| PTO Form 1597 (Rev 11/2007) |
| OMB No. 0651-0055 (Exp. 12/31/2011) |
Section 7 Request Form
The table below presents the data as entered.
Input Field
|
Entered
|
| REGISTRATION NUMBER |
2921969 |
| LAW OFFICE ASSIGNED |
LAW OFFICE 106 |
| SERIAL NUMBER |
76459170 |
| MARK SECTION (current) |
| STANDARD CHARACTERS |
YES |
| USPTO-GENERATED IMAGE |
YES |
| LITERAL ELEMENT |
CCRC |
| MARK STATEMENT |
The mark consists of standard characters, without claim to any particular font style, size or color. |
| OWNER SECTION (current) |
| NAME |
Association of Clinical Research Professionals |
| STREET |
1012 14th Street, NW - Suite 807 |
| CITY |
Washington |
| STATE |
District of Columbia |
| ZIP/POSTAL CODE |
20005 |
| COUNTRY |
United States |
| OWNER SECTION (proposed) |
| NAME |
Association of Clinical Research Professionals, Inc. |
| STREET |
500 Montgomery Street, Suite 800 |
| CITY |
Alexandria |
| STATE |
Virginia |
| ZIP/POSTAL CODE |
22314 |
| COUNTRY |
United States |
| LEGAL ENTITY SECTION (current) |
| TYPE |
NON-PROFIT CORPORATION |
| STATE/COUNTRY WHERE LEGALLY ORGANIZED |
District of Columbia |
| LEGAL ENTITY SECTION (proposed) |
| TYPE |
NON-PROFIT CORPORATION |
| STATE/COUNTRY WHERE LEGALLY ORGANIZED |
Ohio |
| PAYMENT SECTION |
| TOTAL AMOUNT |
100 |
| TOTAL FEES DUE |
100 |
| SIGNATURE SECTION |
| DECLARATION SIGNATURE |
/James F. Ewing/ |
| SIGNATORY'S NAME |
James F. Ewing |
| SIGNATORY'S POSITION |
Attorney of record |
| DATE SIGNED |
12/10/2007 |
| REQUEST SIGNATURE |
/James F. Ewing/ |
| SIGNATORY'S NAME |
James F. Ewing |
| SIGNATORY'S POSITION |
Attorney of record |
| DATE SIGNED |
12/10/2007 |
| AUTHORIZED SIGNATORY |
YES |
| CONCURRENT § 8, 8 &15, OR 8 &9 FILED |
NO |
| FILING INFORMATION SECTION |
| SUBMIT DATE |
Mon Dec 10 14:47:41 EST 2007 |
| TEAS STAMP |
USPTO/S7R-XXX.XX.XX.XXX-2
0071210144741292552-29219
69-410c79523f14b1fcc145c6
a47a24ae91e3c-CC-161-2007
1210141237130863 |
| PTO Form 1597 (Rev 11/2007) |
| OMB No. 0651-0055 (Exp. 12/31/2011) |
Section 7 Request Form
To the Commissioner for Trademarks:
The registrant requests the following amendment(s) to registration no.
2921969 CCRC
OWNER AND/OR ENTITY INFORMATION
Registrant proposes to amend the following:
Current: Association of Clinical Research Professionals a(n) NON-PROFIT CORPORATION, legally organized under the laws of District of Columbia, having an address of
1012 14th Street, NW - Suite 807
Washington, District of Columbia 20005
United States
Proposed: Association of Clinical Research Professionals, Inc., NON-PROFIT CORPORATION legally organized under the laws of Ohio, having an address of
500 Montgomery Street, Suite 800
Alexandria, Virginia 22314
United States
FEE(S)
Fee(s) in the amount of $100 is being submitted.
SIGNATURE(S)
Declaration Signature
The undersigned, being hereby warned that willful false statements and the like so made are punishable by fine or imprisonment, or both, under 18 U.S.C. §1001, and that such willful false statements
may jeopardize the validity of the application or document or any resulting registration, declares that all statements made of his/her own knowledge are true; and all statements made on information
and belief are believed to be true.
Signature: /James F. Ewing/ Date: 12/10/2007
Signatory's Name: James F. Ewing
Signatory's Position: Attorney of record
Request Signature
Signature: /James F. Ewing/ Date: 12/10/2007
Signatory's Name: James F. Ewing
Signatory's Position: Attorney of record
The signatory has confirmed that he/she is an attorney who is a member in good standing of the bar of the highest court of a U.S. state, which includes the District of Columbia, Puerto Rico, and
other federal territories and possessions; and he/she is currently the registrant's attorney or an associate thereof; and to the best of his/her knowledge, if prior to his/her appointment another
U.S. attorney or a Canadian attorney/agent not currently associated with his/her company/firm previously represented the registrant in this matter: (1) the registrant has filed or is concurrently
filing a signed revocation of or substitute power of attorney with the USPTO; (2) the USPTO has granted the request of the prior representative to withdraw; (3) the registrant has filed a power of
attorney appointing him/her in this matter; or (4) the registrant's appointed U.S. attorney or Canadian attorney/agent has filed a power of attorney appointing him/her as an associate attorney in
this matter.
The applicant is NOT filing a Declaration of Use of Mark under Section 8; a Combined Declaration of Use of Mark under Sections 8 & 15; or a Combined Declaration of Use of Mark/Application for
Renewal of Registration of Mark under Sections 8 & 9 in conjunction with this Section 7 Request.
RAM Sale Number: 161
RAM Accounting Date: 12/11/2007
Serial Number: 76459170
Internet Transmission Date: Mon Dec 10 14:47:41 EST 2007
TEAS Stamp: USPTO/S7R-XXX.XX.XX.XXX-2007121014474129
2552-2921969-410c79523f14b1fcc145c6a47a2
4ae91e3c-CC-161-20071210141237130863