| PTO Form 1553 (Rev 4/2000) |
| OMB Control #0651-0009 (Exp. 06/30/2005) |
Statement of Use Filing
The table below presents the data as entered.
Input Field
|
Entered
|
| SERIAL NUMBER |
76100082 |
| LAW OFFICE ASSIGNED |
LAW OFFICE 105 |
| NOTICE OF ALLOWANCE |
YES |
| EXTENSION OF USE |
NO |
| MARK SECTION |
| MARK |
BABYBIG |
| OWNER SECTION (current) |
| NAME |
California Department of Health Services |
| STREET |
2151 Berkeley Way, Room 506 |
| CITY |
Berkeley |
| STATE |
CA |
| ZIP/POSTAL CODE |
947041011 |
| COUNTRY |
US |
| EMAIL |
XXXX |
| OWNER AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| OWNER SECTION (proposed) |
| NAME |
California Department of Health Services |
| STREET |
850 Marina Bay Parkway, Room E361 |
| CITY |
Richmond |
| STATE |
CA |
| ZIP/POSTAL CODE |
94804 |
| COUNTRY |
US |
| PHONE |
510-231-7600 |
| FAX |
510-231-7609 |
| EMAIL |
XXXX |
| OWNER AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
005 |
| KEEP EXISTING GOODS AND/OR SERVICES |
YES |
| FIRST USE ANYWHERE DATE |
07/28/2000 |
| FIRST USE IN COMMERCE DATE |
12/19/2003 |
| SPECIMEN FILE NAME(S) |
\\ticrs\EXPORT9\IMAGEOUT9 \761\000\76100082\xml1\SO U0002.JPG |
| SPECIMEN DESCRIPTION |
A photo of a vial of the orphan drug Botulism Immune Globulin Intravenous (Human) that bears the FDA-approved (on 23 October 2003) licensed name of BabyBIG(R) |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| SUBTOTAL AMOUNT |
100 |
| TOTAL AMOUNT |
100 |
| SIGNATURE SECTION |
| SIGNATURE |
/Stephen S. Arnon, M.D./ |
| SIGNATORY NAME |
Stephen S. Arnon, M.D. |
| SIGNATORY DATE |
02/02/2004 |
| SIGNATORY POSITION |
Chief, Infant Botulism Treatment and Prevention Program, California Department of Health Services |
| FILING INFORMATION |
| SUBMIT DATE |
Mon Feb 02 13:23:04 EST 2004 |
| TEAS STAMP |
USPTO/SOU-XXX.XX.XXX.X-20
040202132304723038-761000
82-200c1925152e837ddb3d7c
e4cb813ffef7-RAM-1032-200
40202130747929301 |
| PTO Form 1553 (Rev 4/2000) |
| OMB Control #0651-0009 (Exp. 06/30/2005) |
Trademark/Service Mark Statement of Use
(15 U.S.C. Section 1051(d))
To the Commissioner for Trademarks:
MARK: BABYBIG
SERIAL NUMBER: 76100082
This Allegation of Use is being filed after a Notice of Allowance has issued.
The applicant, California Department of Health Services, residing at 850 Marina Bay Parkway, Room E361, Richmond, CA US 94804, is using or is using through a related company or licensee the mark in
commerce on or in connection with the goods and/or services as follows:
For International Class: 005, the applicant, or the applicant's related company or licensee, is using the mark in commerce on or in connection with all goods and/or services listed in the application
or Notice of Allowance.
The mark was first used by the applicant, or the applicant's related company, licensee, or predecessor in interest at least as early as 07/28/2000, and first used in commerce at least as early as
12/19/2003, and is now in use in such commerce. The applicant is submitting one specimen for the class showing the mark as used in commerce on or in connection with any item in the class, consisting
of a(n) A photo of a vial of the orphan drug Botulism Immune Globulin Intravenous (Human) that bears the FDA-approved (on 23 October 2003) licensed name of BabyBIG(R).
Specimen-1
A fee payment in the amount of $100 will be submitted with the form, representing payment for 1 class.
Declaration
Applicant requests registration of the above-identified trademark/service mark in the United States Patent and Trademark Office on the Principal Register established by the Act of July 5, 1946 (15
U.S.C. Section 1051 et seq., as amended). Applicant is the owner of the mark sought to be registered, and 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: /Stephen S. Arnon, M.D./ Date: 02/02/2004
Signatory's Name: Stephen S. Arnon, M.D.
Signatory's Position: Chief, Infant Botulism Treatment and Prevention Program, California Department of Health Services
RAM Sale Number: 1032
RAM Accounting Date: 02/02/2004
Serial Number: 76100082
Internet Transmission Date: Mon Feb 02 13:23:04 EST 2004
TEAS Stamp: USPTO/SOU-XXX.XX.XXX.X-20040202132304723
038-76100082-200c1925152e837ddb3d7ce4cb8
13ffef7-RAM-1032-20040202130747929301
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