| 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 |
2914786 |
| REGISTRATION DATE |
12/28/2004 |
| SERIAL NUMBER |
76314620 |
| MARK SECTION |
| MARK |
EXABLATE |
| ATTORNEY SECTION (current) |
| NAME |
Joel E. Lehrer |
| FIRM NAME |
GOODWIN PROCTER LLP |
| INTERNAL ADDRESS |
Attn: Trademark Administrator |
| STREET |
Exchange Place, 53 State Street |
| CITY |
BOSTON |
| STATE |
Massachusetts |
| POSTAL CODE |
02109 |
| COUNTRY |
United States |
| PHONE |
617.570.1000 |
| FAX |
617.523.1231 |
| EMAIL |
tmadmin@goodwinprocter.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
INS-601-US |
| ATTORNEY SECTION (proposed) |
| NAME |
Rachelle A. Dubow, Esq. |
| FIRM NAME |
Bingham McCutchen LLP |
| STREET |
1 Federal Street |
| CITY |
BOSTON |
| STATE |
Massachusetts |
| POSTAL CODE |
02110 |
| COUNTRY |
United States |
| PHONE |
617-951-8000 |
| FAX |
617-951-8736 |
| EMAIL |
rachelle.dubow@bingham.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
INS-601 |
| OTHER APPOINTED ATTORNEY |
David O. Johanson, Esq.; Brian W. Chellgren, Esq |
| CORRESPONDENCE SECTION (current) |
| NAME |
Joel E. Lehrer |
| FIRM NAME |
GOODWIN PROCTER LLP |
| INTERNAL ADDRESS |
Attn: Trademark Administrator |
| STREET |
Exchange Place, 53 State Street |
| CITY |
BOSTON |
| STATE |
Massachusetts |
| POSTAL CODE |
02109 |
| COUNTRY |
United States |
| PHONE |
617.570.1000 |
| FAX |
617.523.1231 |
| EMAIL |
tmadmin@goodwinprocter.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
INS-601-US |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
Rachelle A. Dubow, Esq. |
| FIRM NAME |
Bingham McCutchen LLP |
| STREET |
1 Federal Street |
| CITY |
BOSTON |
| STATE |
Massachusetts |
| POSTAL CODE |
02110 |
| COUNTRY |
United States |
| PHONE |
617-951-8000 |
| FAX |
617-951-8736 |
| EMAIL |
rachelle.dubow@bingham.com;david.johanson@bingham.com; brian.chellgren@bingham.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
INS-601 |
| DOMESTIC REPRESENTATIVE SECTION (new) |
| NAME |
Rachelle A. Dubow, Esq. |
| STREET |
1 Federal Street |
| CITY |
BOSTON |
| STATE |
Massachusetts |
| POSTAL CODE |
02110 |
| COUNTRY |
United States |
| PHONE |
617-951-8000 |
| FAX |
617-951-8736 |
| EMAIL |
rachelle.dubow@bingham.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
INS-601 |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
009 |
| GOODS OR SERVICES |
computer software for controlling and operating image-guided focussed ultrasound systems, and user manuals sold as a unit therewith |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\763\146\76314620\xml1\ S890002.JPG |
| SPECIMEN DESCRIPTION |
screen shot depicting the mark in connection with the goods |
| INTERNATIONAL CLASS |
010 |
| GOODS OR SERVICES |
image-guided focussed ultrasound diagnostic apparatus for therapeutic and diagnostic medical procedures, and user manuals sold as a unit
therewith |
| SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\763\146\76314620\xml1\ S890003.JPG |
| SPECIMEN DESCRIPTION |
photograph depicting the mark on the goods |
| OWNER SECTION (current) |
| NAME |
INSIGHTEC LTD |
| STREET |
5 NAHUM HETH STREET |
| CITY |
TIRAT CARMEL |
| ZIP/POSTAL CODE |
39120 |
| COUNTRY |
Israel |
| LEGAL ENTITY SECTION (current) |
| TYPE |
corporation |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
2 |
| NUMBER OF CLASSES PAID |
2 |
| SUBTOTAL AMOUNT |
1000 |
| TOTAL FEE PAID |
1000 |
| SIGNATURE SECTION |
| ORIGINAL PDF FILE |
hw_2051962044-171736652_._EXABLATE_executed_renwal_apn..pdf |
CONVERTED PDF FILE(S)
(4 pages) |
\\TICRS\EXPORT16\IMAGEOUT16\763\146\76314620\xml1\S890004.JPG |
| |
\\TICRS\EXPORT16\IMAGEOUT16\763\146\76314620\xml1\S890005.JPG |
| |
\\TICRS\EXPORT16\IMAGEOUT16\763\146\76314620\xml1\S890006.JPG |
| |
\\TICRS\EXPORT16\IMAGEOUT16\763\146\76314620\xml1\S890007.JPG |
| SIGNATORY'S NAME |
Jackob Vortman |
| SIGNATORY'S POSITION |
Chief Executive Officer |
| PAYMENT METHOD |
CC |
| FILING INFORMATION |
| SUBMIT DATE |
Thu Apr 03 11:51:42 EDT 2014 |
| TEAS STAMP |
USPTO/S08N09-XXX.XXX.XXX.
X-20140403115142553730-29
14786-50008ed1e312ad96041
3f65e1a33d9479ceda62a7ee6
69e03fbce9f8b9f8c36-CC-10
683-20140403114759755587 |
| 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: 2914786
REGISTRATION DATE: 12/28/2004
MARK: EXABLATE
The owner, INSIGHTEC LTD, having an address of
5 NAHUM HETH STREET
TIRAT CARMEL, 39120
Israel
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 009, 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: computer software for controlling and operating image-guided focussed ultrasound systems, and user manuals sold as a unit therewith ; 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) screen shot depicting the mark in connection
with the goods.
Specimen File1
For International Class 010, 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: image-guided focussed ultrasound diagnostic apparatus for therapeutic and diagnostic medical procedures, and user manuals sold as a unit therewith ; 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) photograph depicting the mark on the
goods.
Specimen File1
The registrant's current Attorney Information: Joel E. Lehrer of GOODWIN PROCTER LLP
Attn: Trademark Administrator
Exchange Place, 53 State Street
BOSTON, Massachusetts (MA) 02109
United States
The docket/reference number is INS-601-US.
The registrant's proposed Attorney Information: Rachelle A. Dubow, Esq. of Bingham McCutchen LLP
1 Federal Street
BOSTON, Massachusetts (MA) 02110
United States
The docket/reference number is INS-601.
The Other Appointed Attorney(s): David O. Johanson, Esq.; Brian W. Chellgren, Esq.
The phone number is 617-951-8000.
The fax number is 617-951-8736.
The email address is rachelle.dubow@bingham.com.
The registrant's current Correspondence Information: Joel E. Lehrer of GOODWIN PROCTER LLP
Attn: Trademark Administrator
Exchange Place, 53 State Street
BOSTON, Massachusetts (MA) 02109
United States
The docket/reference number is INS-601-US.
The registrant's proposed Correspondence Information: Rachelle A. Dubow, Esq. of Bingham McCutchen LLP
1 Federal Street
BOSTON, Massachusetts (MA) 02110
United States
The docket/reference number is INS-601.
The phone number is 617-951-8000.
The fax number is 617-951-8736.
The email address is rachelle.dubow@bingham.com;david.johanson@bingham.com; brian.chellgren@bingham.com.
The registrant hereby appoints Rachelle A. Dubow, Esq., 1 Federal Street, BOSTON, Massachusetts (MA) United States (USX) 02110 as registrant's representative upon whom notice or process in the
proceedings affecting the mark may be served.
The phone number is 617-951-8000.
The fax number is 617-951-8736.
The email address is rachelle.dubow@bingham.com.
A fee payment in the amount of $1000 will be submitted with the form, representing payment for 2 class(es), plus any additional grace period fee, if necessary.
Declaration
Original PDF file:
hw_2051962044-171736652_._EXABLATE_executed_renwal_apn..pdf
Converted PDF file(s) (4 pages)
Signature File1
Signature File2
Signature File3
Signature File4
Signatory's Name: Jackob Vortman
Signatory's Position: Chief Executive Officer
Mailing Address
(current):
GOODWIN PROCTER LLP
Exchange Place, 53 State Street
BOSTON, Massachusetts 02109
Mailing Address
(proposed):
Bingham McCutchen LLP
1 Federal Street
BOSTON, Massachusetts 02110
Serial Number: 76314620
Internet Transmission Date: Thu Apr 03 11:51:42 EDT 2014
TEAS Stamp: USPTO/S08N09-XXX.XXX.XXX.X-2014040311514
2553730-2914786-50008ed1e312ad960413f65e
1a33d9479ceda62a7ee669e03fbce9f8b9f8c36-
CC-10683-20140403114759755587
