
Minneapolis, Minnesota (MN) 55402
United States
The registrant's proposed Attorney Information: Stephen R. Baird of Winthrop & Weinstine, P.A.
Suite 3500
225 South Sixth Street
Minneapolis, Minnesota (MN) 55402
United States
The phone number is (612) 604-6585.
The fax number is (612) 604-6985.
The email address is trademark@winthrop.com.
The registrant's current Correspondence Information: Stephen R. Baird of Winthrop & Weinstine, P.A.
Suite 3500
225 South Sixth Street
Minneapolis, Minnesota (MN) 55402
United States
The registrant's proposed Correspondence Information: Stephen R. Baird of Winthrop & Weinstine, P.A.
Suite 3500
225 South Sixth Street
Minneapolis, Minnesota (MN) 55402
United States
The phone number is (612) 604-6585.
The fax number is (612) 604-6985.
The email address is trademark@winthrop.com;sbaird@winthrop.com; mengel@winthrop.com; jbriley@winthrop.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/services 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. Section 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.
Section 9: Application for Renewal
The registrant requests that the registration be renewed for the goods/services/collective organization identified above.
Signature: /William Bryant/ Date: 12/31/2014
Signatory's Name: William Bryant
Signatory's Position: Chief Financial Officer
Mailing Address
(current):
Winthrop & Weinstine, P.A.
225 South Sixth Street
Minneapolis, Minnesota 55402
Mailing Address
(proposed):
Winthrop & Weinstine, P.A.
225 South Sixth Street
Minneapolis, Minnesota 55402
Serial Number: 73520081
Internet Transmission Date: Wed Dec 31 13:27:05 EST 2014
TEAS Stamp: USPTO/S08N09-XXX.XXX.XXX.XXX-20141231132
705760703-1374539-500eccecc5fc1b71771d17
3774e49e2f8b6f7f3d0846ae59ff3cf938afae37
e522-CC-1263-20141222161658842782
