PR-Section 8 and 9

PTO Form 1963 (Rev 5/2006)

OMB No. 0651-0055 (Exp 07/31/2018)

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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: 2991143
REGISTRATION DATE: 09/06/2005

MARK: (Stylized and/or with Design, GLOBUS MEDICAL)

The owner, Globus Medical, Inc., a corporation of Delaware, having an address of
      2560 General Armistead Avenue
      Audubon, Pennsylvania 19403
      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: medical devices for treating spinal pathologies and conditions for use in spinal surgery performed by spinal surgeons; spinal implants and surgical instruments for use in spinal procedures performed by spinal surgeons ; 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) Product label for monoaxial pedicle screw.
Specimen File1
The registrant's current Correspondence Information: Globus Medical, Inc. of  GLOBUS MEDICAL, INC.
      2560 General armistead avenue
      2560 GENERAL ARMISTEAD AVENUE
      AUDUBON, Pennsylvania (PA) 19403
      United States
The docket/reference number is 0218.009.TM0.

The registrant's proposed Correspondence Information: Globus Medical, Inc. of  GLOBUS MEDICAL, INC.
      2560 General armistead avenue
      2560 GENERAL ARMISTEAD AVENUE
      AUDUBON, Pennsylvania (PA) 19403
      United States
The docket/reference number is 0218.009.TM0.


The phone number is 6109301800 x 1172.

The fax number is 6109302042.

The email address is skyttle@globusmedical.com;gtse@globusmedical.com;balas@globusmedical.com;jjani@globusmedical.com;cbradley@globusmedical.com.

A fee payment in the amount of $400 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/services, or to indicate membership in the collective membership organization identified above, as evidenced by the attached specimen(s) showing the mark as used in commerce.


The signatory being warned that willful false statements and the like are punishable by fine or imprisonment, or both, under 18 U.S.C. § 1001, and that such willful false statements and the like may jeopardize the validity of this submission, 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.

Section 9: Application for Renewal
The registrant requests that the registration be renewed for the goods/services/collective organization identified above.


Signature: /Gregory Tse/      Date: 09/08/2015
Signatory's Name: Gregory Tse
Signatory's Position: Attorney of record, CA bar member
Signatory's Phone Number: 610-930-1800 x 1172

Mailing Address:
   GLOBUS MEDICAL, INC.
   2560 GENERAL ARMISTEAD AVENUE
   AUDUBON, Pennsylvania 19403

Serial Number: 76564729
Internet Transmission Date: Tue Sep 08 16:25:43 EDT 2015
TEAS Stamp: USPTO/S08N09-XX.XXX.XXX.X-20150908162543
984488-2991143-5401baadbc162793869a31ef1
a8b1ca13ef86be9a6d7c4b1f67f53a6ed2b966dc
3-DA-3727-20150908162155510921