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 |
2816357 |
REGISTRATION DATE |
02/24/2004 |
SERIAL NUMBER |
76455166 |
MARK SECTION |
MARK |
SCD |
ATTORNEY SECTION (current) |
NAME |
Susan M. Kornfield, Alan N. Harris and Angela Alvarez Sujek |
FIRM NAME |
BODMAN LLP |
STREET |
201 S. Division, Ste. 400 |
CITY |
ANN ARBOR |
STATE |
Michigan |
POSTAL CODE |
48104 |
COUNTRY |
United States |
PHONE |
734-761-3780 |
FAX |
734-930-2494 |
EMAIL |
skornfield@bodmanllp.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
ATTORNEY SECTION (proposed) |
NAME |
John R. Merkling |
FIRM NAME |
Terumo BCT, Inc. Intellectual Property Dept. |
INTERNAL ADDRESS |
Mail Stop 810 1F2 |
STREET |
10811 West Collins Avenue |
CITY |
Lakewood |
STATE |
Colorado |
POSTAL CODE |
80215 |
COUNTRY |
United States |
PHONE |
303-239-2362 |
FAX |
303-231-4198 |
EMAIL |
IPDepartment@terumobct.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
TB0271-US01 |
OTHER APPOINTED ATTORNEY |
René A. Pereyra and Elizabeth J. Reagan |
CORRESPONDENCE SECTION (current) |
NAME |
Susan M. Kornfield, Alan N. Harris and Angela Alva |
FIRM NAME |
BODMAN LLP |
STREET |
201 S. Division, Ste. 400 |
CITY |
ANN ARBOR |
STATE |
Michigan |
POSTAL CODE |
48104 |
COUNTRY |
United States |
PHONE |
734-761-3780 |
FAX |
734-930-2494 |
EMAIL |
skornfield@bodmanllp.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
CORRESPONDENCE SECTION (proposed) |
NAME |
John R. Merkling |
FIRM NAME |
Terumo BCT, Inc. Intellectual Property Dept. |
INTERNAL ADDRESS |
Mail Stop 810 1F2 |
STREET |
10811 West Collins Avenue |
CITY |
Lakewood |
STATE |
Colorado |
POSTAL CODE |
80215 |
COUNTRY |
United States |
PHONE |
303-239-2362 |
FAX |
303-231-4198 |
EMAIL |
IPDepartment@terumobct.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
TB0271-US01 |
DOMESTIC REPRESENTATIVE SECTION (new) |
NAME |
John R. Merkling |
INTERNAL ADDRESS |
Mail Stop 810 1F2 |
STREET |
10811 West Collins Avenue |
CITY |
Lakewood |
STATE |
Colorado |
POSTAL CODE |
80215 |
COUNTRY |
United States |
PHONE |
303-239-2362 |
FAX |
303-231-4198 |
EMAIL |
IPDepartment@terumobct.com |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
DOCKET/REFERENCE NUMBER |
TB0271-US01 |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
010 |
GOODS OR SERVICES |
Welding devices for connecting sections of medical grade thermoplastic tubing, and welding wafer used in connection therewith |
SPECIMEN FILE NAME(S) |
\\TICRS\EXPORT16\IMAGEOUT 16\764\551\76455166\xml1\ S890002.JPG |
|
\\TICRS\EXPORT16\IMAGEOUT 16\764\551\76455166\xml1\ S890003.JPG |
|
\\TICRS\EXPORT16\IMAGEOUT 16\764\551\76455166\xml1\ S890004.JPG |
SPECIMEN DESCRIPTION |
Exhibit 1: product with the mark shown; Exhibit 2: product with the mark shown; Exhibit 3: product with the mark shown |
OWNER SECTION (current) |
NAME |
TERUMO BCT, INC. |
STREET |
10811 WEST COLLINS AVENUE |
CITY |
LAKEWOOD |
STATE |
Colorado |
ZIP/POSTAL CODE |
80215 |
COUNTRY |
United States |
OWNER SECTION (proposed) |
NAME |
TERUMO BCT, INC. |
STREET |
10811 WEST COLLINS AVENUE |
CITY |
LAKEWOOD |
STATE |
Colorado |
ZIP/POSTAL CODE |
80215 |
COUNTRY |
United States |
PHONE |
303-239-2362 |
FAX |
303-231-4198 |
EMAIL |
XXXX |
AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
LEGAL ENTITY SECTION (current) |
TYPE |
corporation |
STATE/COUNTRY OF INCORPORATION |
Colorado |
PAYMENT SECTION |
NUMBER OF CLASSES |
1 |
NUMBER OF CLASSES PAID |
1 |
SUBTOTAL AMOUNT |
500 |
TOTAL FEE PAID |
500 |
SIGNATURE SECTION |
SIGNATURE |
/JohnRMERKLING,Reg.No.31716/ |
SIGNATORY'S NAME |
John R. Merkling |
SIGNATORY'S POSITION |
Duly authorized officer |
DATE SIGNED |
01/20/2014 |
SIGNATORY'S PHONE NUMBER |
303-239-2362 |
PAYMENT METHOD |
DA |
FILING INFORMATION |
SUBMIT DATE |
Mon Jan 20 15:45:52 EST 2014 |
TEAS STAMP |
USPTO/S08N09-XXX.XX.XXX.X
XX-20140120154552312037-2
816357-500bccb19488f69db9
1fcf03eb33b49ef256b1f6d58
811f5ecbc4c35a54fc1ad-DA-
11013-2014012015290664862
6 |
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: 2816357
REGISTRATION DATE: 02/24/2004
MARK: SCD
The owner, TERUMO BCT, INC., a corporation of Colorado, having an address of
10811 WEST COLLINS AVENUE
LAKEWOOD, Colorado 80215
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: Welding devices for connecting sections of medical grade thermoplastic tubing, and welding wafer used in connection 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) Exhibit 1: product with the mark shown;
Exhibit 2: product with the mark shown; Exhibit 3: product with the mark shown.
Specimen File1
Specimen File2
Specimen File3
The registrant's current Attorney Information: Susan M. Kornfield, Alan N. Harris and Angela Alvarez Sujek of BODMAN LLP
201 S. Division, Ste. 400
ANN ARBOR, Michigan (MI) 48104
United States
The registrant's proposed Attorney Information: John R. Merkling of Terumo BCT, Inc. Intellectual Property Dept.
Mail Stop 810 1F2
10811 West Collins Avenue
Lakewood, Colorado (CO) 80215
United States
The docket/reference number is TB0271-US01.
The Other Appointed Attorney(s): René A. Pereyra and Elizabeth J. Reagan.
The phone number is 303-239-2362.
The fax number is 303-231-4198.
The email address is IPDepartment@terumobct.com.
The registrant's current Correspondence Information: Susan M. Kornfield, Alan N. Harris and Angela Alva of BODMAN LLP
201 S. Division, Ste. 400
ANN ARBOR, Michigan (MI) 48104
United States
The registrant's proposed Correspondence Information: John R. Merkling of Terumo BCT, Inc. Intellectual Property Dept.
Mail Stop 810 1F2
10811 West Collins Avenue
Lakewood, Colorado (CO) 80215
United States
The docket/reference number is TB0271-US01.
The phone number is 303-239-2362.
The fax number is 303-231-4198.
The email address is IPDepartment@terumobct.com.
The registrant hereby appoints John R. Merkling, Mail Stop 810 1F2, 10811 West Collins Avenue, Lakewood, Colorado (CO) United States (USX) 80215 as registrant's representative upon whom notice or
process in the proceedings affecting the mark may be served.
The phone number is 303-239-2362.
The fax number is 303-231-4198.
The email address is IPDepartment@terumobct.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: /JohnRMERKLING,Reg.No.31716/ Date: 01/20/2014
Signatory's Name: John R. Merkling
Signatory's Position: Duly authorized officer
Signatory's Phone Number: 303-239-2362
Mailing Address
(current):
BODMAN LLP
201 S. Division, Ste. 400
ANN ARBOR, Michigan 48104
Mailing Address
(proposed):
Terumo BCT, Inc. Intellectual Property Dept.
10811 West Collins Avenue
Lakewood, Colorado 80215
Serial Number: 76455166
Internet Transmission Date: Mon Jan 20 15:45:52 EST 2014
TEAS Stamp: USPTO/S08N09-XXX.XX.XXX.XXX-201401201545
52312037-2816357-500bccb19488f69db91fcf0
3eb33b49ef256b1f6d58811f5ecbc4c35a54fc1a
d-DA-11013-20140120152906648626