| PTO Form 1553 (Rev 5/2006) |
| OMB No. 0651-0055 (Exp 10/31/2008) |
Declaration of Use of Mark in Commerce Under Section 8
The table below presents the data as entered.
Input Field
|
Entered
|
| REGISTRATION NUMBER |
2111375 |
| REGISTRATION DATE |
11/04/1997 |
| SERIAL NUMBER |
75108932 |
| MARK SECTION |
| MARK |
PAKAUTO |
| OWNER SECTION (current) |
| NAME |
Genetic Testing Institute, Inc. |
| STREET |
150 North Patrick Boulevard |
| CITY |
Brookfield |
| STATE |
WI |
| ZIP/POSTAL CODE |
530455837 |
| COUNTRY |
US |
| OWNER SECTION (proposed) |
| NAME |
Genetic Testing Institute, Inc. |
| STREET |
20925 Crossroads Circle |
| CITY |
Waukesha |
| STATE |
WI |
| ZIP/POSTAL CODE |
53186-4054 |
| COUNTRY |
US |
| PHONE |
262.792.3900 |
| FAX |
262.792.3919 |
| EMAIL |
XXXX |
| ATTORNEY SECTION |
| NAME |
Mark K. Johnson |
| FIRM NAME |
GTI |
| STREET |
20925 Crossroads Circle |
| CITY |
Waukesha |
| STATE |
WI |
| ZIP/POSTAL CODE |
53186-4054 |
| COUNTRY |
USA |
| PHONE |
262.792.3900 |
| FAX |
262.792.3919 |
| EMAIL |
mjohnson@gtidiagnostics.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\EXPORT7\IMAGEOUT7 \751\089\75108932\xml1\S0 80002.JPG |
| SPECIMEN DESCRIPTION |
Label attached to product packaging. |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
100 |
| TOTAL AMOUNT |
100 |
| SIGNATURE SECTION |
| SIGNATURE |
/Mark K. Johnson/ |
| SIGNATORY NAME |
Mark K. Johnson |
| SIGNATORY DATE |
10/27/2003 |
| SIGNATORY POSITION |
Attorney of record |
| FILING INFORMATION |
| SUBMIT DATE |
Mon Oct 27 18:44:45 EST 2003 |
| TEAS STAMP |
USPTO/SECT08-XXXXXXXXX-20
031027184445084012-211137
5-20085ad92cb8d865837a88e
41cec8751b9CC363-20031027
184000920084 |
| PTO Form 1553 (Rev 5/2006) |
| OMB No. 0651-0055 (Exp 10/31/2008) |
Declaration of Use of Mark in Commerce Under Section 8
To the Commissioner for Trademarks:
REGISTRATION NUMBER: 2111375
REGISTRATION DATE: 11/04/1997
MARK: PAKAUTO
The owner, Genetic Testing Institute, Inc., residing at 20925 Crossroads Circle, Waukesha, WI US 53186-4054, 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 the mark in commerce on or in connection with all the goods/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) Label
attached to product packaging..
Specimen-1
The registrant hereby appoints Mark K. Johnson of GTI, 20925 Crossroads Circle, Waukesha, WI USA 53186-4054 to submit this Declaration of Use of Mark in Commerce Under Section 8 on behalf of
the registrant.
A fee payment in the amount of $100 will be submitted with the form, representing payment for 1 class(es), plus any additional grace period fee, if necessary.
Declaration
The owner is using 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.
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: /Mark K. Johnson/ Date: 10/27/2003
Signatory's Name: Mark K. Johnson
Signatory's Position: Attorney of record
Mailing Address:
GTI
20925 Crossroads Circle
Waukesha, WI 53186-4054
RAM Sale Number: 363
RAM Accounting Date: 10/28/2003
Serial Number: 75108932
Internet Transmission Date: Mon Oct 27 18:44:45 EST 2003
TEAS Stamp: USPTO/SECT08-XXXXXXXXX-20031027184445084
012-2111375-20085ad92cb8d865837a88e41cec
8751b9CC363-20031027184000920084
