| PTO Form 1553 (Rev 5/2006) |
| OMB No. 0651-0055 (Exp 12/31/2011) |
Declaration of Use and/or Excusable Nonuse of Mark in Commerce under Section 8
The table below presents the data as entered.
Input Field
|
Entered
|
| REGISTRATION NUMBER |
2990023 |
| REGISTRATION DATE |
08/30/2005 |
| SERIAL NUMBER |
76484445 |
| MARK SECTION |
| MARK |
BIODESIGN |
| ATTORNEY SECTION (new) |
| NAME |
Derek J. Westberg |
| FIRM NAME |
Westberg Law Offices |
| STREET |
569 Clyde Ave Ste 530 |
| CITY |
Mountain View |
| STATE |
California |
| POSTAL CODE |
94043 |
| COUNTRY |
United States |
| PHONE |
(650) 968-0410 |
| FAX |
(650) 968-4383 |
| EMAIL |
derek@westberglaw.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
MONT-00500 |
| CORRESPONDENCE SECTION (current) |
| NAME |
MICHAEL G. PETIT |
| FIRM NAME |
PATENT LAW OFFICE |
| STREET |
P.O. BOX 91929 |
| CITY |
SANTA BARBARA |
| STATE |
California |
| POSTAL CODE |
93190-1929 |
| COUNTRY |
United States |
| PHONE |
(805) 563-6556 |
| FAX |
(805) 563-6615 |
| EMAIL |
patentsinc@aol.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| CORRESPONDENCE SECTION (proposed) |
| NAME |
Derek J. Westberg |
| FIRM NAME |
Westberg Law Offices |
| STREET |
569 Clyde Ave Ste 530 |
| CITY |
Mountain View |
| STATE |
California |
| POSTAL CODE |
94043 |
| COUNTRY |
United States |
| PHONE |
(650) 968-0410 |
| FAX |
(650) 968-4383 |
| EMAIL |
derek@westberglaw.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
Yes |
| DOCKET/REFERENCE NUMBER |
MONT-00500 |
| GOODS AND/OR SERVICES SECTION |
| INTERNATIONAL CLASS |
010 |
| GOODS OR SERVICES |
Surgical silicone implants for changing the contour of the body |
| SPECIMEN FILE NAME(S) |
| ORIGINAL PDF FILE |
SPN0-7625213886-205143300_._specimen.pdf |
CONVERTED PDF FILE(S)
(1 page) |
\\TICRS\EXPORT11\IMAGEOUT11\764\844\76484445\xml4\S080002.JPG |
| SPECIMEN DESCRIPTION |
portion of printed instructions packaged along with the goods |
| OWNER SECTION (current) |
| NAME |
SILIMED |
| STREET |
R. Figueiredo Rocha, 374 |
| CITY |
Rio de Jeneiro |
| ZIP/POSTAL CODE |
21240-660 |
| COUNTRY |
Brazil |
| PHONE |
(5521) 471-2111 |
| FAX |
(5521) 372-8952 |
| EMAIL |
XXXX |
| OWNER SECTION (proposed) |
| NAME |
SILIMED - SILICONE E INSTRUMENTAL MÉDICO-CIRÚRGICO E HOSPITALAR LTDA |
| STREET |
R. Figueiredo Rocha, 374 |
| CITY |
Rio de Janeiro |
| ZIP/POSTAL CODE |
21240-660 |
| COUNTRY |
Brazil |
| PHONE |
(5521) 471-2111 |
| FAX |
(5521) 372-8952 |
| EMAIL |
XXXX |
| LEGAL ENTITY SECTION (current) |
| TYPE |
corporation |
| LEGAL ENTITY SECTION (proposed) |
| TYPE |
corporation |
| STATE/COUNTRY OF INCORPORATION |
Brazil |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
100 |
| TOTAL FEE PAID |
100 |
| SIGNATURE SECTION |
| SIGNATURE |
/Derek J. Westberg/ |
| SIGNATORY'S NAME |
Derek J. Westberg |
| SIGNATORY'S POSITION |
Attorney of record, California bar member |
| DATE SIGNED |
05/25/2011 |
| PAYMENT METHOD |
CC |
| FILING INFORMATION |
| SUBMIT DATE |
Wed May 25 21:02:36 EDT 2011 |
| TEAS STAMP |
USPTO/SECT08-XX.XXX.XXX.X
X-20110525210236138541-29
90023-48031c99240de93a5f3
1276e6204e9538b-CC-8297-2
0110525205143300729 |
| PTO Form 1553 (Rev 5/2006) |
| OMB No. 0651-0055 (Exp 12/31/2011) |
Declaration of Use and/or Excusable Nonuse of Mark in Commerce under Section 8
To the Commissioner for Trademarks:
REGISTRATION NUMBER: 2990023
REGISTRATION DATE: 08/30/2005
MARK: BIODESIGN
The owner, SILIMED - SILICONE E INSTRUMENTAL MÉDICO-CIRÚRGICO E HOSPITALAR LTDA, a corporation of Brazil, having an address of
R. Figueiredo Rocha, 374
Rio de Janeiro, 21240-660
Brazil
is filing a Declaration of Use and/or Excusable Nonuse of Mark in Commerce under Section 8.
For International Class 010, the mark is in use in commerce on or in connection with
all goods or services listed in the existing registration for this specific class: Surgical silicone
implants for changing the contour of the body ; or, the owner is making the listed excusable nonuse claim.
The owner is submitting one specimen showing the mark as used in commerce on or in connection with any item in this class, consisting of a(n) portion of printed instructions packaged along with the
goods.
Original PDF file:
SPN0-7625213886-205143300_._specimen.pdf
Converted PDF file(s) (1 page)
Specimen File1
The registrant's current Correspondence Information: MICHAEL G. PETIT of PATENT LAW OFFICE
P.O. BOX 91929
SANTA BARBARA, California (CA) 93190-1929
United States (USX)
The registrant's proposed Correspondence Information: Derek J. Westberg of Westberg Law Offices
569 Clyde Ave Ste 530
Mountain View, California (CA) 94043
United States (USX)
The docket/reference number is MONT-00500.
The phone number is (650) 968-0410.
The fax number is (650) 968-4383.
The email address is derek@westberglaw.com.
The registrant hereby appoints Derek J. Westberg of Westberg Law Offices
569 Clyde Ave Ste 530
Mountain View, California 94043
United States
to submit this Declaration of Use and/or Excusable Nonuse of Mark in Commerce under Section 8 on behalf of the registrant. The docket/reference number is MONT-00500.
The phone number is (650) 968-0410.
The fax number is (650) 968-4383.
The email address is derek@westberglaw.com.
A fee payment in the amount of $100 will be submitted with the form, representing payment for 1 class(es), plus any additional grace period fee, if necessary.
Declaration
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.
Signature: /Derek J. Westberg/ Date: 05/25/2011
Signatory's Name: Derek J. Westberg
Signatory's Position: Attorney of record, California bar member
Mailing Address:
Westberg Law Offices
569 Clyde Ave Ste 530
Mountain View, California 94043
Serial Number: 76484445
Internet Transmission Date: Wed May 25 21:02:36 EDT 2011
TEAS Stamp: USPTO/SECT08-XX.XXX.XXX.XX-2011052521023
6138541-2990023-48031c99240de93a5f31276e
6204e9538b-CC-8297-20110525205143300729
