| 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 |
1906281 |
| REGISTRATION DATE |
07/18/1995 |
| SERIAL NUMBER |
74419821 |
| MARK SECTION |
| MARK |
XENICAL |
| OWNER SECTION (current) |
| NAME |
HLR TECHNOLOGY CORPORATION |
| STREET |
340 KINGSLAND STREET |
| CITY |
NUTLEY |
| STATE |
NJ |
| ZIP/POSTAL CODE |
07110 |
| COUNTRY |
US |
| OWNER SECTION (proposed) |
| NAME |
HOFFMANN-LA ROCHE INC. via merger Reel/Frame 002643/0478 |
| STREET |
340 KINGSLAND STREET |
| CITY |
NUTLEY |
| STATE |
NJ |
| ZIP/POSTAL CODE |
07110 |
| COUNTRY |
US |
| PHONE |
973-235-2122 |
| FAX |
973-235-5450 |
| EMAIL |
XXXX |
| ATTORNEY SECTION |
| NAME |
Lorraine M. Anderson |
| FIRM NAME |
Hoffmann-La Roche Inc. |
| STREET |
340 Kingsland Street |
| CITY |
Nutley |
| STATE |
NJ |
| ZIP/POSTAL CODE |
07110 |
| COUNTRY |
USA |
| PHONE |
973-235-2122 |
| FAX |
973-235-5450 |
| EMAIL |
lorraine.anderson@roche.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\EXPORT10\IMAGEOUT 10\744\198\74419821\xml1\ S890002.JPG |
| SPECIMEN DESCRIPTION |
scanned image of product label |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
500 |
| TOTAL AMOUNT |
500 |
| SIGNATURE SECTION |
| SIGNATURE |
/Joseph Laudano/ |
| SIGNATORY NAME |
Joseph Laudano, Pharm.D. |
| SIGNATORY DATE |
04/29/2005 |
| SIGNATORY POSITION |
Product Director |
| FILING INFORMATION |
| SUBMIT DATE |
Fri Apr 29 11:09:02 EDT 2005 |
| TEAS STAMP |
USPTO/S08N09-XXXXXXXXX-20
050429110902157103-190628
1-2008876e9a2455a3bba47cf
e0608c6fe847-DA-1015-2005
0429073131718004 |
| 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: 1906281
REGISTRATION DATE: 07/18/1995
MARK: XENICAL
The owner, HOFFMANN-LA ROCHE INC. via merger Reel/Frame 002643/0478, residing at 340 KINGSLAND STREET, NUTLEY, NJ US 07110, 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) scanned
image of product label.
Specimen-1
The registrant hereby appoints Lorraine M. Anderson of Hoffmann-La Roche Inc., 340 Kingsland Street, Nutley, NJ USA 07110 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: /Joseph Laudano/ Date: 04/29/2005
Signatory's Name: Joseph Laudano, Pharm.D.
Signatory's Position: Product Director
Mailing Address:
Hoffmann-La Roche Inc.
340 Kingsland Street
Nutley, NJ 07110
RAM Sale Number: 1015
RAM Accounting Date: 04/29/2005
Serial Number: 74419821
Internet Transmission Date: Fri Apr 29 11:09:02 EDT 2005
TEAS Stamp: USPTO/S08N09-XXXXXXXXX-20050429110902157
103-1906281-2008876e9a2455a3bba47cfe0608
c6fe847-DA-1015-20050429073131718004
