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 |
2713203 |
REGISTRATION DATE |
05/06/2003 |
SERIAL NUMBER |
76406683 |
MARK SECTION |
MARK |
POLYPRO |
ATTORNEY SECTION (no change) |
NAME |
Kevin J. Dunleavy |
FIRM NAME |
MENDELSOHN, DRUCKER, & ASSOCIATES, P.C. |
INTERNAL ADDRESS |
SUITE 405 |
STREET |
1500 JOHN F. KENNEDY BLVD. |
CITY |
PHILADELPHIA |
STATE |
Pennsylvania |
POSTAL CODE |
19102 |
COUNTRY |
United States |
PHONE |
215-557-6656 |
FAX |
215-557-8477 |
EMAIL |
docketing@mendelip.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
CORRESPONDENCE SECTION (no change) |
NAME |
KEVIN J. DUNLEAVY |
FIRM NAME |
MENDELSOHN, DRUCKER, & ASSOCIATES, P.C. |
INTERNAL ADDRESS |
SUITE 405 |
STREET |
1500 JOHN F. KENNEDY BLVD. |
CITY |
PHILADELPHIA |
STATE |
Pennsylvania |
POSTAL CODE |
19102 |
COUNTRY |
United States |
PHONE |
215-557-6656 |
FAX |
215-557-8477 |
EMAIL |
docketing@mendelip.com;kjdunleavy@mendelip.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
010 |
GOODS OR SERVICES |
NON-ABSORBABLE BLUE MONOFILAMENT MEDICAL SUTURES |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\764\066\76406683\xml2\ S890002.JPG |
SPECIMEN DESCRIPTION |
Photograph showing mark as applied to product packaging |
OWNER SECTION (current) |
NAME |
CP MEDICAL |
STREET |
803 NE 25TH AVENUE |
CITY |
PORTLAND |
STATE |
Oregon |
ZIP/POSTAL CODE |
97232 |
COUNTRY |
United States |
PHONE |
503-445-1640 |
FAX |
503 230-9993 |
EMAIL |
XXXX |
OWNER SECTION (proposed) |
NAME |
CP MEDICAL |
STREET |
803 NE 25TH AVENUE |
CITY |
PORTLAND |
STATE |
Oregon |
ZIP/POSTAL CODE |
97232 |
COUNTRY |
United States |
PHONE |
|
FAX |
|
EMAIL |
|
LEGAL ENTITY SECTION (current) |
TYPE |
corporation |
STATE/COUNTRY OF INCORPORATION |
Oregon |
PAYMENT SECTION |
NUMBER OF CLASSES |
1 |
NUMBER OF CLASSES PAID |
1 |
SUBTOTAL AMOUNT |
500 |
TOTAL FEE PAID |
500 |
SIGNATURE SECTION |
SIGNATURE |
/kevin m. drucker/ |
SIGNATORY'S NAME |
Kevin M. Drucker |
SIGNATORY'S POSITION |
Attorney of record, Pennsylvania bar member |
DATE SIGNED |
05/05/2013 |
SIGNATORY'S PHONE NUMBER |
215-557-6659 |
PAYMENT METHOD |
CC |
FILING INFORMATION |
SUBMIT DATE |
Sun May 05 21:30:50 EDT 2013 |
TEAS STAMP |
USPTO/S08N09-XX.XX.XXX.XX
X-20130505213050689387-27
13203-50050e0379e248cb372
74ffbfe548a6754b841fe5d22
815788028f780f7513-CC-776
6-20130505212244810722 |
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: 2713203
REGISTRATION DATE: 05/06/2003
MARK: POLYPRO
The owner, CP MEDICAL, a corporation of Oregon, having an address of
803 NE 25TH AVENUE
PORTLAND, Oregon 97232
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 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: NON-ABSORBABLE BLUE MONOFILAMENT MEDICAL SUTURES ; 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 showing mark as applied to product
packaging.
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: /kevin m. drucker/ Date: 05/05/2013
Signatory's Name: Kevin M. Drucker
Signatory's Position: Attorney of record, Pennsylvania bar member
Signatory's Phone Number: 215-557-6659
Mailing Address:
MENDELSOHN, DRUCKER, & ASSOCIATES, P.C.
1500 JOHN F. KENNEDY BLVD.
PHILADELPHIA, Pennsylvania 19102
Serial Number: 76406683
Internet Transmission Date: Sun May 05 21:30:50 EDT 2013
TEAS Stamp: USPTO/S08N09-XX.XX.XXX.XXX-2013050521305
0689387-2713203-50050e0379e248cb37274ffb
fe548a6754b841fe5d22815788028f780f7513-C
C-7766-20130505212244810722