Application

PTO Form 1478 (Rev 4/2000)

OMB Control #0651-0009 (Exp. 08/31/2004)

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PTO Form 1478 (Rev 4/2000)

OMB Control #0651-0009 (Exp. 08/31/2004)

Trademark/Service Mark Application, Principal Register, with Declaration

Serial Number: 78243160
Filing Date: 04/29/2003

To the Commissioner for Trademarks:

MARK:  MACROLANE

The applicant, Q-MED AB, a corporation of Sweden, residing at Seminariegatan 21 , Uppsala, Sweden 752 28 , requests registration of the trademark/service mark shown on the drawing page in the United States Patent and Trademark Office on the Principal Register established by the Act of July 5, 1946 (15 U.S.C. Section 1051 et seq.), as amended.

Based on Foreign Registration: Applicant has a bona fide intention to use the mark in commerce on or in connection with the identified goods and/or services, and will submit a certification or certified copy of the foreign registration before the application may proceed to registration. 15 U. S.C. Section 1126(e), as amended.

The applicant will submit Sweden registration number 339 021, registered 07/28/2000 with a renewal date of __________, and an expiration date of __________, before the application may proceed to U.S. registration, under Section 44(e) (15 U.S.C. Section 1126(e):

           International Class 010: injectable breast implants, namely, a gel in pre-filled syringes

The applicant submits a copy of the foreign registration certificate, and translation thereof, if appropriate, to support the §44(e) basis:
           Foreign Registration - 1
           Foreign Registration - 2
           Foreign Registration - 3
           Foreign Registration - 4
           Foreign Registration - 5


The applicant, hereby appoints Susan Upton Douglass of  Fross Zelnick Lehrman & Zissu, P.C., 866 United Nations Plaza, New York, NY USA 10017 to submit this application on behalf of the applicant.

The applicant hereby appoints Susan Upton Douglass of  Fross Zelnick Lehrman & Zissu, P.C., 866 United Nations Plaza, New York, NY USA 10017 as applicant's representative upon whom notice or process in the proceedings affecting the mark may be served.


A fee payment in the amount of $335 will be submitted with the application, representing payment for 1 class(es).

Declaration

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. Section 1001, and that such willful false statements, and the like, may jeopardize the validity of the application or any resulting registration, declares that he/she is properly authorized to execute this application on behalf of the applicant; he/she believes the applicant to be the owner of the trademark/service mark sought to be registered, or, if the application is being filed under 15 U.S.C. Section 1051(b), he/she believes applicant to be entitled to use such mark in commerce; to the best of his/her knowledge and belief no other person, firm, corporation, or association has the right to use the mark in commerce, either in the identical form thereof or in such near resemblance thereto as to be likely, when used on or in connection with the goods/services of such other person, to cause confusion, or to cause mistake, or to deceive; and that all statements made of his/her own knowledge are true; and that all statements made on information and belief are believed to be true.



Mailing Address:
     Susan Upton Douglass
     866 United Nations Plaza
     New York, NY 10017

RAM Sale Number: 766
RAM Accounting Date: 04/29/2003

Serial Number: 78243160
Internet Transmission Date: Tue Apr 29 12:59:53 EDT 2003
TEAS Stamp: USPTO/BAS-XXXXXXXXXXXX-20030429125953399123-78243160-200348a9b4f8f3d3566a2845e14a6290e4-DA-766-20030429125652965007