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 |
2680672 |
REGISTRATION DATE |
01/28/2003 |
SERIAL NUMBER |
76389298 |
MARK SECTION |
MARK |
DEPO-PROVERA |
ATTORNEY SECTION (no change) |
NAME |
Michele Farber |
FIRM NAME |
PFIZER INC. |
STREET |
FIVE GIRALDA FARMS |
CITY |
MADISON |
STATE |
New Jersey |
POSTAL CODE |
07940 |
COUNTRY |
United States |
PHONE |
973-660-5978 |
EMAIL |
deadlinesipnyo@pfizer.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
CORRESPONDENCE SECTION (no change) |
NAME |
MICHELE FARBER |
FIRM NAME |
PFIZER INC. |
STREET |
FIVE GIRALDA FARMS |
CITY |
MADISON |
STATE |
New Jersey |
POSTAL CODE |
07940 |
COUNTRY |
United States |
PHONE |
973-660-5978 |
EMAIL |
deadlinesipnyo@pfizer.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
005 |
GOODS OR SERVICES |
Medicinal progestational preparations |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\763\892\76389298\xml1\ S890002.JPG |
SPECIMEN DESCRIPTION |
A scanned photograph of the container displaying the DEPO-PROVERA trademark |
OWNER SECTION (current) |
NAME |
PHARMACIA & UPJOHN COMPANY LLC |
STREET |
7000 Portage Road |
CITY |
Kalamazoo |
STATE |
Michigan |
ZIP/POSTAL CODE |
49001 |
COUNTRY |
United States |
OWNER SECTION (proposed) |
NAME |
PHARMACIA & UPJOHN COMPANY LLC |
STREET |
7000 Portage Road |
CITY |
Kalamazoo |
STATE |
Michigan |
ZIP/POSTAL CODE |
49001 |
COUNTRY |
United States |
PHONE |
973-660-5978 |
EMAIL |
XXXX |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
LEGAL ENTITY SECTION (current) |
TYPE |
corporation |
STATE/COUNTRY OF INCORPORATION |
Delaware |
PAYMENT SECTION |
NUMBER OF CLASSES |
1 |
NUMBER OF CLASSES PAID |
1 |
SUBTOTAL AMOUNT |
500 |
TOTAL FEE PAID |
500 |
SIGNATURE SECTION |
SIGNATURE |
/Michele A. Farber/ |
SIGNATORY'S NAME |
Michele Farber |
SIGNATORY'S POSITION |
Attorney of Record |
DATE SIGNED |
06/28/2012 |
SIGNATORY'S PHONE NUMBER |
973-660-5978 |
PAYMENT METHOD |
DA |
FILING INFORMATION |
SUBMIT DATE |
Thu Jun 28 12:11:58 EDT 2012 |
TEAS STAMP |
USPTO/S08N09-XXX.XXX.XX.X
X-20120628121158611609-26
80672-4903f9385179436a6ec
4a11e325bee1cc-DA-13041-2
0120628115744509064 |
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: 2680672
REGISTRATION DATE: 01/28/2003
MARK: DEPO-PROVERA
The owner, PHARMACIA & UPJOHN COMPANY LLC, a corporation of Delaware, having an address of
7000 Portage Road
Kalamazoo, Michigan 49001
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: Medicinal progestational preparations ; 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) A scanned photograph of the container
displaying the DEPO-PROVERA trademark.
Specimen File1
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: /Michele A. Farber/ Date: 06/28/2012
Signatory's Name: Michele Farber
Signatory's Position: Attorney of Record
Signatory's Phone Number: 973-660-5978
Mailing Address:
PFIZER INC.
FIVE GIRALDA FARMS
MADISON, New Jersey 07940
Serial Number: 76389298
Internet Transmission Date: Thu Jun 28 12:11:58 EDT 2012
TEAS Stamp: USPTO/S08N09-XXX.XXX.XX.XX-2012062812115
8611609-2680672-4903f9385179436a6ec4a11e
325bee1cc-DA-13041-20120628115744509064