| 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 |
1957236 |
| REGISTRATION DATE |
02/20/1996 |
| SERIAL NUMBER |
74561748 |
| MARK SECTION |
| MARK |
CAPIOX |
| OWNER SECTION (current) |
| NAME |
TERUMO KABUSHIKI KAISHA |
| STREET |
44-1, 2-chome, Hatagaya, Shibuya-ku |
| CITY |
Tokyo |
| COUNTRY |
JP |
| OWNER SECTION (proposed) |
| NAME |
TERUMO KABUSHIKI KAISHA |
| STREET |
44-1, 2-chome, Hatagaya, Shibuya-ku |
| CITY |
Tokyo |
| COUNTRY |
Japan |
| EMAIL |
XXXX |
| ATTORNEY SECTION |
| NAME |
Joseph F. Nicholson, Esq. |
| FIRM NAME |
Kenyon & Kenyon |
| STREET |
One Broadway |
| CITY |
New York |
| STATE |
New York |
| ZIP/POSTAL CODE |
10004 |
| COUNTRY |
United States |
| PHONE |
212-425-7200 |
| FAX |
212-425-5288 |
| EMAIL |
tmdocketny@kenyon.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET NUMBERS |
75960/43 |
| DOMESTIC REPRESENTATIVE SECTION |
| NAME |
Joseph F. Nicholson, Esq. |
| FIRM NAME |
Kenyon & Kenyon |
| STREET |
One Broadway |
| CITY |
New York |
| STATE |
New York |
| ZIP/POSTAL CODE |
10004 |
| COUNTRY |
United States |
| PHONE |
212-425-7200 |
| FAX |
212-425-5288 |
| MAIL |
tmdocketny@kenyon.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
010 |
| KEEP EXISTING GOODS AND/OR SERVICES |
YES |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT7\IMAGEOUT7 \745\617\74561748\xml1\S8 90002.JPG |
| SPECIMEN DESCRIPTION |
product label |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
500 |
| TOTAL AMOUNT |
500 |
| SIGNATURE SECTION |
| SIGNATURE |
/Joseph F. Nicholson/ |
| SIGNATORY NAME |
Joseph F. Nicholson, Esq. |
| SIGNATORY DATE |
12/30/2005 |
| SIGNATORY POSITION |
Attorney of Record |
| PAYMENT METHOD |
DA |
| FILING INFORMATION |
| SUBMIT DATE |
Fri Dec 30 12:58:02 EST 2005 |
| TEAS STAMP |
USPTO/S08N09-XXXXXXXXXXX-
20051230125802157744-1957
236-2006eae287aa5ba22d27b
887b29c7a67a59-DA-848-200
51230125734630166 |
| 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: 1957236
REGISTRATION DATE: 02/20/1996
MARK: CAPIOX
The owner, TERUMO KABUSHIKI KAISHA, residing at 44-1, 2-chome, Hatagaya, Shibuya-ku, Tokyo, Japan , is using the mark in commerce on or in connection with the goods and /or services as follows:
For International Class 010, 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) product
label.
Specimen-1
The registrant hereby appoints Joseph F. Nicholson, Esq. of Kenyon & Kenyon, One Broadway, New York, New York United States 10004 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. The attorney docket/reference number is 75960/43.
The registrant hereby appoints Joseph F. Nicholson, Esq. of Kenyon & Kenyon, One Broadway, New York, New York United States 10004 as registrant's representative upon whom notice or process
in the proceedings affecting the mark may be served.
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 F. Nicholson/ Date: 12/30/2005
Signatory's Name: Joseph F. Nicholson, Esq.
Signatory's Position: Attorney of Record
Mailing Address:
Kenyon & Kenyon
One Broadway
New York, New York 10004
RAM Sale Number: 848
RAM Accounting Date: 12/30/2005
Serial Number: 74561748
Internet Transmission Date: Fri Dec 30 12:58:02 EST 2005
TEAS Stamp: USPTO/S08N09-XXXXXXXXXXX-200512301258021
57744-1957236-2006eae287aa5ba22d27b887b2
9c7a67a59-DA-848-20051230125734630166
