PR-Section 8 and 9

PTO Form 1963 (Rev 5/2006)

OMB No. 0651-0055 (Exp 07/31/2018)

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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: 2745897
REGISTRATION DATE: 08/05/2003

MARK: BECK SCALE FOR SUICIDE IDEATION

The owner, NCS PEARSON, INC., a corporation of Minnesota, having an address of
      5601 GREEN VALLEY DRIVE
      BLOOMINGTON, Minnesota 55437
      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 016, this filing does NOT cover the following goods or services for this specific class listed in the registration, and these goods or services are to be permanently deleted from the registration:  record forms

The mark is in use in commerce on or in connection with the following goods or services listed in the existing registration for this specific class; or, the owner is making the listed excusable nonuse claim: Printed materials, namely, printed tests, and manuals to aid qualified personnel in the description of personality

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) Printed Report displaying BECK SCALE FOR SUICIDE IDEATION.

Original PDF file:
SPN0-15918214-122057418_._Printed_Report_displaying_BECK_SCALE_FOR_SUICIDE_IDEATION.pdf
Converted PDF file(s) (4 pages)
Specimen File1
Specimen File2
Specimen File3
Specimen File4
The registrant's current Correspondence Information: NCS PEARSON, INC. of  5601 GREEN VALLEY DRIVE
      
      BLOOMINGTON, Minnesota (MN) 55437
      United States


The registrant's proposed Correspondence Information: Daniel J. DeVoe, Assistant General Counsel of  NCS PEARSON, INC.
      5601 GREEN VALLEY DRIVE
      BLOOMINGTON, Minnesota (MN) 55437
      United States



The phone number is 952-681-3070.

The fax number is 952-681-3066.

The email address is dan.devoe@pearson.com;julie.schaffer@pearson.com; nancy.pond@pearson.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: /Daniel J. DeVoe/      Date: 05/02/2013
Signatory's Name: Daniel J. DeVoe
Signatory's Position: Assistant General Counsel
Signatory's Phone Number: 952-681-3070

Serial Number: 76226394
Internet Transmission Date: Thu May 02 16:34:46 EDT 2013
TEAS Stamp: USPTO/S08N09-XXX.XXX.X.X-201305021634462
64550-2745897-500ff5342b2dc39f35a1ad2a8e
cb19e73444c68fc513bf83a50a566e47ad050549
3-CC-3359-20130502122057418105