| 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 |
2099703 |
| REGISTRATION DATE |
09/23/1997 |
| SERIAL NUMBER |
74488857 |
| MARK SECTION |
| MARK |
EVISTA |
| OWNER SECTION (current) |
| NAME |
Eli Lilly and Company |
| STREET |
Lilly Corporate Center |
| CITY |
Indianapolis |
| STATE |
Indiana |
| ZIP/POSTAL CODE |
46285 |
| COUNTRY |
US |
| OWNER SECTION (proposed) |
| NAME |
Eli Lilly and Company |
| STREET |
Lilly Corporate Center |
| CITY |
Indianapolis |
| STATE |
Indiana |
| ZIP/POSTAL CODE |
46285 |
| COUNTRY |
US |
| PHONE |
317-276-9624 |
| FAX |
317-276-1919 |
| EMAIL |
XXXX |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| ATTORNEY SECTION (current) |
| NAME |
Robert E. Lee, Jr. |
| FIRM NAME |
ELI LILLY AND COMPANY |
| INTERNAL ADDRESS |
LILLY CORPORATE CENTER |
| STREET |
TRADEMARK DEPARTMENT |
| CITY |
INDIANAPOLIS |
| STATE |
Indiana |
| ZIP/POSTAL CODE |
46285 |
| COUNTRY |
United States |
| ATTORNEY SECTION (proposed) |
| NAME |
Robert E. Lee, Jr. |
| FIRM NAME |
ELI LILLY AND COMPANY |
| STREET |
Lilly Corporate Center |
| CITY |
INDIANAPOLIS |
| STATE |
Indiana |
| ZIP/POSTAL CODE |
46285 |
| COUNTRY |
United States |
| PHONE |
317-276-9624 |
| FAX |
317-276-1919 |
| EMAIL |
trademarks@lilly.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET NUMBER |
4999 |
| OTHER APPOINTED ATTORNEY(S) |
Bruce W. Longbottom, Lawrence T. Welch, and Douglas K. Norman |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
005 |
| USE ON ALL GOODS OR SERVICES OR EXCUSABLE NON-USE FOR ENTIRE CLASS |
YES |
| SPECIMEN FILE NAME(S) |
\\TICRS2\EXPORT13\744\888 \74488857\xml1\S890002.JP G |
| SPECIMEN DESCRIPTION |
label |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
500 |
| TOTAL AMOUNT |
500 |
| SIGNATURE SECTION |
| SIGNATURE |
/reljr44/ |
| SIGNATORY'S NAME |
Robert E. Lee, Jr. |
| SIGNATORY'S POSITION |
Assistant General Patent Counsel |
| DATE SIGNED |
06/14/2007 |
| PAYMENT METHOD |
DA |
| FILING INFORMATION |
| SUBMIT DATE |
Thu Jun 14 13:06:32 EDT 2007 |
| TEAS STAMP |
USPTO/S08N09-XX.X.XX.XX-2
0070614130632330841-20997
03-370b828a09cfd2b156816a
a46c2cedec06f-DA-6073-200
70614114523334480 |
| 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: 2099703
REGISTRATION DATE: 09/23/1997
MARK: EVISTA
The owner, Eli Lilly and Company, having an address of Lilly Corporate Center, Indianapolis, Indiana US 46285, is filing a Combined Declaration of Use In Commerce & Application For Renewal of
Registration of A Mark Under Sections 8 & 9.
For International Class 005, the owner, or its related company, is using the mark in commerce on or in connection with all goods or services listed in the existing registration for this class; or,
the owner is claiming excusable non-use for this entire class.
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) label.
Specimen-1
The registrant hereby appoints Robert E. Lee, Jr. and Bruce W. Longbottom, Lawrence T. Welch, and Douglas K. Norman of ELI LILLY AND COMPANY, Lilly Corporate Center, INDIANAPOLIS, Indiana
United States 46285 to file this Combined Declaration of Use In Commerce & Application For Renewal of Registration of A Mark Under Sections 8 & 9 on behalf of the registrant. The
attorney docket/reference number is 4999.
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 non-use, the owner, or its related company, is using the mark 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: /reljr44/ Date: 06/14/2007
Signatory's Name: Robert E. Lee, Jr.
Signatory's Position: Assistant General Patent Counsel
Mailing Address:
ELI LILLY AND COMPANY
TRADEMARK DEPARTMENT
INDIANAPOLIS, Indiana 46285
Mailing Address:
ELI LILLY AND COMPANY
Lilly Corporate Center
INDIANAPOLIS, Indiana 46285
Serial Number: 74488857
Internet Transmission Date: Thu Jun 14 13:06:32 EDT 2007
TEAS Stamp: USPTO/S08N09-XX.X.XX.XX-2007061413063233
0841-2099703-370b828a09cfd2b156816aa46c2
cedec06f-DA-6073-20070614114523334480
