PTO Form 1963 (Rev 5/2006) |
OMB No. 0651-0055 (Exp 10/31/2008) |
Combined Declaration of Use In Commerce & 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 |
2004586 |
REGISTRATION DATE |
10/01/1996 |
SERIAL NUMBER |
74339006 |
MARK SECTION |
MARK |
OXYCONTIN |
OWNER SECTION (current) |
NAME |
PURDUE PHARMA L.P. |
STREET |
100 CONNECTICUT AVENUE |
CITY |
NORWALK |
STATE |
CT |
ZIP/POSTAL CODE |
06850-359 |
COUNTRY |
US |
OWNER SECTION (proposed) |
NAME |
PURDUE PHARMA L.P. |
STREET |
One Stamford Forum |
CITY |
Stamford |
STATE |
Connecticut |
ZIP/POSTAL CODE |
06901 |
COUNTRY |
United States |
EMAIL |
XXXX |
ATTORNEY SECTION |
NAME |
Peter Mendelson |
STREET |
One Stamford Forum |
CITY |
Stamford |
STATE |
Connecticut |
ZIP/POSTAL CODE |
06901 |
COUNTRY |
United States |
EMAIL |
peter.mendelson@pharma.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
005 |
KEEP EXISTING GOODS AND/OR SERVICES |
YES |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT6\IMAGEOUT6 \743\390\74339006\xml1\S8 90002.JPG |
SPECIMEN DESCRIPTION |
Digital photograph of label |
PAYMENT SECTION |
NUMBER OF CLASSES |
1 |
NUMBER OF CLASSES PAID |
1 |
SUBTOTAL AMOUNT |
500 |
TOTAL AMOUNT |
500 |
SIGNATURE SECTION |
SIGNATURE |
/Peter Mendelson/ |
SIGNATORY NAME |
Peter Mendelson |
SIGNATORY DATE |
03/09/2006 |
SIGNATORY POSITION |
Senior Assistant General Counsel |
PAYMENT METHOD |
DA |
FILING INFORMATION |
SUBMIT DATE |
Thu Mar 09 22:53:41 EST 2006 |
TEAS STAMP |
USPTO/S08N09-XXXXXXXXX-20
060309225341930363-200458
6-200b89859d3e3b0ecc492f9
ff6e9c6e58c4-DA-958-20060
309225311465611 |
PTO Form 1963 (Rev 5/2006) |
OMB No. 0651-0055 (Exp 10/31/2008) |
Combined Declaration of Use In Commerce & Application For Renewal of Registration of A Mark Under Sections 8 & 9
To the Commissioner for Trademarks:
REGISTRATION NUMBER: 2004586
REGISTRATION DATE: 10/01/1996
MARK: OXYCONTIN
The owner, PURDUE PHARMA L.P., residing at One Stamford Forum, Stamford, Connecticut United States 06901, is using the mark in commerce on or in connection with the goods and /or services as
follows:
For International Class 005, the owner is using or is using through a related company or licensee the mark in commerce on or in connection with all goods and/or services listed in the existing
registration.
The owner is submitting one specimen for each class showing the mark as used in commerce on or in connection with any item in the class of listed goods and/or services , consisting of a(n) Digital
photograph of label.
Specimen-1
The registrant hereby appoints Peter Mendelson, One Stamford Forum, Stamford, Connecticut United States 06901 to submit this Combined Declaration of Use In Commerce & Application For Renewal of
Registration of A Mark Under Sections 8 & 9 on behalf of the registrant.
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
The owner is using or is using through a related company or licensee the mark 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.
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: /Peter Mendelson/ Date: 03/09/2006
Signatory's Name: Peter Mendelson
Signatory's Position: Senior Assistant General Counsel
Mailing Address:
One Stamford Forum
Stamford, Connecticut 06901
RAM Sale Number: 958
RAM Accounting Date: 03/10/2006
Serial Number: 74339006
Internet Transmission Date: Thu Mar 09 22:53:41 EST 2006
TEAS Stamp: USPTO/S08N09-XXXXXXXXX-20060309225341930
363-2004586-200b89859d3e3b0ecc492f9ff6e9
c6e58c4-DA-958-20060309225311465611