| 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 |
2754841 |
| REGISTRATION DATE |
08/26/2003 |
| SERIAL NUMBER |
76035013 |
| MARK SECTION |
| MARK |
AQUAFRESH (stylized and/or with design) |
| ATTORNEY SECTION (current) |
| NAME |
Charles M. Atkinson |
| FIRM NAME |
GLAXOSMITHKLINE |
| INTERNAL ADDRESS |
ONE FRANKLIN PLAZA, 200 NORTH 16TH ST. |
| STREET |
LGTM - FP2030 |
| CITY |
PHILADELPHIA |
| STATE |
Pennsylvania |
| POSTAL CODE |
19102-1225 |
| COUNTRY |
United States |
| PHONE |
215.751.7676 |
| FAX |
215.751.7066 |
| EMAIL |
trademarks@gsk.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| ATTORNEY SECTION (proposed) |
| NAME |
Terence A. Dixon |
| FIRM NAME |
GLAXOSMITHKLINE |
| INTERNAL ADDRESS |
ONE FRANKLIN PLAZA, 200 NORTH 16TH ST. |
| STREET |
LGTM - FP2030 |
| CITY |
PHILADELPHIA |
| STATE |
Pennsylvania |
| POSTAL CODE |
19102-1225 |
| COUNTRY |
United States |
| PHONE |
215.751.7653 |
| FAX |
215.751.7066 |
| EMAIL |
trademarks@gsk.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
TMID 3078828 |
| OTHER APPOINTED ATTORNEY |
Diane F. Maginnis and Christopher M. Hanes |
| CORRESPONDENCE SECTION (current) |
| NAME |
CHARLES M ATKINSON |
| FIRM NAME |
GLAXOSMITHKLINE |
| INTERNAL ADDRESS |
ONE FRANKLIN PLAZA, 200 NORTH 16TH ST. |
| STREET |
LGTM - FP2030 |
| CITY |
PHILADELPHIA |
| STATE |
Pennsylvania |
| POSTAL CODE |
19102-1225 |
| COUNTRY |
United States |
| PHONE |
215.751.7676 |
| FAX |
215.751.7066 |
| EMAIL |
trademarks@gsk.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
Terence A. Dixon |
| FIRM NAME |
GLAXOSMITHKLINE |
| INTERNAL ADDRESS |
ONE FRANKLIN PLAZA, 200 NORTH 16TH ST. |
| STREET |
LGTM - FP2030 |
| CITY |
PHILADELPHIA |
| STATE |
Pennsylvania |
| POSTAL CODE |
19102-1225 |
| COUNTRY |
United States |
| PHONE |
215.751.7653 |
| FAX |
215.751.7066 |
| EMAIL |
trademarks@gsk.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
TMID 3078828 |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
021 |
| GOODS OR SERVICES |
toothbrushes |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\760\350\76035013\xml1\ S890002.JPG |
| |
\\TICRS\EXPORT16\IMAGEOUT 16\760\350\76035013\xml1\ S890003.JPG |
| SPECIMEN DESCRIPTION |
photographs of goods (in JPG) |
| OWNER SECTION (current) |
| NAME |
GLAXOSMITHKLINE LLC |
| STREET |
2711 Centerville Road, Suite 400 |
| CITY |
Wilmington |
| STATE |
Delaware |
| ZIP/POSTAL CODE |
19808 |
| COUNTRY |
United States |
| OWNER SECTION (proposed) |
| NAME |
GLAXOSMITHKLINE LLC |
| INTERNAL ADDRESS |
Corporation Service Company |
| STREET |
2711 Centerville Road, Suite 400 |
| CITY |
Wilmington |
| STATE |
Delaware |
| ZIP/POSTAL CODE |
19808 |
| COUNTRY |
United States |
| LEGAL ENTITY SECTION (current) |
| TYPE |
limited liability company |
| STATE/COUNTRY WHERE LEGALLY ORGANIZED |
Delaware |
| LEGAL ENTITY SECTION (proposed) |
| TYPE |
limited liability company |
| STATE/COUNTRY WHERE LEGALLY ORGANIZED |
Delaware |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
500 |
| TOTAL FEE PAID |
500 |
| SIGNATURE SECTION |
| SIGNATURE |
/tad/ |
| SIGNATORY'S NAME |
Terence A. Dixon |
| SIGNATORY'S POSITION |
Attorney of record, PA bar member |
| DATE SIGNED |
09/18/2012 |
| SIGNATORY'S PHONE NUMBER |
215.751.7653 |
| PAYMENT METHOD |
DA |
| FILING INFORMATION |
| SUBMIT DATE |
Tue Sep 18 12:58:48 EDT 2012 |
| TEAS STAMP |
USPTO/S08N09-XXX.XX.XX.X-
20120918125848694551-2754
841-4901ab0a0852dc229e737
36ff29bacd296d-DA-9875-20
120918101124201265 |
| 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: 2754841
REGISTRATION DATE: 08/26/2003
MARK: (Stylized and/or with Design, AQUAFRESH)
The owner, GLAXOSMITHKLINE LLC, a limited liability company legally organized under the laws of Delaware, having an address of
Corporation Service Company
2711 Centerville Road, Suite 400
Wilmington, Delaware 19808
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 021, 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: toothbrushes ; 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) photographs of goods (in JPG).
Specimen File1
Specimen File2
The registrant's current Attorney Information: Charles M. Atkinson of GLAXOSMITHKLINE
ONE FRANKLIN PLAZA, 200 NORTH 16TH ST.
LGTM - FP2030
PHILADELPHIA, Pennsylvania (PA) 19102-1225
United States
The registrant's proposed Attorney Information: Terence A. Dixon of GLAXOSMITHKLINE
ONE FRANKLIN PLAZA, 200 NORTH 16TH ST.
LGTM - FP2030
PHILADELPHIA, Pennsylvania (PA) 19102-1225
United States
The docket/reference number is TMID 3078828.
The Other Appointed Attorney(s): Diane F. Maginnis and Christopher M. Hanes.
The phone number is 215.751.7653.
The fax number is 215.751.7066.
The email address is trademarks@gsk.com.
The registrant's current Correspondence Information: CHARLES M ATKINSON of GLAXOSMITHKLINE
ONE FRANKLIN PLAZA, 200 NORTH 16TH ST.
LGTM - FP2030
PHILADELPHIA, Pennsylvania (PA) 19102-1225
United States
The registrant's proposed Correspondence Information: Terence A. Dixon of GLAXOSMITHKLINE
ONE FRANKLIN PLAZA, 200 NORTH 16TH ST.
LGTM - FP2030
PHILADELPHIA, Pennsylvania (PA) 19102-1225
United States
The docket/reference number is TMID 3078828.
The phone number is 215.751.7653.
The fax number is 215.751.7066.
The email address is trademarks@gsk.com.
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 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 and/or 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.
Section 9: Application for Renewal
The registrant requests that the registration be renewed for the goods/services/collective organization identified above.
Signature: /tad/ Date: 09/18/2012
Signatory's Name: Terence A. Dixon
Signatory's Position: Attorney of record, PA bar member
Signatory's Phone Number: 215.751.7653
Mailing Address
(current):
GLAXOSMITHKLINE
LGTM - FP2030
PHILADELPHIA, Pennsylvania 19102-1225
Mailing Address
(proposed):
GLAXOSMITHKLINE
LGTM - FP2030
PHILADELPHIA, Pennsylvania 19102-1225
Serial Number: 76035013
Internet Transmission Date: Tue Sep 18 12:58:48 EDT 2012
TEAS Stamp: USPTO/S08N09-XXX.XX.XX.X-201209181258486
94551-2754841-4901ab0a0852dc229e73736ff2
9bacd296d-DA-9875-20120918101124201265
