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 |
2661393 |
REGISTRATION DATE |
12/17/2002 |
SERIAL NUMBER |
76060961 |
MARK SECTION |
MARK |
CEPASTAT |
ATTORNEY SECTION (current) |
NAME |
Micheline Kelly Johnson |
FIRM NAME |
BAKER, DONELSON, BEARMAN, CALDWELL & BER |
INTERNAL ADDRESS |
633 CHESTNUT STREET |
STREET |
1800 REPUBLIC CENTRE |
CITY |
CHATTANOOGA |
STATE |
Tennessee |
POSTAL CODE |
37450-1800 |
COUNTRY |
United States |
PHONE |
423 209-4103 |
FAX |
423 752-9548 |
EMAIL |
mjohnson@bakerdonelson.com |
CORRESPONDENCE SECTION (current) |
NAME |
MICHELINE KELLY JOHNSON |
FIRM NAME |
BAKER, DONELSON, BEARMAN, CALDWELL & BER |
INTERNAL ADDRESS |
633 CHESTNUT STREET |
STREET |
1800 REPUBLIC CENTRE |
CITY |
CHATTANOOGA |
STATE |
Tennessee |
POSTAL CODE |
37450-1800 |
COUNTRY |
United States |
PHONE |
423 209-4103 |
FAX |
423 752-9548 |
EMAIL |
mjohnson@bakerdonelson.com |
CORRESPONDENCE SECTION (proposed) |
NAME |
MICHELINE KELLY JOHNSON |
FIRM NAME |
BAKER, DONELSON, BEARMAN, CALDWELL & BER |
INTERNAL ADDRESS |
633 CHESTNUT STREET |
STREET |
1800 REPUBLIC CENTRE |
CITY |
CHATTANOOGA |
STATE |
Tennessee |
POSTAL CODE |
37450-1800 |
COUNTRY |
United States |
PHONE |
423 209-4103 |
FAX |
423 752-9548 |
EMAIL |
mjohnson@bakerdonelson.com;echomyn@bakerdonelson.com |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
005 |
GOODS OR SERVICES |
Medicated throat lozenges |
SPECIMEN FILE NAME(S) |
ORIGINAL PDF FILE |
SPN0-70881981-171744127_._CEPASTAT.pdf |
CONVERTED PDF FILE(S)
(1 page) |
\\TICRS\EXPORT16\IMAGEOUT16\760\609\76060961\xml2\S890002.JPG |
SPECIMEN DESCRIPTION |
scanned copy of package |
OWNER SECTION (current) |
NAME |
INSIGHT PHARMACEUTICALS LLC |
STREET |
1170 Wheeler Way, Suite 150 |
CITY |
Langhorne |
STATE |
Pennsylvania |
ZIP/POSTAL CODE |
19047 |
COUNTRY |
United States |
OWNER SECTION (proposed) |
NAME |
INSIGHT PHARMACEUTICALS LLC |
INTERNAL ADDRESS |
Suite 200 |
STREET |
900 Northbrook Corporate Center |
CITY |
Trevose |
STATE |
Pennsylvania |
ZIP/POSTAL CODE |
19053 |
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 |
/micheline kelly johnson/ |
SIGNATORY'S NAME |
Micheline Kelly Johnson |
SIGNATORY'S POSITION |
Attorney of record, Tennessee bar member |
DATE SIGNED |
11/30/2012 |
SIGNATORY'S PHONE NUMBER |
426 209-4103 |
PAYMENT METHOD |
CC |
FILING INFORMATION |
SUBMIT DATE |
Fri Nov 30 17:24:21 EST 2012 |
TEAS STAMP |
USPTO/S08N09-XX.XX.XX.XX-
20121130172421002667-2661
393-490871b1136feebd72453
39bc124b2ec14-CC-5961-201
21130171744127368 |
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: 2661393
REGISTRATION DATE: 12/17/2002
MARK: CEPASTAT
The owner, INSIGHT PHARMACEUTICALS LLC, a limited liability company legally organized under the laws of Delaware, having an address of
Suite 200
900 Northbrook Corporate Center
Trevose, Pennsylvania 19053
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: Medicated throat lozenges ; 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) scanned copy of package.
Original PDF file:
SPN0-70881981-171744127_._CEPASTAT.pdf
Converted PDF file(s) (1 page)
Specimen File1
The registrant's current Correspondence Information: MICHELINE KELLY JOHNSON of BAKER, DONELSON, BEARMAN, CALDWELL & BER
633 CHESTNUT STREET
1800 REPUBLIC CENTRE
CHATTANOOGA, Tennessee (TN) 37450-1800
United States
The registrant's proposed Correspondence Information: MICHELINE KELLY JOHNSON of BAKER, DONELSON, BEARMAN, CALDWELL & BER
633 CHESTNUT STREET
1800 REPUBLIC CENTRE
CHATTANOOGA, Tennessee (TN) 37450-1800
United States
The phone number is 423 209-4103.
The fax number is 423 752-9548.
The email address is mjohnson@bakerdonelson.com;echomyn@bakerdonelson.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: /micheline kelly johnson/ Date: 11/30/2012
Signatory's Name: Micheline Kelly Johnson
Signatory's Position: Attorney of record, Tennessee bar member
Signatory's Phone Number: 426 209-4103
Mailing Address:
BAKER, DONELSON, BEARMAN, CALDWELL & BER
1800 REPUBLIC CENTRE
CHATTANOOGA, Tennessee 37450-1800
Serial Number: 76060961
Internet Transmission Date: Fri Nov 30 17:24:21 EST 2012
TEAS Stamp: USPTO/S08N09-XX.XX.XX.XX-201211301724210
02667-2661393-490871b1136feebd7245339bc1
24b2ec14-CC-5961-20121130171744127368