| PTO Form 1963 (Rev 5/2006) |
| OMB No. 0651-0055 (Exp 12/31/2011) |
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 |
2243065 |
| REGISTRATION DATE |
05/04/1999 |
| SERIAL NUMBER |
75111283 |
| MARK SECTION |
| MARK |
ADVISOR |
| OWNER SECTION (current) |
| NAME |
SMITHS MEDICAL PM, INC. |
| STREET |
N7 W22025 JOHNSON DRIVE |
| CITY |
WAUKESHA |
| STATE |
Wisconsin |
| ZIP/POSTAL CODE |
53186 |
| COUNTRY |
US |
| ATTORNEY SECTION (current) |
| NAME |
John L. Beard, Felicia J. Boyd, Laura G. Coates, Jodi A. DeSchane, Sandra Epp Ryan, John M. Haurykiewicz, Calvin L. Litsey, Michelle A.
Paninopoulos, Patricia I. Reding, Karl G. Schwappach, James R. Steffen, Gary S. Weinstein, Christopher P. Beall, Jennifer D. Collins, Natalie Hanlon-Leh, Peter J. Kinsella, Leslie P. Kramer and Lisa
C. Walter |
| FIRM NAME |
Faegre & Benson LLP |
| INTERNAL ADDRESS |
90 South Seventh Street |
| STREET |
2200 Wells Fargo Center |
| CITY |
Minneapolis |
| STATE |
Minnesota |
| POSTAL CODE |
55402-3901 |
| COUNTRY |
United States |
| PHONE |
612.766.7196 |
| FAX |
612.766.1600 |
| EMAIL |
trademarkmpls@faegre.com |
| ATTORNEY SECTION (proposed) |
| NAME |
Sandra Epp Ryan |
| FIRM NAME |
Faegre & Benson LLP |
| INTERNAL ADDRESS |
2200 Wells Fargo Center |
| STREET |
90 South Seventh Street |
| CITY |
Minneapolis |
| STATE |
Minnesota |
| POSTAL CODE |
55402-3901 |
| COUNTRY |
United States |
| PHONE |
612.766.7196 |
| FAX |
612.766.1600 |
| EMAIL |
trademarkmpls@faegre.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| ATTORNEY DOCKET NUMBER |
79799 - 345807 |
| OTHER APPOINTED ATTORNEY |
Cathleen F. Baraloto, John L. Beard, Felicia J. Boyd, Jodi A. DeSchane, John M. Haurykiewicz, Ryan M. Kaatz, Calvin L. Litsey, Patricia
I. Reding, James R. Steffen, Gary S. Weinstein, Jennifer D. Collins, Natalie Hanlon-Leh, Peter J. Kinsella, Leslie P. Kramer and Lisa C. Walter |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
010 |
| GOODS OR SERVICES |
KEEP ALL LISTED |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT5\IMAGEOUT5 \751\112\75111283\xml1\S8 90002.JPG |
| |
\\TICRS\EXPORT5\IMAGEOUT5 \751\112\75111283\xml1\S8 90003.JPG |
| |
\\TICRS\EXPORT5\IMAGEOUT5 \751\112\75111283\xml1\S8 90004.JPG |
| SPECIMEN DESCRIPTION |
scanned brochure with photograph of mark affixed to the goods |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
500 |
| TOTAL FEE PAID |
500 |
| SIGNATURE SECTION |
| SIGNATURE |
/jflint/ |
| SIGNATORY'S NAME |
Jonathan Flint |
| SIGNATORY'S POSITION |
Authorized Signatory |
| DATE SIGNED |
01/23/2009 |
| PAYMENT METHOD |
CC |
| FILING INFORMATION |
| SUBMIT DATE |
Fri Jan 23 11:01:19 EST 2009 |
| TEAS STAMP |
USPTO/S08N09-XX.XXX.XX.XX
X-20090123110119810599-22
43065-440d0c8c7b7b0e74cde
ab4dd63b956a4761-CC-6545-
20090123085536477806 |
| PTO Form 1963 (Rev 5/2006) |
| OMB No. 0651-0055 (Exp 12/31/2011) |
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: 2243065
REGISTRATION DATE: 05/04/1999
MARK: ADVISOR
The owner, SMITHS MEDICAL PM, INC., having an address of
N7 W22025 JOHNSON DRIVE
WAUKESHA, Wisconsin 53186
US
is filing a Combined Declaration of Use in Commerce & Application for Renewal of Registration of a Mark under Sections 8 & 9.
For International Class 010, the mark is in use in commerce on or in connection with
all goods or services listed in the existing registration for this specific class; or, the owner is making
the listed excusable nonuse claim.
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) scanned brochure with photograph of mark affixed to the
goods.
Specimen File1
Specimen File2
Specimen File3
The registrant hereby appoints Sandra Epp Ryan and Cathleen F. Baraloto, John L. Beard, Felicia J. Boyd, Jodi A. DeSchane, John M. Haurykiewicz, Ryan M. Kaatz, Calvin L. Litsey, Patricia I. Reding,
James R. Steffen, Gary S. Weinstein, Jennifer D. Collins, Natalie Hanlon-Leh, Peter J. Kinsella, Leslie P. Kramer and Lisa C. Walter of Faegre & Benson LLP
2200 Wells Fargo Center
90 South Seventh Street
Minneapolis, Minnesota 55402-3901
United States
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 79799 - 345807.
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 mark is in use 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: /jflint/ Date: 01/23/2009
Signatory's Name: Jonathan Flint
Signatory's Position: Authorized Signatory
Mailing Address
(current):
Faegre & Benson LLP
2200 Wells Fargo Center
Minneapolis, Minnesota 55402-3901
Mailing Address
(proposed):
Faegre & Benson LLP
90 South Seventh Street
Minneapolis, Minnesota 55402-3901
Serial Number: 75111283
Internet Transmission Date: Fri Jan 23 11:01:19 EST 2009
TEAS Stamp: USPTO/S08N09-XX.XXX.XX.XXX-2009012311011
9810599-2243065-440d0c8c7b7b0e74cdeab4dd
63b956a4761-CC-6545-20090123085536477806
