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 |
1908092 |
REGISTRATION DATE |
08/01/1995 |
SERIAL NUMBER |
74527272 |
MARK SECTION |
MARK |
ADDERALL |
ATTORNEY SECTION (new) |
NAME |
Timothy H. Hiebert |
FIRM NAME |
Samuels & Hiebert LLC |
STREET |
Two International Place, 23rd Floor |
CITY |
Boston |
STATE |
Massachusetts |
POSTAL CODE |
02110-4104 |
COUNTRY |
United States |
PHONE |
617-426-5553 |
FAX |
617-507-2449 |
EMAIL |
hiebert@samuelsTM.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
OTHER APPOINTED ATTORNEY |
I. Stephen Samuels |
CORRESPONDENCE SECTION (current) |
NAME |
AARON P BUDA |
FIRM NAME |
SHIRE US INC |
STREET |
725 CHESTERBROOK BLVD |
CITY |
WAYNE |
STATE |
Pennsylvania |
POSTAL CODE |
19087 |
COUNTRY |
United States |
EMAIL |
abuda@us.shire.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
CORRESPONDENCE SECTION (proposed) |
NAME |
Timothy H. Hiebert |
FIRM NAME |
Samuels & Hiebert LLC |
STREET |
Two International Place, 23rd Floor |
CITY |
Boston |
STATE |
Massachusetts |
POSTAL CODE |
02110-4104 |
COUNTRY |
United States |
PHONE |
617-426-5553 |
FAX |
617-507-2449 |
EMAIL |
hiebert@samuelsTM.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
005 |
GOODS OR SERVICES |
pharmaceutical preparations, namely amphetamines |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\745\272\74527272\xml1\ S890002.JPG |
SPECIMEN DESCRIPTION |
photo of a label as used on a container for the goods |
OWNER SECTION (current) |
NAME |
SHIRE LLC |
STREET |
725 CHESTERBROOK BOULEVARD |
CITY |
WAYNE |
STATE |
Pennsylvania |
ZIP/POSTAL CODE |
19087 |
COUNTRY |
United States |
LEGAL ENTITY SECTION (current) |
TYPE |
limited liability company |
STATE/COUNTRY WHERE LEGALLY ORGANIZED |
Kentucky |
PAYMENT SECTION |
NUMBER OF CLASSES |
1 |
NUMBER OF CLASSES PAID |
1 |
SUBTOTAL AMOUNT |
400 |
TOTAL FEE PAID |
400 |
SIGNATURE SECTION |
SIGNATURE |
/Timothy H. Hiebert/ |
SIGNATORY'S NAME |
Timothy H. Hiebert |
SIGNATORY'S POSITION |
Attorney of record, Massachusetts bar member |
DATE SIGNED |
07/30/2015 |
SIGNATORY'S PHONE NUMBER |
6174265553 |
PAYMENT METHOD |
DA |
FILING INFORMATION |
SUBMIT DATE |
Thu Jul 30 11:22:21 EDT 2015 |
TEAS STAMP |
USPTO/S08N09-XX.XXX.XXX.X
XX-20150730112221982596-1
908092-54044d64bf9bcee6b2
38ba6cef8d326e3b185c2d433
413132f88049b0280ec47-DA-
14279-2015073011153264185
9 |
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: 1908092
REGISTRATION DATE: 08/01/1995
MARK: ADDERALL
The owner, SHIRE LLC, a limited liability company legally organized under the laws of Kentucky, having an address of
725 CHESTERBROOK BOULEVARD
WAYNE, Pennsylvania 19087
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 preparations, namely amphetamines ; 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) photo of a label as used on a container for
the goods.
Specimen File1
The registrant's current Correspondence Information: AARON P BUDA of SHIRE US INC
725 CHESTERBROOK BLVD
WAYNE, Pennsylvania (PA) 19087
United States
The registrant's proposed Correspondence Information: Timothy H. Hiebert of Samuels & Hiebert LLC
Two International Place, 23rd Floor
Boston, Massachusetts (MA) 02110-4104
United States
The phone number is 617-426-5553.
The fax number is 617-507-2449.
The email address is hiebert@samuelsTM.com.
The registrant hereby appoints Timothy H. Hiebert and I. Stephen Samuels of Samuels & Hiebert LLC
Two International Place, 23rd Floor
Boston, Massachusetts 02110-4104
United States
to submit this Combined Declaration of Use and/or Excusable Nonuse/Application for Renewal of Registration of a Mark under Sections 8 & 9 on behalf of the registrant.
The phone number is 617-426-5553.
The fax number is 617-507-2449.
The email address is hiebert@samuelsTM.com.
A fee payment in the amount of $400 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, or to indicate membership in the collective membership
organization 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. § 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: /Timothy H. Hiebert/ Date: 07/30/2015
Signatory's Name: Timothy H. Hiebert
Signatory's Position: Attorney of record, Massachusetts bar member
Signatory's Phone Number: 6174265553
Mailing Address:
Samuels & Hiebert LLC
Two International Place, 23rd Floor
Boston, Massachusetts 02110-4104
Serial Number: 74527272
Internet Transmission Date: Thu Jul 30 11:22:21 EDT 2015
TEAS Stamp: USPTO/S08N09-XX.XXX.XXX.XXX-201507301122
21982596-1908092-54044d64bf9bcee6b238ba6
cef8d326e3b185c2d433413132f88049b0280ec4
7-DA-14279-20150730111532641859