| 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 |
2790284 |
| REGISTRATION DATE |
12/09/2003 |
| SERIAL NUMBER |
76353787 |
| MARK SECTION |
| MARK |
NCCAM |
| ATTORNEY SECTION (current) |
| NAME |
Melanye K. Johnson |
| FIRM NAME |
Office of the General Counsel |
| INTERNAL ADDRESS |
Bldg 31 Rm 2B 50 |
| STREET |
31 Center Drive |
| CITY |
Bethesda |
| STATE |
Maryland |
| POSTAL CODE |
20892 |
| COUNTRY |
United States |
| PHONE |
301-496-6043 |
| FAX |
301-402-1034 |
| EMAIL |
johnsonmk@od.nih.gov |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| ATTORNEY SECTION (proposed) |
| NAME |
Melanye K. Johnson |
| FIRM NAME |
Office of the General Counsel |
| INTERNAL ADDRESS |
Bldg 31 Rm 2B 50 |
| STREET |
31 Center Drive |
| CITY |
Bethesda |
| STATE |
Maryland |
| POSTAL CODE |
20892 |
| COUNTRY |
United States |
| PHONE |
301-496-6043 |
| FAX |
301-402-1034 |
| EMAIL |
johnsonmk@od.nih.gov |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| OTHER APPOINTED ATTORNEY |
Dale D. Berkley, Barbara McGarey, and David Lankford |
| CORRESPONDENCE SECTION (current) |
| NAME |
Melanye K. Johnson |
| FIRM NAME |
Office of the General Counsel |
| INTERNAL ADDRESS |
Bldg 31 Rm 2B 50 |
| STREET |
31 Center Drive |
| CITY |
Bethesda |
| STATE |
Maryland |
| POSTAL CODE |
20892 |
| COUNTRY |
United States |
| PHONE |
301-496-6043 |
| FAX |
301-402-1034 |
| EMAIL |
johnsonmk@od.nih.gov |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
Melanye K. Johnson |
| FIRM NAME |
Office of the General Counsel |
| INTERNAL ADDRESS |
Bldg 31 Rm 2B 50 |
| STREET |
31 Center Drive |
| CITY |
Bethesda |
| STATE |
Maryland |
| POSTAL CODE |
20892 |
| COUNTRY |
United States |
| PHONE |
301-496-6043 |
| FAX |
301-402-1034 |
| EMAIL |
johnsonmk@od.nih.gov;dichterc@od.nih.gov |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
041 |
| GOODS OR SERVICES |
LIBRARY SERVICES, NAMELY, COLLECTION, ORGANIZATION AND DISSEMINATION, BOTH ON-SITE AND OFF-SITE, OF BOOKS, JOURNALS, AUDIO-VISUAL AND OTHER
MATERIALS IN THE FIELDS OF BIOMEDICINE, RESEARCH, BIOTECHNOLOGY, TOXICOLOGY, ENVIRONMENTAL ISSUES, PUBLIC HEALTH, HEALTH CARE AND RELATED SCIENCES |
| SPECIMEN FILE NAME(S) |
| ORIGINAL PDF FILE |
SPN0-128231234100-084442009_._NCCAM__Reg._No._2790284_Sec_8___9_CL_41_Specimen_Pkg.pdf |
CONVERTED PDF FILE(S)
(3 pages) |
\\TICRS\EXPORT16\IMAGEOUT16\763\537\76353787\xml1\S890002.JPG |
| |
\\TICRS\EXPORT16\IMAGEOUT16\763\537\76353787\xml1\S890003.JPG |
| |
\\TICRS\EXPORT16\IMAGEOUT16\763\537\76353787\xml1\S890004.JPG |
| SPECIMEN DESCRIPTION |
scanned copies of webpages from Registrant's website showing use of the mark |
| INTERNATIONAL CLASS |
042 |
| GOODS OR SERVICES |
PROVIDING COMPUTER ON-LINE DATABASES AND DATA BANKS CONTAINING INFORMATION IN THE FIELDS OF MEDICAL RESEARCH, BIOTECHNOLOGY, TOXICOLOGY,
ENVIRONMENTAL ISSUES |
| SPECIMEN FILE NAME(S) |
| ORIGINAL PDF FILE |
SPN1-12823123436-124635352_._NCCAM__Reg._No._2790284_Sec_8___9_CL_42_Specimen_Pkg.pdf |
CONVERTED PDF FILE(S)
(5 pages) |
\\TICRS\EXPORT16\IMAGEOUT16\763\537\76353787\xml1\S890005.JPG |
| |
\\TICRS\EXPORT16\IMAGEOUT16\763\537\76353787\xml1\S890006.JPG |
| |
\\TICRS\EXPORT16\IMAGEOUT16\763\537\76353787\xml1\S890007.JPG |
| |
\\TICRS\EXPORT16\IMAGEOUT16\763\537\76353787\xml1\S890008.JPG |
| |
\\TICRS\EXPORT16\IMAGEOUT16\763\537\76353787\xml1\S890009.JPG |
| SPECIMEN DESCRIPTION |
scanned copies of webpages from Registrant's website showing use of the mark |
| OWNER SECTION (current) |
| NAME |
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES |
| STREET |
31 CENTER DRIVE |
| CITY |
BETHESDA |
| STATE |
Maryland |
| ZIP/POSTAL CODE |
20892 |
| COUNTRY |
United States |
| OWNER SECTION (proposed) |
| NAME |
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES |
| INTERNAL ADDRESS |
Bldg 31Rm 2B50 |
| STREET |
31 CENTER DRIVE |
| CITY |
BETHESDA |
| STATE |
Maryland |
| ZIP/POSTAL CODE |
20892 |
| COUNTRY |
United States |
| PHONE |
301-496-6043 |
| FAX |
301- 402-1034 |
| LEGAL ENTITY SECTION (current) |
| TYPE |
federal agency |
| LEGAL ENTITY SECTION (proposed) |
| TYPE |
agency of the united states government |
| STATE/COUNTRY WHERE LEGALLY ORGANIZED |
United States |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
2 |
| NUMBER OF CLASSES PAID |
2 |
| SUBTOTAL AMOUNT |
1000 |
| TOTAL FEE PAID |
1000 |
| SIGNATURE SECTION |
| ORIGINAL PDF FILE |
hw_128231234100-084442009_._NCCAM__Reg._No._2790284_Sec_8___9_Executed_Signature.pdf |
CONVERTED PDF FILE(S)
(1 page) |
\\TICRS\EXPORT16\IMAGEOUT16\763\537\76353787\xml1\S890010.JPG |
| SIGNATORY'S NAME |
David Shurtleff, Ph.D |
| SIGNATORY'S POSITION |
Deputy Director, National Center for Complementary and Alternative Medicine, National Institutes of Health |
| PAYMENT METHOD |
DA |
| FILING INFORMATION |
| SUBMIT DATE |
Thu Nov 14 08:51:21 EST 2013 |
| TEAS STAMP |
USPTO/S08N09-XXX.XXX.XXX.
XXX-20131114085121530343-
2790284-5008f76b9d7852d3e
d973c3aa958034944235c9cba
a497c105715cd8142f57f-DA-
10615-2013111408444200974
7 |
| 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: 2790284
REGISTRATION DATE: 12/09/2003
MARK: NCCAM
The owner, U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, agency of the united states government legally organized under the laws of United States, having an address of
Bldg 31Rm 2B50
31 CENTER DRIVE
BETHESDA, Maryland 20892
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 041, 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: LIBRARY SERVICES, NAMELY, COLLECTION, ORGANIZATION AND DISSEMINATION, BOTH ON-SITE AND OFF-SITE, OF BOOKS, JOURNALS, AUDIO-VISUAL AND OTHER MATERIALS IN
THE FIELDS OF BIOMEDICINE, RESEARCH, BIOTECHNOLOGY, TOXICOLOGY, ENVIRONMENTAL ISSUES, PUBLIC HEALTH, HEALTH CARE AND RELATED SCIENCES ; 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 copies of webpages from Registrant's
website showing use of the mark.
Original PDF file:
SPN0-128231234100-084442009_._NCCAM__Reg._No._2790284_Sec_8___9_CL_41_Specimen_Pkg.pdf
Converted PDF file(s) (3 pages)
Specimen File1
Specimen File2
Specimen File3
For International Class 042, 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: PROVIDING COMPUTER ON-LINE DATABASES AND DATA BANKS CONTAINING INFORMATION IN THE FIELDS OF MEDICAL RESEARCH, BIOTECHNOLOGY, TOXICOLOGY, ENVIRONMENTAL
ISSUES ; 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 copies of webpages from Registrant's
website showing use of the mark.
Original PDF file:
SPN1-12823123436-124635352_._NCCAM__Reg._No._2790284_Sec_8___9_CL_42_Specimen_Pkg.pdf
Converted PDF file(s) (5 pages)
Specimen File1
Specimen File2
Specimen File3
Specimen File4
Specimen File5
The registrant's current Attorney Information: Melanye K. Johnson of Office of the General Counsel
Bldg 31 Rm 2B 50
31 Center Drive
Bethesda, Maryland (MD) 20892
United States
The registrant's proposed Attorney Information: Melanye K. Johnson of Office of the General Counsel
Bldg 31 Rm 2B 50
31 Center Drive
Bethesda, Maryland (MD) 20892
United States
The Other Appointed Attorney(s): Dale D. Berkley, Barbara McGarey, and David Lankford.
The phone number is 301-496-6043.
The fax number is 301-402-1034.
The email address is johnsonmk@od.nih.gov.
The registrant's current Correspondence Information: Melanye K. Johnson of Office of the General Counsel
Bldg 31 Rm 2B 50
31 Center Drive
Bethesda, Maryland (MD) 20892
United States
The registrant's proposed Correspondence Information: Melanye K. Johnson of Office of the General Counsel
Bldg 31 Rm 2B 50
31 Center Drive
Bethesda, Maryland (MD) 20892
United States
The phone number is 301-496-6043.
The fax number is 301-402-1034.
The email address is johnsonmk@od.nih.gov;dichterc@od.nih.gov.
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_128231234100-084442009_._NCCAM__Reg._No._2790284_Sec_8___9_Executed_Signature.pdf
Converted PDF file(s) (1 page)
Signature File1
Signatory's Name: David Shurtleff, Ph.D
Signatory's Position: Deputy Director, National Center for Complementary and Alternative Medicine, National Institutes of Health
Mailing Address
(current):
Office of the General Counsel
31 Center Drive
Bethesda, Maryland 20892
Mailing Address
(proposed):
Office of the General Counsel
31 Center Drive
Bethesda, Maryland 20892
Serial Number: 76353787
Internet Transmission Date: Thu Nov 14 08:51:21 EST 2013
TEAS Stamp: USPTO/S08N09-XXX.XXX.XXX.XXX-20131114085
121530343-2790284-5008f76b9d7852d3ed973c
3aa958034944235c9cbaa497c105715cd8142f57
f-DA-10615-20131114084442009747
